This volume presents a comprehensive, up to date and practical approach to creating an ERAS program for GI surgery. The first sections review the evidence underlying individual elements of ERAS, including evidence from laparoscopic procedures when available or pointing to evidence gaps where more research is required. These are written by experts in the field, including surgeons, anesthesiologists, nurses, and physiotherapists. The format is in the style of a narrative review, with narrative evidence review, and concluding with a table with "take home messages" and 3-5 key references for readers interested in more depth in each topic. Each chapter also addresses management of common complications and patient selection or exceptions. Subsequent chapters address practical concerns, including creation of a pathway team, project management and engaging administration. Experts contribute real-world examples of their pathways for a variety of procedures, including colorectal surgery, bariatric surgery, upper GI and hepatobiliary surgery, enabling the user to have a starting point for creating their own programs. The SAGES Manual of Enhanced Recovery Programs for Gastrointestinal Surgery will be of great value to fully trained surgeons, anesthesiologists, nurses and administrators interested in initiating an ERAS program.

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

This book synthesizes the current research on headache triggers and details how improving the measurement properties of trigger assessments can benefit clinical and research efforts. The book begins with a detailed exploration of the history of triggers and their use in attempts to assign causes to headache attacks. Subsequent chapters then expound on the existing schools of thought on headache triggers with discussions of understudied influences on the causal assignment process, such as the role of individual trigger beliefs and perceptions. After laying this groundwork, the practical application of trigger assessment is thoroughly detailed, including assessment design types and methods of analysis. Chapters then outline the applications of trigger assessment in research and clinical practice. To conclude, the book relays descriptions of future directions and evolving theories in the area. Concise and comprehensive, Assessing Headache Triggers is an invaluable resource for clinicians who treat patients and investigators who aim to improve the lives of individuals with headache through their research.

Make breathwork an indispensable part of your everyday self-care routine with this step-by-step guide to mindful breathing. New science has revealed the importance of breathwork to balance the body, focus the mind, relieve stress, address anger issues and so much more! This little self-care book will take you on a breathtaking journey of holistic healing, featuring: -A down to earth guide to tackle over 50 step-by-step techniques to use at home -Detailed information based on a 360 degree approach to improving breathing techniques written by an expert in the field -Features practices, routines and exercised accompanied by step-by-step illustrations Dive deep into the pages of this brilliant breathwork book to explore expert advice on a diverse range of topics, including body position, depth of breath, speed of breath, visualization, duration and repetition. These easy-to-follow techniques further include conscious and connected breathing, holographic breathwork, and qi gong breathwork, all encompassed within a bite-sized self-help bible full of friendly advice and accompanying illustrations to help make life-transforming change a reality for you! A recent study suggests that pranayama - a form of yoga breathing, can decrease stress-related inflammation, in addition to reducing stress, lowering blood pressure and improving immunity. It's time to tap into the ever-growing trend of wellness, and immerse yourself in the power of breathing, from slowing down and being aware of your breath, to recognizing your own unique rhythms, this all-encompassing self-care book truly does have it all. Did you know that self-care is a vital tool for navigating the challenges of modern living? In a society where stress and anxiety mounts and self-esteem takes a dive, it can be challenging to know where to begin. Don't worry, DK has got you covered! Whether you're experiencing stress and anxiety in your work or personal life and you're seeking a wider range of self-care practices, or you wish to widen your knowledge and experience on breathing techniques through yoga and meditation, this wonderful well-being book has something for everyone to discover. It's time to wake up to the true power of breathwork and enhance the quality of your life for the better. At DK, we believe in the power of discovery. So once you've completed Breathwork why not explore more books in DK's Little Book of Self-Care series? Discover how to make aromatherapy an indispensable part of your everyday self-care routine in Aromatherapy, or immerse yourself in mindfulness massage with Trigger Points.

