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The first few months as a trainee anaesthetist are a daunting prospect, filled with new information, skills and terminology. This concise reference, now in its fifth edition, provides doctors with a clear introduction to the practice. Fully updated and split into four key parts for quick consultation, the reader can recap on the airway and anaesthetic equipment, and find crucial advice on crises such as cardiac arrest, haemorrhage and blood transfusion. Part III focuses on subspecialties, with new chapters on obstetric anaesthesia, common regional nerve blocks, and laparoscopy, while the newly added fourth part provides information on intensive care and peri-operative medicine. Written in an accessible and often humorous style, How to Survive in Anaesthesia is an essential resource in learning the safe fundamentals of the practice for trainee anaesthetists, as well as operating department practitioners, physicians' assistants and anaesthetic nurses.
Distilling the ideas central to managing operating theatres, this book provides a practical and easy to use toolkit to improve theatre efficiency and patient outcomes. It advocates using time as the key measurement and proposes a new norm of operating theatre management based on rational, data-driven principles. Notions of 'efficiency' and 'scheduling' are clearly defined, and a scheduling toolkit available to download accompanies the work. The book's easy to use format supports managers in list planning, performance monitoring and demand-capacity matching while considering limited budgets and resources. It includes contributions from around the world, demonstrating the global application of its core approach. Aimed primarily at operating theatre managers, this book will also interest consultants, senior trainees, nurses and administrators who are involved in the daily running of the operating theatre and/or want to develop their leadership/managerial skills.
Uncommon problems tend to be overlooked; they are usually difficult to diagnose and a challenge to manage. Acute Medicine: Uncommon Problems and Challenges gathers together all uncommon problems relevant to the treatment of seriously ill patients in a quick one-stop reference. Each topic contains both essential diagnostic and treatment information and discusses the implications for intensive care management, obviating the need to refer to specialized sources. The A-Z format with frequent cross-referencing aids rapid access to key information and cartoons throughout aid learning. Intensivists, anaesthetists, emergency specialists and a wide range of other healthcare professionals will find this an invaluable resource when faced with acute medical problems. From Abruptio placentae to Zollinger-Ellison syndrome, Acute Medicine: Uncommon Problems and Challenges will help you diagnose and manage the tricky acute problems you encounter in daily clinical practice.
Back pain is very hard (often impossible) to diagnose and to specify, hence heavy painkillers are thrown at people. But the only way to beat the pain is to understand it. Based on cutting-edge research into back pain and the psychology of pain itself, David Rogers and Grahame Brown have set up the Functional Restoration Service at the Royal Orthopaedic Hospital in Birmingham - the UK's leading centre for back pain. Here they have developed the pioneering BIOPSYCHOSOCIAL approach: BIO - How your body processes pain; what physical triggers you have and why; where your body holds pain PSYCHO - where your pain is coming from; what exactly your pain is; the power of your mind to deal with and stop pain SOCIAL - all the environmental factors that will contribute to your back pain, and how, why and when to change them Based on this revolutionary and already hugely successful approach, Back to Life offers a whole new way of dealing with back pain: - Understand the psychology of pain - Debunk the myths - Find the source of your pain - Manage your pain - including all the emotions and anxiety that go with it - Master exercises and stretches - Identify and solve the social factors - Get lasting relief
Largely reorganised and much expanded in this second edition, Practice and Procedures brings together in a single volume general methods of pain assessment and presents the wide range of therapies that can be provided by a range of health care disciplines. Authored by a multidisciplinary team of experts, chapters can stand alone for readers looking for a general overview of the methods of techniques for pain management available to them or work to complement chapters in the preceeding three volumes, providing practical procedures and applications in the management of acute, chronic and cancer pain. The book is divided into three parts. Part One covers the principles of measurement and diagnosis, including history taking and examination, the selection of pain measures, diagnostic tests and novel imaging techniques. Part Two discusses the full range of therapeutic protocols available, from pharmacological therapies, through psychological techniques, physical therapy and international procedures, to techniques specific to pain assessment and management in paediatric patients. Part Three provides information on planning, conducting, analysing and publishing clinical trials, with invaluable guidance on the techniques of systematic review and meta-analysis in pain research. Part Four considers the role of multidisciplinary pain management teams, their organization, their place within different health care systems, and how best to manage change when implementing such a service. Part Five concludes the volume, investigating the use of guidelines, standards and quality improvement initiatives in the management of post-operative pain, and discussing the expert medicolegal report.
