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Books > Medicine > Other branches of medicine > Anaesthetics
From childhood to millennials and beyond, it is essential we take a
life-course approach to occupation and work when in pain. Written
by experts in the field, Work and pain: A lifespan development
approach provides an authoritative summary and analysis of the
relationship between all forms of occupation and pain. Divided into
three sections, 'Foundations', provides a critical account of the
nature of work and of pain. The next section, 'Investigations',
analyses the bi-directional relationships between children living
with chronic pain and parents; between being a child in pain and
schooling; what it is to be a millennial in pain; the implications
of pain which is determined to be occupational in origin; and
enabling a life lived well with pain as one ages. The final
section, 'Interventions', critically reviews what individuals can
change, what workplaces can do, and how governments can innovate to
try to maximise workability for people living with pain in the
context of current working practices. Work and pain: A lifespan
development approach investigates and guides the reader on
understanding how and why people seek to be occupied, and how we
can maximise their social and personal involvement when living with
ongoing pain, suggesting ways forward in research, practice, and
policy.
Global ageing, in both developed and undeveloped countries, has
made the need for high-quality knowledge and research on
anaesthesia for the elderly increasingly important. The second
edition of Anaesthesia for the Elderly Patient offers the
anaesthetist guidance on the evaluation and management of elderly
patients that present at hospital for surgery and anaesthesia.
Containing 15 chapters on key topics such as emergency anaesthesia,
orthopaedic surgery, and neurosurgery, as well as a new chapter on
'Anaesthesia for Non-Theatre Environments', this book ensures the
reader is fully prepared for the clinical challenges they may face
when working with this ever-growing vulnerable group. Part of the
Oxford Anaesthesia Library series, this second edition of
Anaesthesia for the Elderly Patient offers a fully up-to-date
comprehensive introduction to the major clinical issues facing
anaesthetists working with elderly patients. All chapters are fully
updated and content is presented in a concise and easy to read
format, with helpful key points listed at the start of each
chapter.
Pierre Pfutsch zeigt, dass mit dem Notfallsanitatergesetz aus dem
Jahr 2014 die berufliche Tatigkeit im Rettungsdienst stark
aufgewertet wurde. Den Berufsangehoerigen wurde eine dreijahrige
Ausbildung, die Moeglichkeit zur akademischen Bildung und sogar die
Ausubung bestimmter heilkundlicher Massnahmen zugestanden. Nach
Ansicht des Autors wird seitdem die Frage nach Delegation bzw.
Substitution arztlicher Leistungen verhandelt. Zu Beginn waren
Rettungssanitater zum uberwiegenden Teil ehrenamtliche Mitarbeiter,
die kaum mehr als eine Erste-Hilfe-Ausbildung besassen und
lediglich fur den Transport zustandig waren. Aufgrund des
medizinischen Fortschritts und der steigenden Unfallzahlen im
Strassenverkehr setzte Ende der 1960er-Jahre eine
Professionalisierung dieses Berufsfeldes ein. Treffen
Notfallsanitater vor dem Notarzt am Unfallort ein und mussen bei
lebensbedrohlichen Zustanden tatig werden, begeben sie sich in eine
juristische Grauzone, die einige Unsicherheiten mit sich bringt.
Der Autor: Dr. Pierre Pfutsch ist Historiker und wissenschaftlicher
Mitarbeiter am Institut fur Geschichte der Medizin der Robert Bosch
Stiftung in Stuttgart und forscht dort zur deutsch-deutschen
Zeitgeschichte von Gesundheitsberufen.
Thoroughly revised to reflect new advances in the field, Savage
& Aronson's Comprehensive Textbook of Perioperative and
Critical Care Echocardiography, Third Edition, remains the
definitive text and reference on transesophageal echocardiography
(TEE). Edited by Drs. Alina Nicoara, Robert M. Savage, Nikolaos J.
Skubas, Stanton K. Shernan, and Christopher A. Troianos, this
authoritative reference covers material relevant for daily clinical
practice in operating rooms and procedural areas, preparation for
certification examinations, use of echocardiography in the critical
care setting, and advanced applications relevant to current
certification and practice guidelines. Contains significantly
expanded content on the use of TEE and transthoracic
echocardiography (TTE) in the critical care setting-more than twice
the material offered in the previous edition and ideal for Critical
Care Echocardiography certification preparation Features new
chapters on transcatheter procedures Includes up-to-date
information on organizing education and training in perioperative
echocardiography and on ultrasound for vascular access, assessment
of the patient with endocarditis and using echo during
resuscitation, epiaortic and epicardial imaging; endovascular
management of thoracic vascular disease, transcutaneous management
of valvular heart disease, and more Chapters provide key point
summaries and review questions and answers throughout, making it an
excellent tool for study and review Enrich Your eBook Reading
Experience Read directly on your preferred device(s), such as
computer, tablet, or smartphone. Easily convert to audiobook,
powering your content with natural language text-to-speech.
