Anesthesiology

This evidence-based guide is the first of its kind to outline the surgical and perioperative management of patients with anatomical anomalies and support clinical decision-making under these difficult circumstances. Presented in a simple, accessible format and organized by anatomical area, this book contains all the essential topics required by trainees and practitioners to assess the patient quickly, diagnose anatomic anomalies, determine the feasibility and safety of the planned surgical and anesthetic procedures, and arrange for advanced consults and care, if needed. Newer techniques for surgical and anesthetic management of patients with anatomic anomalies are presented to facilitate practitioners’ development of their skills. Chapters include the latest ultrasound techniques and images, as well as case studies.Physicians, nurses, and trainees involved in the surgical, anesthetic, perioperative, or critical care of patients will find this guide to be their go-to resource in the OR, lab, or pain clinic.

This volume is a comprehensive, state-of-the-art review for clinicians with an interest in the peri-operative nutritional management of all surgical patients. The text reviews normal physiology, the pathophysiology of starvation and surgical stressors, and focuses on appropriate nutritional repletion for various common disease states. Specifically, the text addresses the severe metabolic demands created by systemic inflammation, infection, and major insults such as trauma and burns. In addition, the book addresses the growing problem of obesity in surgical populations, including appropriate strategies directed towards the metabolic management of these patients. The text is designed for clinicians across levels of training and provides clear and concise evidence based guidelines for the metabolic management and nutritional support of the surgical patient.Written by experts in the field, Surgical Metabolism: The Metabolic Care of the Surgical Patient is a valuable resource for all clinicians involved in the care of the critically ill.

This book focuses exclusively on the surgical patient and on the perioperative environment with its unique socio-technical and cultural issues. It covers preoperative, intraoperative, and postoperative processes and decision making and explores both sharp-end and latent factors contributing to harm and poor quality outcomes. It is intended to be a resource for all healthcare practitioners that interact with the surgical patient. This book provides a framework for understanding and addressing many of the organizational, technical, and cultural aspects of care to one of the most vulnerable patients in the system, the surgical patient. The first section presents foundational principles of safety science and related social science. The second exposes barriers to achieving optimal surgical outcomes and details the various errors and events that occur in the perioperative environment. The third section contains prescriptive and proactive tools and ways to eliminate errors and harm. The final section focuses on developing continuous quality improvement programs with an emphasis on safety and reliability.Surgical Patient Care: Improving Safety, Quality and Value targets an international audience which includes all hospital, ambulatory and clinic-based operating room personnel as well as healthcare administrators and managers, directors of risk management and patient safety, health services researchers, and individuals in higher education in the health professions. It is intended to provide both fundamental knowledge and practical information for those at the front line of patient care. The increasing interest in patient safety worldwide makes this a timely global topic. As such, the content is written for an international audience and contains materials from leading international authors who have implemented many successful programs.

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 ongoingrevision 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, andfurther 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.

Combining essential theory with “how-to” technical instruction, this concise guide is the leading reference for basic techniques in sedation and anxiety control in the dental office. The latest guidelines from the ADA and the American Society of Anesthesiologists keep you up-to-date with the latest medical standards. Content on patient management for pediatric, geriatric, physically compromised, and medically compromised patients helps you successfully treat any patient population.In-depth discussions of the pharmacology of commonly used sedative agents allow you to fully understand properties and characteristics of drugs used. Combines all aspects of sedation with essential theory and instruction Boxes and tables highlight key information and make it easy to find important content. Chapter 40-Legal Considerations includes the current liability standards for patient treatment to help you protect yourself and your patients.Chapter 41-The Controversial Development of Anesthesiology in Dentistry focuses on the growing controversies, legal and otherwise, from both without and within the profession. Updated patient management procedures provide the most current guidelines on everything from AHA CPR standards to the safest sedative procedures. Full-color art program shows anatomy and other important concepts in vibrant detail. Photos of the newest sedation and emergency equipment ensure you have the latest information on developments in the field.

As the practice of thoracic anesthesia becomes increasingly recognized as a major subspecialty of anesthesia, there is a growing need among current practitioners to evolve their neuraxial, regional, and general anesthesia techniques and expand their understanding of the latest evidence. Thoracic Anesthesia Procedures is a timely update in the field, providing a concise, evidence-based, and richly illustrated book ideal for students, trainees, and practicing clinicians. Comprehensive in scope, this book addresses essential topics such as thoracic physiology and pathophysiology, airway devices and other equipment, anesthetic techniques, surgical considerations, ventilation techniques, and postoperative care.

