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This is a concise, up-to-date reference on anesthesia for urological surgery. Urological anesthesia is not recognized as a specialty, and a majority of anesthesiologists and nurse anesthetists will provide anesthesia for these patients. Advances in urological procedures, the advent of treatment of patients with strong anticoagulant and antiplatelet medications, and the demographics of urology patients (many of whom are young or elderly) present challenges for the anesthesiologist and have necessitated changes in anesthesia practice. The last volume on this topic was published in 2000, and the time is right for a fresh presentation of contemporary expertise in anesthesia for urological surgery.
The book provides a brief review of renal physiology and pharmacology then addresses anesthesia for each major group of urological procedures (e.g., endoscopic, office-based, laparoscopic and robotic, nephrolithotripsy, renal transplantation, etc.) and in special populations, including the geriatric patient, the pediatric patient, and the pregnant patient. Separate chapters discuss the unique challenges of positioning the patient, and of managing the patient taking anticoagulant and antiplatelet medication, and the chapter on pain management addresses common and important perioperative concerns. The book provides a brief review of renal physiology and pharmacology then addresses anesthesia for each major group of urological procedures (e.g., endoscopic, office-based, laparoscopic and robotic, nephrolithotripsy, renal transplantation, etc.) and in special populations, including the geriatric patient, the pediatric patient, and the pregnant patient. Separate chapters discuss the unique challenges of positioning the patient, and of managing the patient taking anticoagulant and antiplatelet medication, and the chapter on pain management addresses common and important perioperative concerns."
Nearly half of us at some point in our lives will suffer chronic pain. We go to the doctor, where the standard treatment on offer is either medication - which only masks the problem - or surgery - which can make things worse. For renowned osteopath Nick Potter, the reason why traditional medicine doesn't work is because chronic pain often has less to do with twisted muscles and more to do with far deeper-rooted anxieties. An expert on pain in all its forms, Potter has had nearly 30 years' clinical experience of treating people - ranging from elite athletes and hedge-funders to over-stretched families - who come to him with real symptoms and real physical pain for which there appears to be no root cause. In this fascinating book, he takes us on a journey into biology, evolution and contemporary social behaviour and anthropology to examine our relationship with pain. He presents his own roadmap for wellbeing (including his acclaimed theory of breathing), along with success stories from the consulting room, and shows us how to spot the signs and break the vicious cycle of stress, pain and anxiety before the damage is done.
This definitive resource from the eminent Oxford Textbooks series, the Oxford Textbook of Anaesthesia addresses the fundamental principles, underpinning sciences and the full spectrum of clinical practice. It brings together the most pertinent research from on-going scientific endeavours with practical guidance and a passion to provide the very best clinical care to patients. This comprehensive work covers all aspects of anaesthesia; volume one addresses the fundamental principles and the basic sciences whose understanding is required for a logical, effective and evidence-based approach to practice. Volume two focuses on the clinical aspects of anaesthesia, including those aspects of intensive care and pain medicine that are required by all general anaesthetists as well as sections dedicated to procedures, surgical specialities, paediatrics, the conduct of anaesthesia outside the theatre, and concurrent disease. In 91 finely crafted and highly illustrated chapters, experts in anaesthesia review the supporting evidence and key techniques for the clinical management of specific conditions and patient groups. International contributors share their research and extensive experience to provide a wealth of practical advice for use in clinical situations in a global context. This essential reference tool supports all anaesthetists seeking an up-to-date and trustworthy account of all aspects of anaesthesia, ideal for reference, study and revision. It will be an indispensable guide to anaesthetists of all grades and subspecialty interest.
A significant number of critically ill neurological and neurosurgical patients are still managed in the medical or surgical ICU by non-neurointensivists, who have a hard time appreciating the delicate needs of these patients. This dynamic guide reviews current topics facing neurocritical care providers in a straight-forward, structured, and practical way. Providing clear summaries in the management of neuro critical care conditions, this text allows for accessible, highly structured, and focused protocols for the assessment, day-to-day management, and treatment of critically ill patients in various ICU settings. This comprehensive, thorough guide to the management and treatment of neurologic and neurosurgical patients, is an excellent companion for trainees preparing for the Neurovascular Boards, Neurologists, Neurosurgeons and critical care physicians, alike. Designed by leaders in their field, this thorough guide presents practical, state-of-the-art suggestions for physicians, worldwide.
