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A classic since its first publication nearly 25 years ago, Stoelting's Anesthesia and Co-Existing Disease, 7th Edition, by Drs. Roberta L. Hines and Katherine E. Marschall, remains your go-to reference for concise, thorough coverage of pathophysiology of the most common diseases and their medical management relevant to anesthesia. To provide the guidance you need to successfully manage or avoid complications stemming from pre-existing conditions there are detailed discussions of each disease, the latest practice guidelines, easy-to-follow treatment algorithms, and more. Presents detailed discussions of common diseases, as well as highlights of more rare diseases and their unique features that could be of importance in the perioperative period. Examines specific anesthesia considerations for special patient populations-including pediatric, obstetric and elderly patients. Features abundant figures, tables, diagrams, and photos to provide fast access to the most pertinent aspects of every condition and to clarify critical points about management of these medical illnesses. Ideal for anesthesiologists in practice and for anesthesia residents in training and preparing for boards. Printed and digital versions of this classic text are available. Expert ConsultT 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. Includes brand new chapters on sleep-disordered breathing, critical care medicine and diseases of aging as well as major updates of nearly all other chapters. Covers respiratory disease in greater detail with newly separated chapters on Sleep Disordered Breathing; Obstructive Lung Disease; Restrictive Lung Disease; and Respiratory Failure. Provides the latest practice guidelines, now integrated into each chapter for quick reference.
This latest edition of Preoperative Assessment and Management offers up-to-date, concise, and comprehensive information for anyone who performs preoperative assessments on patients. With a practical, no-nonsense writing style, it provides fast, efficient answers on evaluating patients with neurological, cardiac, renal, endocrine, metabolic, hematologic, musculoskeletal, and other disorders; administering medications; and more. New chapters address the evaluation of acutely ill, obese, geriatric, and sleep apnea patients, as well as business logistics-billing, staffing, remote assessment, and more. Ebook now features ultrasound clips, highlighting the emerging diagnostic use of this technology in preoperative assessments. Bulleted format and numerous tables enable you to find information-and perform evaluations-quickly and efficiently. Ideal for anesthesiologists, residents in anesthesiology, nurse practitioners, physician assistants, hospitalists, and surgeons. Enhance Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.
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.
Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. The best way to prepare for the American Board of Anesthesiology's new ADVANCED Examination Anesthesiology Core Review: Part Two-ADVANCED Exam prepares you for the second of two new staged anesthesiology board certification exams. This is the first board review book tailored for the new ADVANCED examination.The book is divided into sections that match the blueprint provided by the American Board of Anesthesiology: Basic Science, Clinical Sciences, Organ-Based Sciences,Clinical Subspecialties, and Special Problems or Issues in Anesthesiology. Anesthesiology Core Review: Part Two-ADVANCED Exam is the single best way to take the stress out of this make-or-break exam. Short 2-4 page chapters provide critical information in an easily digestible and memorable format. Each chapter succinctly summarizes key concepts, covering the nearly 200 must-know topics found on the board exam outline. The pages are heavily illustrated to help you visualize key concepts, with space conveniently provided throughout the book to add notes from other study resources. Together with the first volume (Anesthesiology Core Review Part One-BASIC), this book provides an excellent, comprehensive resource for initial board certification.
This book, richly illustrated in full colour, is a comprehensive guide to the use of local anaesthesia in dentistry that will meet the needs of both students and dental practitioners. It provides the reader with ample background information on the origin of pain and the pharmacology of anaesthetics, and describes the anatomy of the trigeminal nerve in detail. Subsequent chapters cover key are as such as general practical aspects, local anesthaesia in the upper and the lower jaw, the use of local anaesthetics in children, local and systematic complications, and the prevention of side effects. Patients at particular risk of adverse effects are identified and attention drawn to significant legal aspects. This second edition has been completely revised, with more attention to safety, environment, and sterility. Additional injection techniques have been included, and a new chapter is devoted to microprocessor-assisted administration of anaesthetics. Throughout, care has been taken to ensure that the information is clearly presented and the text is easy to read.