Preparing to Pass the FRCA: Strategies for Exam Success equips you
with the skills of effective revision and time management to
maximise your success. The book takes each element of the FRCA exam
and provides tips and techniques on how to approach the different
types of questions, and includes worked examples with answers, so
that you can undertake your revision accordingly. It will help you
to target your revision so you can cover the breadth of topics in
the FRCA syllabus and ensure that you structure your revision in an
efficient way, as well as helping you to approach the exam and
convey your knowledge through writing or speech correctly. Taking
many common problems candidates face when preparing for this exam,
the book covers motivation, effective studying, managing nerves,
and scheduling time to study amongst other commitments.
Anesthesia Emergencies contains relevant step-by-step information
on how to detect, manage, and treat complications and emergencies
during the perioperative period. Concisely written, highlighted
sections on immediate management and risk factors reinforce
essential points for easy memorization, while consistent
organization and checklists provide ease of learning and clarity.
Anesthesia providers will find this book an indispensable resource,
describing assessment and treatment of life-threatening situations,
including airway, thoracic, surgical, pediatric, and cardiovascular
emergencies. The second edition contains a revised table of
contents which presents topics in order of their priority during
emergencies, as well as two new chapters on crisis resource
management and disaster medicine.
Pediatric Anesthesiology: A Comprehensive Board Review is a
high-yield, streamlined study aid. It contains more than 800,
realistic, multiple-choice questions tailored to the keywords in
the outline of the Pediatric Anesthesiology Certification
Examination published by the American Board of Anesthesiology
(ABA). To maximize reading efficiency, annotated answers are
followed by bulleted key facts and key references. With this book
as guide, readers will be able to efficiently prepare for the
written primary certification pediatric anesthesiology board exam.
Das Buch beinhaltet ubersichtlich und pragnant eine
Zusammenstellung aller in der Schmerztherapie wichtigen
Arzneimittel, deren Wirkungen, Nebenwirkungen und
Kombinationsmoeglichkeiten. Somit leistet es einen wertvollen
Beitrag zur Umsetzung einer adaquaten, an die individuelle
Situation des Patienten angepassten Schmerztherapie. In der 7.
Auflage wurden die Inhalte komplett uberarbeitet und auf den
aktuellen Wissensstand gebracht. Des Weiteren wird der Einsatz von
Cannabinoiden diskutiert und die Therapie von Migrane mit CGEP
Antikoerper sowie CGRP Antigonisten neu behandelt. Ferner wird das
Nebenwirkungsspektrum gut bekannter Schmerzmittel neu diskutiert.
An indispensible pocket reference for critical care trainees,
consultants and intensive care nurses, this new Oxford Specialist
Handbook provides an evidence-based approach to all aspects of
patient care in cardiothoracic intensive care. Written in the
Oxford Handbook format, each section is comprised of short topics
ideal for quick reference. Portable, accessible, and reliable, the
book equips the clinician with the basic scientific and clinical
knowledge to safely assist in formulating management plans, based
on current best practice. Cardiothoracic Critical Care addresses
major recent developments in cardiothoracic critical care, such as
cardiovascular support, mechanical support (IABP, VADS, and ECMO),
and drug therapies such as nitric oxide and other new inotropic
agents. The management of postoperative bleeding is covered in
detail, as it increasingly involves updated fluid and blood-product
therapies including blood preservation techniques such as cell
salvage.
The role of the operating department practitioner has evolved
considerably in recent years, and both trainee and practising ODPs
need a practical, up-to-date resource on terminology and current
practice. Each entry in the second edition of Operating Department
Practice A-Z has been fully updated and contains both a short
definition and a more detailed description of the term or
procedure, with supporting information to give the reader a deeper
understanding of the field. In addition, the book contains useful
appendices on medical terminology and abbreviations, normal values,
medical and scientific symbols, and a list of useful websites for
further reference. Written by two of the UK's most experienced
Operating Department Practice lecturers, Operating Department
Practice A-Z, second edition provides practical, concise
information for all peri-operative staff members.
