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This issue of Anesthesiology Clinics, edited by Dr. Elizabeth Whitlock and Dr. Robert Whittington, in collaboration with Consulting Editor Lee Fleisher, focuses on Geriatric Anesthesia. Topics in this issue include: The Growing Challenge of the Elderly Population; The Perioperative Period; Preoperative Assessment of the Geriatric Patient; Prehabilitation: Optimizing Elders Undergoing Elective Surgery; The Ethics of Surgery at the End of the Life; Perioperative Geriatric Physiology and the Frailty Syndrome; Geriatric Pharmacology; Emergency Surgery in the Elderly; Management of Acute Pain in the Elderly; Special Considerations for the Elderly Brain: Delirium and Perioperative Cognitive Change; Special Challenges of the Geriatric Critical Care Patient; Chronic Pain Management in the Elderly; Providing Patient- Focused Care: Treatment Burdens, Difficult Conversations, and Symptom Management; and Future Directions for Geriatric Anesthesiology.
This book provides physicians practicing at pain management clinics with comprehensive explanations of interventional therapeutic procedures including nerve blockade, as well as pharmacotherapy. Interventional therapeutic procedures including nerve blockade are categorized by devices into landmark ("blind"), X-ray-guided, ultrasound-guided, CT-guided, MR-guided, and endoscopic techniques. In this book, each chapter introduces one type of nerve blockade procedure that involves several different devices. The authors describe the pros and cons of each technique and make recommendations for the best devices to use. This book will also help anesthesiologists and other physicians to improve their treatment techniques.
Saving lives through organ transplantation has become increasingly possible thanks to advances in research and care. Today, the complex field of transplantation continues to develop rapidly, fuelled by demographic change and further evolutions in scientific understanding. The Oxford Textbook of Transplant Anaesthesia and Critical Care has been written and edited by pioneers in the field of organ transplantation with an international team of authors, in order to equip anaesthetists and intensivists with the knowledge and training necessary to provide high quality and evidence-based care. The text addresses fundamentals aspects of scientific knowledge, care of the donor patient, transplant ethics and special considerations. Dedicated sections address each of the major organs; kidney, pancreas, liver, heart and lung, intestinal and multivisceral. Within each organ-based section, expert authors explore underlying disease, planning for transplantation, specialized procedures, perioperative and critical care management as well as post-transplant considerations. Focus points for future developments in transplant immunology are also set out, inspiring current practitioners to engage with current clinical research and help participate in the further advancement of the science of transplantation. The print edition of the Oxford Textbook of Transplant Anaesthesia and Critical Care comes with a year's access to the online version on Oxford Medicine Online. By activating your unique access code, you can read and annotate the full text online, follow links from the references to primary research materials, and view, enlarge and download all the figures and tables.
In this book, recognized anesthesiology experts present the latest findings on anesthesia for electro-convulsive therapy (ECT). With the development of modified electroconvulsive therapy (m-ECT) and devices to provide brief-pulse stimulation, ECT is currently being re-evaluated as an important procedure in psychiatric disorder therapy and is increasingly being used worldwide to treat several psychiatric conditions. This trend is due to the social phenomenon of the growing number of patients for whom ECT is applicable. Since the new approach is more safe and effective than the original method without anesthesia, m-ECT is currently applied under general anesthesia in most advanced countries. This book provides an overview and practice of total anesthesia management in the perioperative period of ECT. It offers an indispensable resource not only for professional anesthesiologists but also healthcare professionals who use this therapy.
