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Every trainee in anaesthesia requires a thorough understanding of basic physiology and its application to clinical practice. Now in its second edition, this comprehensively illustrated textbook bridges the gap between medical school and reference scientific texts. It covers the physiology requirements of the Primary FRCA examination syllabus. Chapters are organised by organ system, with particular emphasis given to the respiratory, cardiovascular and nervous systems. The practical question-and-answer format helps the reader prepare for oral examinations, while 'clinical reference' boxes translate the physiological concepts to clinical practice. This new edition has been thoroughly updated and revised throughout, and includes six new chapters including the physiology of the eye, upper airway and exercise testing. It provides junior anaesthetists with an essential 'one stop' physiology resource.
Explore the physiology of 30 key yoga poses, in-depth and from every angle, and master each asana with confidence and control. Did you know that yoga practice can help lower your blood pressure, decrease inflammation and prevent age-related brain changes? Recent scientific research now backs up what were once anecdotal claims about the benefits of yoga to every system in the body. Science of Yoga reveals the facts, with annotated artworks that show the mechanics, the angles, how your blood flow and respiration are affected, the key muscle and joint actions working below the surface of each pose, safe alignment and much more. With insight into variations on the poses and and a Q&A section that explores the science behind every aspect of yoga, look no further than Science of Yoga to achieve technical excellence in your practice and optimise the benefits of yoga to your body and mind.
Ethical issues facing anesthesiologists are more far-reaching than those involving virtually any other medical specialty. In this clinical ethics textbook, authors from across the USA, Canada and Europe draw on ethical principles and practical knowledge to provide a realistic understanding of ethical anesthetic practice. The result is a compilation of expert opinion and international perspectives from clinical leaders in anesthesiology. Building on real-life, case-based problems, each chapter is clinically focused and addresses both practical and theoretical issues. Topics include general operating room care, pediatric and obstetrical patient care, the intensive care unit, pain practice, research and publication, as well as discussions of lethal injection, disclosure of errors, expert witness testimony, triage in disaster and conflicts of interest with industry. An important reference tool for any anesthesiologist, whether clinical or research-oriented, this book is especially valuable for physicians involved in teaching residents and students about the ethical aspects of anesthesia practice.
The fourth edition of this market leading anaesthetic book has been fully updated to include novel oral anticoagulants and neuromuscular reversal agents. Numerous other sections have been expanded or updated to reflect new research and current best practice, and the antibiotics chapter now includes information about commonly encountered pathogens and the drugs used to target them. Basic pharmacological principles, vital to understanding the effects of individual drugs, are dealt with methodically, and the essential physiology is described alongside the relevant pharmacology. This has become the core pharmacology book for the FRCA, covering all the relevant kinetics and dynamics in a compact and easy to navigate format, including clear diagrams and tables. This is an ideal aid to study and practice for junior and trainee anaesthetists. Theatre practitioners, ICU nurses and physicians working in areas that demand a solid foundation of pharmacological knowledge will also find this an invaluable resource.
In light of evolving techniques and strategies for increasingly complex orthopedic procedures, this accessible guide to patient management outlines the considerations involved in selecting the most suitable anesthetic for both common and complex clinical scenarios. Chapters cover a multitude of clinical presentations and procedures, ranging from orthopedic trauma to total joint replacement, outpatient hand procedures and regional anesthetic placement in patients with pre-existing conditions. Each chapter discusses and evaluates multiple approaches, accompanied by a review of the current literature. Abundant case scenarios of patients undergoing orthopedic surgical or regional anesthesia provide a handy framework for specialists and consultants, as well as an invaluable guide for trainees in anesthesia, regional anesthesia and emergency medicine.
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.
Fundamentals of Anaesthesia is the gold standard text for the Primary FRCA, encapsulating the basic principles of modern anaesthesia in one easily accessible volume. Written and edited by experts with extensive FRCA examination experience, this text deliberately blends the expertise of invited authors in an unrivalled consistency of style more akin to that of a single author text. All of the subject matter required to pass the exam is condensed into an easy-to-read format. This fully updated fourth edition includes new guidelines, an improved chapter structure, and a new section on clinical ultrasound. The generous use of summary boxes, bullet points, tables and diagrams creates a text that is clear, concise and easy to navigate. Each section covers one of the four components of the SOE. This is a unique revision aid for the Primary FRCA and an essential companion for all exam candidates.
