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Providing a practical, current, evidence-based approach to all aspects of perioperative care for the patient with vascular disease, Vascular Anaesthesia is an essential read for all vascular anaesthetists, anaesthetic nurses and anyone else involved in the care of vascular patients throughout the world. Vascular Anaesthesia summarizes current knowledge, particularly on interventional procedures (radiological, diagnostic, and surgical). This book also equips the trainee anaesthetist with the scientific and clinical knowledge to pass the Final FRCA examination. It enables doctors to approach vascular surgical patients with a firm understanding of a particular procedure, particularly its risks and options for perioperative management based on current best practice. The management of the patient with vascular disease is evolving rapidly: this indispensible poket reference is of sufficient detail to update the regular and occasional vascular anaesthetist with current best practice for particular, common clinical scenarios. The book also equips the non-anaesthetic medical, nursing, and theatre staff with knowledge and understanding of all other aspects of perioperative care.
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.
This book is a knowledge-based text that covers the anatomy, neurophysiology, and neuropharmacology needed to carry out the necessary management and cerebrospinal protection during neuroanesthesia. Especially to make the subject of neuroanesthesia more approachable, we introduce surgical measures utilized in neurosurgery, cardiovascular surgery, neuromodulation, and related procedures. The main purpose of neuroanesthesia/neurocritical care is to deliver cerebrospinal protection in neurosurgical and cardiovascular surgeries. How should we select the best anesthetic management to prevent neurological complications for patients who, for instance, undergo different types of surgery for subarachnoid hemorrhage, stroke, head trauma, carotid endarterectomy, or cardiovascular surgery under cardiopulmonary bypass? These pathological conditions include the risk of transient cerebrospinal ischemia, and if our management is not precise, it may induce serious neurological sequelae. Although there is an urgent need to establish the treatment and elucidate the molecular mechanisms of cerebrospinal injury, many components are intertwined, making this a challenge we have not completely solved yet. This volume makes the management of neuroanesthesia more accessible not only for primary residents but also for specialists, providing a valuable resource on the current perspectives of neuroanesthesia.
Covering the most important topics in trauma anesthesia, this updated edition provides anesthesiology trainees and practitioners with a practical basis for managing trauma patients. Many recent advances in trauma care are identified, including paradigm shifts in the management of bleeding and coagulopathy, new neuromuscular blockade and anticoagulant reversal drugs, and updated clinical practice guidelines. This volume provides a concise, practical review of the essential elements in the care of the severely injured trauma patient, including emergency airway management, fluid and blood resuscitation, monitoring, coagulation therapy, regional and general anesthesia, and perioperative care. Edited by two of the most experienced trauma anesthesiologists in the United States, with chapters written by experts from leading US and Canadian trauma centers with the highest and most varied caseload of critically injured patients, Essentials of Trauma Anesthesia identifies new trends in surgery and anesthesiology practices that impact on the management of trauma patients.
Yearbook of Anesthesiology-4 is an up-to-date guide to the latest advances in anaesthesiology practice. Comprised of 25 chapters covering general anaesthesia, pain and intensive care, this book presents the most recent information in the field, in a concise and highly illustrated format. Various chapters highlight progress within different areas of anaesthesiology, including mechanical ventilation strategies in ARDS (acute respiratory distress syndrome), perioperative fluid therapy, the role of nitrous oxide, new findings concerning postoperative vomiting and nausea, and a chapter revisiting brachial plexus block techniques. Other chapters feature discussion on the management of patients with burns, kidney transplant and the benefits of implantable paint therapy devices. Anaesthetic management of foetal surgery and problems with anaesthesia in the MRI suite are also discussed in detail. `Journal Scan' is a new chapter in this volume of Yearbook of Anesthesiology, offering expert opinion on a selection of landmark papers published in respected journals in the past year. With nearly 80 colour images and illustrations, Yearbook of Anesthesiology-4 is an essential update on the most recent developments in the field for trainees, intensivists and practising anaesthesiologists. Key Points 25 chapters presenting the latest developments in the field of anaesthesiology New chapter `Journal Scan' offers expert opinion on landmark papers published in the past year 79 colour images and illustrations
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.