This concise, evidence-based board review book, organized according to the ABA keyword list, covers all the fundamental concepts needed to pass written and re-certification board examinations. Each chapter begins with a case scenario or clinical problem from everyday practice, followed by concise discussion and clinical review questions and answers. Discussion progresses logically from preoperative assessment and intraoperative management to postoperative pain management, enhancing the reader's knowledge and honing diagnostic and clinical management skills. New guidelines and recently developed standards of care are also covered. Serving as a companion to the popular textbook Essential Clinical Anesthesia, this resourceful work reflects the clinical experiences of anesthesia experts at Harvard Medical School as well as individually known national experts in the field of anesthesiology. This practical review is an invaluable resource for anesthesiologists in training and practice, whether studying for board exams or as part of continuing education and ABA recertification.
This book discusses the provision of anaesthesia for day case patients from the preoperative period until discharge and patient follow-up. Provides information on patient selection, management of pain and sickness, the recovery process and problems which may occur after surgery. All forms of anaesthesia are covered, including local anaesthesia and nerve blocks, general anaesthesia (with inhaled and injected drugs) and the use of sedatives to supplement local anaesthesia. The special needs of the child are also addressed.
This book provides an up-to-date and comprehensive overview on percutaneous tracheostomy (PT) in critically ill patients. The various PT techniques that may be employed in the intensive care unit are fully described, with discussion of the available tracheostomy tubes and selection criteria and with clear evaluation of the risks and benefits of each procedure. A further individual chapter is devoted to the methods of airway management that may be used during PT. Detailed attention is also paid to medical and nursing management inside and outside hospital, to quality of life issues in tracheostomized patients, and to the problem of informed consent. The book concludes by addressing the need for standard guidelines. Percutaneous Tracheostomy in Critically Ill Patients will be an excellent source of information and guidance for novice and more experienced physicians working in intensive care units, operating rooms, and emergency departments as well as for those responsible for patient aftercare.
For many of the millions of people who undergo anaesthesia each year, it is the source of great fear and fascination. In Counting Backwards, anaesthetist Henry Jay Przybylo has written an unforgettable account of the routine procedure's daily dramas and fundamental mysteries. Przybylo has administered anaesthesia more than 30,000 times on newborn babies, screaming toddlers and sullen teenagers, his own son and even a gorilla. With compassion and candour, he weaves his experiences into stories that explore the nature of consciousness, the politics of pain relief and the wonder of modern medicine. Through its intense and humane tales of mistakes, near-disasters, life-saving successes and moments of grace, Counting Backwards shines a light on a fascinating but unexplored corner of the medical world.
Thoracic anaesthesia is regarded as a post fellowship sub-speciality within anaesthesia, and can be daunting. This handbook provides an easily accessible, informative, and palatable guide to this often complex subject. The text is sub-divided into basic sciences, pre-operative assessment, diagnostic procedures, and an anaesthetist's walk-through of key thoracic surgical procedures. It concludes with an emergency section covering thoracic anaesthesia emergencies, critical care, and the thoracic surgical patient, and ends with essential guidance on the relevant practical procedures necessary to manage cases. The text provides an essential reference for the core curriculum of the Fellowship of the Royal College of Anaesthetists and for the day-to-day practice of post fellowship anaesthetists alike. The discussions of the surgical procedures are simple, highlighting the poignant stages that can affect the anaesthetic management of the patient. The authors use the very latest evidence in order to keep the reader up to speed with developments in the field. Whether on-call, running day-to-day lists or working within critical care, this indispensable guidebook will optimise the preparedness of all staff in dealing with any case, whether simple or complex.
One major by-product of the aging baby-boom generation has been a surging interest in cosmetic surgery. Out-patient cosmetic surgery clinics have sprouted up in droves all over the U.S., and the number of cosmetic procedures performed in 2005 increased by over 95% from the previous year. Although procedures like facelifts and abdominoplasties (the 'tummy-tuck') are considered minimally invasive, the anesthetic protocols and regimens here are often overly complex and unnecessarily toxic. Major complications involving anesthesia in this (and any other) surgical milieu can range from severe post-operative nausea and vomiting (PONV) to neuromuscular spasticity to mortality. The mortality spectrum of things may be rare, but there have been many cases in which perfectly healthy cosmetic surgery patients require emergency intervention due to a severe complication involving anesthesia. In recent years, many new anesthetic protocols have been developed to reduce the incidence of PONV and other complications, while ensuring that effective pain management and level of 'un-awareness' during surgery is always maintained.