A fully updated new edition of this definitive, unrivalled, no-nonsense textbook, Central Pain Syndrome: Pathophysiology, Diagnosis and Management provides new treatment guidelines that aid the reader in effective management. * Encyclopedic coverage of all drug and surgical therapies, including the hot field of non-invasive and invasive cortical stimulation * 26 totally rewritten chapters include expanded sections on deep brain, spinal and other forms of stimulation, and a chapter on the efficacy of alternative and complementary medicine * Critical analysis of all current competing theories, including an expanded account of the leading dynamic reverberation theory which now incorporates a cortical attractor-based model * Clear-cut indications on drug usage, with black boxes for ineffective or dangerous drugs A classic textbook widely hailed on patients' websites, this is key reading for medical specialists and trainees in pain management, neurology, neurosurgery and anesthesiology, as well as for patients
In recent years the field of regional anesthesia, in particular peripheral and neuraxial nerve blocks, has seen an unprecedented renaissance following the introduction of ultrasound-guided regional anesthesia. This comprehensive, richly illustrated book discusses traditional techniques as well as ultrasound-guided methods for nerve blocks and includes detailed yet easy-to-follow descriptions of regional anesthesia procedures. The description of each block is broken down into the following sections: definition; anatomy; indications; contraindications; technique; drug choice and dosage; side effects; potential complications and how to avoid them; and medico-legal documentation. A checklist record for each technique and a wealth of detailed anatomical drawings and illustrations offer additional value. Regional Nerve Blocks in Anesthesia and Pain Medicine provides essential guidelines for the application of regional anesthesia in clinical practice and is intended for anesthesiologists and all specialties engaged in the field of pain therapy such as pain specialists, surgeons, orthopedists, neurosurgeons, neurologists, general practitioners, and nurse anesthetists.
The accuracy with which clinicians can locate nerves and blood vessels has increased greatly with the development of portable handheld ultrasound scanners, and no specialty has felt the benefit more than anesthesia. This practical atlas of ultrasound anatomy addresses the two main challenges for anyone learning ultrasound-guided techniques: 1. Where do I place the probe? 2. What exactly am I looking at? Each nerve block or vascular access site is illustrated with: * An anatomical line illustration * A clinical photograph showing the correct ultrasound probe position * The ultrasound scan * A line illustration of the scan labelled to indicate the salient anatomical features All relevant anatomic regions are included: upper limb, lower limb, neck, thorax and abdomen. Concise notes for each entry indicate scan landmarks and give useful tips and advice on potential complications. Sonoanatomy for Anesthetists is an essential resource for anesthetists, intensivists and chronic pain specialists.
Jubilee edition of the classic text first published in 1963 Anaesthetists require a particularly specialized knowledge of anatomy The anaesthetist must know intimately the respiratory passages, the major veins and the peripheral nerves to deliver safe and effective pain control. As one of the great teachers of anatomy, Professor Harold Ellis is eminently qualified to elegantly provide the anatomical detail required of anaesthetists. Modern approaches to practice, including the use of imaging to guide anaesthetic practice, add further depth to the fine full-colour anatomical illustrations. Designed for anaesthetists, Anatomy for Anaesthetists covers: The Respiratory Pathway, Lungs, Thoracic Wall and Diaphragm The Heart and Great Veins of the Neck The Peripheral Nerves The Autonomic Nervous System The Cranial Nerves The Anatomy of Pain Clinical Notes throughout provide the clinical context for the anatomical detail. Designed for trainees, but of continuing relevance to practicing anaesthetists, and now in its Golden Jubilee edition, Anatomy for Anaesthetists provides a central pillar of anaesthetic knowledge.
Loco-regional anesthesia offers evident advantages in almost all branches of surgery since it couples perfectanesthesia with prolonged postoperative analgesia. Furthermore, new drugs and techniques are ensuring constant progress, and in the past decade the advent of ultrasound-guided regional anesthesia has played a key role by allowing direct visualization of all anatomic structures involved in regional blocks. In conjunction with electrostimulation, it has significantly increased the success rate of loco-regional anesthesia.
This book, comprising 16 chapters and more than 140color illustrations, provides detailed coverage of the techniques currently employed in upper limb anesthesia. It opens by reviewing the anatomy of the brachial plexus and the topographic anatomy as it is of the utmost importance for anesthesiologists to have a deep knowledge of anatomy despite the assistance offered by new tools. Subsequently the various techniques, including supraclavicular, infraclavicular, and axillary brachial plexus blocks, peripheral blocks, and intravenous regional anesthesia, are discussed in depth, with due attention to potential complications. Up-to-date information is also provided on the role of ultrasound, and an entire chapter is devoted to ultrasound-guided interscalene and supraclavicular blocks. The book will be an invaluable learning tool for students and an excellent aid in daily clinical practice for anesthesiologists.
