The two previous editions of Applied Physiology in Intensive Care Medicine proved extremely successful, and the book has now been revised and split into two volumes to enhance ease of use. In this second volume some of the most renowned experts in the field offer detailed reviews on measurement techniques and physiological processes of crucial importance in intensive care medicine. Throughout, a key aim is to help overcome the fundamental unevenness in clinicians' understanding of applied physiology, which can lead to suboptimal treatment decisions. Applied Physiology in Intensive Care has been written by some of the most renowned experts in the field and provides an up-to-date compendium of practical bedside knowledge essential to the effective delivery of acute care medicine. It will serve the clinician as an invaluable reference source on key issues regularly confronted in everyday practice.

It is now 20 years since thoracoscopic surgery first entered everyday hospital practice, revolutionizing surgery and offering major benefits to patients. The intervening years have witnessed rapid progress, with the development of a variety of specialized techniques and equipment. This superbly illustrated book provides authoritative and comprehensive descriptions of the various minimally invasive techniques that are currently employed in thoracic and cardiac surgery. A wide range of thoracoscopic procedures are explained and discussed, and detailed attention is also paid to robotic and robot-assisted surgical techniques. Throughout, the emphasis is on clear description of procedures and identification of practical aspects of relevance in surgical practice. The authors are some of the world's most experienced thoracic and cardiac surgeons, and many of them have contributed greatly to the exploration and development of the field.

Although cardiac surgery has made an enormous progress during the last decades, the discipline has to cope with essential changes: Patients are increasingly cared for by cardiologists and therefore referred to the surgeon in a later stage of disease. Consequently, they are more often in an increasingly serious state or in advanced age with significant comorbidities. In order to meet the requirements of these different patient groups, cardiosurgical treatments require special protectional strategies for the heart in order to perform the planned operations safely. This book presents the latest knowledge of modern techniques of myocardial protection taking into consideration the different patient groups and current scientific strategies. Furthermore, it discusses present and future scientific approaches in myocardial protection and preservation.

This book covers the basics of evoked spinal cord potentials (SCPs) with reference to studies in animals. Many illustrations help the reader grasp the neurophysiological and neuropharmacological background of spinal cord functions. Case studies offer insight into monitoring and diagnosing spinal cord dysfunctions and spinal cord diseases. The book is intended for students in clinical neurophysiology, neurosurgery, neurology, orthopedics and neuroanesthesia.

Invasive electromyography is a well-established diagnostic tool that has been used for decades by neurologists. Recently, new and alternative devices have increasingly become available that permit diagnosis without the use of needles. This developing area of science and the new tools have not, however, been sufficiently investigated in academic training. Consequently a gap exists between what science is making possible and the competence acquired during graduate studies. This handy volume has the aim of filling this gap by providing the information required by medical practitioners in rehabilitation, sports, and occupational health as well as by rehabilitation therapists, ergonomists, and sport coaches. The techniques that are presented and explained will help in monitoring and recording changes, evaluating the effectiveness of treatments and training, evaluating work stations, and preventing and documenting the evolution of occupational disorders of the neuromuscular system.

Chronic vulvar pain, or 'vulvodynia', is a common problem that can have a considerable impact on the wellbeing of patients. Despite being seen routinely in everyday clinical practice, it remains a neglected disorder that may take many years to diagnose. This book eases the way for physicians, including General Practitioners and Gynecologists, who are motivated to improve the lives of women suffering from vulvodynia. By offering a concise overview of the latest information on the diagnosis and management of vulvodynia, and its numerous comorbidities, in an easy to read, 'tips and tricks' format, the book empowers physicians to rapidly and effectively address the complex and sensitive issues surrounding the disorder.

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.