50 Studies Every Anesthesiologist Should Know presents key studies that have shaped the practice of anesthesiology. Selected using a rigorous methodology, the studies cover topics ranging from pain medicine, critical care, cardiothoracic anesthesiology to general anesthesiology. For each study, a concise summary is presented with an emphasis on the results and limitations of the study, and its implications for practice. Brief information on other relevant studies is provided, and an illustrative clinical case concludes the review. This book is a must-read for health care professionals in anesthesiology and pain medicine, and anyone who wants to learn more about the data behind clinical practice in anesthesiology, pain medicine, critical care and its broad subspecialties.
Ambulatory care can be a challenging setting in which to provide anesthesia - not all patients are suitable for rapid discharge post-operatively and opinions differ as to which types of surgery should be performed as day cases. This comprehensive guide delivers up-to-date, evidence-based advice on how to provide optimal anesthesia care for ambulatory surgery. Written by a leading clinical anesthesiologist, it provides clear guidance about how to handle particular patients in particular situations. The evidence and scientific knowledge for each issue are presented with reference to major studies and review papers, followed by practical advice based on the author's continuous clinical and scientific experience over 30 years. Topics include planning, equipping and staffing ambulatory units, pharmacology, basic concepts of ambulatory care, pre- and post-operative issues and current controversies. Clinical Ambulatory Anesthesia is essential reading for the clinical, postgraduate anesthesiologist as well as nurse anesthetists involved with ambulatory care.
Fluid therapy is one of the most basic interventions spanning across all medical and surgical disciplines. Physicians need to understand the physiology of fluids and electrolytes before they can evaluate the extent to which disease pathophysiology has altered the balance, enabling them to determine the type and quantity of intravenous fluids required for treatment. This book discusses the various types of intravenous fluid (IV) and the techniques of administration. It begins with a review of physiology, pathophysiology and pharmacology to provide a fundamental understanding of body fluid balance and how IV therapy can interact with each body system. The following chapters describe the administration of fluid therapy for different surgical conditions. The final section explains the calculation of fluids. Presented in an easy to read format, this highly useful guide includes numerous self-explanatory figures, tables and illustrations to enhance learning. Key points Review of different types of intravenous fluid (IV) and techniques of administration Provides an understanding of body fluid balance and how IV therapy interacts with body systems Separate chapter dedicated to calculation of fluids Features figures, tables and illustrations to assist learning
The care that a patient receives in the first hours after surgery is crucial to minimizing the risk of complications such as heart attacks, pneumonia, and blood clots. As the patient awakes from their drug-induced coma, it takes time for them to metabolize and excrete these drugs, during which period they remain unable to care for themselves, and at increased risk of harm. The recovery room staff must manage both comatose and physiologically unstable patients, and deal with the immediate post-operative care of surgical patients. The fifth edition of this popular book provides nurses, surgeons and anaesthetists with clear guidance on how to manage day-to-day problems and how to make difficult decisions. Previous editions of this book have established it as the definitive guide to setting-up, equipping, staffing, and administering an acute care unit. It includes basic science such as physiology and pharmacology, specific symptoms including pain and vomiting, and has chapters devoted to the unique post-operative needs of individual types of surgery. This new edition brings this important text up to date and new drugs and techniques for monitoring are described. A new section looks ahead to the future development and design of recovery rooms and how they can contribute to patient well being.