Edited by Sudhir Diwan, a former Director of Pain Medicine fellowship program at Ivy League Weill Cornell Medical College, and Timothy R. Deer, an internationally renowned expert in neuromodulation and minimally invasive spinal procedures, this atlas covers advanced procedures that normal residency and fellowship programs may not cover. It consolidates information pain fellows usually amass by traveling throughout the country to various specialized weekend courses. Advanced Procedures for Interventional Pain Management: A Step-by-Step Atlas is for physicians that know the fundamentals of pain medicine and want to push their knowledge further. Through easy-to-digest bullet points, extensive diagrams, hundreds of figures, and expanded legends beneath each illustration, this compendium covers techniques such as fluoroscopic guidance and radiation safety, endoscopic transforaminal discectomy, endoscopic direct-percutaneous discectomy, transforaminal myelogram, percutaneous facet fusion, percutaneous sacroplasty, vertebral augmentations, percutaneous tumor ablation, percutaneous spinal fusion, minimally invasive spinal decompression (MILD), Interspinous Spacer Placement and advanced neuroaugmentation techniques like high frequency stimulation and DRG stimulation. This book also has a dedicated section on Regenerative Medicine with chapters on platelet rich plasma, stem cell therapy, and intradiscal regenerative therapy. Each chapter has a strict chapter format that includes the indications and contraindications for each procedure, a list of equipment and drugs, a step-by-step illustration-focused how-to, a list of possible post-procedural complications, and bullet-pointed clinical pearls and pitfalls. Within each chapter the authors will also cover the variations of each procedure due to different equipment. This book is ideal for pain medicine fellows, spine surgeons, and interventional pain physicians who want access to the best minds and specialized procedures in a single package.
The highly successful Reviews of Physiology, Biochemistry and Pharmacology continue to offer high-quality, in-depth reviews covering the full range of modern physiology, biochemistry and pharmacology. Leading researchers are specially invited to provide a complete understanding of the key topics in these archetypal multidisciplinary fields. In a form immediately useful to scientists, this periodical aims to filter, highlight and review the latest developments in these rapidly advancing fields.
Designed and written by a team of clinically established academics, this is a unique book that is an excellent manual for physicians practicing pain medicine or treating pain in neurosurgery, orthopedic, neurology, or family practice clinics. As a practical resource, this book is written to be more accessible to the reader and is designed to be more clinically-focused and useful in day-to-day practice. This 102 chapter volume is divided into seven separate sections: Anatomy and Physiology of Pain, Psychology of Pain, Pharmacological Treatment of Pain, Interventional Treatment of Pain, Adjuvant Therapies for Pain and Suggested Reading. The calculated organization of this book is supplemented by key photos, drawings and a self-assessment of four key questions at the end of each chapter ------ thus making it an indispensable, pragmatic resource that will benefit anyone working in the pain management field. Deer's Treatment of Pain: An Illustrated Guide for Practitioners contains pearls for improving knowledge and improving one's practice as a physician.
Committed to providing safe anaesthetic care for paediatric patients, it is of paramount importance for clinicians to learn from suboptimal situations in order to continuously improve clinical performance. The first resource of its kind, this text analyses a selection of fascinating case studies and evaluates best practice in providing safe anaesthesia to children with recommendations on how to avoid the most common clinical pitfalls. Featuring over seventy chapters, topics include airway-related problems, vascular access, regional anaesthesia, medication related problems and the management of patients with pre-existing conditions. Each case study is supported by full colour images, making this essential reading for consultants and trainees in anaesthesia.
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.
Now in its fourth edition, Analgesia, Anaesthesia and Pregnancy is a concise guide to obstetric anaesthesia and analgesia. This essential text reviews every topic and clinical challenge faced during delivery and focuses on pre-empting problems and maximising quality of care. It also covers acute emergencies related to pregnancy. This new edition features 11 new chapters that cover the significant updates in the field over the last few years. Presented in a clearly structured format, this practical guide will be an invaluable source of key information for any anaesthetist encountering obstetric patients, whether they are a practised consultant or still in training. Obstetricians, neonatologists, midwives, nurses, and anaesthetic assistants in obstetric analgesia and anaesthesia who wish to extend or update their knowledge will also benefit from reading this book.