This text presents the basic and clinical foundations of anesthesiology. It is easy to read and is comprehensive without being lengthy. Readers can test their knowledge with the "Clinical Review" questions at the end of chapters and will appreciate the abundance of color illustrations, clinical images, and practical tables. Chapters are highly organized and make liberal use of bulleted text where appropriate. Everything needed in a single source is here, from clinically important basic science to the full range of anesthetic practice: pain management and regional anesthesia, including ultrasound-guided peripheral nerve blocks; specialty anesthesia; preoperative evaluation and intraoperative management; ambulatory and non-operating room anesthesia; and critical care. The book also includes topical chapters on the obese patient, infectious diseases, alternative medicine, substance abuse, cosmetic surgery, robotic surgery, the hazards of working in the operating room, and residency requirements and guidelines.
This long-awaited follow-up to the New York Times bestselling The MELT Method introduces a unique, scientific-based proactive training program for improving overall balance, performance, and control while preventing pain and injury. Are you an athlete facing constant injuries that hold you back from achieving peak performance? Are you someone who wants to stay fit, but are dealing with aches and pains that make it more difficult to work out? Do you want to exercise or train without being sidelined by stress fractures, strained ligaments, and painful joints? If you answered yes to any of these questions, you need MELT Performance. The conditioning you do to stay in shape and perfect and improve performance-running on a treadmill, doing squats or bicep curls, practicing our backhand, even doing downward dog-requires repetitive movements. Yet 80% of orthopedic injuries are the result of repetitive motion, not trauma or accidents. In MELT Performance, nationally recognized educator, manual therapist, and exercise physiologist Sue Hitzmann introduces a revolutionary program centered on neurological joint stability or Neurostrength, that will revolutionize your health and performance. The foundation of MELT Performance is stability. To stay injury free, our joints must stable before we do repetitive motions. Acquiring stability allows the body to respond to the demands of motion. It's the way we were designed to function-and allows us to move more efficiently, improve coordination, and save our joints. Knowing how to check in, restore, and reintegrate joint stability before it's compromised gives an unparalleled advantage to anyone who trains hard to perform at their best. Hitzmann's techniques are proven to work-they're already used by world renowned professional athletes and fitness enthusiasts. If you're ready to improve your performance and prevent injury, MELT Performance is essential no matter what sport or activity you pursue. MELT Performance includes black-and-white instructional images throughout.
Anatomy questions are asked in all parts of the FRCA examinations, and for many trainees it is a particularly daunting part of the exams. This important new book provides a comprehensive, exam-orientated clinical anatomy book for anaesthetists preparing for all parts of the FRCA. It covers all body regions, relating underlying anatomy to practical procedures and anatomical principles, spanning the breadth of the curriculum and comprising exam-style questions: a chapter of SAQ questions, one of OSCE stations, one of SOE questions and one of MCQs. The text is highly illustrated in full colour with ultrasound images, diagrams and photographs of cadaveric material and models. This is the first anatomy book specifically orientated for the FRCA exam, making it an essential resource for anaesthetists preparing for all parts of the FRCA examination.
This book describes the state of the art concerning some of the most hotly debated topics in anesthesia and intensive care and is at the same time intended to serve as a useful practical guide that will assist in improving outcomes. The topics covered are wide ranging and include, for example, the use of antibiotics during renal replacement therapy, the role of video laryngoscopy, management of mechanical ventilation in the operating room, use of high-frequency ventilation in patients with respiratory failure, management of the potentially brain dead patient, perioperative delirium, cardiac protection during general anesthesia, single-lung ventilation, and use of lung imaging in critically ill patients. Written by recognized experts in the field, the book will offer a comprehensive and easy to understand update for specialists and students of anesthesia and intensive care.
