It has never been easy to introduce new concepts and therapeutic in-terventions into surgical practice. When attempting to do so, one is faced with the interagency of traditional dogma, which still in this era of evidence-based medicine tends to dominate the surgical thought pr- ess. This is particularly so in the area of coloproctology, where prejudice and personal opinion often influence objective analysis whenever tradition is challenged. A large body of literature on anorectal prolapse has accumulated over the years; although much is based on personal viewpoint rather than scientific evidence, it has nevertheless been passed down through the generations as ac-cepted wisdom and practice. As a consequence, it is a challenge to change the mindset of a generation of surgeons and to introduce new concepts and novel techniques which at first might appear to be a radical departure from conventional teaching. It is obviously not possible to present the basis for the develop-ment of transanal stapling techniques for anorectal prolapse in this Foreword; this is dealt with in detail elsewhere in this book. The in-terested reader will have the opportunity to share in the new and emerging concepts surrounding anorectal prolapse and to deepen their understanding of the pat- physiology and basis for surgical correction. Although hemorrhoidal disease and external rectal prolapse have been known about for centuries, the understanding of internal rectal prolapse (intussusception) and rectocele has only really advanced with the emergence of radiological imaging tech-niques, such as defecography.

Andreas Meiser summarizes the current literature on inhalation sedation of critically ill patients. To meet clinical demands, he describes the development of new devices to administer volatile anesthetics together with common ICU ventilators. Their basic principle is called anesthetic reflection. The author discusses advantages and drawbacks of these devices in line with clinical studies demonstrating advantages of inhaled versus intravenous ICU sedation.About the Author:Dr. med. Andreas Meiser is working as a consultant anesthesiologist on the interdisciplinary operative ICU of the Saarland University Medical Center. He has been a pioneer in the field of inhalation ICU sedation. He has been treating patients using the AnaConDa administration devices since 2004, and has published many original articles in scientific journals on the subject.

Living with pain can provoke frustration, anxiety, depression, and often a reliance on pharmaceutical painkillers. In this important and accessible book, registered osteopath and naturopath Leon Chaitow outlines natural approaches to pain relief, featuring both tried and tested methods and the latest ground-breaking research - including the role played by fascia in the experience of pain and breakthrough mind-body techniques. The author begins by explaining the nature of pain and why it is that the more you understand about it, the greater your ability to control it. He then goes on to outline key pain relief approaches including meditation, hypnotherapy, cognitive behavioural therapy, light and colour therapy, breathing techniques, massage, stretching, hydrotherapy and herbalism. There is also extensive information on the importance of nutrition and supplements. A special feature is the extensive pain directory providing treatment advice for a range of common problems including headache, neck and shoulder pain and backache. Featuring step-by-step self-help exercises and helpful diagrams, this is an essential book for everyone wanting to take control of pain and regain their quality of life.

Intensivmedizin zum Nachschlagen und Lernen fur die Zusatzbezeichnung "Intensivmedizin". Das Repetitorium Intensivmedizin stellt das Fach der Intensivmedizin kompakt und fundiert dar und gehoert in die Reihe der Repetitorien, die sich hervorragend zur Prufungsvorbereitung oder Beantwortung von Fragen im Klinikalltag eignen. Alle Inhalte sind systematisch und ubersichtlich dargestellt und klar und pragnant in den Aussagen. Zahlreiche Schemazeichnungen und Tabellen erleichtern das Verstandnis und bundeln Informationen. Das Werk erscheint bereits in der 5. Auflage. Dieses ist komplett aktualisiert und erscheint in neuem Layout. Das Werk richtet sich an alle auf einer Intensivstation tatigen AErzte.

Rainer Thiele deals with chiropractic and examines two questions: Is chiropractic treatment of lower back pain a successful therapeutic approach? Is chiropractic treatment a standard treatment for headaches? On the topic of chiropractic in lower back pain, a congress abstract was published by the author using the latest randomized clinical studies and discussed as a poster contribution to the 16th Congress for Health Services Research in Berlin. A systematic review answers the question about chiropractic treatment of headaches. About the author: Dr. scient. med. Rainer Thiele wrote this work as part of his doctoral studies in medical science at the UFL (Private University of Liechtenstein) as a cumulative dissertation. He is managing director of the specialist practice for Chiropractic / Osteopathy and Sports Medicine in Munich.