Yearbook of anesthesiology is published every year by the Indian college of anesthesiologists. All the previous volumes have received exemplary response from all categories of anesthesiologists faculty, practicing anesthesiologists and postgraduate students. Last few yearly editions have been sought after not only in India but also in the whole Indian subcontinent, and there is no reason that this volume too with basic and specialty topics in anaesthesia would be appreciated by all.

This book provides comprehensive information on Diagnostic Imaging for polytrauma patients. It provides extensive and detailed explanations of the semiotics of traumatic injuries, the correlation with the trauma’s mechanism of action, and the meaning and appearance of prognostic indicators. The book begins with a discussion of the management of polytrauma patients. Particular attention is given to the role of radiology in management, and each chapter includes an assessment of the radiological findings to be used as a clinical decision-making tool. Several typical cases are shown, supplemented by a wealth of images. The book offers a useful tool both for radiologists, who will find in it a valuable guide to correctly diagnosing traumatic injuries, and for clinicians, who will come to better understand the findings of the diagnostic tests performed on their patients

Extracorporeal membrane oxygenation (ECMO) is developing rapidly, and is now part of the toolkit for the management of all patients with severe respiratory or cardiac failure. Clinicians of all disciplines are in need of a simple manual, easy and fun to read, that will take them through the management of these patients, explaining the principles of safe and successful practice. Part of the Core Critical Care series, this book is an easy-to-read guide for the aspiring ECMO clinician. Doctors, nurses, physiotherapists, dieticians, pharmacists and all other key members of the team will learn the basics required to better understand the technology and care of the patient. The experienced clinician will enjoy reading through the chapters, which present structured thoughts and knowledge acquired through clinical experience.

The Oxford Specialist Handbook of Global Anaesthesia is a key reference for anaesthetists working in environments with scarce resources. Whether due to rural locations, poverty, natural disasters, the outbreak of epidemics, or war and conflict, this handbook supports anaesthetists to practice to a high standard in challenging situations and to problem solve when faced with unusual circumstances.Practical and concise, this resource outlines how to make the most of minimal resources, from finding alternatives to typical forms of anaesthesia, to the minimum standards for the safe and effective use of equipment. Intuitively laid out, with preoperative and perioperative instructions across a swathe of sub-specialties, including obstetrics, paediatrics, burns, pain, trauma, and critical care.Written by international experts with a wealth of experience administering anaesthesia in elective and emergency settings across the globe, this essential handbook provides the definitive guide to the provision of consistently safe anaesthesia in unfavourable environments, in a portable and easy-to-read format.

Questions and answers for thorough understanding of the latest advances in regional anesthesia and pain managementRegional anesthesia and acute pain management protocols are rapidly changing. The introduction of ultrasound in international pain management and regional anesthesia has resulted in significant changes in the practice, management, protocols, techniques applications, and their effects on patient safety and efficacy. This evolution of the practice and expansion of new knowledge demands a reliable, up-to-date resource designed to assess understanding of this ever-changing subspecialty. Hadzic’s Textbook of Regional Anesthesia and Acute Pain Management Self-Assessment and Review is designed to do just that.Filling a gap in the medical literatureThis innovative review is the first question-and-answer book that focuses on the subspecialty of regional anesthesia and acute pain management and point-of-care ultrasound-guided interventional analgesia and anesthesia. In creating this book, the contributors have selected an international team of opinion leaders and paired them with senior anesthesiology residents to prepare the most pertinent questions and provide the best answers to them. Formatted for EfficiencyEach of the 75 chapters consists of multiple-choice questions, answers and explanations, suggested readings, and references. Answers to the questions are derived from the NYSORA’s prestigious textbooks, which are the gold standard educational material in universities worldwide.An Essential ResourceHadzic’s Textbook of Regional Anesthesia and Acute Pain Management Self-Assessment and Review will prove valuable to anesthesiology students and to fellows in regional anesthesiology, as well as applicants for the diploma in regional anesthesia.