This book is designed to assist clinicians who are new to intensive care by providing information on a range of important and novel topics of relevance in the day-to-day management of critically ill patients. Guidance is given on the appropriate response to various emergencies and circumstances, including stroke, acute liver failure, severe burns, extreme pain, and delirium. The role of simulation training in the intensive care unit is discussed, and detailed attention is devoted to the application of modern techniques for the assessment of vital organs in the critical care setting, such as echocardiography and lung ultrasound. An individual chapter focuses on regional anesthesia in intensive care, and in addition the book addresses subjects and issues that are frequently neglected. Examples include transfer of the critically ill patient, the role of forgotten electrolytes such as magnesium, the use of non-coumarin anticoagulants, and neuropsychological rehabilitation. The book will have broad appeal, including for general intensivists, anesthetists, acute medicine physicians, and medical students attached to acute specialties or preparing for exams in intensive care medicine.

Inadequate humidification of inspired gases can cause a variety of serious problems, and humidification has accordingly become an important aspect of modern intensive care medicine. This book is designed to serve as a practical guide for clinicians, providing information on the theoretical background of humidification, the equipment, and its optimal use. The book starts by examining the physiological basis of humidification. Current devices are then discussed, with careful attention to factors influencing their performance and methods to evaluate their effectiveness. The two scenarios of mechanical and non-mechanical ventilation are considered, and the issue of ventilator-associated pneumonia is addressed in detail. Further chapters focus on such topics as humidification following tracheostomy, humidification of the artificial airway during secretion management, measurement of inspired gas temperature in the ventilated neonate, and humidification in the home care setting.

The initial distribution volume of glucose (IDVG) is believed to be clinically relevant as a marker of cardiovascular and fluid management in critically ill patients without a significant modification of glucose metabolism. This book covers all aspects of IDVG measurement, including the basic concept, its relationship with other fluid volumes, and the clinical application of this technique in the intensive care unit.

Principles of Airway Management, 4th Edition, reviews the essential aspects of airway management: anatomy, equipment, intubation, fiberoptic endoscopy, surgical approaches, intubating LMA (lightwand), pediatric airway, CPR, and mechanical ventilation. The book features well-balanced discussions of the complexities and difficult issues associated with airway management; excellent organization that ensures the material can be learned and applied to various situations; the latest equipment and techniques; summary boxes which highlight the most important points of each chapter; and more than 400 illustrations (many in color, for the first time), tables, and boxes.

Liver Anesthesiology and Critical Care Medicine emphasizes all aspects of this broad and important area and is the definitive textbook for anybody involved in the perioperative care of liver patients. The book is divided into three sections: Physiology and Pathophysiology, Anesthesiology, and Critical Care Medicine. The anesthesiology section contains information about liver transplantation and other liver surgeries and provides detailed practical direction and concise background information of all aspects of the anesthetic management of these patients based on the most recent evidence. The critical care section describes basic critical care management as it relates to liver surgical patients and addresses specific postoperative issues relevant for liver resection and liver transplant patients. The book combines practical guidance to the perioperative management with extensive background and clinical evidence to allow the reader gain an in -depth understanding of this complex and fascinating topic.

To an unusual degree, the shared "working space" of otolaryngologists and anesthesiologists means that issues important to one are important to the other. Anesthesiology and Otolaryngology is the first book to address the closely overlapping information needs of both groups of specialists. It is collaboratively written and edited by anesthesiologists and otolaryngologists, and the chapters are carefully designed to insure maximal relevance to members of both specialties. The heart of the book consists of chapters on managing patients during the full range of otolaryngologic procedures. These chapters are structured chronologically, and otolaryngologic and anesthesiologic perspectives are systematically presented for each operative stage. Foundational topics such as gross and radiographic anatomy, physiology, and pharmacology are covered. The book includes a unique chapter on oxygen delivery systems that serves as a comprehensive review for anesthesiologists and an overview for the otolaryngologist. Special topics addressed include acute and chronic pain management, and the logistics of managing an office-based surgical practice. * "All-in-one" reference for otolaryngologists and otolaryngologic anesthesiologists * Surgical and anesthesiologic perspectives marshaled for pre-operative, intraoperative, and postoperative periods * Pearls and Insights at end of chapters* Organized by surgical region * Special challenges of difficult airway and of pediatric otolaryngologic procedures addressed

