This is a concise, up-to-date reference on anesthesia for urological surgery. Urological anesthesia is not recognized as a specialty, and a majority of anesthesiologists and nurse anesthetists will provide anesthesia for these patients. Advances in urological procedures, the advent of treatment of patients with strong anticoagulant and antiplatelet medications, and the demographics of urology patients (many of whom are young or elderly) present challenges for the anesthesiologist and have necessitated changes in anesthesia practice. The last volume on this topic was published in 2000, and the time is right for a fresh presentation of contemporary expertise in anesthesia for urological surgery.

The book provides a brief review of renal physiology and pharmacology then addresses anesthesia for each major group of urological procedures (e.g., endoscopic, office-based, laparoscopic and robotic, nephrolithotripsy, renal transplantation, etc.) and in special populations, including the geriatric patient, the pediatric patient, and the pregnant patient. Separate chapters discuss the unique challenges of positioning the patient, and of managing the patient taking anticoagulant and antiplatelet medication, and the chapter on pain management addresses common and important perioperative concerns. The book provides a brief review of renal physiology and pharmacology then addresses anesthesia for each major group of urological procedures (e.g., endoscopic, office-based, laparoscopic and robotic, nephrolithotripsy, renal transplantation, etc.) and in special populations, including the geriatric patient, the pediatric patient, and the pregnant patient. Separate chapters discuss the unique challenges of positioning the patient, and of managing the patient taking anticoagulant and antiplatelet medication, and the chapter on pain management addresses common and important perioperative concerns."

A practical and empathetic guide to a revolutionary approach to living well with chronic pain, based on the fundamental principles that: all pain experienced is real; wherever the trouble originates in the body, pain is experienced in the brain; all pain is unique to the individual sufferer; the key to overcoming pain is not to strive to be pain-free but to minimise the experience of it. Dr Miranda, based on her medical practice as a pain specialist and on her experience as a pain patient, shows how to do this through a series of clearly explained tools and strategies.

Nearly half of us at some point in our lives will suffer chronic pain. We go to the doctor, where the standard treatment on offer is either medication - which only masks the problem - or surgery - which can make things worse. For renowned osteopath Nick Potter, the reason why traditional medicine doesn't work is because chronic pain often has less to do with twisted muscles and more to do with far deeper-rooted anxieties. An expert on pain in all its forms, Potter has had nearly 30 years' clinical experience of treating people - ranging from elite athletes and hedge-funders to over-stretched families - who come to him with real symptoms and real physical pain for which there appears to be no root cause. In this fascinating book, he takes us on a journey into biology, evolution and contemporary social behaviour and anthropology to examine our relationship with pain. He presents his own roadmap for wellbeing (including his acclaimed theory of breathing), along with success stories from the consulting room, and shows us how to spot the signs and break the vicious cycle of stress, pain and anxiety before the damage is done.

This definitive resource from the eminent Oxford Textbooks series, the Oxford Textbook of Anaesthesia addresses the fundamental principles, underpinning sciences and the full spectrum of clinical practice. It brings together the most pertinent research from on-going scientific endeavours with practical guidance and a passion to provide the very best clinical care to patients. This comprehensive work covers all aspects of anaesthesia; volume one addresses the fundamental principles and the basic sciences whose understanding is required for a logical, effective and evidence-based approach to practice. Volume two focuses on the clinical aspects of anaesthesia, including those aspects of intensive care and pain medicine that are required by all general anaesthetists as well as sections dedicated to procedures, surgical specialities, paediatrics, the conduct of anaesthesia outside the theatre, and concurrent disease. In 91 finely crafted and highly illustrated chapters, experts in anaesthesia review the supporting evidence and key techniques for the clinical management of specific conditions and patient groups. International contributors share their research and extensive experience to provide a wealth of practical advice for use in clinical situations in a global context. This essential reference tool supports all anaesthetists seeking an up-to-date and trustworthy account of all aspects of anaesthesia, ideal for reference, study and revision. It will be an indispensable guide to anaesthetists of all grades and subspecialty interest.