This well-illustrated book provides step-by-step guidance on the various techniques - microlaryngoscopic, fiberoptic endoscopic and transcutaneous - that can be employed for the purpose of injection laryngoplasty, a surgical procedure in which a foreign material is injected into the vocal fold. The anatomy and function of the region are first explained, with identification of the causes and means of evaluation of glottic and neoglottic insufficiency. Advice is then provided on the choice of material for injection laryngoplasty, including absorbable and long-lasting options, on the basis of careful analysis that takes into account both the recent literature and the authors' own experiences. Detailed descriptions of the surgical indications and different procedures follow and for ease of reference, clear flow charts on diagnosis and indications are also included. The book concludes with chapters on the use of injection laryngoplasty specifically in the pediatric population and on postoperative care and speech therapy following the procedure. Injection Laryngoplasty will provide valuable assistance to all surgeons wishing to perform this kind of surgery.
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.
From reviews: "Its warm and familiar style of writing makes it accessible for all. Throughout each of the 29 chapters, there was a real feel that the authors knew what was needed of you... Many of the questions I spent hours flicking through appendices in other books for were clearly answered here.... There is a nice feel to this book. It is as if someone has sat down and really thought about each chapter. It feels more like your clever friend than a textbook. Current curriculums have been considered, as have common themes and questions... In conclusion, although I have always believed that examination topics, with all randomness and occasional obscurity, can and never will be fully covered by a solo text, this book comes close. It is an excellent core text for anyone needing to learn physics in anaesthesia." European Journal of Anaesthesiology, April 2014 "Overall, Physics in Anaesthesia succeeds in providing a concise and easy to read review text covering what has historically been a dry and difficult to present topic. The book is easy to understand and sufficiently covers most topics one would expect from such a book. It seems well suited for those studying for exams, but it can also serve as a good reference text for all levels of anesthesia providers." Anesthesiology, September 2013 "This is an excellent refreshing and practical text when compared with various older textbooks on physics for anesthesia.... The text is written in a concise, uncomplicated, and easily understood manner, and representative clinical scenarios are often used.... In my view, this is a superb teaching textbook on basic physics.... I would recommend this textbook to our Anesthesia Post-Graduate Program!" Canadian Journal of Anesthesia (2012) 59: 1161-1162 "...a refreshing change from the more traditional textbooks with their pages of derivations and small, bland, obscure figures..." Technic: The Journal of Operating Department Practice, May 2012 Volume Issue 3 "...this text provides a fantastic resource for those wishing to consolidate their learning... A major strength of this book is its clear writing style. The well organised text is supported by excellent diagrams and highlighted key terms. There are clear learning objectives at the beginning of each chapter, with a short summary and a multiple choice question test at the end... Overall, this is an excellent resource and essential revision tool." Nursing Standard, June 2012, 30: vol. 26 no. 41 "This is a book specifically for anesthesia professionals written by Anesthetists, Physicists and Perfusionists. After reading the book cover to cover I can say without reservation, it is most certainly the easiest book on physics I have ever read. The simple and intuitive layout, easy to understand diagrams, relevant objectives and the quizzes at the end of each chapter help me expand my understanding of topics I was already a master of. That is saying something. This book is not just a 'must have' for students of anesthesia and any prospective anesthesia students looking to brush up before training but also for the working Nurse Anesthetists as a quick and easy to use reference." www.nurse-anesthesia.org, June 2012 Physics in Anaesthesia caters especially for those who consider themselves non-physicists. It covers the FRCA syllabus in an informative and accessible way from the very basics, and provides an important link between theory and practice. Worked examples highlight the relevance to clinical practice, and along with graphs and charts, make the basics of physics understandable not only to doctors, but also to operating department practitioners and students. It does not assume that readers will have A level physics. Two different types of self-assessment questions at the end of each chapter will test understanding of the key concepts, while a summary section for each topic is ideal as a rapid refresher, highlighting any problem areas.
This book describes the approach to anesthetic and perioperative management in different categories of high-risk patient scheduled to undergo elective noncardiac surgery. Individual sections focus on patients with conditions entailing cardiac and hemodynamic risks, respiratory risks, renal and metabolic risks, neurological risks, and other forms of risk. For each condition, up-to-date guidance is provided on risk evaluation, risk stratification, and intraoperative and postoperative anesthetic management. This is the first time that such different clinical situations have been gathered together in a single textbook of anesthesiology. All of the authors are international experts with extensive clinical experience. The aim is to provide trainee anesthesiologists with clear guidance that will prove invaluable when managing a wide range of patients with serious illnesses or conditions that pose a significant anesthetic risk. The book will also serve as a valuable reference for more experienced anesthesiologists and intensivists.
