Neurocritical care as a subspecialty has grown rapidly over the last two decades and has reached a level of distinct maturity with the advent of newer monitoring, diagnostic and therapeutic modalities in a variety of brain and spinal cord injury paradigms. Handbook of Neurocritical Care, Second Edition remains true to the operative tenet that "time is brain," and rapid diagnosis and therapeutic interventions in these challenging patients cannot be overemphasized. The second edition of this important Handbook again serves as a quick, practical reference for those involved in the care of critically ill neurological and neurosurgical patients. The care provided to this subset of critically ill patients continues to be multidisciplinary and includes care rendered from colleagues in emergency medical services, emergency medicine, neurology, neurosurgery, anesthesiology, critical care, nursing and physician assistance. Fully updated, all of the chapters again consist of easy-to-read, bulleted points followed by a list of Key Points and important references allowing for rapid access to vital information critical for fast and timely decision making. The first section covers a myriad of important general principles while the second section addresses the major diagnostic categories of neurocritical care with several new topics; these include, for example, neuroleptic malignant syndrome and malignant hyperthermia, meningitis and encephalitis, and intraventricular hemorrhage. Readers will find the algorithms, tables, and illustrations throughout the book not only useful but truly invaluable in facilitating fast and accurate decision making. Accessible and comprehensive, Handbook of Neurocritical Care, Second Edition again fills a vital need by providing readers with a succinct and practical approach to the management of critically ill neurological and neurosurgical patients.

Monitoring in Anesthesia and Perioperative Care is a practical and comprehensive resource documenting the current art and science of perioperative patient monitoring, addressing the systems-based practice issues that drive the highly regulated health care industry of the early twenty-first century. Initial chapters cover the history, medicolegal implications, validity of measurement, and education issues relating to monitoring. The core of the book addresses the many monitoring modalities, with the majority of the chapters organized in a systematic fashion to describe technical concepts, parameters monitored, evidence of utility complications, credentialing and monitoring standards, and practice guidelines. Describing each device, technique, and principle of clinical monitoring in an accessible style, Monitoring in Anesthesia and Perioperative Care is full of invaluable advice from the leading experts in the field, making it an essential tool for every anesthesiologist.

This book helps prepare anesthesiology residents for safe practice of pediatric anesthesia. It features 26 index cases, which are classic clinical scenarios - all covering a spectrum of pediatric anesthesia, neuro-anesthesia, cardiac anesthesia, regional anesthesia, and anesthesia and critical care medicine. Chapters are divided into case-based formats with each chapter containing a scenario layout, useful equipment, major teaching points for an after simulation debrief, and a learner evaluation form. This tiered education method will assist learners in working though essential team building skills, increasing their knowledge base and finally having concrete items in which to further their professional skills. Each chapter starts with a learning objective and presents the simulation case before launching into the case progression, detailing how the simulated patient's vital signs, physical exam findings, and clinical picture change over the course of the simulation. They are concluded with a master checklist of items the learner should accomplish during the course of the simulation along with a section summary and important teaching points. Pediatric and Adult Anesthesiology Simulation Education is designed to be used by both academic programs and private practice groups. It is beneficial to anesthesiology residents who are currently in training as well as those who have recently graduated and are preparing for board exams.

This practical guide is ideal for healthcare professionals, including family medicine and sports medicine physicians, who wish to integrate peripheral joint and soft tissue injection procedures into their practices. Emphasis is placed on helping clinicians perform injections with accuracy and efficiency. Procedures are presented in a step-by-step fashion. A wealth of illustrations adds clarity, and fluoroscopic images are featured where applicable. Billing and coding are covered in order to aid readers in obtaining reimbursement. Chart documentation designed to improve patient management and medical-legal protection is presented via ready-to-use templates that can be inserted into office notes. Key information on needle gauge sizes and medication dosages is summarized in an easily accessible table. A useful discussion on conducting clinical trials is outlined as well.