A riveting and deeply human examination of the synthetic-drug epidemic - and in particular the rise of fentanyl, the newest and most deadly wave of the opioid crisis. A new crop of chemicals is radically changing the recreational-drug landscape. Known as Novel Psychoactive Substances (NPS), these chemicals include replacements for known drugs like cocaine, ecstasy, marijuana, and heroin. They are synthetic, made in a laboratory, and are much more potent than traditional drugs - and, all too often, they are tragically lethal. Fentanyl, Inc. is the first deep-dive investigation of a hazardous illicit industry that has created a worldwide epidemic, ravaging communities and overwhelming and confounding the government agencies that are challenged to combat it. Drugs like fentanyl, with arcane acronyms like 4-ANPP, K2, and NBOMe, were all originally developed in legitimate laboratories for proper medicinal purposes. Their formulas were then hijacked by rogue chemists, largely in China but increasingly in other places, too, who change their molecular structures to stay ahead of the law, a process that makes the drugs' effects impossible to predict. Westhoff has infiltrated this shadowy world. In Fentanyl, Inc., he recounts how he tracked down a mysterious drug baron in New Zealand who unintentionally sparked one aspect of the synthetic-drug revolution. He visits the shady factories in China from which these drugs emanate, providing startling and original reporting on how China's vast chemical industry operates. He chronicles the lives of addicts and dealers, families of victims, law enforcement officers, and underground drug-awareness organisers in the U.S. and Europe. Together, they provide the shocking full picture of a calamity we are only just beginning to understand. And yet from its depths, as Westhoff relates, are emerging new strategies that may provide essential long-term solutions to the drug crisis that has affected so many.

Since the third edition of Grieve's Modern Manual Therapy was published in 2005, the original concepts of manipulative therapy have grown to embrace new research-generated knowledge. Expansions in practice have adopted new evidence which include consideration of psychological or social moderators. The original manual therapy or manipulative therapy approaches have transformed into musculoskeletal physiotherapy and this is recognized by the change in title for the new fourth edition - Grieve's Modern Musculoskeletal Physiotherapy. Grieve's Modern Musculoskeletal Physiotherapy continues to bring together the latest state-of-the-art research, from both clinical practice and the related basic sciences, which is most relevant to practitioners. The topics addressed and the contributing authors reflect the best and most clinically relevant contemporary work within the field of musculoskeletal physiotherapy. With this as its foundation and a new six-strong editorial team at its helm, the fourth edition now expands its focus from the vertebral column to the entire musculoskeletal system. For the first time both the spine and extremities are covered, capturing the key advances in science and practices relevant to musculoskeletal physiotherapy. The book is divided into five parts containing multiple sections and chapters. The first part of the book looks at advances in the sciences underpinning musculoskeletal physiotherapy practice. Here there is commentary on topics such as movement, the interaction between pain and motor control as well as neuromuscular adaptations to exercise. Applied anatomical structure is covered in addition to the challenges of lifestyle and ageing. A new section highlights the important area of measurement and presents the scope of current and emerging measurements for investigating central and peripheral aspects relating to pain, function and morphological change. Another section discusses some contemporary research approaches such as quantitative and qualitative methods as well as translational research. Part III contains sections on the principles of and broader aspects of management which are applicable to musculoskeletal disorders of both the spine and periphery. Topics include models for management prescription, communication and pain management and contemporary principles of management for the articular, nervous and sensorimotor systems. In recognition of the patient centred and inclusive nature of contemporary musculoskeletal practice, there is also discussion about how physiotherapists may use cognitive behavioural therapies when treating people with chronic musculoskeletal disorders. The final part of the book focuses on selected contemporary issues in clinical practice for a particular region, condition or the most topical approaches to the diagnosis and management of a region. A critical review of the evidence (or developing evidence) for approaches is given and areas for future work are highlighted. The only textbook which covers the breadth of musculoskeletal physiotherapy practice, bringing together the work and opinions of leading international experts Presents the latest science, research evidence and clinical practices for assessment and management of spinal and extremity disorders Uses contemporary knowledge in diagnostics and future directions to demonstrate how to manage both acute and chronic musculoskeletal pain Considers important aspects underpinning clinical practice across the biopsychosocial domains Now covers the musculoskeletal systems of the upper and lower limbs as well as the spine Title, topics, prominent editors and authors - all reflect the evolution in knowledge, models of diagnosis and contemporary practice Overviews of the latest advances in: the basic sciences relevant to musculoskeletal physiotherapy clinical science and practice imaging and measurement techniques Over 300 illustrations Colour plate section