Trauma patients present a unique challenge to anesthesiologists, since they require resource-intensive care, often complicated by pre-existing medical conditions. This fully revised new edition focuses on a broad spectrum of traumatic injuries and the procedures anesthesiologists perform to care for trauma patients perioperatively, surgically, and post-operatively. Special emphasis is given to assessment and treatment of co-existing disease, including surgical management of trauma patients with head, spine, orthopedic, cardiac, and burn injuries. Topics such as training for trauma (including use of simulation) and hypothermia in trauma are also covered. Six brand new chapters address pre-hospital and ED trauma management, imaging in trauma, surgical issues in head trauma and in abdominal trauma, anesthesia for oral and maxillofacial trauma, and prevention of injuries. The text is enhanced with numerous tables and 300 illustrations showcasing techniques of airway management, shock resuscitation, echocardiography and use of ultrasound for the performance of regional anesthesia in trauma.

This practical book provides a handy reference for the doctor confronted with patients complaining of headache. Headache is one of the most common complaints seen in the outpatient or ambulatory care setting, and may be caused by a wide variety of conditions. This book clearly explains up-to-date headache epidemiology, impact, and pathogenesis, and walks the reader through the steps to evaluating and treating the patient presenting with primary or secondary headache disorders. Also included are reviews of common headache comorbidities, including cardiovascular disease and stroke, epilepsy, fibromyalgia and mood disturbance. Copious use of easy-to-understand figures, tables, and algorithms make this book a useful and practical tool in the clinic. Guidance on selecting diagnostic tests and specific treatment protocols are provided. Treatment recommendations are evidence-based with full referencing and include emerging therapies. Sections on evaluating and treating headaches in children, women during pregnancy, and the elderly complete this comprehensive reference. The likely readership will include the following: neurologists, general physicians, doctors in training, hospital pharmacists, primary care physicians, nurses and nurse practitioners.

Authored by three world experts, this is a clinically focused book on pediatric anesthesia. "The Manual", as it is known, has long dominated the market for a succinct and practical resource on administering anesthesia to children and is used by residents, general anesthesiologists, nurse anesthetists, and pediatric anesthesiologists. This new edition retains the basic structure of the book and is updated throughout. Text-heavy in the current edition, the Seventh Edition features the addition of figures to chapters where they are especially helpful (eg, the chapter on cardiovascular surgery and cardiac procedures) and makes greater use of headings to break up the text and guide reading. From reviews of the Sixth Edition:" This is an extremely well written book that I would recommend highly to anyone involved in anaesthetizing children. It is comprehensive enough to provide an excellent reference for trainees and general anaesthetists who occasionally deal with paediatric cases, while at the same time giving valuable supplemental information for paediatric anaesthetists encountering an unusual procedure or condition. In short, this is a book that would make a welcome addition to any anaesthetist's mobile library." --Anaesthesia

Nunn's Applied Respiratory Physiology, Ninth Edition, is your concise, one-stop guide to all aspects of respiratory physiology in health, disease, and in the many physiologically challenging situations and environments into which humans take themselves - coverage is from basic science to clinical applications. Trusted for over 50 years, this most comprehensive single volume on respiratory physiology will prove invaluable to those in training or preparing for examinations in anaesthesia, intensive care, respiratory medicine or thoracic surgery - as well as an essential quick reference for physiologists and the range of practitioners requiring ready access to current knowledge in this field. Now fully revised and updated, this ninth edition includes a larger page format for improved clarity, as well as full access to the complete, downloadable eBook version. This incorporates BONUS chapters, handy topic summaries, interactive self-assessment material and a NEW series of expert lectures on key topics. The result is a more flexible, engaging and complete resource than ever before. Enhancements to this edition include: A new dedicated chapter on obesity - covering the effects of this global challenge on the physiology of the respiratory system in health and disease, in both adults and children Expanded coverage of the adverse effects of hyperoxia - including the physiology of the now popular technique of high-flow nasal therapy A revised section on air pollution - reflecting the growing importance and understanding of the impact of pollution on the lungs and other body systems, along with the latest worldwide guidelines Detailed coverage of artificial ventilation during general anaesthesia - covering post-operative respiratory complications and the physiological basis of current best-practice for optimizing ventilation Print comes with enhanced eBook - includes access to the complete, fully searchable text, PLUS: bonus chapters handy chapter summaries interactive self-assessment material a NEW series of 25 expert lectures focusing on the most essential topics in respiratory physiology