A brand new series from Oxford University Press, the Oxford Clinical Imaging Guides are specifically designed to help doctors master imaging techniques. Each guide explains the principles and practice of using imaging in an easy-to-read, highly-illustrated, and authoritative manner. Focused Intensive Care Ultrasound is a practical manual designed to help you use ultrasound to assess and treat critically ill patients. Extensively illustrated, the book comes with online access to over 70 videos and 60 self-assessment questions. This is the first book comprehensively mapped to the syllabi of Focused Intensive Care Echocardiography (FICE), Core Ultrasound for Intensive Care (CUSIC), Resuscitation Council UK's Focused Echocardiography in Emergency Life support (FEEL), British Society of Echocardiography's Level 1 Accreditation, and Focused Acute Medical Ultrasound (FAMUS). It is also ideal for European Focused Cardiac Ultrasound (FoCUS) training. Providing a clear distinction between basic and advance skills, it introduces relevant aspects of advanced echocardiography for more experienced learners. With a focus on clinical issues, and supported by relevant physiological principles, this book teaches you exactly what you need to know to assimilate ultrasound into your everyday intensive care practice. Designed as an essential day-to-day reference and learning tool, this resource is ideal for trainees, consultants and critical care practitioners wishing to master ultrasound skills.
Deepen your knowledge and sharpen your problem-solving skills! Noted pain authority Dr. Steven Waldman delivers complete, concise, step-by-step visual guidance to help you effectively diagnose and manage uncommon pain syndromes in which the pieces of the puzzle (signs, symptoms) don't quite fit a simple diagnosis Uses a consistent format to explore each pain syndrome, progressing through diagnostic codes . signs and Accurately diagnose and treat uncommon pain syndromes by following a step-by-step approach that progresses from signs and symptoms through physical findings, laboratory and radiographic testing, treatment options, and clinical pearls. Recognize the visual manifestations of pain with help from nearly 400 vivid illustrations-more than 100 new to this edition, many in color-depicting the physical symptoms and anatomy of each pain site, and diagnostic images demonstrating key findings from MRI, CT, and conventional radiography. Effectively apply the latest techniques and approaches with complete updates throughout including new chapters on SUNCT Headache, Primary Thunderclap Headache, Hypnic Headache, Nummular Headache, Atypical Odontalgia, Burning Mouth Syndrome, Nervus Intermedius Neuralgia, Red Ear Syndrome, Clival Chordoma Syndrome, Glomus Tumor of the Shoulder, Osteonecrosis of the Elbow Joint, Driver's Elbow, Boxer's Knuckle, Trigger Wrist, Superior Cluneal Nerve Entrapment Syndrome, Clitoral Priapism, Breaststroker's Knee, Glomus Tumor of the Knee, and Fabella Syndrome. Quickly and easily find the information you need thanks to highly templated chapters. Confidently overcome the clinical challenges you're likely to face with well-rounded guidance from this companion volume to Dr. Waldman's Atlas of Common Pain Syndromes, 3rd Edition. Access the complete text and illustrations online at expertconsult.com, fully searchable. Features updated chapters throughout, and 19 new chapters to keep you abreast of the conditions presenting in today's practice. Presents over 350 illustrations-175 in full color and more than 100 new to this edition-as well as x-rays, CTs, and MRIs, helping you to confirm your diagnoses and confidently implement techniques. Brand new chapters include: SUNCT Headache Primary Thunderclap Headache Hypnic Headache Nummular Headache Atypical Odontalgia Burning Mouth Syndrome Nervus Intermedius Neuralgia Red Ear Syndrome Clival Chordoma Syndrome Glomus Tumor of the Shoulder Osteonecrosis of the Elbow Joint Driver's Elbow Boxer's Knuckle Trigger Wrist Superior Cluneal Nerve Entrapment Syndrome Clitoral Priapism Breaststroker's Knee Glomus Tumor of the Knee Fabella Syndrome
Regional anesthesia is a fast-growing field, fuelled by the application of ultrasound technology over the last decade. This book is a technique-oriented guide, which introduces the use of ultrasound technology with practical instruction in the placement of peripheral nerve blocks and continuous perineural catheters. Each procedure is summarized for quick, easy reference, and supplemented by ultrasound images, color photos, and detailed illustrations. Helpful hints and instructions are provided to further optimize block success. Chapters are organized into four sections, focusing on introductory concepts, upper extremity peripheral nerve blocks, lower extremity peripheral nerve blocks and continuous perineural catheters. Written by instructors from a major academic medical center who work in a fast-paced ambulatory setting, this is a key text for residents, fellows and staff physicians who wish to incorporate the use of ultrasound into the scope of their anesthetic practice.