This book offers an in-depth examination of labor pain and analgesia with the aim of promoting natural childbirth without pain. All aspects of the subject are covered, including the latest techniques of delivering labor analgesia. Importantly, emphasis is placed on a holistic approach, detailed attention being paid to the humanization of childbirth and behavioral aspects in addition to evidence-based medicine. Potential future developments are also addressed, with discussion of opportunities that have yet to be realized. In order to ensure that the text is easily readable for trainees as well as established practitioners, chapters have been restricted to a manageable length and information is presented clearly and succinctly. Step-by-step tutorials and boxes highlighting practical points are used to clarify technical aspects. The authors include both well-established experts and young emerging professionals from various European countries, ensuring an intercultural perspective.
Functional MRI: Basic Principles and Emerging Clinical Applications provides an overview of the basic principles of fMRI for clinicians with minimal knowledge of the imaging technique and its research potential and clinical applications. The text is divided into two parts, with Section I covering the primary signal measured in fMRI (BOLD), the correlation between neuronal activity and the BOLD signal, and how the data is analyzed and interpreted in fMRI. Section II explores applications of fMRI in cognitive neuroscience and common psychiatric disorders, surgical planning in neurosurgery, anesthesia and the intensive care unit, and more. Timely and highly accessible, this book is a valuable resource for researchers and clinicians interested in understanding what fMRI is, how it works, and its applications.
"Anesthesia and the Fetus" integrates into one volume the multidisciplinary components of: fetal developmentfetal pharmacologyassessments of fetal and neonatal outcomeanesthesia and analgesia during pregnancyanesthesia and analgesia during laborethics and law
Written by an internationally renowned group of clinicians and scientists, " Anesthesia and the Fetus" provides a contemporary guide and reference to the role of anesthesia, and the anesthesiologist, in protecting the mother and her unborn child during pregnancy.
The advancement of tactics used in managing pediatric airway disorders can be attributed to an overall growth of collective knowledge among medical health professionals. This book is designed to sustain that growth of knowledge, with 18 chapters of insight and information by distinguished medical experts in both pediatric anesthesia and pediatric otolaryngology. It concisely and thoroughly covers topics such as subglottic stenosis, pharyngeal airway obstruction, laryngeal airway obstruction, obesity and sleep apnea and thoracic airway obstruction, among others. Chapters include scenarios where the skills and expertise of both anesthesiologists and otolaryngologists are being continually tested; the use of newer drugs and repurposing of older drugs; the combination of smaller amounts of different types of sedatives while avoiding intra-op narcotics and maintaining spontaneous ventilation are described in detail; Finally, a comprehensive review of new research emerging about ultra-rapid narcotics metabolizers among patients, making them more susceptible to medications, such as codeine, along with the latest information on the purported potential neurodevelopmental toxicity of some anesthetic agents are also included. Working as both an educational tool and a practical resource, medical practitioners, students and educators will find this text to be a valuable tool for the safely managing the pediatric patient undergoing anesthesia for difficult airway scenarios.
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.
Mechanical ventilation is an essential life-sustaining therapy for many critically-ill patients. As technology has evolved, clinicians have been presented with an increasing number of ventilator options as well as an ever-expanding and confusing list of terms, abbreviations, and acronyms. Unfortunately, this has made it extremely difficult for clinicians at all levels of training to truly understand mechanical ventilation and to optimally manage patients with respiratory failure. Mechanical Ventilation was written to address these problems. This handbook provides students, residents, fellows, and practicing physicians with a clear explanation of essential physiology, terms and acronyms, and ventilator modes and breath types. It describes how mechanical ventilators work and explains clearly and concisely how to write ventilator orders, how to manage patients with many different causes of respiratory failure, how to "wean" patients from the ventilator, and much more. Mechanical Ventilation is meant to be carried and used at the bedside and to allow everyone who cares for critically-ill patients to master this essential therapy.
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