Introduction to Pain and its relation to Nervous System Disorders provides an accessible overview of the latest developments in the science underpinning pain research, including, but not limited to, the physiological, pathological and psychological aspects. This unique book fills a gap in current literature by focussing on the intricate relationship between pain and human nervous system disorders such as Autism, Alzheimer Disease, Parkinson s Disease, Depression and Multiple Sclerosis. This fully illustrated, colour handbook will help non-experts, including advanced undergraduate and new postgraduate students, become familiar with the current, wide-ranging areas of research that cover every aspect of the field from chronic and inflammatory pain to neuropathic pain and biopsychosocial models of pain, functional imaging and genetics. Contributions from leading experts in neuroscience and psychiatry provide both factual information and critical points of view on their approach and the theoretical framework behind their choices. An appreciation of the strengths and weaknesses of brain imaging technology applied to pain research in humans provides the tools required to understand current cutting edge literature on the topic. Chapters covering placebo effects in analgesia and the psychology of pain give a thorough overview of cognitive, psychological and social influences on pain perception. Sections exploring pain in the lifecycle and in relation to nervous system disorders take particular relevance from a clinical point of view. Furthermore, an intellectually stimulating chapter analysing the co-morbidity of pain and depression provides a philosophical angle rarely presented in related handbooks. The references to external research databases and relevant websites aim to prompt readers to become critical and independent thinkers, and motivate them to carry out further reading on these topics. Introduction to Pain and its relation to Nervous System Disorders is essential reading for advanced undergraduate and postgraduate students in neuroscience, medical and biomedical sciences, as well as for clinical and medical healthcare professionals involved in pain management.

Life Beyond Pain "Clear, engaging, and with the authenticity of personal experience." -Patricia Morley-Forster, MD, FRCPC Anesthesiology and Pain Medicine, Founder Status; Professor Emerita Dept of Anesthesiology and Perioperative Care, Western University, London, Canada; 2013 Canadian Anesthesiologists' Society Gold Medal Winner #1 New Release in Chronic Pain and Pain Medicine Long-term pain management. Living with pain offers more than just physical challenges. For those of us navigating the treacherous waters between self-care and normal daily life, there are an overwhelming number of obstacles to overcome. Taming Chronic Pain takes a brutally honest-and at times humorous-look at the major issues associated with long-term pain management, offering practical advice, insight, exercises and discussion of everything from basic scientific knowledge to the psychological effects of chronic pain. Written by a Fellow Pain Sufferer. While dealing with her own chronic pain, Amy has done years of extensive research on every aspect of long-term physical suffering. Her scientific skills and personal experience have given her the expertise to provide this somewhat tongue-in-cheek, knowing glimpse into the many areas of living with chronic pain that no one but a fellow sufferer would recognize. Taming Chronic Pain clarifies with easy to understand diagrams and cartoons. Taming Chronic Pain is a must-have for any chronic pain sufferer. Discover: Tools to help you live your life with chronic pain, whether back, neck, or shoulder pain; arthritis; migraines; or nerve pain A helpful approach to pain management that takes medicine, meditation, and psychology into account Lifestyle suggestions to lessen the effects of pain Tips and tricks for managing relationships while managing pain, and advice for caregivers Readers of books like Mind Over Mood, Pain Free, or 7 Steps to a Pain-Free Life will find answers, companionship and more in Taming Chronic Pain.