Now divided into four parts, the second edition of Cancer Pain delivers broad coverage of the issues that arise in the management of malignancy-related pain, from basic science, through end of life care and associated ethical issues, to therapies, both medical and complementary. Part One reviews basis considerations in cancer pain management, including epidemiology, pharmacology, history-taking and patient evaluation and teamworking. Part Two brings together the drug therapies for cancer pain, their underlying basis, and potential side-effects. Part Three covers the non-drug therapies, including nerve blocks, stimulation-induced analgesia, radiotherapy, complementary therapies and psychological interventions. The control of symptoms other than pain, so critical to cancer patients, is also considered here. Part Four describes special situations. Cancer pain management in children and older patients, and in the community setting, and pain in the dying patient and the cancer survivor are all covered here.
Authored by the same stellar editors and contributors responsible for Kaplan's Cardiac Anesthesia, this title presents today's most essential clinical knowledge in cardiac anesthesia in a practical, user-friendly format. A manageable size and affordable price makes this an ideal purchase for every clinician who would like an economical yet dependable resource in cardiac anesthesia. Trusted authorities deliver the key cardiac anesthesia knowledge you need to know. A concise, user-friendly format and key points boxes in each chapter help you quickly locate crucial information. Annotated references guide you to the most practical additional resources. A portable size and clinical emphasis facilitates and enhances bedside patient care. Designed as a companion to Kaplan's Cardiac Anesthesia. Includes new topics vital to the current practice of cardiac anesthesiologists, such as transesophageal echocardiography; percutaneous valve procedures; new pacemakers and automatic internal defibrillators used for cardiac resynchronization therapy; left ventricular assist devices and extracorporeal membrane oxygenation therapy of heart failure; and patient safety issues. Focuses on today's most current and relevant therapies, including New Cardiac Drugs, and Heart Mate, Heart Ware, and Impella LVADs. Describes care of the cardiac patient in Hybrid Operating Rooms, Catheterization Laboratories, and Electrophysiology Laboratories, as well as the Cardiac Operating Rooms. Perfectly suited for residents, fellows, nurse anesthetists and anesthesiologists in practice.
Anaesthesia at a Glance is a brand new title that provides a concise and visually-orientated summary of a comprehensive lecture course in anaesthesia. Ideal for clinical undergraduate medical students and Foundation Programme doctors undertaking anaesthesia attachments, it gives a systematic, broad view of anaesthesia in various specialties, taking the reader through preparation, management and the pharmacology behind anaesthetic medicine. Anaesthesia at a Glance is supported by a companion website at www.ataglanceseries.com/anaesthesia containing interactive multiple-choice questions and answers together with a selection of interactive cases - perfect for study and revision. Whether you want to refresh your knowledge or need a thorough overview of the specialty, Anaesthesia at a Glance presents all the vital clinical information you need.
Clinical Anaesthesia Lecture Notes provides a comprehensive introduction to the modern principles and practices of anaesthesia for medical students, trainee doctors, anaesthetic nurses and other health professionals working with anaesthetists. This fifth edition has been fully updated to reflect changes in clinical practice, guidelines, equipment and drugs. Key features include: A new chapter on the roles of the anaesthetist Increased coverage of the peri-operative management of the overweight and obese patient, as well as an introduction to the fundamental aspects of paediatric anaesthesia Coverage of recent developments within the specialty, including the rapidly growing recognition of the importance of non-technical skills (NTS), and the management of some of the most common peri-operative medical emergencies Links to further online resources A companion website at www.lecturenoteseries.com/anaesthesia featuring interactive true/false questions, SAQs, and a list of further reading and resources Full-colour diagrams, photographs, as well as learning objectives at the start of each chapter, support easy understanding of the knowledge and skills of anaesthesia, allowing confident transfer of information into clinical practice.
This comprehensive revision of the invaluable reference presents a rigorous survey of pain and palliative care phenomena across the lifespan and across disciplines. Grounded in the biopsychosocial viewpoint of its predecessor, it offers up-to-date understanding of assessments and interventions for pain, the communication of pain, common pain conditions and their mechanisms, and research and policy issues. In keeping with the current public attention to painkiller use and misuse, contributors discuss a full range of pharmacological and non-pharmacological approaches to pain relief and management. And palliative care is given expanded coverage, with chapters on interventive, ethical, and spiritual concerns. * Pain, intercultural communication, and narrative medicine. * Assessment of pain: tools, challenges, and special populations. * Persistent pain in the older adult: practical considerations for evaluation and management. * Acute to chronic pain: transition in the post-surgical patient. * Evidence-based pharmacotherapy of chronic pain. * Complementary and integrative health in chronic pain and palliative care. * The patient's perspective of chronic pain.* Disparities in pain and pain care. This mix of evolving and emerging topics makes the Second Edition of the Handbook of Pain and Palliative Care a necessity for health practitioners specializing in pain management or palliative care, clinical and health psychologists, public health professionals, and clinicians and administrators in long-term care and hospice.