The OSCE (Objective Structured Clinical Examination) component of the ABA Applied exam is a new concept that involves a number of 'live' practical stations in which candidates must demonstrate communication, professionalism and technical skills to the examiners. This book covers topics that are outlined in the ABA curriculum, presented in a way that emulates the OSCE exam setting, and will help candidates prepare for the exam and test their knowledge. Each station is constructed in clear, logical fashion to make the revision of individual topics more accessible. The sample questions and answers allow self-testing and are complemented by discussions, numerous illustrations and up-to-date clinical guidelines which follow modern-day anesthetic practice. The OSCE Guide for the ABA Applied Examination is a must-have resource which will help candidates further understand and prepare for the OSCE process.
This handbook is a clinically-focused guide on the diagnosis and evidence-based treatment of migraine, the third most common medical condition on the planet. It is a concise yet thorough guide for management of migraine in clinical practice settings as informed by current scientific literature and clinical guidelines. This handbook incorporates diagnostic criteria from the most recent edition of the International Classification of Headache Disorders (ICHD-3). The first half of the handbook provides information on assessment of migraine (including headache red flags and indications for neuroimaging), screening for common comorbid conditions, and essential lifestyle recommendations for all migraine patients. The second half covers both acute and preventive headache medications and relevant treatment algorithms and indications, as well as other medical therapies and behavioral interventions for migraine. This clinician's manual is easy to read and includes numerous tables and other content valuable to all providers wanting a go-to resource on clinical management of migraine. It is an ideal companion for busy general practitioners and neurologists, nurses and mid-level providers, neurology trainees and residents, as well as patients wishing to gain a better understanding of their condition.
Now in its sixth edition, the Handbook of Drugs in Intensive Care is the essential guide to using drugs safely and effectively in the intensive care setting. The book is split into two sections: an A-Z guide to the drugs available, and concise notes on the key topics and situations faced on a daily basis. The A-Z section provides succinct information on each drug including uses, limitations, administration directions and adverse effects. The second section details practice guidelines such as insulin therapy, Parkinson's disease therapy when nil-by-mouth and drug dosing in renal failure. This revised edition includes seventeen new drug monographs and covers several new topics, including blood glucose management. A colour chart showing drug compatibility for intravenous administration included at the back of the book. Presented in a concise, compact format, this book is an invaluable resource for doctors, nurses, pharmacists and other healthcare professionals caring for critically ill patients.
This book covers a broad range of topics, providing trainee and practising anaesthetists with a comprehensive source of knowledge on applied sciences and clinical anaesthesia. The book has been divided into six sections with various chapters serving as a synopsis of the practice of anaesthesia. Each chapter discusses the significance and importance of problems that can impact the peri-operative management of the surgical patient. The case scenarios at the end of each chapter will additionally help in understanding the practical relevance of basic science. This book will be an invaluable educational resource for trainee anaesthetists and an indispensable aide-memoire for practising anaesthetists. It is, therefore, essential study material for trainees and a great educational tool for trainers. Medical students and junior doctors, who are about to embark on a career in anaesthesia or intensive care medicine, will also find the book to be a useful companion.
Written by outstanding authorities from all over the world, this comprehensive new textbook devoted to pediatric and neonatal ventilation puts the focus on the effective delivery of respiratory support to children, infants, and newborns. In the early chapters, developmental issues concerning the respiratory system are considered, physiological and mechanical principles are introduced, and airway management and conventional and alternative ventilation techniques are discussed. Thereafter, the rational use of mechanical ventilation in various pediatric and neonatal pathologies is explained, with the emphasis on a practical step- by-step approach. Respiratory monitoring and safety issues in ventilated patients are considered in detail, and many other topics of interest to the bedside clinician are covered, including the ethics of withdrawal of respiratory support and educational issues. Throughout, the text is complemented by numerous illustrations and key information is clearly summarized in tables and lists, providing the reader with clear "take home messages."