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.
Neuroanesthesia: A Problem-Based Learning Approach provides an up-to-date and comprehensive review of the neuroanesthesia subspecialty. Its problem-based format incorporates a pool of practical, multiple-choice questions for self-assessment. Each of its 29 case-based chapters is accompanied by 10 questions and answers, accessible online in a full practice exam. The cases presented are also unique, as each chapter starts with a case description, usually a compilation of several actual cases; it then branches out through case-based questions, to increasingly complex situations. This structure is designed to create an authentic experience that mirrors that of an oral board examination. The discussion sections that follow offer a comprehensive approach to the chapter's subject matter, thus creating a modern, complete, and up-to-date medical review of that topic. This book is equally a solid reference compendium of neuroanesthesia topics and a comprehensive review to assist the general practitioner both in day-to-day practice and during preparation for certification exams. Its problem-based format makes it an ideal resource for the lifelong learner and the modern realities of education.
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."
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.
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.
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.
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.
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.
Prepare with confidence for the Final FRCA with this dedicated guide featuring 300 original single best answer questions (SBAs) covering the whole breadth of the RCOA basic and intermediate curricula. SBAs correspond to the Royal College of Anaesthetist's units of training, so candidates can focus their revision in each sub-specialty area, such as paediatrics, neuroanaesthesia, and pain management. . Individuals can track their progress, identify gaps in their knowledge, and target their ongoing revision as needed, assured that chapters cover all aspects of the curriculum as required for the exam. A final mock chapter allows candidates to rehearse for real exam conditions. Written by a team of consultant anaesthetists and active educators, these original and high-quality questions have been developed over years of clinical experience and critical incidents as well as the authors' own revision courses. Each question is accompanied by detailed answers, explanations, and further reading. This invaluable resource also includes advice on SBA technique making this the only guide you need for SBAs in the Final FRCA Written Paper.
The fully updated Crisis Management in Anesthesiology continues to provide updated insights on the latest theories, principles, and practices in anesthesiology. From anesthesiologists and nurse anesthetists to emergency physicians and residents, this medical reference book will effectively prepare you to handle any critical incident during anesthesia. "A comprehensive discussion of the latest theories, principles and practices for CRM in perioperative practice and will be a useful resource for anaesthetists of all grades and levels of experience" Reviewed by British Journal of Anaesthesia, Jun 2015 "...this book contains essential information that all anesthesiologists should know or readily be able to easily reference..." Reviewed by Jane Torrie, Oct 2015 "Every anesthesia provider needs to study, not just read, this new edition, even if you read the first edition. Also, distilled instructions of key elements of the cases covered in this book need to be included in manuals made available for emergencies (although that, too, needs further study on how best to use them). If I were your patient, I would ask if you had studied these principles. If you hadn't, I might ask for another health care provider into whose hands I would want to entrust my life." Foreword by: Jeffrey B. Cooper, PhD Harvard Medical School, Boston, Massachusetts, July 2015 Identify and respond to a broad range of life-threatening situations with the updated Catalog of Critical Incidents, which outlines what may happen during surgery and details the steps necessary to respond to and resolve the crisis. React quickly to a range of potential threats with an added emphasis on simulation of managing critical incidents. Useful review for all anesthesia professionals of the core knowledge of diagnosis and management of many critical events. Explore new topics in the ever-expanding anesthesia practice environment with a detailed chapter on debriefing. Expert Consult eBook version included with purchase.