Chronic Abdominal Pain is a comprehensive resource focused on the management of chronic abdominal pain. Chapters begin with an overview of pain generation, adaptive mechanisms and various diagnostic approaches. A complete range of novel, conservative, minimally invasive and surgical therapeutic options and their proper selection are then discussed along with evidence-based and practical clinical aspects of patient care. Authored by a team of world-renowned physicians and researchers, this definitive guide provides novel algorithms for contemporary treatment of chronic abdominal pain, giving pain medicine clinicians and practitioners the knowledge needed to assess and treat patients with abdominal pain.

Pelvic Pain Management is an evidence-based guide to understanding the basics of pain mechanisms, pharmacology, invasive and noninvasive treatment modalities, and pain management protocols related to the complex problem of pelvic pain. The book addresses all aspects of pain management essentials, new technologies and devices, chronic pain issues, opioid and non-opioid pharmacology, including newly approved drugs, and special populations including pediatrics, the elderly, and patients with co-existing disease. It provides information on performing a proper physical exam, diagnosing the origins of the pain, and developing a treatment plan with emphasis on multidisciplinary management. This is an ideal resource for physicians, trainees, and nurses looking to recognize, diagnose and manage all major issues related to pelvic pain.

Patients suffering from HIV/AIDS often experience chronic pain due to the many diseases and infections they pick up as a result of a weakened immune system. It interferes with their quality of life and physical functioning, impacts adherence to antiretroviral therapy and HIV primary care, and is associated with significant psychological/social distress and substance use disorders. Chronic Pain and HIV addresses all these complex issues that can influence pain care that can influence pain care for the patient with HIV and acts both as a primer and a comprehensive review to define the field of chronic pain management. Using a clear, clinical approach, key topics include the following: * Musculoskeletal pain in individuals in HIV * Headache in individuals with HIV * Psychiatric comorbidities among individuals with HIV and chronic pain * Potential benefit and harm of prescription opioids in HIV * Pain at the end of life in individuals with AIDS * Treatment of chronic pain syndromes in the HIV-infected person. Edited by an outstanding team with extensive experience in HIV/AIDS and pain/palliative care, every chapter is written by a world-famous expert in their field who provides a thorough review of the relevant literature, including the very latest in management guidelines from the leading international societies. Perfect for all those in primary care, as well as infectious disease specialists managing patients with HIV/AIDS, Chronic Pain and HIV provides sensible, straightforward clinical advice to ensure the best possible patient management.

Surgical Pain Management is an essential, step-by-step guide to surgical techniques and the perioperative management of chronic pain patients whose treatment includes implantable therapies. Chapters review the steps necessary for defining a potential candidate for implant and the infrastructure to support the perioperative period and beyond, controversies in approaches for both intrathecal and spinal cord stimulation implants, healthcare education for patients with these devices, neuroaxial drug delivery, electrical stimulation of the peripheral and central nervous system, and a variety of invasive procedures for chronic and cancer pain. Appendices provide supplemental information regarding guidelines, physiology, technologies available, troubleshooting, and documentation required to organize an interventional service. This book details a range of approaches from basic implant therapies to more advanced therapies, making it an ideal companion to an advanced training program in interventional pain management and a useful resource for developing a team that will optimize care for some of the most difficult to treat chronic pain patients.