This Atlas presents both normal and pathological conditions of the Brain and Spine pictorially. Targeted towards non-radiologists, it is a unique book with well labeled and self-explanatory images. All routine conditions involving neuroradiology have been included. Images from different radiological modalities such as X-ray, Computed Tomography (CT), Magnetic Resonance Imaging (MRI) and Digital Subtraction Angiography (DSA) have also been included. This book aims to serve as a ready reckoner for clinicians, trainees, residents as well as professional radiologists. Key FeaturesDiscusses topics related to allied branches of neurology, neuroanesthesia, neurointensive care and neurosurgeryPresents both common and uncommon neurological conditionsContains actual real-life scans and imagesWorks as a unique, quick reference guide of neuroradiological images for non-radiologists

The Royal College of Anaesthetists has introduced Constructed Response Questions (CRQs) as an innovative way of testing trainees, in the fields of anaesthesia and intensive care medicine, in their final FRCA examinations from September 2019. CRQs are a more structured way of assessing knowledge and understanding; they also assess the application of knowledge, evaluation and judgement. This book categorises questions based on the Royal College model, with six mandatory sections of training and two separate sections on general duties and optional units. It is an ideal companion for candidates who are preparing for their final exams in anaesthesia and will help to assess their preparation and guide appropriate revision. The topics are pertinent for other anaesthetic exams worldwide, including the European exams, Australian and New Zealand fellowships and the Indian DNB exams. The authors have extensive experience in anaesthetic teaching and lead anaesthetic intermediate teaching in the UK, running regular and successfully attended courses. This book will help candidates to adapt to the recent exam changes and revise in an efficient manner. It will not only be an invaluable educational resource for trainee anaesthetists but also for practising anaesthetists. Medical students and junior doctors, who are about to embark on a career in anaesthesia or intensive care medicine, will also find the book to be a useful educational tool.

As the global population lives to an increasing older age, there is a need to research, develop and deliver appropriate anaesthesia and pain management care to these increasingly frail and vulnerable patients. This book provides a comprehensive and detailed overview of all aspects of anaesthesia for the elderly patient looking at the effect of ageing on the systems of the body and the role that age has on drug mechanisms. Designed for both consultants and traineeswho care for elderly patients, chapters address the clinical management of the older patient in pain, trauma, intensive care as well as anaesthesia for all aspects of surgery. The expert author team use their experience to provide a practical and stimulating book which informs everyday clinical activity and explores the unanswered questions which face anaesthetists in this changing patient population. This book will give all consultants and trainees a thorough grounding in this growing and demanding area of anaesthetic practice.

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.

Applied Anatomy for the FRCA covers the anatomical knowledge that trainee anaesthetists who are revising for the Primary and Final FRCA exams will need. The topics covered are derived from the FRCA curriculum and include the most up-to-date version of past exam questions, in order to ensure targeted and successful exam revision.The content, illustrations and overall layout of this book ensure that common gaps in anatomical knowledge encountered by FRCA trainees are included. This reference is divided into sections pertaining to anatomical regions: head and neck, thorax, abdomen, spine, and the upper and lower limbs. The topics of importance to anaesthetists are presented under ‘structures’, ‘circulation’ and ‘nervous system’ (with relevance to regional anaesthesia). Each topic is extensively researched and presented in a simple format for maximum retention. This book makes learning and remembering applied anatomy as straightforward as possible.Applied Anatomy for the FRCA supplements the knowledge required by trainee anaesthetists appearing for the FRCA exams. Clinical educators will also find it useful in teaching. It serves as a practical reference for anatomical knowledge at any point in an anaesthetist’s career. About the Editors Dr Bobby Krishnachetty has been a Consultant Anaesthetist at Southend University Hospital since 2010 and a college tutor for six years. She completed her diploma in medical education and is the author of The Final FRCA Structured Oral Examination: A Complete Guide. She is also the organiser of the regional teaching for Core trainees in the East of England school of anaesthesia, as well as Founder of the ‘Southend Viva Club’ Primary and Final FRCA SOE revision courses for more than nine years, and Cofounder of MRCS OSCE webinars.Mr Abdul Syed has been a Consultant Surgeon at Southend University Hospital since 2015. He is Lead for postgraduate teaching of surgical trainees, Cofounder of MRCS OSCE webinars and conducts Core surgical trainee interview skills courses. Mr Syed is also an Assessor for medical school interviews and an active participant in QI projects and research.

Congenital Heart Disease in Pediatric and Adult Patients: Anesthetic and Perioperative Management provides a comprehensive, up-to-date overview of care of the pediatric patient undergoing cardiac surgery and anesthesia. After introductory chapters that encompass pediatric cardiovascular embryology, physiology and pharmacology, diagnostic approaches and preoperative considerations are explained. The intraoperative management of a wide range of specific lesions is then discussed, with full descriptions of anesthesia plans added with descriptions on diagnostic methods and surgical interventions. Postoperative care is also addressed, and a concluding section considers anesthesia outside the cardiac operating room. In the twenty-first century, advances in minimally invasive technology have led to the introduction of a wide array of pediatric cardiac procedures. More traditional surgical procedures have also been transformed by new devices and surgical approaches. The cardiac anesthesiologist is faced with an ever-increasing role in the perioperative care of pediatric patients undergoing cardiologic procedures in operating rooms, as well as less conventional locations. In this book, accomplished experts from around the world in the fields of pediatric anesthesia, cardiology, and cardiac surgery describe the multiple facets of caring for this very unique patient population.