Essential Anesthesia is a concise, accessible introduction to anesthetic practice. Now in its second edition, it provides a thorough overview of the science and practice of anesthesia. Part I describes the evaluation of the patient, the different approaches to anesthesia, and the post-operative care of the patient in pain. Part II introduces the essentials of physiology and pharmacology and their role in understanding the principles of anesthesia. The final part presents a step-by-step description of 14 clinical cases. These clinical vignettes give a very real introduction to the practicalities of anesthesia and will give the non-anesthetist physician an idea of how to prepare a patient for a surgical procedure. All chapters have been expanded and updated and an entirely new chapter on safety in healthcare has been added. This is the perfect introductory text for medical students, junior doctors and all operating theatre and critical care staff.

This edited collection is the first complete guide for rehabilitation professionals seeking to engage a whole-person, biopsychosocial, and mind-body medicine integrated approach to care. Drawing on the foundations of integrative medicine, Integrative Rehabilitation Practice (IRP) goes beyond the treatment of symptoms to explore multiple levels, roots, and possible contributing factors to individual's health experience. IRP acknowledges the complex inseparability of biological, behavioral, psychosocial, spiritual, and environmental influences. The book covers both the theoretical foundations of IRP and applications to practice in the fields of physical therapy, occupational therapy, yoga therapy, speech and language therapy, and many other professions. Featuring contributions from Matthew J. Taylor, Marlysa Sullivan, Andra DeVoght and other professionals, case studies, storytelling, and reflective exercises, this cross-disciplinary clinical training guide is essential reading for all rehabilitation professionals, as well as others interested in advancing whole-person care.

Originally published in 2005, Core Topics in Pain provides a comprehensive, easy-to-read introduction to this multi-faceted topic. It covers a wide range of issues from the underlying neurobiology, through pain assessment in animals and humans, diagnostic strategies, clinical presentations, pain syndromes, to the many treatment options, for example, physical therapies, drug therapies, psychosocial care and the evidence base for each of these. Written and edited by experts of international renown, the many concise but comprehensive chapters provide the reader with a guide to all aspects of pain. It is an essential book for anaesthetic trainees and is also an invaluable first reference for surgical and nursing staff, ICU professionals, operating department practitioners, physiotherapists, psychologists, healthcare managers and researchers with a need for an overview of the key aspects of the topic.

The modern obstetric anaesthetist must not only provide safe and effective pain-relief in labour and anaesthesia for Caesarean section, but also understand the wider role of the anaesthetist in the management of the pregnant woman. Originally published in 2002, Textbook of Obstetric Anaesthesia is a comprehensive, fully illustrated account of all aspects of modern obstetric anaesthesia. It provides useful, practical, evidence-based information on all aspects of labour ward management. Written by a multidisciplinary team of expert contributors, it features comprehensive chapters covering everything from departmental audit to cutting-edge practice for neonatal resuscitation and administration of mobile epidurals. It will be useful for both the trainee and practising obstetric anaesthetist.

Ankylosing Spondylitis in Clinical Practice is a concise, practical guide on the diagnosis and management of this debilitating condition. This book is aimed at clinicians who treat Ankylosing Spondylitis. It provides an authoritative, accessible guide to the diagnosis, management and treatment of ankylosing spondylitis.

With the introduction of cardiac surgery more than five decades ago and the use of the heart-lung machine for open heart surgical procedures granting the surgeon unlimited time in which to operate inside the heart, a complex task has been given to the Perfusionist. With a pairing of a perfusionist and a surgeon for each chapter, this book is an essential collection of techniques and protocols to aid in decision making in the operating room.

Minimally invasive or laparoscopic surgery is becoming increasingly commonplace, as technology has enabled a minimally invasive approach to be offered as a feasible alternative to conventional open surgery for a number of important surgical procedures. This comprehensive, but concise and practically oriented introduction to the subject was first published in 2004 and will be of value to all anaesthetists with an interest in minimally invasive techniques. It begins by covering the key aspects of basic physiology, moves on to patient preparation and positioning, monitoring, the anaesthetic procedures themselves (including possible complications and contraindications and easy-to-follow 'how to' guides for a number of key procedures) and, finally, post-operative pain. Written by a leading expert in the field, from a well-known European centre of excellence, it is essential reading for anaesthetists and intensivists at all levels of expertise.