Maximum oxygen uptake during exercise is one of the best predictors of operative mortality and of prognosis in chronic cardiac or respiratory disease. Cardiopulmonary exercise tests (CPET) are therefore an increasingly common component of pre-operative assessment and the management of patients with chronic cardiopulmonary problems. Part of the Oxford Respiratory Medicine Library (ORML) series, A Practical Guide to the Interpretation of Cardiopulmonary Exercise Tests, Second Edition provides readers with a practical, concise, and accessible approach to all aspects of cardiopulmonary exercise tests (CPET). CPET is often perceived as being incredibly complex to evaluate so this book breaks down interpretation to simple steps, allowing readers to rapidly understand the key points underpinning the application and interpretation of CPET. The text is focused and with the use of a substantial number of figures, learning points, and self-test questions helps readers to build confidence in undertaking and interpreting CPET. The second edition has been extended and extensively revised in line with the latest international guidelines and evidence, and includes 16 fully updated chapters, 4 new chapters, and a new section of worked examples has been added.

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.

Offering complete, up-to-date coverage of everything from basic science through current clinical practice, Hall Anesthesia: A Comprehensive Review, 6th Edition, provides 1,000 review questions that help you improve your mastery of anesthesiology. You'll reinforce your current knowledge, identify areas that require more study, and improve your long-term retention of the material - all while preparing for certification and re-certification examinations as well as clinical practice. Provides 1,000 completely updated review questions (more than 100 are brand-new) with explanations in the answers. Every question has been reviewed by at least one additional author and vetted by Mayo residents to ensure a consistent level of difficulty. Familiarizes you with the current ABA exam content and format, with challenging board review questions and answers covering the latest discoveries and techniques in physics, biochemistry, and anesthesia equipment; the newest drugs and drug categories; and the most recent information on all anesthesia subspecialties. Allows you to test interactively online with a scoreboard and notes field. Offers discussions after each question, along with corresponding page references to major anesthesia texts so it's easy to find more information on any subject. Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices

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.

With medication errors in healthcare an internationally recognised problem, this much-needed book delivers a comprehensive approach to understanding medication safety in the perioperative period. It reviews what medication adverse events are, and how often and where these errors occur, as well as exploring human cognitive psychology and explaining why things can go wrong at any time in a complex system. Detailed discussions around mistakes, judgement errors, slips and lapses, and violations, are presented alongside real-life examples of the indistinct line between negligence and inevitable error. The co-authors bring a wide and practical perspective to the theories and interventions that are available to improve medication safety, including legal and regulatory actions that further or impede safety. Essential reading for anesthesiologists, nurses, pharmacists and other perioperative team members committed to improving medication safety for their patients, and also an invaluable resource for those who fund, manage and regulate healthcare.

Some important constraints of anesthesia must be taken into consideration when the pharmacological properties of modern anesthetics are discussed. The most imp- tant of these could be that the target effect be achieved preferably within seconds, at most within a few minutes. Similarly, offset of drug action should be achieved within minutes rather hours. The target effects, such as unconsciousness, are pot- tially life-threatening, as are the side effects of modern anesthetics, such as respi- tory and cardiovascular depression. Finally, the patient's purposeful responses are not available to guide drug dosage, because, either the patient is unconscious, or more problematically, the patient is aware but unable to communicate pain because of neuromuscular blockade. These constraints were already recognised 35 years ago, when in 1972 Volume XXX entitled "Modern Inhalation Anesthetics" appeared in this Handbook Series. The present volume is meant as a follow up and extension of that volume. At the beginning of the 1970's anesthesia was commonly delivered by inhalation, with only very few exceptions. The clinical understanding of that time considered anesthesia as a unique state achieved by any of the inhalation anesthetics, in- pendent of their specific molecular structure. "The very mechanism of anesthetic action at the biophase" was discussed within the theoretical framework of the "u- tary theory of narcosis".