This book provides comprehensive coverage of small fiber neuropathy (SFN), from diagnosis to therapy. It focuses on nerve degeneration and neuropathic pain, and their underlying pathology, physiology, psychophysics, genetics and imaging. In particular, this book describes and discusses the major advances in diagnostic techniques for assessing SFN. These include skin biopsy, evoked potentials, quantitative sensory testing and functional studies, as biomarkers of SFN. SFN is a common peripheral nerve disorder, but was often overlooked due to a lack of objective and specific diagnostic tests for the assessment of small nerve fibers. These fibers mediate thermal sensation, pain detection (nociception), and autonomic regulation. Major symptoms of SFN include neuropathic pain, impaired sensation and autonomic dysfunction. Neuropathic pain poses a diagnostic challenge to clinicians, an essential step for selecting appropriate treatment to relieve suffering. SFN frequently develops in systemic diseases such as diabetes mellitus, following chemotherapy, infections etc., or presents as a major feature of various genetic neuropathies (e.g. channelopathy and familial amyloidosis). In addition to describing these conditions which lead to SFN, this book also describes related syndromes of neurodegeneration and pain, including fibromyalgia, visceral pain and hypersensitivity. This definitive book covers both clinical aspects and research progress, which provides in-depth and up-to-date information on SFN. It would be immensely useful for clinicians, neurologists, neuroscientists, diabetologists, and pain specialists. Dr. Sung-Tsang Hsieh is a professor at Department of Neurology and Institute of Anatomy and Cell Biology, College of Medicine, National Taiwan University, Taiwan. He is also the associate dean of College of Medicine, National Taiwan University, Taiwan. Dr. Praveen Anand is a professor at Department of Clinical Neurology and head of Centre for Clinical Translation, Hammersmith Hospital, UK. Dr. Christopher Gibbons is an associate professor of Neurology, Harvard Medical School, Beth Israel Deaconess Medical Center, USA. Dr. Claudia Sommer is a professor of Neurology at the Department of Neurology, Wurzburg University Hospital, Germany.
For 25 years Anaesthesia, Intensive Care and Perioperative Medicine A-Z has provided a comprehensive resource of the relevant aspects of pharmacology, physiology, anatomy, physics, statistics, medicine, surgery, general anaesthetic practice, intensive care, equipment, and the history of anaesthesia and intensive care. Originally prepared as essential reading for candidates for the Fellowship of the Royal College of Anaesthetists and similar exams, this fully updated edition will also prove as invaluable as ever for all anaesthetists and critical care physicians, as well as operating department practitioners and specialist nurses. The alphabetical arrangement with extensive cross-referencing ensures a full understanding of topics. The succinct and clear text and diagrams?make for easy quick reference. The exam preparation checklist is ordered by key topics to facilitate effective revision. The contents are easily accessible with the accompanying ebook. There has been a substantial addition of new entries as well as revision of existing ones. This acknowledges the breadth of information needed to satisfy the range of activities performed by anaesthetic, intensive care, nursing and other colleagues, and also reflects the ever-changing field in which they all work. The consolidation of the role of anaesthetists as 'perioperative physicians' is reflected in additional entries of particular relevance and also by the enhanced title of the book. The structured 'revision checklist' of entries which is particularly useful to those preparing for examinations has been further developed for this edition.
The Primary OSCE is one of the key elements of the Primary FRCA (Fellowship of the Royal College of Anaesthetists) examinations. Candidates have to rotate through 18 stations in 1 hour 48 minutes, with the top 16 stations counting towards the candidate's final result. OSCEs for the Primary FRCA is written by two authors with considerable experience of training new Primary FRCA candidates, and is based on the feedback they have received from the candidates they have helped over the years. Printed in full colour, it is composed of 5 full exams, with model answers, which closely follow the structure and format of the actual exam itself.
This book offers an insight into all aspects of pain in order to provide practitioners with a balanced and holistic approach to pain management. Supported by evidence and research throughout, Management of Pain uses real-life clinical scenarios. The book provides the reader with practical advice and knowledge of modern methods of pain management.