Almost half of adults in the UK suffer from chronic pain. Yet this is often unrelated to any physical injury. So why does it still hurt? Research over the last few decades shows that many of us are victims of a devilish trick of the nervous system: our brains prolong pain long after our bodies have healed from injury. This leads to hundreds of billions of pounds being spent each year on treatments that sometimes do nothing and sometimes make matters worse. Paul Biegler, a science journalist and former doctor who has been on his own pain journey, investigates the true source of chronic pain - our brain's so-called neuroplasticity - and emerging therapies that can rewire the brain and end suffering. As he knows only too well, this doesn't mean pain is all in a person's head. Pain is real, but its meaning is often misunderstood. Through conversations with scientists, doctors, and people who have overcome chronic pain, Biegler shines a light on the rigorous new studies - and emotional personal stories - that are changing the way we understand and treat pain. Most importantly, he shows how to take control over persistent pain and truly heal.

Bedside Procedures for the Intensivist delivers practical tips and clear, step-by-step instruction on the most common procedures in the ICU. The convenient and portable handbook focuses on ultrasound-guided techniques, including an introduction to ultrasound physics and principles, while individual chapters provide concise "how-to" text supplemented with numerous full-color figures and tables that summarize key content. Residents, fellows, and trainees in critical care will benefit from the detailing of indications and contraindications for performing core procedures, while more experienced intensivists will find the book a reliable source of review material. Key procedures described include: * Ultrasound-guided vascular access * Ultrasound-guided drainage * Focused echocardiography * Airway management * Dialysis and apheresis * Pericardiocentesis * Insertion of vena cava filters * Percutaneous dilational tracheostomy * Open tracheostomy * Transbronchial biopsy * Percutaneous endoscopic gastrostomy * Intracranial monitoring

Focused on rotations in regional anesthesia and chronic pain, this book provides a structured review of the concepts covered in the American Board of Anesthesiology in-training exam. The first section of the book covers regional anesthesia with dedicated chapters on basic science, acute postoperative pain, and nerve blocks for neuraxial, lower and upper extremity blocks, and head and neck. The second section on chronic pain includes chapters on basic science and common pain conditions - including craniofacial pain, CRPS, neuropathic pain, and cancer pain. This section closes on multimodal analgesia and other treatment approaches. Each chapter presents a common clinical topic and is organized by indications, preparation, technique, complication, prevention, clinical pearls, and related ABA key points. Highlights must-know information in bold throughout the text. Concise, practical, and easy-to-read, this book will aid anesthesiology residents, certified nurse anesthetists, and medical students in their study regarding patient care practices on regional anesthesia and chronic pain. The book will also be useful to residents going into regional anesthesia and pain medicine subspecialties during the year of their anesthesiology training.

Neuromodulation implants are currently one of the most successful techniques in the treatment of chronic pain, a condition that affects more and more patients each year, leading to reduced quality of life as well as economic losses.Neuromodulation implants for pain are a relatively new technique and are being increasingly used around the globe. However, technical training is not available for every implanter as there are relatively few centers in the world. Further, refresher courses for low-rate implanters are not available. This book fills that gap by offering an update on the best techniques currently used, providing a step-by-step guide on how to perform these procedures correctly. Based on the experiences of leading physicians in the field, it also discusses how to manage both major and minor complications. Lastly, it covers the neuromodulatory intervention techniques used to treat chronic pain in various clinical areas. As such it is a valuable resource for pain physicians as well as neurosurgeons, orthopedists and anesthetists.