An illustrated handbook of acute pain with emphasis on post-operative pain. The author begins with a comprehensive analysis of acute pain, followed by specific analyses across a broad range of clinical situations. Topics include basic mechanisms of pain, measurement methods, pathophysiology of acute pain, pain receptors and tracts, pharmacology of drugs, opioids, NSAIDS, local anaesthetic, adjuvant drugs, non-drug methods, PCA, and epidural and nerve blocks. It then moves into management modalities across a variety of applications, including paediatrics, obstetrics, day-case surgery, major surgery, dental surgery, intensive care, trauma and burns. The author addresses acute pain as it relates to special clinical problems including liver, renal and renal colic, coagulation, cardiovascular and respiratory diseases, drug abuse, migraine and elderly patients.
Emergency and critical care providers are often challenged by patients with acute cardiorespiratory symptoms and abnormal electrocardiograms. Critical Cases in Electrocardiography emphasizes clinically-relevant topics, focusing squarely on situations where interpretation of the ECG contributes to clinical decision-making. This atlas is unique, in that it includes numerous examples of ECG 'misses' - cases where the computer algorithm or the clinicians (or both) got the diagnosis wrong. While many textbooks include only smaller, black and white ECG tracings, which do not resemble actual clinical practice, this volume is designed to encourage self-study of the ECG by including full-page tracings in their natural color. The book focuses on 'don't miss' ECG tracings in order to help readers advance beyond the stage of 'competent' electrocardiographer. Anatomic and electrophysiologic correlations are emphasized throughout the work, helping readers appreciate the anatomic and electrical origins of the ECG abnormalities, rather than relying solely on pattern memorization.
From reviews: "Graphic Anaesthesia is a well-written, easy-to-read book, ideal for trainees studying for primary FRCA examinations... It will be an ideal companion for preparing for exams." Ulster Medical Journal, May 2016 "Graphic Anaesthesia is an excellent revision tool that allows trainees approaching exams to prepare in an efficient and simple format. It is a refreshing and unique resource that should be included on any essential revision reading list". European Journal of Anaesthesiology 2016; 33:610. "The diagrams are very clear, the explanations accurate and concise and to pack 245 items into a small reference book is no mean feat.... Each diagram is drawn in just four colours to enable them to be reproduced easily from memory. This intuitive approach was an eye-opener to me and a valuable lesson in simplicity without losing any essential detail. This is something from which many educators could learn and indeed transfer that skill...This is a quality book that could be a useful investment across the spectrum of practitioners involved in anaesthesia and the teaching of anaesthesia." Journal of Perioperative Practice March 2017, volume 27, issue 3 Graphic Anaesthesia is a compendium of the diagrams, graphs, equations and tables needed in anaesthetic practice. Each page covers a separate topic to aid rapid review and assimilation. The relevant illustration, equation or table is presented alongside a short description of the fundamental principles of the topic and with clinical applications where appropriate. All illustrations have been drawn using a simple colour palette to allow them to be easily reproduced in an exam setting. The book includes sections covering: physiology pharmacodynamics and kinetics physics equipment anatomy drugs clinical measurement statistics. By combining all the illustrations, equations and tables with concise, clinically relevant explanations, Graphic Anaesthesia is therefore: the ideal revision book for all anaesthetists in training a valuable aide-memoire for senior anaesthetists to use when teaching and examining trainees.
Anesthesia Emergencies contains relevant step-by-step information on how to detect, manage, and treat complications and emergencies during the perioperative period. Concisely written, highlighted sections on immediate management and risk factors reinforce essential points for easy memorization, while consistent organization and checklists provide ease of learning and clarity. Anesthesia providers will find this book an indispensable resource, describing assessment and treatment of life-threatening situations, including airway, thoracic, surgical, pediatric, and cardiovascular emergencies. The second edition contains a revised table of contents which presents topics in order of their priority during emergencies, as well as two new chapters on crisis resource management and disaster medicine.