This long-awaited follow-up to the New York Times bestselling The MELT Method introduces a unique, scientific-based proactive training program for improving overall balance, performance, and control while preventing pain and injury. Are you an athlete facing constant injuries that hold you back from achieving peak performance? Are you someone who wants to stay fit, but are dealing with aches and pains that make it more difficult to work out? Do you want to exercise or train without being sidelined by stress fractures, strained ligaments, and painful joints? If you answered yes to any of these questions, you need MELT Performance. The conditioning you do to stay in shape and perfect and improve performance-running on a treadmill, doing squats or bicep curls, practicing our backhand, even doing downward dog-requires repetitive movements. Yet 80% of orthopedic injuries are the result of repetitive motion, not trauma or accidents. In MELT Performance, nationally recognized educator, manual therapist, and exercise physiologist Sue Hitzmann introduces a revolutionary program centered on neurological joint stability or Neurostrength, that will revolutionize your health and performance. The foundation of MELT Performance is stability. To stay injury free, our joints must stable before we do repetitive motions. Acquiring stability allows the body to respond to the demands of motion. It's the way we were designed to function-and allows us to move more efficiently, improve coordination, and save our joints. Knowing how to check in, restore, and reintegrate joint stability before it's compromised gives an unparalleled advantage to anyone who trains hard to perform at their best. Hitzmann's techniques are proven to work-they're already used by world renowned professional athletes and fitness enthusiasts. If you're ready to improve your performance and prevent injury, MELT Performance is essential no matter what sport or activity you pursue. MELT Performance includes black-and-white instructional images throughout.

This book describes the state of the art concerning some of the most hotly debated topics in anesthesia and intensive care and is at the same time intended to serve as a useful practical guide that will assist in improving outcomes. The topics covered are wide ranging and include, for example, the use of antibiotics during renal replacement therapy, the role of video laryngoscopy, management of mechanical ventilation in the operating room, use of high-frequency ventilation in patients with respiratory failure, management of the potentially brain dead patient, perioperative delirium, cardiac protection during general anesthesia, single-lung ventilation, and use of lung imaging in critically ill patients. Written by recognized experts in the field, the book will offer a comprehensive and easy to understand update for specialists and students of anesthesia and intensive care.

The OSCE (Objective Structured Clinical Examination) component of the ABA Applied exam is a new concept that involves a number of 'live' practical stations in which candidates must demonstrate communication, professionalism and technical skills to the examiners. This book covers topics that are outlined in the ABA curriculum, presented in a way that emulates the OSCE exam setting, and will help candidates prepare for the exam and test their knowledge. Each station is constructed in clear, logical fashion to make the revision of individual topics more accessible. The sample questions and answers allow self-testing and are complemented by discussions, numerous illustrations and up-to-date clinical guidelines which follow modern-day anesthetic practice. The OSCE Guide for the ABA Applied Examination is a must-have resource which will help candidates further understand and prepare for the OSCE process.