Authored by an acknowledged expert on muscle and movement imbalances, this well illustrated book presents a classification system of mechanical pain syndromes that is designed to direct the exercise prescription and the correction of faulty movement patterns. The diagnostic categories, associated muscle and movement imbalances, recommendations for treatment, examination, exercise principles, specific corrective exercises, and modification of functionalactivities for case management are described in detail. This book is designed to give practitioners an organized and structured method of analyzing the mechanical cause of movement impairment syndrome, the contributing factors and a strategy for management. * Provides the tools for the physical therapist to identify movement imbalances, establish the relevant diagnosis, develop the corrective exercise prescription and carefully instruct the patient about how to carry out the exercise program. * Authored by the acknowledged expert on movement system imbalances. * Covers both the evaluation process and therapeutic treatment. * Detailed descriptions of exercises for the student or practitioner. * Includes handouts to be photocopied and given to the patient for future reference.

In der Intensivmedizin ist es oft notwendig, rasch erste therapeutische Massnahmen ohne Fehler und Unsicherheiten vorzunehmen. Dieses Buch bietet den Arzten wahrend ihrer intensivmedizinischen Ausbildung eine schnelle und ubersichtliche Hilfe in der kompetenten Betreuung eines breiten Patientenspektrums an einer chirurgischen Intensivstation. Haufige Krankheitsbilder aus Abdominalchirurgie, Thoraxchirurgie, Herzchirurgie, Traumatologie, Geburtshilfe und Innerer Medizin werden behandelt und die pathophysiologischen Vorstellungen erlautert. Daruber hinaus werden grundlegende Kenntnisse in Bezug auf kunstliche Beatmung sowie alternative Techniken vermittelt und die Thematik der parenteralen und enteralen Ernahrung ubersichtlich und praxisnah dargelegt. Krankheitsbildern wie Sepsis mit ihrer Pathophysiologie und damit verbundener Verzahnung von Gerinnung und Inflammation wurde besonderes Augenmerk gewidmet, so dass neue und teils noch in Entwicklung befindliche Therapieansatze beurteilt werden konnen."

A brand new series from Oxford University Press, the Oxford Clinical Imaging Guides are specifically designed to help doctors master imaging techniques. Each guide explains the principles and practice of using imaging in an easy-to-read, highly-illustrated, and authoritative manner. Focused Intensive Care Ultrasound is a practical manual designed to help you use ultrasound to assess and treat critically ill patients. Extensively illustrated, the book comes with online access to over 70 videos and 60 self-assessment questions. This is the first book comprehensively mapped to the syllabi of Focused Intensive Care Echocardiography (FICE), Core Ultrasound for Intensive Care (CUSIC), Resuscitation Council UK's Focused Echocardiography in Emergency Life support (FEEL), British Society of Echocardiography's Level 1 Accreditation, and Focused Acute Medical Ultrasound (FAMUS). It is also ideal for European Focused Cardiac Ultrasound (FoCUS) training. Providing a clear distinction between basic and advance skills, it introduces relevant aspects of advanced echocardiography for more experienced learners. With a focus on clinical issues, and supported by relevant physiological principles, this book teaches you exactly what you need to know to assimilate ultrasound into your everyday intensive care practice. Designed as an essential day-to-day reference and learning tool, this resource is ideal for trainees, consultants and critical care practitioners wishing to master ultrasound skills.

Written in a succinct format, this book presents a variety of pain conditions seen in acute or sub-acute rehabilitation hospitals and in outpatient clinical settings. Bio-medical and bio-psychosocial perspectives, as well as theory, clinical practice, and practical aspects of managing pain are offered throughout this volume. Chapters are organized by sections, beginning with an introduction to pain as well use of the multi-disciplinary treatment approach. Additional sections cover headache management, pain diagnostics, medication management, rehabilitation, injections and procedures, behavioral management, complementary and alternative medicine, neuromoduation, neuroablation, surgical management of pain, and novel techniques. Business and legal perspectives of pain medicine are also addressed. Comprehensive Pain Management in the Rehabilitation Patient is a handy resource for any medical, interventional, surgical, rehabilitative, behavioral, or allied health provider who treats pain across the rehabilitation continuum.

This concise, easy to follow review of obstetric anesthesia follows the outline set forth by the American Board of Anesthesiology (ABA), making it an invaluable resource for in-service exam and board exams. The book is divided into four sections, beginning with maternal physiology, followed by maternal-fetal considerations, then pathophysiology of complicated pregnancy, and finally problems of term and delivery. Written at the fellow-level, it provides anesthesiology residents, obstetric anesthesiology fellows, and any anesthesiologist providing care to obstetric patients testable information for the boards, as well as practical tips for clinical practice.

This comprehensive guide covers prescribing controlled substances for patients with acute or chronic pain and provides a balanced discussion on appropriate treatment, addiction, safety and complications. Chapters feature evidence-based strategies and clinical modalities that address diagnostic challenges, treatment guidance, alternatives to opioid management and the significant legal risks within the current regulatory environment. Authored by leaders in pain medicine, physicians and appropriate health care professionals will find Controlled Substance Management in Chronic Pain to be an indispensable resource.