This text is designed for those who may become consultants in pediatric anesthesia. It is based on a curriculum developed since 1992 to illustrate the breadth and depth of the practice of pediatric anesthesia and the program is an integral part of the didactic series in the Department of Anesthesiology, Perioperative and Pain Medicine at Boston Children's Hospital. This second edition has the same purpose as the first - to accompany the reader's journey in attaining proficiency, expertise and finally, mastery in pediatric anesthesiology. The format of the book is designed to encourage the readers' free flow of ideas and the written examinations, seen at the beginning of the text as a baseline in pediatric medicine, are primarily knowledge-based, reflecting factual medical information necessary for the subspecialty practice of pediatric anesthesiology. With this basic guidance, the reader can bring him or herself "into the operating room" and manage the patient in an expert fashion.
Access to acute and emergency care is essential when we are ill or injured, but the costs are significant. How can we make services more efficient and effective? This thought-provoking text provides twenty case studies detailing successful innovations to enhance value, including telehealth, observation medicine, high utilizer programs, and the use of informatics to improve clinical decision support. A detailed history of system developments over the last fifty years in the US and internationally is provided, and subjects including measurement and quality improvement, volume versus value based care, and emergency department crowding are discussed. This book is an ideal way for emergency physicians and healthcare managers to explore new ideas and enhance the quality of care in their area.
Concentrating on techniques rather than pain pathology, Spinal Interventions in Pain Management is focused purely on the spine. This practical handbook covers anatomy and imaging, how to choose patients, how to undertake procedures, and includes advice on potential pitfalls. Perfect reading for pain interventionalists and trainees before doing a procedure or before an exam, the book covers the most common spinal interventions for pain that pain specialists undertake, including epidurals, diagnostic facet interventions, the intra-articular injection of the sacroiliac joint and radiofrequency denervation, cervical, thoracic and lumbar discography, and neuromodulation (spinal cord stimulation and intrathecal drug delivery). Extensive illustrations, both x-rays and figures, make the book accessible and help to provide a clear understanding of the anatomy, which underpins spinal interventions.
Looking at a decade's worth of chronic pain, a promise from God helped Joanne stand firm until He ultimately heals her.Once a trained athlete in peak condition, Joanne Moody suffered a post pregnancy injury that sidelined her for the next 14 years. Not one to give up easily, Moody fought to find an answer to her pain year after year. Countless doctors attempted to treat her until finally one recommended a surgeon in France. Joanne and her sisters make the trek only to stare death in the face again. At the moment of greatest pain, God reached down and gave her a promise. Minute by Minute will keep the pages turning as you join Joanne on her journey through a valley of pain and her eventual arrival at the pinnacle of faith and love.In Minute by Minute, you will see read a compelling story of:The power of prayerPerseverance through adversityChoosing to trust God amidst agonyAn intimate commitment from God to JoanneTrials and suffering being transformed by God's supernatural power
Simulation is becoming an integral part of medical education and has already a well-established role within anaesthesia training, with many examination questions already modelled on simulation scenarios. The clinical diversity and multidisciplinary nature of an obstetric team creates the ideal environment for simulation training. It enables the team to develop their knowledge of clinical emergencies whilst becoming more aware of the importance of human factors. This book is a practical guide to inspire clinical leads to establish simulation within their delivery suite. The book comprises an extensive obstetric scenario library, with each scenario broken down into learning outcomes, a list of staff and equipment needed, specific stages mapped to learning outcomes with appropriate results/investigations and a checklist of ideal actions to enable the post-scenario debrief. Written by consultant obstetric anaesthetists, this book will appeal to medical practitioners interested in facilitating obstetric simulation.
Fully updated and expanded, the second edition of Clinical Fluid Therapy in the Perioperative Setting brings together the world's leading experts in fluid management to explain what you should know when providing infusion fluids to surgical and critical care patients. Current evidence-based knowledge, essential basic science, and modern clinical practice are explained in 34 focused and authoritative chapters. New chapters cover topics such as burn injury, monitoring of the microcirculation, the glycocalyx layer, intensive care, trauma, transplantations, and adverse effects of infusion fluids. Each chapter begins with an abstract, providing a quick overview of the topic, followed by detailed clinical and pre-clinical guidance. Together, the chapters guide the reader in the use of fluid therapy in all aspects of perioperative patient care. Edited by Robert G. Hahn, a clinical anesthesiologist and highly experienced researcher in fluid therapy, this is essential reading for all anesthesiologists, intensivists, and surgeons.
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