The Structured Oral Examination can be the hardest component of the Primary FRCA examination to prepare for, but help is at hand. This book has been specifically designed to give realistic practice questions and to show you how to phrase and develop your answers. The questions included have been mapped to the FRCA examination curriculum and reflect both core and niche subject areas. Questions are presented as full mock examinations and also divided by section, enabling you to use the book in whichever way you find most effective. Complete scripted answers allow you to see how questions develop and help you to hone your technique. Handy hints and tips for exam preparation are included throughout the book, and a dedicated introduction section covers common pitfalls and how to avoid them. This is an invaluable preparation guide and sample question resource for trainees and trainers alike.

This handbook is a clinically-focused guide on the diagnosis and evidence-based treatment of migraine, the third most common medical condition on the planet. It is a concise yet thorough guide for management of migraine in clinical practice settings as informed by current scientific literature and clinical guidelines. This handbook incorporates diagnostic criteria from the most recent edition of the International Classification of Headache Disorders (ICHD-3). The first half of the handbook provides information on assessment of migraine (including headache red flags and indications for neuroimaging), screening for common comorbid conditions, and essential lifestyle recommendations for all migraine patients. The second half covers both acute and preventive headache medications and relevant treatment algorithms and indications, as well as other medical therapies and behavioral interventions for migraine. This clinician's manual is easy to read and includes numerous tables and other content valuable to all providers wanting a go-to resource on clinical management of migraine. It is an ideal companion for busy general practitioners and neurologists, nurses and mid-level providers, neurology trainees and residents, as well as patients wishing to gain a better understanding of their condition.

A significant number of critically ill neurological and neurosurgical patients are still managed in the medical or surgical ICU by non-neurointensivists, who have a hard time appreciating the delicate needs of these patients. This dynamic guide reviews current topics facing neurocritical care providers in a straight-forward, structured, and practical way. Providing clear summaries in the management of neuro critical care conditions, this text allows for accessible, highly structured, and focused protocols for the assessment, day-to-day management, and treatment of critically ill patients in various ICU settings. This comprehensive, thorough guide to the management and treatment of neurologic and neurosurgical patients, is an excellent companion for trainees preparing for the Neurovascular Boards, Neurologists, Neurosurgeons and critical care physicians, alike. Designed by leaders in their field, this thorough guide presents practical, state-of-the-art suggestions for physicians, worldwide.

Anatomy questions are asked in all parts of the FRCA examinations, and for many trainees it is a particularly daunting part of the exams. This important new book provides a comprehensive, exam-orientated clinical anatomy book for anaesthetists preparing for all parts of the FRCA. It covers all body regions, relating underlying anatomy to practical procedures and anatomical principles, spanning the breadth of the curriculum and comprising exam-style questions: a chapter of SAQ questions, one of OSCE stations, one of SOE questions and one of MCQs. The text is highly illustrated in full colour with ultrasound images, diagrams and photographs of cadaveric material and models. This is the first anatomy book specifically orientated for the FRCA exam, making it an essential resource for anaesthetists preparing for all parts of the FRCA examination.

A key requirement of the primary and final FRCA examinations is a sound understanding of the basic sciences behind anaesthetic practice. It is important to be able to describe these principles clearly, particularly in the viva section of the examinations. Featuring several new topics, this fully updated new edition of this best-selling book provides all the important graphs, definitions and equations which may be covered in the examinations, together with clear and concise explanations of how to present them to the examiner and why they are important. Packed full of precise, clear diagrams with well structured explanations, and with all key definitions, derivations and statistics, this is an essential study aid for all FRCA examination candidates.

Now in its sixth edition, the Handbook of Drugs in Intensive Care is the essential guide to using drugs safely and effectively in the intensive care setting. The book is split into two sections: an A-Z guide to the drugs available, and concise notes on the key topics and situations faced on a daily basis. The A-Z section provides succinct information on each drug including uses, limitations, administration directions and adverse effects. The second section details practice guidelines such as insulin therapy, Parkinson's disease therapy when nil-by-mouth and drug dosing in renal failure. This revised edition includes seventeen new drug monographs and covers several new topics, including blood glucose management. A colour chart showing drug compatibility for intravenous administration included at the back of the book. Presented in a concise, compact format, this book is an invaluable resource for doctors, nurses, pharmacists and other healthcare professionals caring for critically ill patients.