The literature increasingly supports the position that elective
surgery on poorly prepared chronic pain patients is not smart and
ultimately in no-one's best interest. Just as patients with
ischemic heart disease, obstructive lung disease, or diabetes can
and need to be optimized prior to surgery, so too should chronic
pain patients. The complex dynamics of chronic pain require a
priori intervention - targeting enhanced recovery before surgery.
Preoperative Optimization of the Chronic Pain Patient is a
groundbreaking collaborative effort written by medical and
psychological experts in the field of pain management with a
specific interest in the perioperative arena. The modern emphasis
on biopsychosocial-spiritual care is as important here as anywhere
in medicine as comprehensive mind-body preparation is essential to
optimize outcomes. That preparation entails replacing toxic
thoughts (e.g., anxiety and pain catastrophizing) and behaviors
(e.g., tobacco and opioid dependence; poor sleep, nutrition and
exercise patterns) with beneficial ones. Such replacement of
maladaptive cognitive-behavioral patterns requires the enhancement
of patients' motivation and the cultivation of healthy habits. This
book provides the framework for an evidence-based synthesis of
counseling and intervention for preoperative optimization of
chronic pain patients. Clinicians will learn to improve health and
economic outcomes affecting their patient, health care team, and
institution; to identify and target relevant issues, utilizing a
holistic yet focused approach to optimization; and to collaborate
with the patient and requisite multidisciplinary care team in a
streamlined, efficient, and effective manner.
Opioids have been used as analgesics for many years, and their use
in the management of acute pain related to trauma and surgery is
well established. However, patients with persisting pain need a
pain management plan that brings relief of symptoms without adverse
effects in both the short and longer terms. The prescribing of
opioids for chronic non-cancer pain has increased substantially
since the first edition of this pocketbook was published, prompting
considerable debate regarding the appropriateness of prescribing
for this indication and the potential harms to individuals and to
society that may result from this trend. This second edition of
Opioids in Non-Cancer Pain brings clinicians up to date on the
current use of opioid drugs in patients with non-cancer pain, and
highlights the potential benefits of therapy as well as the
problems that can occur. The edition includes new chapters on the
history of opioids to help contextualize the following discussions,
and a new chapter covering the emerging field of pharmacogenomics
which provides explanations for differing responsiveness to opioids
and propensity to adverse effects. An international perspective on
opioid prescribing trends is also a valuable new addition.
Most people have back surgery to relieve pain, but all too often it
doesn't help. For the half million people who undergo back surgery
each year, and the additional million who are seriously
contemplating it, Do You Really Need Back Surgery?, Second Edition,
is a godsend-an informed, reliable guide to when you should
consider surgery and when you should not. Written by an
internationally recognized expert in nerve and spinal surgery, this
highly readable guide covers everything back patients need to know
to make informed decisions about their treatment. The book
discusses the details of spinal anatomy; explains the difference
between acute, chronic, and recurring pain; shows how to keep the
spine healthy; and defines such terms as spurs, stenosis, and
slippage. It also reveals what clues your physician uses to predict
whether a given type of pain is likely to go away with rest and
exercise, and which types may become emergencies. Dr. Filler
discusses the risks of surgery, the decisions you may be faced with
and what options you have, and your expectations for recovery. He
provides detailed explanations of the wide array of spinal
injections and surgeries, including discectomies and fusions, as
well as innovative procedures such as electrothermic and laser
techniques and artificial disks. He explains the various medical
imaging and diagnostic tests available and even covers the
complexities of health insurance. The new and extensively revised
edition of this book is expanded to cover the impact of dozens of
new advanced technologies in spinal diagnostics and treatment that
have emerged in the eight years since the original very successful
edition. Advances in new types of pain medications and new types of
surgeries that minimize recovery time and achieve better outcomes
are explained. In addition, this book examines the problems in the
case of a few new devices in spinal surgery where money from
medical device manufacturers has led to distorted research that had
to be withdrawn. A major change from the previous edition is the
inclusion of two chapters that describe a series of different nerve
entrapment syndromes that can cause headache, neck, shoulder and
arm pain as well as causing buttock and leg pain - but are not
caused by spine problems. This includes information about
piriformis syndrome causing sciatic, thoracic outlet syndrome
causing shoulder and neck pain and about pudendal nerve entrapments
causing groin and pelvis pains. From Pilates to pedicle screws, and
from osteoporosis to spina bifida, Do You Really Need Back
Surgery?, Second Edition, covers all the questions your doctor
usually doesn't have the time to answer. Featuring almost 100
illustrations, it is an essential manual for every neck or back
pain sufferer.