In April of 1991, 425 partICIpants from 18 countries met in Hamamatsu in Japan for the 6th International Symposium on Computing in Anesthesia and Intensive Care (lSCAIC). The meeting was one of the most spectacular academic and fruitful in the history of ISCAIC. We had four days of fascinating presentations and discussions covering many areas of technology in Anesthesia and intensive care. New technologies were presented and old technology reexamined. The measures of success of the meeting were the excellent research material in oral and poster presentations, and state of the art reviews of the latest issues by distinguished worldwide key speakers. It must be sure that the meeting was most effective to promote and disseminate up-to-date information in these fields across the participating countries. The aim of this book is to record the exciting achievements of the meeting and extend them further among our colleagues. We hope the readers of this book will share the same excitation as well as the latest information in this speciality. Finally we would like to extend our deepest gratitude to all participants and others for the contribution to the compilation of this book. Kazuyuki Ikeda, M.D.

CRQs for the Final FRCA is the first book of its kind and an invaluable resource for any candidate preparing to pass the written aspect of the Final FRCA. It has been specifically designed to reflect the new written examination format, providing ten complete CRQ examination papers and answer templates, with additional tips and references to aid further learning. Each paper has been carefully formulated to include the different topics contained within the examination and cover a vast area of the syllabus. Unlike other revision texts, this book will enable candidates to practise the CRQ format and refine their exam technique to ensure they are best equipped to succeed. It is written by a team of two consultant anaesthetists and two senior trainees who run the North West Final FRCA Exam Practice Course and have extensive experience of preparing trainees to pass the examination.

Why write a book on the tourniquet? The tourniquet is used routinely in op- ating theatres throughout the world, but as far as I know there is no single book that surveys the considerable literature that has accumulated. If used sensibly, the tourniquet is a safe instrument. Most of the few complications seen with its use are preventable. However, when something untoward happens, the tour- quet suddenly becomes an interesting subject, particularly if there is the likelihood of medicolegal consequences. This book summarises the scientific background of the tourniquet and describes a safe physiological approach to preventing complications. Examples of medicolegal problems are included. Considerable progress had been made since Lister first excised a tuberculous wrist joint in a bloodless field. Many researchers have studied the effects of ischaemia and pressure on nerves and muscles. Tourniquets have entered the age of computers and are now much more sophisticated. Despite this, there is still much dogma surrounding the tourniquet in operating theatres and in textbooks. This book is aimed at orthopaedic surgeons, anaesthetists and op- ating-theatre staff. I hope that this short text will stimulate a more widespread interest in the tour- quet and improve safe practice.

As Sir William Osler said "The practice of medicine is an art, based on science". The authors believe that the art of precision medicine is knowing when the science of medicine should not be applied to your patient. This practical guide to managing patient expectations while maintaining a good medical practice presents as one of the only books of its kind. Written for anesthesiology residents in training, as well as practicing physicians, Practical Anesthetic Management focuses on giving clinicians the tools to create safer, more effective and efficient practices while catering to patient satisfaction. Featuring pearls for teaching purposes, Practical Anesthetic Management also covers topics like preoperative evaluation, tips on blood-gas analysis, and essentials of airway management, all complete with accompanying videos.

This text is aimed at defining the current concepts that define trauma induced coagulopathy by critically analyzing the most up-to-date studies from a clinical and basic science perspective. It will serve as a reference source for any clinician interested in reviewing the pathophysiology, diagnosis, and management of the coagulopathic trauma patient, and the data that supports it. By meticulously describing the methodology of most traditional as well as state of the art coagulation assays the reader will have full understanding of the tests that are used to study trauma induced coagulopathy. The evolving use of blood products as well as recently introduced hemostatic medications are reviewed in detail. Trauma Induced Coagulopathy will also be a valuable source for quick reference to the clinician that is faced with specific clinical challenges when managing coagulopathy.

This book, which describes in detail the most common procedures employed in inguinal hernia surgery, is exceptional in reflecting fully the most recent advances, as well as the most established techniques, in knowledge and practice. The role of recently developed and emerging technologies, including robotics, minimally invasive surgery, and biological meshes, is clearly explained, highlighting useful tips and tricks. The descriptions of traditional procedures, such as the Lichtenstein repair, are brought fully up to date and take into account the novel perceptions that professionals have of them, for example regarding the important role of nurses. The reader will also find guidance on established and new treatments for specific pain conditions, including postoperative chronic pain, the pubic inguinal pain syndrome, and obscure groin pain in women. The need for such an update on inguinal hernia surgery became clear at the 1st World Conference on Abdominal Wall Hernia Surgery, which highlighted the huge differences in the approaches adopted by scientists around the world and was chaired by the editor of this book. Inguinal Hernia Surgery will be a useful tool for all health care practitioners involved in hernia surgery.