In the highly specialized field of caring for children in the PICU, Fuhrman and Zimmerman's Pediatric Critical Care is the definitive reference for all members of the pediatric intensive care team. Drs. Jerry J. Zimmerman and Alexandre T. Rotta, along with an expert team of editors and contributors from around the world, have carefully updated the 6th Edition of this highly regarded text to bring you the most authoritative and useful information on today’s pediatric critical care―everything from basic science to clinical applications Contains highly readable, concise chapters with hundreds of useful photos, diagrams, algorithms, and clinical pearls. Uses a clear, logical, organ-system approach that allows you to focus on the development, function, and treatment of a wide range of disease entities. Features more international authors and expanded coverage of global topics including pandemics, sepsis treatment in underserved communities, specific global health concerns by region. Covers current trends in sepsis-related mortality and acute care after sepsis, as well as new device applications for pediatric patients. Provides ultrasound videos and more than 500 board-style review questions and answers on Expert Consult. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

From early conception until the postpartum period, anaesthetists are required to provide pregnant women with the highest standard of anaesthetic care and pain relief whilst negotiating challenges such as concurrent systemic disease, infertility, and obesity as well as practicing in accordance with new developments in fetal medicine surgery, pharmacology, and imaging. The Oxford Textbook of Obstetric Anaesthesia provides an up-to-date summary of the scientific basis, assessment for and provision of anaesthesia throughout pregnancy and labour.

This book covers proper migraine diagnostic tools and treatment options. It addresses the complex nature of treating this pain condition and underscores the intricacies of diagnosis and management.

From fundamental principles to advanced subspecialty procedures, Miller’s Anesthesia covers the full scope of contemporary anesthesia practice. This go-to medical reference book offers masterful guidance on the technical, scientific, and clinical challenges you face each day, in addition to providing the most up-to-date information available for effective board preparation.

This comprehensive book serves as a review for the Fellow of Interventional Pain Practice (FIPP) exam and functions as a concise guide for all interventional pain doctors. Through educational initiatives, it helps to promote consensus-building among experts on the effectiveness of existing techniques and avenues for advancement of therapeutic performances.

Anesthesiologists, residents, and advanced practice practitioners alike rely upon the comprehensive content of Hagberg and Benumof’s Airway Management to remain proficient in this essential area. The 4th Edition, by Drs. Carin A. Hagberg, Carlos A. Artime, and Michael F. Aziz, continues the tradition of excellence with coverage of new devices and algorithms, new research, new outcomes reporting, and much more – while retaining a concise, how-to approach; carefully chosen illustrations; and case examples and analysis throughout.

This atlas offers a collection of EEG spectral analyses and their corresponding conventional recordings under anes­ thesio10gical procedures. The EEGs presented here were re­ corded on general surgical and gynecological patients during the last few years. Premedication, induction and maintenance of anesthesia, recovery the immediate postoperative period, and intensive care are covered. Techniques for operating the necessary equipment and artefacts relevant to the routine clinical use of EEG are briefly outlined. Typical examples of characteristic EEGs are presented at the beginning of each chapter, followed by illustrations of deviations from the norm showing the great variety of anesthesiologically induced changes of cerebral function. The description of each EEG course is assessed in relation to clinical parameters. Sometimes no satisfactory interpreta­ tion can be made, because many physiological and patho­ physiological causes of alterations in cerebral function are unknown. Time and again it proves impossible to estimate wether deviations from the norm have their origin in cerebral changes or are secondary to extracerebra1 disturbances. The atlas comprises a complete survey in itself, but it can also be seen as a supplement to the book The Electroenceph­ alogram in Anesthesia by I. Pich1mayr, U. Lips, and H. Kunkel (Springer, 1983), in which detailed lists of references are quoted that are omitted here.

This comprehensive, authoritative text presents the scientific foundations and clinical practice of neural blockade in both regional anesthesia and the management of pain. The descriptions and illustrations of pain mechanisms are considered classic examples. The Fourth Edition has been refined for clarity and flows logically from principles and pharmacology, to techniques for each anatomic region, to applications. This edition has two new co-editors and several new chapters on topics including neurologic complications, neural blockade for surgery, treatment of pain in older people, and complications in pain medicine.