This book covers a broad range of topics, providing trainee and practising anaesthetists with a comprehensive source of knowledge on applied sciences and clinical anaesthesia. The book has been divided into six sections with various chapters serving as a synopsis of the practice of anaesthesia. Each chapter discusses the significance and importance of problems that can impact the peri-operative management of the surgical patient. The case scenarios at the end of each chapter will additionally help in understanding the practical relevance of basic science. This book will be an invaluable educational resource for trainee anaesthetists and an indispensable aide-memoire for practising anaesthetists. It is, therefore, essential study material for trainees and a great educational tool for trainers. 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 companion.

This text presents the basic and clinical foundations of anesthesiology. It is easy to read and is comprehensive without being lengthy. Readers can test their knowledge with the "Clinical Review" questions at the end of chapters and will appreciate the abundance of color illustrations, clinical images, and practical tables. Chapters are highly organized and make liberal use of bulleted text where appropriate. Everything needed in a single source is here, from clinically important basic science to the full range of anesthetic practice: pain management and regional anesthesia, including ultrasound-guided peripheral nerve blocks; specialty anesthesia; preoperative evaluation and intraoperative management; ambulatory and non-operating room anesthesia; and critical care. The book also includes topical chapters on the obese patient, infectious diseases, alternative medicine, substance abuse, cosmetic surgery, robotic surgery, the hazards of working in the operating room, and residency requirements and guidelines.

Written by outstanding authorities from all over the world, this comprehensive new textbook devoted to pediatric and neonatal ventilation puts the focus on the effective delivery of respiratory support to children, infants, and newborns. In the early chapters, developmental issues concerning the respiratory system are considered, physiological and mechanical principles are introduced, and airway management and conventional and alternative ventilation techniques are discussed. Thereafter, the rational use of mechanical ventilation in various pediatric and neonatal pathologies is explained, with the emphasis on a practical step- by-step approach. Respiratory monitoring and safety issues in ventilated patients are considered in detail, and many other topics of interest to the bedside clinician are covered, including the ethics of withdrawal of respiratory support and educational issues. Throughout, the text is complemented by numerous illustrations and key information is clearly summarized in tables and lists, providing the reader with clear "take home messages."

For 25 years Anaesthesia, Intensive Care and Perioperative Medicine A-Z has provided a comprehensive resource of the relevant aspects of pharmacology, physiology, anatomy, physics, statistics, medicine, surgery, general anaesthetic practice, intensive care, equipment, and the history of anaesthesia and intensive care. Originally prepared as essential reading for candidates for the Fellowship of the Royal College of Anaesthetists and similar exams, this fully updated edition will also prove as invaluable as ever for all anaesthetists and critical care physicians, as well as operating department practitioners and specialist nurses. The alphabetical arrangement with extensive cross-referencing ensures a full understanding of topics. The succinct and clear text and diagrams?make for easy quick reference. The exam preparation checklist is ordered by key topics to facilitate effective revision. The contents are easily accessible with the accompanying ebook. There has been a substantial addition of new entries as well as revision of existing ones. This acknowledges the breadth of information needed to satisfy the range of activities performed by anaesthetic, intensive care, nursing and other colleagues, and also reflects the ever-changing field in which they all work. The consolidation of the role of anaesthetists as 'perioperative physicians' is reflected in additional entries of particular relevance and also by the enhanced title of the book. The structured 'revision checklist' of entries which is particularly useful to those preparing for examinations has been further developed for this edition.

This book offers an insight into all aspects of pain in order to provide practitioners with a balanced and holistic approach to pain management. Supported by evidence and research throughout, Management of Pain uses real-life clinical scenarios. The book provides the reader with practical advice and knowledge of modern methods of pain management.