Ambulatory care can be a challenging setting in which to provide anesthesia - not all patients are suitable for rapid discharge post-operatively and opinions differ as to which types of surgery should be performed as day cases. This comprehensive guide delivers up-to-date, evidence-based advice on how to provide optimal anesthesia care for ambulatory surgery. Written by a leading clinical anesthesiologist, it provides clear guidance about how to handle particular patients in particular situations. The evidence and scientific knowledge for each issue are presented with reference to major studies and review papers, followed by practical advice based on the author's continuous clinical and scientific experience over 30 years. Topics include planning, equipping and staffing ambulatory units, pharmacology, basic concepts of ambulatory care, pre- and post-operative issues and current controversies. Clinical Ambulatory Anesthesia is essential reading for the clinical, postgraduate anesthesiologist as well as nurse anesthetists involved with ambulatory care.

The core clinical competencies in anesthesiology can be pretty blurry just how do they apply to real life? This book answers this question, incorporating the core clinical competencies into an engaging format that anesthesiologists like case studies. So, far from being a dry and dusty volume of forgotten lore, this book actually makes learning the competencies fun Written in the same engaging style as a number of other anesthesia books (specifically, the Board Stiff opus) by leading anesthesiologists from leading medical centers across the United States, this book will bring the core clinical competencies to life for residents, attendings, and medical students alike.

Simplify, simplify! Henry David Thoreau For writers of technical books, there can be no better piece of advice. Around the time of writing the first edition - about a decade ago - there were very few monographs on this s- ject: today, there are possibly no less than 20. Based on critical inputs, this edition stands thoroughly revamped. New chapters on ventilator waveforms, airway humidification, and aerosol therapy in the ICU now find a place. Novel software-based modes of ventilation have been included. Ventilator-associated pneumonia has been se- rated into a new chapter. Many new diagrams and algorithms have been added. As in the previous edition, considerable energy has been spent in presenting the material in a reader-friendly, conv- sational style. And as before, the book remains firmly rooted in physiology. My thanks are due to Madhu Reddy, Director of Universities Press - formerly a professional associate and now a friend, P. Sudhir, my tireless Pulmonary Function Lab technician who found the time to type the bits and pieces of this manuscript in between patients, A. Sobha for superbly organizing my time, Grant Weston and Cate Rogers at Springer, London, Balasaraswathi Jayakumar at Spi, India for her tremendous support, and to Dr. C. Eshwar Prasad, who, for his words of advice, I should have thanked years ago. vii viii Preface to the Second Edition Above all, I thank my wife and daughters, for understanding.

Drs. Eduardo D. Bruera and Russell K. Portenoy have completely revised and updated the widely respected Cancer Pain: Assessment and Management for the second edition of this unanimously praised book. This is a comprehensive, clinically oriented review of all aspects of the complex and multidimensional problem of cancer pain. The unique characteristics of cancer pain, including pathophysiology, clinical assessment, diagnosis, and pharmacological and nonpharmacological management are all discussed here in detail. Internationally recognized leaders in cancer pain research have contributed to many new chapters, including neuraxial analgesia, hospice and institution-based palliative care programs, bone pain, and cancer pain and palliative care in the developing world. Cancer Pain continues to be a scholarly but accessible text that is an essential resource for physicians, nurses, and medical students who treat suffering from cancer pain. Per the New England Journal of Medicine, This book should be in the library of every physician who comes into contact with patients with pain. It is truly superb.

Anesthesia Crash Course is uniquely positioned to address the needs of new trainees in anesthesia. This book is written in a conversational tone, avoiding unnecessary jargon and distilling the key concepts of anesthesia into easy-to-remember tidbits - an approach in increasing demand by medical students and junior physicians.
The audience for this book is chiefly new anesthesia residents, interns, medical students who rotate through anesthesia services, and nurse anesthetists. By demystifying the world of anesthesia, it provides a welcome resource to medical students and RNs who are considering additional training in this popular but poorly understood specialty. Surgical residents who feel they're not up to speed with what's happening on the other side of the "ether screen" would certainly also benefit from reading Anesthesia Crash Course.
New anesthesia trainees face an extremely daunting learning curve. As they progress through training, they will read longer and more detailed treatises on every aspect of modern anesthesia. It is not realistic to imagine that someone might finish such a book in the first week of his or her training! Anesthesia Crash Course wil serve as a bridge between a trainee's pre-anesthesia experience and more formal training. It can be read in the last month of internship, or in evenings while completing the first few weeks of anesthesia training. It can also serve as a medical student's accompaniment for a two-week anesthesia elective.