The cornerstone text on the theory and practice of regional anesthesia and pain management Presented in full color, this classic covers the theory and practice of regional anesthesia in its entirety, providing practitioners and students with both the physiologic principles and specific, state-of-the-art patient-management protocols and techniques. Recognized leaders in the specialty have filled this richly illustrated volume with authoritative, completely practical help. Readers will find algorithms for managing or avoiding a wide range of common clinical dilemmas or complications. The book includes time-saving tools such as intravenous-to-oral opioid conversion tables and PCA setup guides as well as a selection of nerve block techniques and advice on their strengths and pitfalls. This handy reference helps readers make wise choices about anesthetics, dosing intervals, equipment, and perioperative management of patients receiving single-injection or continuous nerve blocks or spinal or epidural anesthesia. It tells them how to successfully manage patients with suspected epidural hematoma or neurologic injuries -- and much more. * NEW INFORMATION on the emerging use of ultrasound in nerve blocks - including patient outcomes, how it affects resident physician training, and the very latest recommendations * Includes hundreds of full-color illustrations * Covers the entire field of regional anesthesia * Details how to achieve reliable anesthesia and analgesia for surgical interventions on the face and upper and lower extremities * Provides information on the advantages and disadvantages of using regional anesthesia in patients with coexisting diseases * Features up-to-date information on the etiology, prevention, and management of a wide range of complications

The aim of this book is not only to introduce readers with a broad spectrum of biological actions of the NOP receptor, but also to feature a detailed look at the N/OFQ-NOP receptor system, medicinal chemistry, pharmacology, and clinical data of NOP-targeted ligands. This special volume book - for the first time focusing on the NOP receptor - is designed to serve as a useful reference, stimulate more research on the N/OFQ-NOP receptor system, and lead to more development of NOP-related ligands for several therapeutic applications.

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

This is a comprehensive and authoritative presentation of total intravenous anesthesia (TIVA) and target controlled infusion (TCI). The editors' international reputation has enabled them to recruit leading experts from around the world to write single-author chapters in their area of expertise. Total Intravenous Anesthesia and Target Controlled Infusions is the first multi-disciplinary, globally authored volume on the topic. Providing a single source of information on all aspects of TIVA and TCI, from pharmacologic modeling and the pharmacology of intravenous anesthetic drugs to practical considerations in the clinical setting and the requirements of special populations, Total Intravenous Anesthesia and Target Controlled Infusions examines the debate about the risks and advantages of TIVA, analyze outcome studies, and provides guidance on creating a curriculum to teach TIVA and TCI.

The second edition of the hugely popular The Clinical Anaesthesia Viva Book builds on the success of the first by providing a thorough review of short and long case questions typically given to Final FRCA viva candidates. An introductory chapter gives invaluable practical advice on preparation for the viva. This is followed by almost 100 short cases and 25 long cases, all based on viva questions posed at recent examinations. Answers have been constructed from a combination of popular textbooks, recent publications and the extensive practical experience of the authors. Short further reading lists are provided for more in-depth preparation. Written by a team of expert consultants and senior trainees with (successful ) experience of the Final FRCA, this second edition of The Clinical Anaesthesia Viva Book, is a must-have for anyone preparing for the Final FRCA viva.

Total intravenous anaesthesia (TIVA) is an innovative alternative to traditional inhalational anaesthesia. Often incorrectly perceived as overly complex, TIVA has numerous advantages over inhalational drugs, such as a lower risk of nausea, less pain and better cognitive recovery. Taking on TIVA is a practical, easy to read and engaging guide to TIVA. It demystifies this important technique and will empower the novice but also support more experienced practitioners. It is a clear step-by-step approach to treating everything from routine elective to paediatric, geriatric, obese and pregnant patients. Pharmacokinetic models, dosage calculations, and the use of TIVA in emergency medicine are also elucidated. Written by international experts in the field with many years of experience both conducting and teaching TIVA, this handbook is an essential resource for experienced and novice anaesthetists alike who want to improve their understanding and confidence with the technique.