Encompassing all anesthesia topics from basic to advanced, Miller's Anesthesia Review, 3rd Edition, by Drs. Lorraine M. Sdrales and Ronald D. Miller, is an ideal study guide to assess your knowledge and deepen your understanding. This easy-to-use resource is conveniently cross-referenced to the newest edition of Miller & Pardo: Basics of Anesthesia. Hundreds of questions cover everything from physiologic and pharmacologic principles through anesthetic machine systems, anesthetic delivery in a variety of settings, and anesthesia administration for a full range of disease states. Corresponds to Miller & Pardo's Basics of Anesthesia to help you make the most of your study time and learn more efficiently. Provides immediate feedback with detailed answers to each question at the end of every chapter, cross-referenced to specific pages in Basics of Anesthesia. Includes new chapters on Neurotoxicity of Anesthesia, Palliative Care, Sleep Medicine, and Perioperative Surgical Home. Brings you fully up to date with revised questions throughout, progressing logically from basic to advanced topics. Covers hot topics such as Implantable Cardiac Pulse Generators, Anesthesia for Robotic Surgery, Perioperative Blindness, Human Performance and Patient Safety, and Civil, Chemical, and Biological Warfare. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, Q&As, and references from the book on a variety of devices.
This book features a collection of guidelines for anesthesia in day care surgery, covering all medical specialties that may look to venture into the ambulatory surgery domain. It provides various practical tips that can be used in day-to-day practice by anesthetists and surgeons alike, and covers various anesthetic protocols used by the stalwarts of the industry to illustrate the ideal techniques for anesthesia in day care surgery.
Perioperative neurocognitive disorders are the most common and least recognized complications of anesthesia and surgery in older patients. This book represents the first unified source of information on this group of disorders, serving as a practical guide on diagnosis, pathophysiology and clinical recommendations. The book introduces new nomenclature that is recognized across medical specialties, tackles issues of informed consent and screening, interprets a plethora of scientific results from both animals and patients, and suggests mitigation strategies. In order to present and discuss essential knowledge and application in clinical practice as well as highlighting areas of controversy, this important book features expert contributions from the multidisciplinary field of perioperative care and cognitive disorders. It will appeal to the entire perioperative team as well as to neurologists, geriatricians, psychologists and researchers in the field.
Maximum oxygen uptake during exercise is one of the best predictors of operative mortality and of prognosis in chronic cardiac or respiratory disease. Cardio-pulmonary exercise (CPEX) tests are therefore an increasingly common component of pre-operative assessment and the management of patients with chronic cardiopulmonary problems. Part of the Oxford Respiratory Medicine Library (ORML) series, this pocketbook guides clinicians through the parameters measured in CPEX testing so that they can understand the underlying physiology and are able to interpret the results. Clinical scenarios, common patterns, key points, and practical tips all make this book easy to follow, even for those readers who have little prior knowledge of the subject.
The perioperative care of individuals with neurologic compromise is critically important, yet it is only one dimension of the rich relationship between anaesthesiology and the neurosciences. The mechanism of everyday therapeutic interventions such as anaesthesia and analgesia is exciting neuroscience in its own right. At the new frontier of outcomes studies lies the question of how the perioperative period might impact the brain. For example, questions related to anaesthetic neurotoxicity, delirium, and cognitive dysfunction pose critical challenges for the field. The Oxford Textbook in Neuroscience and Anaesthesiology addresses the exciting field of neuroanaesthesiology in a new and stimulating way. In twenty eight chapters, the neuroscientific basis of anaesthesiology, the full spectrum of clinical neuroanaesthesia, and the care of neurologic patients undergoing non-neurologic surgery are explored in one comprehensive textbook for the first time. The first section considers the neural mechanisms of general anaesthetics, cerebral physiology, the neurobiology of pain, and more. The second section explores the care of patients with neurologic disease in the operating room or intensive care unit. These clinical chapters systematically treat the perioperative considerations of both brain and spine surgery, and provide introductions to neurocritical care and pediatric neuroanaesthesia. The final section outlines the care of neurologic patients undergoing non-neurologic surgery. It examines key connections of neurology and anaesthesiology, examining how conditions such as dementia, stroke, or epilepsy interface with the perioperative period. Each chapter has been carefully crafted to be concise yet highly informative, reflecting the cutting edge of neuroscience and neuroanaesthesiology. This international textbook gathers the best available expertise of authors and leaders worldwide. Includes access to online-only content, including more than 20 cases and more than 90 questions that can be used in presentations and teaching sessions. By activating your unique access code, you can access and use the material.