PROMPT (PRactical Obstetric Multi-Professional Training) provides local multi-professional training resources for the management of a range of obstetric emergency situations. Over recent years there has been increasing evidence that PROMPT training has had a significant impact on outcomes for mothers and babies in the UK and internationally. The PROMPT CiPP (Care of the Critically ill Pregnant or Postpartum woman) Course is a constituent part of the third edition PROMPT 'Course in a Box', and provides training resources to support an additional, locally-run, multi-professional training programme for maternity staff involved in maternal critical care. The PROMPT CiPP Course Participant's Handbook is essential for all those attending a local PROMPT CiPP Course, and is also a valuable stand-alone textbook, for evidence-based, current information on maternal critical care.

Emergency and critical care providers are often challenged by patients with acute cardiorespiratory symptoms and abnormal electrocardiograms. Critical Cases in Electrocardiography emphasizes clinically-relevant topics, focusing squarely on situations where interpretation of the ECG contributes to clinical decision-making. This atlas is unique, in that it includes numerous examples of ECG 'misses' - cases where the computer algorithm or the clinicians (or both) got the diagnosis wrong. While many textbooks include only smaller, black and white ECG tracings, which do not resemble actual clinical practice, this volume is designed to encourage self-study of the ECG by including full-page tracings in their natural color. The book focuses on 'don't miss' ECG tracings in order to help readers advance beyond the stage of 'competent' electrocardiographer. Anatomic and electrophysiologic correlations are emphasized throughout the work, helping readers appreciate the anatomic and electrical origins of the ECG abnormalities, rather than relying solely on pattern memorization.

This comprehensive textbook, covering all aspects of the perioperative management of patients undergoing organ transplantation, serves as the standard reference for clinicians who care for transplant patients on a day-to-day basis as well as those who encounter organ transplantation only occasionally in their clinical practice. Anesthesia and Perioperative Care for Organ Transplantation covers transplantation of the heart, lung, liver, pancreas, and kidney, as well as multivisceral and composite tissue graft transplantations. For each kind of transplantation, the full spectrum of perioperative considerations is addressed: preoperative preparation, intraoperative anesthesia management, surgical techniques, and postoperative care. Each chapter contains evidence-based recommendations, relevant society guidelines, management algorithms, and institutional protocols as tables, flow diagrams, and figures. Photographs demonstrating surgical techniques, anesthesia procedures, and perfusion management are included. Anesthesia and Perioperative Care for Organ Transplantation is for anesthesiologists and critical care physicians; transplantation surgeons; nurse anesthetists; ICU nurses; and trainees.

It is estimated that 1.5 million infants undergo surgery and anesthesia in the USA each year. However, there are serious concerns within the pediatric anesthesia community regarding the safety of anaesthesia in infants and children. There is mounting evidence from animal studies that anesthetics in common clinical use are neurotoxic to the developing brain and cause long-term neurobehavioral abnormalities. Essentials of Anesthesia for Infants and Neonates provides a comprehensive guide to the special needs of infants undergoing anesthesia. It focuses on the first year of life, the time when anesthesia mortality and morbidity is highest. Chapters are illustrated in color throughout, and include sections on newborn physiology for anesthetic management, specific procedures, pain management, and topics such as regional anesthesia and sedation. Written by nationally recognized experts, this book will become an invaluable point of reference for any physician interested in pain management in the first year of life.

There is an unmet need in both acute and chronic care settings for a comprehensive, clinically focused, fast reference on pain management. Written by high-profile, internationally recognized experts in field, Pain Treatment for Acute and Chronic Conditions: A Comprehensive Handbook is one of the first manuals of its kind to provide balanced and comprehensive coverage of pain medicine modalities. The book is structured into sixteen sections with each chapter providing key points for quick reference, followed by a more detailed overview of the topic at hand with extensive tables and figures to illustrate. Beautifully laid out and extensively furnished with both research and experience, this book is a necessary resource in the field of pain medicine.

Covering the most important topics in trauma anesthesia, this updated edition provides anesthesiology trainees and practitioners with a practical basis for managing trauma patients. Many recent advances in trauma care are identified, including paradigm shifts in the management of bleeding and coagulopathy, new neuromuscular blockade and anticoagulant reversal drugs, and updated clinical practice guidelines. This volume provides a concise, practical review of the essential elements in the care of the severely injured trauma patient, including emergency airway management, fluid and blood resuscitation, monitoring, coagulation therapy, regional and general anesthesia, and perioperative care. Edited by two of the most experienced trauma anesthesiologists in the United States, with chapters written by experts from leading US and Canadian trauma centers with the highest and most varied caseload of critically injured patients, Essentials of Trauma Anesthesia identifies new trends in surgery and anesthesiology practices that impact on the management of trauma patients.