Critically ill paediatric transfers have expanded rapidly over the
past ten years and, as such, the need for transfer teams to
recognise, understand and treat the various illnesses that they
encounter is greater than ever. This highly illustrated book covers
a multitude of clinical presentations in a case-based format to
allow an authentic feel to the transfer process. Written by
clinicians with experience in thousands of transfers, it brings
together many years of experience from a world-renowned hospital.
Following the case from initial presentation, to resuscitation and
referral and finally with the transfer itself; the book explores
the clinical stabilisation, human factors decisions and logistical
challenges that are encountered every day by these teams. Following
the entire journey, this is an ideal resource for all professionals
who may be involved in critical care transfer and retrieval
medicine, particularly those working in paediatrics, emergency
medicine, anaesthesiology, intensive care, or pre-hospital
settings.
Basic Anesthesiology Examination Review is a high-yield,
streamlined study aid specifically designed for Anesthesiology
residents preparing for the American Board of Anesthesiology (ABA)
Basic Anesthesiology Exam. Chapters deliver succinct and
efficiently communicated summaries of all content listed in the ABA
exam outline, plus highlighted key facts, mneomnics, and relevant
images and diagrams. Chapters conclude with board-style practice
questions and annotated answers, followed by key references and
further reading. With this book as a guide, readers will be able to
efficiently prepare for the Basic Anesthesiology Examination and
master the key facts and concepts that provide the scientific
roundation for the practice of Anesthesiology.
Authored by top anesthetists, this Second Edition of Primary FRCA
in a Box contains over 200 revision flashcards addressing almost
all the topics needed to pass the Primary FRCA. Broad and
wide-ranging subject areas are covered in easy-to-learn note
format, including physiology, pharmacology, physics, and clinical
measurement. The cards include key diagrams to aid understanding
and are easy to reproduce in the oral exam.The cards include key
diagrams to aid understanding and are easy to reproduce in the oral
exam. Using standard question formats from the Royal College exams,
Primary FRCA in a Box is an essential tool for effective revision
and preparation for the Primary FRCA exams. It also provides
essential revision for candidates studying for the Final FRCA exam
who wish to have a concise review of Primary FRCA topics. These
flashcards are recommended for all qualified and trainee
anaesthetists and their trainers, and related health professionals.
Pain Medicine, a relatively new specialty, has proven increasingly
relevant to medical practitioners in every field. The specialism of
pain has emerged over the past 50 years, largely due to the
persistence of experts and new medical evidence that points to its
necessity. Today, it is a distinct and integral part of global
medical practice. Landmark Papers in Pain offers a comprehensive
inventory of over 80 key studies in pain medicine from the last 100
years. Each paper is accompanied by a concise commentary on the
significance of the original findings written by an expert in pain.
The reviews discuss how the paper influenced the development of the
speciality, and how the findings have advanced our global
comprehension of pain. Together, the selected papers and reviews
chart the growth of an embryonic field into the modern speciality
of pain medicine. Complied by leading specialists in the field, the
papers included in this book are significant for any student,
researcher, clinical practitioner, or medical historian interested
in pain medicine. Organised into eight distinct topics and
cross-referenced by topics and author of original paper, the book
is comprehensive in its coverage and easy to use. A review of the
contemporary and historical research that shaped the speciality of
pain, Landmark Papers in Pain is essential reading for all medical
practitioners with an interest in pain medicine.
The effective management of pain from cancer is a top priority for
patients, carers and healthcare professionals, and has been the
subject of extensive research. Approximately two-thirds of cancer
patients will experience severe pain, and many of them will have
more than one pain. However, because of the increasing number of
available treatments for cancer, patients are surviving for longer
periods, and are developing complex consequences of their cancer
and its treatment, such as central and peripheral neuropathic pain
syndromes. Approximately 8 - 10% of cancer pain remains unrelieved
by conventional means.
Interventional cancer pain management implies the use of invasive
techniques, such as neuraxial (epidural, intrathecal and
intracerebroventricular) drug administration, brachial and lumbar
plexus blocks, autonomic blockade, neurolytic blocks and cordotomy.
It can also include TENS, acupuncture and complementary therapies.