Nowhere in medicine is there a greater imperative to act than in the recognition and management of a patient's pain. This practical and evidence-based resource for emergency medicine and acute care providers will guide physicians in the selection of an effective therapy, define appropriate dosages to use and, equally important, when a treatment doesn't work, explain why, and what to do next. Starting with chapters on the assessment of pain, the safe and effective provision of analgesia in special populations, and featuring a reference table of drug names and interactions; the bulk of the coverage moves on to describe the provision of analgesia in the wide range of conditions likely to be encountered in the emergency department. The fundamental strengths of this approach are the comprehensive coverage, focus on practicality, basis in sound evidence, and authorship by specialists with extensive experience based on years of clinical practice.

With advances in ultrasound, birth defects are increasingly detected during pregnancy and may be amenable to surgical correction before delivery, to improve outcomes. This essential book discusses the different birth defects that can be treated during pregnancy and the important anesthetic considerations for the mother and fetus undergoing these procedures. Experts in the fields of anesthesiology, maternal fetal medicine, surgery, and pediatrics have come together to develop the content of this book. Enhanced throughout with full color images and illustrations, the book covers important topics such as spina bifida, twin-twin transfusion syndrome, sacrococcygeal teratoma, and lung masses, as well as fetal cardiac intervention, intrauterine transfusion, ex utero intrapartum treatment, and multidisciplinary approaches to fetal surgery. An invaluable guide for pediatric and obstetric anesthesiologists, anesthesiology, obstetrics, and surgical trainees, nurse anesthetists, and maternal-fetal medicine specialists.

Principles of Anaesthesia Equipment provides guidance on the safe use of a wide range of anaesthesia apparatus, edited by recognised experts based in Boston, USA and the University of the West Indies, Barbados. Divided into thirteen chapters, the book begins with the applied physics of anaesthesia equipment, before covering individual instruments and groups of instruments by chapter. Equipment covered includes anaesthesia machines and work stations, anaesthesia breathing systems, equipment for endotracheal intubation, electrocautery and lasers, equipment for regional anaesthesia, and ultrasound equipment for neuraxial blocks. The final chapter covers the use of simulators in anaesthesia training. Safety tips are included in chapters on pre-use checks of anaesthetic equipment, electrical safety, disinfection and sterilisation. A separate chapter on monitoring features capnography and state-of-the-art cardiac output monitors. Enhanced by 85 full colour illustrations, Principles of Anaesthesia Equipment is an essential resource for anaesthetists and anaesthesia trainees. Key Points Comprehensive guide to the safe use of a range of anaesthesia equipment Recognised editorial team from Brigham and Women's Hospital, Boston, USA and University of West Indies 85 full colour illustrations

This interdisciplinary account provides an integrated and practical guide to the management and treatment of burns. Experts from all the major disciplines involved in critical care have focused their attention on specific problems and areas of treatment involved in the care of burned patients. Although it is essentially a practical guide to the management of thermal injury, with explicit recommendations for courses of treatment, it also provides explanatory background information on the manifestations and clinical consequences of this common source of injury. Between them, the contributors encompass all the major facets of critical care of the burned patient: from initial assessment and monitoring, resuscitation, nutritional aspects, infection, anaesthesia and surgical management, right through to postoperative care and prognosis. The volume will be useful to specialists in critical care, intensive and emergency medicine, surgery and anaesthesia, and to all staff associated with intensive care and burns units.