Since the first edition of the Handbook on Drowning in 2005, many epidemiological data have confirmed the burden of drowning in several parts of the world. Studies have increased the understanding of effective drowning prevention strategies, rescue techniques, and treatment options. Much has been learned about submersion and immersion hypothermia, SCUBA-diving injuries, the life-saving preparations of water-related disasters and how to deal with forensic investigations. In this updated second edition, experts from around the world provide a complete overview of current research data, consensus statements and expert opinions. The book Drowning provides evidence-based practical information and has a unique informative value for various groups with tasks, duties and responsibilities in this domain. In addition, the book may be an inspiration for future networks and research initiatives.
In this book, leading world authorities on brain edema and neurological disorders/injuries and experts in preconditioning join forces to discuss the latest progress in basic sciences, translational research, and clinical management strategies relating to these conditions. The range of topics covered is wide, including microglia, energy metabolism, trace metals and ion channels, vascular biology, cellular treatment, hemorrhagic stroke, novel technological advances, anesthesia and medical gases, pediatric brain edema, neuroimaging, behavioral assessment, clinical trials, peripheral to central signaling pathways, preconditioning translation, and animal models for preconditioning and brain edema research. The book comprises presentations from Brain Edema 2014, the joint meeting of the 16th International Conference on Brain Edema and Cellular Injury and the 3rd Symposium on Preconditioning for Neurological Disorders, held in Los Angeles on September 27-30, 2014.
Essentials of Equipment in Anaesthesia, Critical Care and Peri-Operative Medicine is a highly practical textbook for trainees in anaesthesia and an invaluable guide for all those who work with anaesthetic equipment, including anaesthetic and intensive care nurses and operating department practitioners. The superbly organized and easy-to read format of the book has been retained from previous editions. The text has been comprehensively updated and more focused on the FRCA with the addition of exam tips and new questions. A new chapter addresses the topical and ever expanding field of 'Point of Care Testing' in anaesthesia and intensive care. Clear colour photographs and illustrations as well as over 100 interactive self-assessment OSCE questions complete this concise account of anaesthetic equipment and its use in clinical settings.
This book focuses on the features of pelvic pain in the different cancer diseases, the pain assessment tools, as well as the pharmacological and non-pharmacological approaches. Pelvic cancer pain is a common and debilitating symptom, and pain control is a one among the main therapeutic goals throughout the duration of the disease. Because pelvic cancer pain due to primitive cancer, recurrence or metastasis is a complex clinical pathology, no single technique is often guaranteed to produce a complete pain relief. Thus, there are many treatment options, but in most cases a correct approach to pain control should be provided by a multidisciplinary team under the responsibility of a pain specialist coordinating several professionals. This book will aid several figures of practitioners, like anesthesiologists, oncologists or surgeons, in making the correct decisions in individual patients affected by cancer pain due to pelvic diseases.
CRQs for the Final FRCA is the first book of its kind and an invaluable resource for any candidate preparing to pass the written aspect of the Final FRCA. It has been specifically designed to reflect the new written examination format, providing ten complete CRQ examination papers and answer templates, with additional tips and references to aid further learning. Each paper has been carefully formulated to include the different topics contained within the examination and cover a vast area of the syllabus. Unlike other revision texts, this book will enable candidates to practise the CRQ format and refine their exam technique to ensure they are best equipped to succeed. It is written by a team of two consultant anaesthetists and two senior trainees who run the North West Final FRCA Exam Practice Course and have extensive experience of preparing trainees to pass the examination.
Dr Podcast (www.dr-podcast.com) is a great way to revise for the FRCA exams and has been met with widespread enthusiasm from candidates. It provides podcasts of questions and model answers with no redundant material. Dr Podcast scripts are now available in print format. Containing the scripts of all 90 individual podcasts from the Dr Podcast Primary FRCA collection, they also include diagrams the reader can draw to explain their answers. They cover the entire syllabus for the Primary FRCA, allowing the readers to experience the style of the questions likely to be asked and providing tips on how to excel in the exam. Each podcast is written by a successful candidate who has insight and experience of the exam, and all material has been reviewed by experienced consultants with detailed knowledge of the educational standards. For those preparing for the Primary FRCA exams, Dr Podcast scripts are a must.
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