As the movement for legalization of marijuana spreads across the country, it is important to weigh the possible benefits and pitfalls of cannabis use. Cannabis Consulting is both a handbook and a report from the front lines of medical marijuana use. Writing from the perspective of a parent and veteran schoolteacher turned professional cannabis consultant, Parzybok tells the often-inspiring stories of his efforts to assist victims of chronic pain, terminal disease, and even conditions such as ADHD. This timely volume was written for the patients, families, law enforcement, and health professionals all trying to make decisions about cannabis at this critical era of transition. It is an honest, clear-eyed exploration of the marijuana debate that looks beyond the hype and disinformation on both sides to chart a new path toward rational and safe use of cannabis.
This book presents to all those who are interested in the history of Anaesthesiology historical details and information on the development of anaesthesiology in Germany and the remarkable growth of our Society. At the founding session of the German Society of Anaesthesia in Munich on 10 April 1953 42 persons had signed the founding documents. Today about 12,000 anaesthetists are members of the German Society of Anaesthesiology and Intensive Care Medicine, making the DGAI the biggest national society within ESA.
Well known are the pioneering contributions of German scientists and surgeons to the development of general, regional and local anaesthesia during the 19th and the beginning of the 20th centuries. But less known outside Germany are the reasons for the delayed evolution of anaesthesiology as a specialty of its own in German medicine, far later than in the UK, Scandinavia or the USA. In this book you will find answers to this question and detailed information on the successful evolution of anaesthesiology especially at the Faculties of Medicine at German universities."
Regarded as the go-to reference in the field, Atlas of Regional Anesthesia brings you the detailed visual guidance and unmatched expertise needed to confidently administer a myriad of nerve block techniques in all areas of the body. Step-by-step illustrations demonstrate each technique in a simple, easy-to-follow manner while an emphasis on cross-sectional anatomy, illustrations of gross and surface anatomy, and ultrasound, CT and MRI scans help you develop a 3-dimensional concept of anatomy essential to successful regional anesthesia. Extensive updates throughout provide state-of-the-art coverage of conventional and ultrasound-guided techniques, as well as new coverage of the latest procedures. Hundreds of high-quality illustrations of cross-sectional, gross, and surface anatomy paired with outstanding illustrations of conventional and ultrasound-guided techniques provide superior visual guidance. The fresh perspective of two new lead editors-Drs. Ehab Farag and Loran Mounir-Soliman-personally selected by Dr. David Brown. Expanded coverage of ultrasound use including; locating nerves and anatomic landmarks, administering regional anesthesia in ambulatory settings, and guiding in administration of regional anesthesia in adults and children. Enhanced electronic assets including videos demonstrating all blocks-with access to fully interactive information on the basic 3D anatomy, ultrasound scanning techniques, ultrasound anatomy and needle placement including in-atlas video for 8 of the most commonly performed regional blocks. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, videos and references from the book on a variety of devices.
Get a quick, expert overview of the many key facets of neuropathic pain syndromes with this concise, practical resource by Drs. Mitchell Freedman, Jeff Gehret, George Young, and Leonard Kamen. This easy-to-read reference presents a summary of today's best evaluation methods and evidence-based treatment options for complex regional pain syndrome as well as other challenging syndromes. Covers key topics such as: Evidence Based Approach to Many Uncommon and Difficult Neuropathic Pain Syndromes Review of Pathophysiology of Pain Approach to Chronic Pain Syndromes Work Up and Treatments for Complex Regional Pain Syndromes Consolidates today's available information and experience in this multifaceted area into one convenient resource.
First published in 1991. Routledge is an imprint of Taylor & Francis, an informa company.