Since the first edition of the Handbook on Drowning in 2005, many epidemiological data have confirmed the burden of drowning in several parts of the world. Studies have increased the understanding of effective drowning prevention strategies, rescue techniques, and treatment options. Much has been learned about submersion and immersion hypothermia, SCUBA-diving injuries, the life-saving preparations of water-related disasters and how to deal with forensic investigations. In this updated second edition, experts from around the world provide a complete overview of current research data, consensus statements and expert opinions. The book Drowning provides evidence-based practical information and has a unique informative value for various groups with tasks, duties and responsibilities in this domain. In addition, the book may be an inspiration for future networks and research initiatives.

The complex healthcare needs of pregnant patients, where care is tailored to not one but two patients, pose specific challenges to anesthesiologists. This book provides concise, case-based discussion on the clinical scenarios and challenges faced in the provision of anesthesia and pain relief for expectant mothers. In the style of problem-based learning, each case is presented as a short scenario, followed by discussion of the causes, risk factors, management and controversies involved. The textbook features a wide range of cases, from common clinical scenarios that are experienced in day-to-day practice to the rare but significant pathologies less familiar to most clinicians. With a global base of contributors, the book is relevant to practice across the world. The concise format supports both trainee anesthesiologists in their initial experiences of obstetrics and exam preparation, and experienced clinicians in need of a reliable, quick-reference text.

In this book, leading world authorities on brain edema and neurological disorders/injuries and experts in preconditioning join forces to discuss the latest progress in basic sciences, translational research, and clinical management strategies relating to these conditions. The range of topics covered is wide, including microglia, energy metabolism, trace metals and ion channels, vascular biology, cellular treatment, hemorrhagic stroke, novel technological advances, anesthesia and medical gases, pediatric brain edema, neuroimaging, behavioral assessment, clinical trials, peripheral to central signaling pathways, preconditioning translation, and animal models for preconditioning and brain edema research. The book comprises presentations from Brain Edema 2014, the joint meeting of the 16th International Conference on Brain Edema and Cellular Injury and the 3rd Symposium on Preconditioning for Neurological Disorders, held in Los Angeles on September 27-30, 2014.

The only product of its kind focused specifically on nitrous oxide and oxygen sedation (N2O/O2), Handbook of Nitrous Oxide and Oxygen Sedation, 5th Edition, is ideal in educational and clinical settings. This portable text features a user-friendly outline format that is easy to digest, along with summary tables and boxes, clear illustrations, step-by-step techniques with photos, and review questions and critical thinking exercises - right when and where you need it. The 5th edition of this chairside reference includes new content on industry best practices along with efficacy in comparison to other methods of sedation. Now with new and updated artwork, this unique text continues to be the resource for students, instructors, and practitioners alike. UNIQUE! Coverage of the latest in N2O/O2 sedation ensures that you are up to date on current issues, techniques, and equipment. Comprehensive coverage with the convenience and portability of a handbook equips a dental team member with all the background, technique, recovery, and additional information necessary to administer and monitor N2O/O2 sedation. Easy-to-use presentation utilizes a standard outline style that facilitates knowledge acquisition and provides a quick reference for consultation or chairside reference. Step-by-step techniques equip you with detailed guidance on how to best perform techniques to help you gain confidence and easily review procedures. End-of-chapter review questions and answers support your educational needs when preparing for board and clinical exams. FAQs supplied in an entire chapter devoted to commonly asked questions and answers regarding N2O/O2 sedation offers an excellent resource for patient education. Patient forms and samples offer easy-to-understand samples that support visual learners and serve as useful review and Expert multidisciplinary author team encompasses a breadth of experience in practice and a passion for education, ensuring you are learning the best content from the best teachers. NEW! Content covering best practices includes pediatrics and labor, patient and operator safety, and efficacy in comparison to other sedation methods. NEW! Mock exam featuring 75 multiple-choice questions helps you prepare for the classroom and boards. NEW! Artwork, including photos of the latest equipment and clinical techniques enhances your learning experience.