The Primary OSCE is one of the key elements of the Primary FRCA (Fellowship of the Royal College of Anaesthetists) examinations. Candidates have to rotate through 18 stations in 1 hour 48 minutes, with the top 16 stations counting towards the candidate's final result. OSCEs for the Primary FRCA is written by two authors with considerable experience of training new Primary FRCA candidates, and is based on the feedback they have received from the candidates they have helped over the years. Printed in full colour, it is composed of 5 full exams, with model answers, which closely follow the structure and format of the actual exam itself.

This brief uses California's CURES (Controlled Substance Utilization Review and Evaluation System) 2.0 data to analyze county-level opioid prescribing rates in California from 2012 to 2017 from multiple perspectives. The book summarizes California's county-level opioid prescribing trends, examines potential correlates of opioid prescribing rates, and assesses the association of opioid prescribing on both criminal justice and public health outcomes. Finally, the authors discuss their principal findings and the implications for policy and practice, including the significant and lasting consequences of the opioid crisis on the criminal justice system and the importance of a multi-disciplinary approach to effectively address the crisis.

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.

5 Tage gegen schlaflose N chte

Strukturiert und konzentriert bekommen Sie hier die pr fungsrelevante An sthesie, Intensivmedizin, Notfallmedizin und Schmerztherapie in 5 Tagen. F r alle, die sich kurz vor knapp auf das "Hammerexamen" vorbereiten und w hrend des PJs kaum Zeit haben ist dieses Buch "der Hammer." Die Inhalte sind nach ihrer H ufigkeit in den IMPP-Fragen gewichtet. So k nnen Sie sicher sein, nicht stundenlang Exoten zu lernen, die dann doch nie gepr ft werden. Die Texte sind stichpunktartig geschrieben, sinnvolle Tabellen und Hinweise auf Pr fungsfallen und Verwechslungsgefahren erg nzen die Fakten. Platz f r eigene Notizen bietet die Randspalte, so k nnen Sie auch ganz spezielle Inhalte f r die m ndliche Pr fung festhalten. Und nat rlich k nnen Sie die Lerneinheiten auch auf eine l ngere Zeit verteilen.

K rzer und kompakter geht es f r die Pr fung nun wirklich nicht.

Experiential evidence shows that pain is associated with common meanings. These include a meaning of threat or danger, which is experienced as immediately distressing or unpleasant; cognitive meanings, which are focused on the long-term consequences of having chronic pain; and existential meanings such as hopelessness, which are more about the person with chronic pain than the pain itself. This interdisciplinary book - the second in the three-volume Meanings of Pain series edited by Dr Simon van Rysewyk - aims to better understand pain by describing experiences of pain and the meanings these experiences hold for the people living through them. The lived experiences of pain described here involve various types of chronic pain, including spinal pain, labour pain, rheumatic pain, diabetic peripheral neuropathic pain, fibromyalgia, complex regional pain syndrome, endometriosis-associated pain, and cancer-related pain. Two chapters provide narrative descriptions of pain, recounted and interpreted by people with pain. Language is important to understanding the meaning of pain since it is the primary tool human beings use to manipulate meaning. As discussed in the book, linguistic meaning may hold clues to understanding some pain-related experiences, including the stigmatisation of people with pain, the dynamics of patient-clinician communication, and other issues, such as relationships between pain, public policy and the law, and attempts to develop a taxonomy of pain that is meaningful for patients. Clinical implications are described in each chapter. This book is intended for people with pain, their family members or caregivers, clinicians, researchers, advocates, and policy makers.

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.

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.

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.

Revisions for this edition will include latest equipment and review of technical features, new European regulations, expanded EEG and infusion chapters, updated illustrations and new ones added, thorough review to cover FRCA requirements. Offers a comprehensive guide to physical principles and their clinical application in anesthesia to help the reader practice safe and reliable anesthesia. Uses clinical examples throughout to aid in understanding. Provides practical advice on essential measurement and monitoring using the latest equipment and technology. Covers all topics related to equipment, physics and clinical measurement. Presents easy to understand information in a highly readable format with figures throughout to illustrate equipment and principles. Updated throughout to provide the most current information. Includes a new chapter on Assessment of awareness during anaesthesia (Ch. 26).

This book proposes a didactic approach to the different aspects of pain in mental health. The various chapters cover the myths, neurophysiology, perception, measurement and management of pain in mental health. The most common problems, including mood disorders, schizophrenia, anxiety, somatoform disorders and pervasive developmental disorders, are covered. Each chapter addresses the problem of pain by putting an emphasis on the characteristics of different populations of patients suffering from mental illness. The book helps specialists working in different areas of mental health to appreciate the importance of pain problems in mental health and also offer avenues for the measurement and treatment of pain in these patients.

Mental health and pain are complex issues. They also share certain mutually influential neurophysiological mechanisms, which makes it even more difficult to identify their specific individual characteristics. This duality between the somatic and psychic components can become a pitfall for the specialist in mental health since it can be difficult to disentangle the evolution of a painful condition from the mental illness.

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 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.

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.

Maths, physics and clinical measurement hold a degree of mystery and trepidation for many working and training in anaesthesia, intensive care and theatre practice. This important new book covers these core topics in a logical and structured format, creating a more enjoyable learning experience that is accessible and easy to digest. Each chapter opens with a set of learning objectives and summary of chapter contents. Following this is a clinical scenario that relates to the themes of the chapter and a number of hypothetical questions relating to the scenario are laid-out. Clinical pearls are presented in boxes for more advanced learning opportunities. Each chapter closes with a set of MCQ or SBA self-test questions to test the readers' knowledge of the chapter. This book covers everything needed for the FFICM and FRCA exams, making it an essential text for exam candidates, tutors, and those working in theatres, anaesthesia and the ICU.

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 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.

The single best answer format of questions is invaluable in assessing a trainee's clinical skills and problem-solving abilities. It allows the trainee to demonstrate application of their knowledge to clinical practice. This book comprises six sets of practice papers. Each set contains 30 single best answer questions which cover topics including clinical anaesthesia, pain and intensive care. The questions are based on the recent changes introduced to the written part of the final FRCA examination. The best possible answer to a given clinical scenario is substantiated by a detailed explanation drawn from recent review articles and textbooks in clinical anaesthesia. These questions will enable candidates to assess their clinical knowledge and skills in problem-solving, data interpretation and decision making. This book is essential study material for candidates sitting postgraduate examinations in anaesthesia and intensive care medicine. It is not only an essential guide for trainees but also an invaluable educational resource for all anaesthetists.

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 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.

This book brings together contributions from key investigators in the area of pathological pain. It covers the molecular basis of receptors and channels involved in nociception, the possible messages that cause neuropathic plasticity, spinal plasticity in neuropathy, plastic changes in opioid systems in neuropathy and opioid tolerance, and plastic changes related to pathological pain.

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.

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.