Highly Commended, BMA Medical Book Awards 2015 In 2008, Paul Farmer and Jim Yong Kim described global surgery as the "neglected stepchild" of healthcare, and now leaders from around the world are working to redefine it as a human right through the Lancet Commission on Global Surgery. In order to help advance global surgery and anesthesia as a public health intervention, providers require a practical, hands-on manual to train and educate them to provide safe and effective surgery and anesthesia in resource-limited settings. In an effort to respond to that need, over 140 clinicians from high-, low-, and middle-income countries collaborated to create the Global Surgery and Anesthesia Manual: Providing Care in Resource-Limited Settings. This guide provides in-depth instruction on epidemiology and ethics surrounding surgical services, and on anesthesia, perioperative care, trauma surgery, and non-trauma surgery. With contributions from a group of culturally and academically diverse clinicians, each chapter is enriched by at least one commentary from a surgeon or anesthesia provider in a low- or middle-income country (LMIC) who shares first-hand perspectives on the realities and complexities of providing surgical care in these settings with limited resources. The book will serve as a core reference for surgeons and anesthesiologists at all levels interested in global surgery. It will assist those working in LMICs who are confronted with surgical problems that they are not routinely exposed to in their traditional practice. Filled with expert guidance, decision-making algorithms, and treatment options, it will also serve as an invaluable text for trainees in LMICs as it covers the majority of surgical disease processes that would be encountered in such settings.
This book focuses on orthogeriatrics, a topic that has received little attention in the literature to date. As active members of the Fragility Fracture Network (FFN), the editors and most of the authors of this book have gathered all essential expertise on hip fracture management in a single volume. The 14 chapters provide a complete overview of how to approach fractures in elderly patients, starting with the epidemiology of hip fractures and subsequently addressing osteoporosis, surgery, anesthesia, medical management of frailty, and peri-operative complications. Attention is also given to rehabilitation and nursing, as well as to the psychological evaluation of the patient and the caregivers, thus emphasizing the importance of a multidisciplinary approach. Thanks to its clinical and practice-oriented nature, the book will especially be of interest to residents and young geriatricians, as well as orthopaedic surgeons, anesthesiologists and nurses dealing with elderly fracture patients in all parts of the world.
Providing anesthesiology for liver surgery and especially liver transplantation is highly complex and requires profound expertise in the physiology and pathophysiology of liver disease. This new edition incorporates the latest information in the field and remains the only available book on the topic. It focuses on the practical aspect of liver anesthesiology and critical care, while providing a comprehensive and in depth summary of the knowledge in this field. Most liver transplant centers now have dedicated teams providing anesthesia care during liver transplantations. In the last years there has been a substantial increase in knowledge and improvement in techniques in anesthesiology and critical care of patients undergoing liver surgery and transplant patients. Liver Anesthesiology and Critical Care Medicine, 2nd Edition includes new chapters on chronic liver failure and hepatic cirrhosis, preoperative risk assessment, evidence in liver anesthesiology, the splanchnic and systemic circulation in liver disease and a special focus on analgesia for liver resection including regional techniques. Written for anesthesiologists and critical care physicians caring for patients undergoing liver surgery and transplantation, this book proves to be an essential companion and review book as the number of liver surgeries with higher complexity continue to increase.
This book provides up-to-date information on all aspects of orofacial pain biomarkers. It opens by presenting background information on clinical phenotypes and the neurobiological substrates underlying chronic orofacial pain and by explaining the potential role of biomarkers in the diagnosis, prognostic evaluation, and treatment of orofacial pain. The main section of the book examines the contribution of human and animal studies to the field of biomarkers for orofacial pain and discusses biomarkers for masticatory muscle pain, temporomandibular joint pain, neuropathic face pain, and autonomic nervous system involvement in trigeminal facial pain. The potential impacts of the immune system on orofacial pain biomarkers and candidate gene phenotypes with possible links to chronic orofacial pain conditions are also addressed, and differences and similarities between saliva and serum biomarkers for pain are explained as well. The final section covers research-related issues in assessment methods and statistical analyses used in evaluating biomarkers, identifies future challenges and suggests new directions in the field.