Written by a professional musician who is also a certified occupational therapist, Teaching Healthy Musicianship both helps music educators avoid common injuries that they themselves encounter and equips them with the tools they need to instill healthy musicianship practices in their students. Author Nancy Taylor combines her two unique skill sets to provide a model for injury prevention that is equally cognizant of the needs of music educators and their students. Through practical explanation of body mechanics, ergonomics, and the performance-related health problems and risk factors unique to musicianship, Taylor gives music educators the tools they need to first practice healthy posture, body mechanics, environmental safety, and ergonomics, and then to introduce these same practices to their students. Taylor also provides practical guidance for healthy musicianship practices in the wrists and shoulders, the most common site of music-related injuries. The final sections address issues of vocal and hearing health, both of which are at high risk in music classroom environments. Working from the dual observations that busy music teachers sometimes overlook taking care of themselves, and that music teachers are not always able to guide students through instrument-related stresses, Taylor provides here a book that addresses injury prevention for the music student and the music educator alike. Thoroughly illustrated with 125 photographs, Teaching Healthy Musicianship is a key resource for preservice and inservice teachers of middle school and high school band, orchestra, choir and general music.

Complications in Neuroanesthesia focuses on complications that may arise related to neuroanesthesia practice and discusses its various causes. Each complication is written as a separate chapter, and the pathophysiology and mechanisms of each complication, as well as measures for diagnosis, treatment and prevention are discussed. Towards the end of the book, several case scenarios are provided to the readers that challenge readers to diagnose the possible complication for each case. Chapters include brain and spinal cord problems, cardiovascular and hematological problems, and nerve and muscle problems. Written in a standard format, Complications in Neuroanesthesia provides quick and easy access to understanding problems in neuroanesthesia. It provides insight into all possible complications occurring during perioperative management of neurosurgical and neurologic patients. It is useful for trainees, clinicians, and researchers in the fields of neurosurgery, neurocritical care, and neurology by providing an understanding of preventable mishaps that may occur in neurosurgical or neurologic patients.

This practical text provides a clinical overview of the etiology, diagnosis and treatment for fibromyalgia. Current evidence-based treatments and guidelines are emphasized along with lifestyle modification suggestions for the patient. Also included is a review of current literature, research and emerging developments on this prevalent pain syndrome. A range of healthcare specialties, including pain management, rheumatology, neurology, internal medicine and family practice, will find this comprehensive guide to be a valuable resource to their routine treatment of fibromyalgia and improve patient's quality of life.

This cutting-edge book will cover various aspects of headache management, with a focus on difficult patients. Practical, step-by-step advice for treating challenging headaches, including migraine, refractory and cluster headaches, will be provided in detail along with how to approach patients of different ages and those with psychological disorders. Unique and complex case studies and complete explanations to the vast array of medications will also be featured. Authored by one of the leading experts on refractory headaches, Advanced Headache Management will be an invaluable guide for the resident or clinician and an easy-to-read resource for many patients.

Collective knowledge of the origins and pharmacology of pain are evolving rapidly, providing increased hope for better pain management and a far greater quality of life for patients worldwide. However, there are few works dedicated to guiding primary care practitioners and clinical researchers through the use of adjuvant analgesics. Part of the Oxford American Pain Library, Adjuvant Analgesics provides a detailed discussion of the various classes of these drugs including antidepressants and anticonvulsants, cannabinoids, topical analgesics, and local anesthetics. Chapters cover a basic introduction to adjuvant analgesics for pain control, appropriate clinical applications of the various drug classes in the management of common pain problems, and on drug-drug interactions between adjuvant analgesics and traditional analgesics. Important pain entities such as acute postoperative, cancer-related, neuropathic pain, and fibromyalgia are addressed, filling an important gap in today's medical literature.

As end of life care is extended to more and more people it is increasingly important that people with progressive neurological disease are recognised as having particular issues as their disease progresses. This group of people with advancing motor neurone disease, multiple sclerosis, Parkinson's disease, multiple systems atrophy, progressive supranuclear palsy, Huntington's disease and other progressive neurological disease face increasing problems - with physical symptoms and psychosocial and spiritual issues for both themselves and their families and carers. This book encourages health and social care professionals to become closely involved in the care of these people and their families, so that advance care plans can be started and quality of life maintained. This book addresses the principles and practice of developing end of life care strategies for neurological disease, written with a clinical, multidisciplinary focus and illustrated with detailed case studies.