Optimized for medical necessity and reimbursement understanding, this all-in-one resource focuses on the most important CPT and HCPCS codes for general surgery and gastroenterology, plus medicine and ancillary services codes chosen by experts who have taken into consideration utilization, denial risk and complexity. CPT (R) Coding Essentials optimizes both CPT and ICD-10 code selection with helpful CPT-to-ICD-10-CM crosswalks and detailed explanations of anatomy, physiology and documentation. In addition, for the first time in the same volume, verbatim guidelines and parenthetical information from the CPT codebook specific to general surgery and gastroenterology CPT codes can be found. This is the ideal daily companion featuring useful, definitive specialty-specific coding information beyond what is provided in a full procedural code book. General surgery and gastroenterology coding and billing knowledge that otherwise might take years of experience or multiple resources to accumulate is available in a single volume. Features and Benefits: A subset of specialty-specific CPT codes chosen by experts who take into consideration utilization, denial risk and complexity Official AMA coding guidelines pertinent to the specialty and not available in any competitor's specialty codebooks Official code-specific CPT parenthetical instructions Plain English descriptors that clarify for the reader the details of the service represented by the CPT code CPT (R) Assistant citations Procedural illustrations Crosswalks from CPT to ICD-10-CM National Correct Coding Initiative (CCI) edits to identify bundled and separately billable codes CMS Pub 100 billing guidance citations Facility and non-facility relative value units (RVUs) including global surgery days, physician work and practice, malpractice and total expenses as well as those modifiers that can affect relative values Additional chapters on terminology and anatomy, HCPCS codes, CPT modifiers and ICD-10-CM coding and documentation practices Appendixes offering clinical documentation checklists and evaluation and management (E/M) guidelines
This third edition of the highly successful The Anaesthesia Science Viva Book contains detailed, accessible summaries of the core questions in anatomy, physiology, pharmacology and clinical measurement that may be asked in the oral section of the Final FRCA exam. In addition to comprehensive updating of all the topics, this edition includes new subject material in each of the four basic sciences, with almost 200 detailed summaries of the most relevant topics in the examination. This volume once again gives candidates an insight into the way the viva works, offering general guidance on exam technique, and providing readily accessible information relating to a wide range of potential questions. Written by a former senior examiner for the diploma of the Fellowship of the Royal College of Anaesthetists and listed as recommended reading by AnaesthesiaUK, the prime educational resource for trainee anaesthetists, it remains an essential purchase for every Final FRCA candidate.
Do you want to improve your teaching skills in graduate medical education? This book provides suggestions and practical examples for teaching in the Pre-Anesthesia Clinic, the Operating Room, the Pain Clinic, and the ICU. Designed to help the reader become a more efficient and effective teacher, it also provides best practice suggestions for teaching airway management, regional anesthesia, transesophageal echocardiography, and newer technologic advancements such as point-of-care ultrasound. Based on research in education, this book provides information for all medical educators, including creating the optimal learning environment, teaching clinical reasoning, using multimedia and simulation, making the classroom interactive, and the significance of test-enhanced learning, while presenting specific examples of each. Chapters include teaching professionalism, preparing residents to be teachers, teaching quality and safety, providing feedback, and teaching residents how to read the literature. This volume emphasizes providing practical suggestions from recognized leaders in each of the areas discussed.
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 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.
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.
Due to the differences in the neurophysiology and cranial development of infants and children, the anesthetist's approach to the pediatric neurosurgical patient cannot simply be modelled on that for adults. Infants and children undergoing anesthesia for neurosurgical procedures therefore present unique challenges for the anesthetist. Essentials of Pediatric Neuroanesthesia is a practical guide to best practice in managing the perioperative care of pediatric neurosurgical patients, providing comprehensive information on the techniques to administer anesthesia and sedation to this vulnerable patient group. The chapters, written by leading experts, highlight clinical pearls as well as key recommended references, providing rapid access to vital information in the care of the pediatric neurosurgical patient. It is the first book of its kind to be dedicated solely to neuroanesthesia for pediatric patients, making it an essential read for both experienced and trainee pediatric anesthetists and neuroanesthetists.
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