This invaluable resource presents a state-of-the-art account of the psychology of pain from leading researchers. It features contributions from clinical, social, and biopsychological perspectives, the latest theories of pain, as well as basic processes and applied issues. The book opens with an introduction to the history of pain theory and the epidemiology of pain. It then explores theoretical work, including the gate control theory/neuromatrix model, as well as biopsychosocial, cognitive/behavioral, and psychodynamic perspectives. Issues, such as the link between psychophysiological processes and consciousness and the communication of pain are examined. Pain over the life span, ethno-cultural, and individual differences are the focus of the next three chapters. Pain: Psychological Perspectives addresses current clinical issues: * pain assessment and acute and chronic pain interventions; * the unavailability of psychological interventions for chronic pain in a number of settings, the use of self-report, and issues related to the implementation of certain biomedical interventions; and * the latest ethical standards and the theories. Intended for practitioners, researchers, and students involved with the study of pain in fields such as clinical and health psychology, this book will also appeal to physicians, nurses, and physiotherapists. Pain is ideal for advanced courses on the psychology of pain, pain management, and related courses that address this topic.
The main purpose of this book is to provide the reader with a better understanding of spinal nerve root injuries caused by various pathologies (e.g. disc herniation, space-occupying lesions, trauma etc.). The standard anatomical description of spinal nerve roots origin, course and arrangement (described in the first chapters of the book) is now strongly influenced by the frequent findings of their intraspinal extradural and intradural connecting branches and by other variations, which are considered to be the major cause of the surgical therapy failures. Intraspinal extradural and intradural neuroanatomical roots variations may affect in fact the clinical picture, diagnosis, and surgical treatment; their recognition can minimize the damage to neural structures in the spinal anaesthesia, in spinal operations, in spondylosurgery, in endoscopic surgery, laser discectomy, etc. Their aetiology is unknown and it has to be elucidated, and they are rarely found during the usual preoperational examinations, a reason that encouraged various anatomical dissection studies finalized to their description. The data shown in this book will be surely helpful for traumatologists, orthopaedists, spinal surgeons, neurosurgeons, plastic surgeons and for all those dealing with intraspinal variations of nerve roots.
This second edition of Clinical Pediatric Anesthesia: A Case-Based Handbook offers a comprehensive review of the options, advantanges, and disadvantages of different aspects of the perioperative management of the pediatric patient, as well as examples of a wide range of relevant clinical scenarios. Chapters are organized into 15 sections and cover the field of pediatric anesthesiology with a point-of-care approach. Written by a team of over 50 Pediatric Anesthesiologists at tertiary children's hospitals, this highly accessible text provides readers with multiple approaches to the anesthetic care of the pediatric patient. Each chapter includes an introduction to the topic, followed by learning objectives, clinical vignettes, and a discussion section styled in a question-and-answer format, concluding with a summary of the highest-yield and most salient information. Chapters also provide annotated references and suggestions for further reading to facilitate in-depth study of topic. The variety of cases presented, along with the contributors' expertise, render valuable real-life clinical situations that promote critical thinking and evaluation necessary for all pediatric anesthesiology consultants.
This book examines every aspect of anesthesia in patients undergoing cesarean section. Anesthetic and surgical techniques are clearly described, with detailed guidance on indications and contraindications and identification of potential complications. Practical information is provided on postoperative analgesia, postoperative course and nursing, the significance of cesarean section for breastfeeding, and the occurrence of long-term problems and chronic pain after cesarean section. Other topics to be addressed include the history and epidemiology of cesarean delivery, effects on the fetus and neonate, ethical issues, the humanization of childbirth, and maternal expectations and satisfaction. While many books are available on obstetric anesthesia, none is exclusively devoted to cesarean section although it is one of the most frequently performed surgeries. Anesthesia for Cesarean Section will be appreciated by all anesthesiologists and will be a useful source of information for obstetricians, gynecologists, midwives, nurses, medical students, and trainees.