This book describes specifically the difficult pain problems that
are now faced in palliative care and highlights the need for
greater collaboration between the disciplines of pain medicine and
palliative care. It refers to the psychological and spiritual needs
of patients, and provides patient experience data on specialist
techniques. The book is an invaluable resource for all healthcare
professionals working in palliative care, pain management, and
primary care to inform them about the range of interventional
techniques available, with evidence of efficacy, side effects and
management advice.
Structured Oral Examination Practice for the Final FRCA offers
well-researched, relevant, and carefully constructed questions with
evidence-based answers. The book specifically addresses the new
clinical emphasis in the FRCA examination, giving candidates an
insight into the way the viva works, offering general guidance on
examination techniques, and providing readily accessible
information relating to a wide range of potential questions. The
book is organized into 16 chapters, each offering trainees and
trainers complete examinations as in the real structured oral
examination, covering around 70 relevant topics. Each chapter
includes clinical anaesthesia and basic science broadly organized
into the six areas covered by the exam: long-cases, short-cases,
applied anatomy, physiology, pharmacology and clinical measurement.
The book also includes a hot topics chapter addressing recent
advances beloved of examiners.
In the 21st century, people in the developed world are living
longer. They hope they will have a healthy longer life and then die
relatively quickly and peacefully. But frequently that does not
happen. While people are living healthy a little longer, they tend
to live sick for a lot longer. And at the end of being sick before
dying, they and their families are frequently faced with daunting
decisions about whether to continue life prolonging medical
treatments or whether to find meaningful and forthright ways to die
more easily and quickly. In this context, some people are searching
for more and better options to hasten death. They may be
experiencing unacceptable suffering in the present or may fear it
in the near future. But they do not know the full range of options
legally available to them. Voluntary stopping eating and drinking
(VSED), though relatively unknown and poorly understood, is a
widely available option for hastening death. VSED is legally
permitted in places where medical assistance in dying (MAID) is
not. And unlike U.S. jurisdictions where MAID is legally permitted,
VSED is not limited to terminal illness or to those with current
decision-making capacity. VSED is a compassionate option that
respects patient choice. Despite its strongly misleading image of
starvation, death by VSED is typically peaceful and meaningful when
accompanied by adequate clinician and/or caregiver support.
Moreover, the practice is not limited to avoiding unbearable
suffering, but may also be used by those who are determined to
avoid living with unacceptable deterioration such as severe
dementia. But VSED is "not for everyone." This volume provides a
realistic, appropriately critical, yet supportive assessment of the
practice. Eight illustrative, previously unpublished real cases are
included, receiving pragmatic analysis in each chapter. The
volume's integrated, multi-professional, multi-disciplinary
character makes it useful for a wide range of readers: patients
considering present or future end-of-life options and their
families, clinicians of all kinds, ethicists, lawyers, and
institutional administrators. Appendices include recommended
elements of an advance directive for stopping eating and drinking
in one's future if and when decision making capacity is lost, and
what to record as cause of death on the death certificates of those
who hasten death by VSED.
This book offers a comprehensive solution to any person wishing to
sit, and ultimately pass, the SAQ paper for the Final FRCA exam. It
is designed specifically to fit the examination format, with each
double page spread containing a sample question and detailed model
answer, acting both as a revision guide and as a template for
answering similar questions in the exam. It includes the most
recent guidelines and evidence base, whilst also covering in detail
areas not included in other revision books. Written by two recent
and successful exam candidates, and a highly respected senior
anaesthetist, this book holds the key to passing the final FRCA
examination.
How can I teach more interactively? What is the best way to use
visual aids? Why should I vary my teaching method? How should I
prepare for a lecture? When should I use a simulator? Good teaching
skills are essential for passing on knowledge so that it will be
retained and practised for a lifetime. Thus being able to teach
well is vital to patient care. This book is written for the busy
clinician to help improve their teaching and pass their skills and
learning on to others in the most effective way. The text covers
every aspect of teaching, from lesson planning and how to use
resources, to evaluating teaching and dealing with difficult
situations. A combination of practical advice, step-by-step
instructions and sample lesson plans will help and inspire the
reader to become the best teacher possible. The text is also
written for those who teach others to teach; for those running a
course for their department, or running official teacher training
courses. The Notes for Trainers section within each chapter gives
specific guidance, helpful tips and sample lesson plans to help you
run a new course. The authors share their extensive range of
clinical and teaching experience in this highly readable book.
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