The anesthetic considerations and procedures involved in the perioperative care of the neurosurgical patient are among the most complex in anesthesiology. The practice of neurosurgery and neuroanesthesiology encompasses a wide range of cases, from major spine surgery, to aneurysm clipping and awake craniotomy. Case Studies in Neuroanesthesia and Neurocritical Care provides a comprehensive view of real-world clinical practice. It contains over 90 case presentations with accompanying focussed discussions, covering the broad range of procedures and monitoring protocols involved in the care of the neurosurgical patient, including preoperative and postoperative care. The book is illustrated throughout with practical algorithms, useful tables and examples of neuroimaging. Written by leading neuroanesthesiologists, neurologists, neuroradiologists and neurosurgeons from the University of Michigan Medical School and the Cleveland Clinic, these clear, concise cases are an excellent way to prepare for specific surgical cases or to aid study for both written and oral board examinations.
The Structured Oral Examination can be the hardest component of the Primary FRCA examination to prepare for, but help is at hand. This book has been specifically designed to give realistic practice questions and to show you how to phrase and develop your answers. The questions included have been mapped to the FRCA examination curriculum and reflect both core and niche subject areas. Questions are presented as full mock examinations and also divided by section, enabling you to use the book in whichever way you find most effective. Complete scripted answers allow you to see how questions develop and help you to hone your technique. Handy hints and tips for exam preparation are included throughout the book, and a dedicated introduction section covers common pitfalls and how to avoid them. This is an invaluable preparation guide and sample question resource for trainees and trainers alike.
A thirty-year quest, from genes to pain-signaling neurons to people with a rare genetic disorder that makes them feel they are on fire. Two soldiers, both with wounds injuring the same nerve, show very different responses: one is disabled by neuropathic pain, unable to touch the injured limb because even the lightest contact triggers excruciating discomfort; the other notices numbness but no pain at all. Could the difference lie in their genes? In this book, described in the foreword by Nobel Laureate James Rothman as "so well written that it reads like a detective novel," Stephen Waxman recounts the search for a gene that controls pain-a search spanning more than thirty years and three continents. The story moves from genes to pain-signaling neurons that scream when they should be silent to people with a rare genetic disorder who feel they are on fire. Waxman explains that if pain-signaling neurons are injured by trauma or disease, they can become hyperactive and send pain signals to the brain even without external stimulus. Studying the hyperactive mutant pain gene in man on fire syndrome has pointed the way to molecules that produce pain more broadly within the general population, in the rest of us. Waxman's account of the many steps that led to discovery of the pain gene tells the story behind the science, of how science happens.
This book presents both theoretical and practical aspects of transbronchial cryobiopsy, a new diagnostic technique for the detection of diffuse parenchymal lung disease that is attracting great interest in the scientific community. In the context of a multidisciplinary discussion, comprising radiologic-pathologic correlations, the authors examine the technical and safety issues - such as equipment, endoscopic setting, anesthesiologic approaches and bleeding control - on one hand, and the diagnostic yield and clinical meaning on the other. The volume offers several case studies - including idiopathic pulmonary fibrosis, granulomatous disorders, interstitial pneumonias, rare lung disseminated tumors- that illustrate the high diagnostic yield and safety of this innovative technique. The book appeals to a wide readership, including residents, pulmonologists with expertise in diffuse parenchymal lung diseases, interventional pulmonologists, thoracic radiologists, pathologists, anesthesiologists, internists and rheumatologists.
For nearly 40 years, Oh's Intensive Care Manual has been the quick reference of choice for ICU physicians at all levels of experience. The revised 8th edition maintains this tradition of excellence, providing fast access to practical information needed every day in today's intensive care unit. This bestselling manual covers all aspects of intensive care in sufficient detail for daily practice while keeping you up to date with the latest innovations in the field. New coverage of the latest developments in ICU imaging techniques, including ultrasound. New information on the latest advances in ECMO (Extracorporeal Membrane Oxygenation) for cardiac and respiratory failure, ARDS, septic shock, neurologic disorders, muscle function, and hemodynamic therapy. New co-editor Dr. Jonathan Handy shares his knowledge and expertise on acid-base disturbances during critical illness, critical care transfers, intravenous fluid therapy, cardiovascular physiology, burn management, sepsis, and the immunological impact of surgery and burn injury. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.
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