Introducing the definitive resource designed for practitioners working in the rapidly expanding area of moderate procedural sedation and analgesia clinical practice. Moderate Procedural Sedation and Analgesia: A Question and Answer Approach focuses on the preprocedural, procedural, and postprocedural care of the moderately sedated patient in a variety of settings. This comprehensive text is designed to provide all the content and tools nurses and other clinicians need to demonstrate competency in moderate sedation and analgesia. Additionally, this user-friendly text is written by well-known sedation/analgesia expert, Michael Kost and recommended by standards of practice from the ANA, AORN, and the American Academy of Pediatrics. New clinically focused text ensures clinicians involved in the administration and management of patients receiving moderate sedation have access to the most up-to-date information. Strong safety focus throughout the book explains how technology and clinician practice can improve sedation administration. Chapters organized in clinical problem/question plus answer format help you easily comprehend material. Follows the latest TJC Sedation/Anesthesia Guidelines ensuring you are ready for medication administration in clinical practice. Pediatrics and Geriatrics chapters cover specific sedation practice recommendations that address the substantive clinical practice challenges associated with these patient populations. Pharmacologic profiles of medications detail their use in the moderate sedation practice setting.
Hypnosis, amnesia, and immobility are three major therapeutic endpoints of general anesthesia. In one to two cases out of a thousand, hypnosis and amnesia are not achieved - often leaving a patient immobile but capable of experiencing and remembering intraoperative events. Awareness during general anesthesia is one of the most dreaded complications of surgery and is feared by patients and clinicians alike. Despite many advances in the field, there are also a number of unresolved questions that persist. Some of the difficulties in the detection and prevention of awareness during anesthesia relate to the underlying complexities of the neuroscientific basis of consciousness. Consciousness, Awareness, and Anesthesia is a multidisciplinary approach to both the scientific problem of consciousness and the clinical problem of awareness during general anesthesia. An international cadre of authors with expertise in anesthesiology, neurobiology, and philosophy provides a cutting-edge perspective. No other book on the subject has drawn from such a breadth of scholarship.
This issue of Anesthesiology Clinics, edited by Drs. Maureen McCunn, Mohammed Iqbal Ahmed, and Catherine M. Kuza is dedicated to Cutting-Edge Trauma and Emergency Care. Topics in this issue include: Recognizing preventable death: the role of survival prediction algorithms; ATLS (R) Update 2019: Adult management and applications to pediatric trauma care; Induction agents in specific trauma situations: RSI versus 'slow sequence intubation': Considerations for cervical spine, massive facial trauma, and tracheal disruption; Hemorrhage control and the anesthesiologist: resuscitative endovascular occlusion (REBOA) and emergency perfusion resuscitation (EPR); TEG/ROTEM as a guide for massive transfusion of patients with life-threatening hemorrhage; The anesthesiologist's response to a multiple casualty-incident: our roles working through Hurricanes Irma and Harvey; When the provider becomes the victim: how to prepare for an active shooter in the trauma center; Non-accidental pediatric injuries, pediatric TBI, and sports concussions; Gender disparities in trauma care: how sex determines treatment, behavior, and the outcome; Pain management in trauma in the age of the opioid crisis; The use of point of care ultrasound (PoCUS) in trauma anesthesia care; Post-intensive care syndrome (PICS) and posttraumatic stress disorder (PTSD) in trauma patients; Enhanced recovery after surgery: Are ERAS principles applicable to adult and geriatric trauma and acute care surgery?; and Future trends in trauma care: lessons from current research and treatment strategies in the military.
Neuropuncture is the clinical manual of a groundbreaking acupuncture system that incorporates neuroscience into its clinical applications for pain management, orthopaedic conditions and internal medicine. It shows acupuncturists how to apply research into the neurophysiological mechanisms of acupuncture and electrical acupuncture to the traditional TCM model of healthcare. The book explains how acupuncture works using Western medical science and illustrates how to apply this knowledge to clinical cases with electrical acupuncture, creating evidence-based acupuncture protocols. These protocols are clinically proven and result in reproducible clinical outcomes.
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