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This is a concise, up-to-date reference on anesthesia for urological surgery. Urological anesthesia is not recognized as a specialty, and a majority of anesthesiologists and nurse anesthetists will provide anesthesia for these patients. Advances in urological procedures, the advent of treatment of patients with strong anticoagulant and antiplatelet medications, and the demographics of urology patients (many of whom are young or elderly) present challenges for the anesthesiologist and have necessitated changes in anesthesia practice. The last volume on this topic was published in 2000, and the time is right for a fresh presentation of contemporary expertise in anesthesia for urological surgery.
The book provides a brief review of renal physiology and pharmacology then addresses anesthesia for each major group of urological procedures (e.g., endoscopic, office-based, laparoscopic and robotic, nephrolithotripsy, renal transplantation, etc.) and in special populations, including the geriatric patient, the pediatric patient, and the pregnant patient. Separate chapters discuss the unique challenges of positioning the patient, and of managing the patient taking anticoagulant and antiplatelet medication, and the chapter on pain management addresses common and important perioperative concerns. The book provides a brief review of renal physiology and pharmacology then addresses anesthesia for each major group of urological procedures (e.g., endoscopic, office-based, laparoscopic and robotic, nephrolithotripsy, renal transplantation, etc.) and in special populations, including the geriatric patient, the pediatric patient, and the pregnant patient. Separate chapters discuss the unique challenges of positioning the patient, and of managing the patient taking anticoagulant and antiplatelet medication, and the chapter on pain management addresses common and important perioperative concerns."
Now in its sixth edition, the Handbook of Drugs in Intensive Care is the essential guide to using drugs safely and effectively in the intensive care setting. The book is split into two sections: an A-Z guide to the drugs available, and concise notes on the key topics and situations faced on a daily basis. The A-Z section provides succinct information on each drug including uses, limitations, administration directions and adverse effects. The second section details practice guidelines such as insulin therapy, Parkinson's disease therapy when nil-by-mouth, and drug dosing in renal failure. This revised edition includes seventeen new drug monographs and covers several new topics, including blood glucose management. A colour chart showing drug compatibility for intravenous administration is included at the back of the book. Presented in a concise, compact format, this book is an invaluable resource for doctors, nurses, pharmacists and other healthcare professionals caring for critically ill patients.
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.
Written by outstanding authorities from all over the world, this comprehensive new textbook devoted to pediatric and neonatal ventilation puts the focus on the effective delivery of respiratory support to children, infants, and newborns. In the early chapters, developmental issues concerning the respiratory system are considered, physiological and mechanical principles are introduced, and airway management and conventional and alternative ventilation techniques are discussed. Thereafter, the rational use of mechanical ventilation in various pediatric and neonatal pathologies is explained, with the emphasis on a practical step- by-step approach. Respiratory monitoring and safety issues in ventilated patients are considered in detail, and many other topics of interest to the bedside clinician are covered, including the ethics of withdrawal of respiratory support and educational issues. Throughout, the text is complemented by numerous illustrations and key information is clearly summarized in tables and lists, providing the reader with clear "take home messages."
CRQs for the Final FRCA is the first book of its kind and an invaluable resource for any candidate preparing to pass the written aspect of the Final FRCA. It has been specifically designed to reflect the new written examination format, providing ten complete CRQ examination papers and answer templates, with additional tips and references to aid further learning. Each paper has been carefully formulated to include the different topics contained within the examination and cover a vast area of the syllabus. Unlike other revision texts, this book will enable candidates to practise the CRQ format and refine their exam technique to ensure they are best equipped to succeed. It is written by a team of two consultant anaesthetists and two senior trainees who run the North West Final FRCA Exam Practice Course and have extensive experience of preparing trainees to pass the examination.
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.
The Royal College of Anaesthetists has introduced Constructed Response Questions (CRQs) as an innovative way of testing trainees, in the fields of anaesthesia and intensive care medicine, in their final FRCA examinations from September 2019. CRQs are a more structured way of assessing knowledge and understanding; they also assess the application of knowledge, evaluation and judgement. This book categorises 134 questions based on the Royal College model, with six mandatory sections of training and two separate sections on general duties and optional units. In the FRCA exam, there will be a total of 12 questions, one each from the six mandatory units of training (neuroanaesthesia; obstetric anaesthesia; paediatric anaesthesia; pain; cardiac anaesthesia; and intensive care), and six from general duties which may include one from optional unit training (perioperative medicine; regional, orthopaedic and trauma anaesthesia; other topics in general medicine; and optional topics). The answers have been extensively researched from recent BJA Education papers, e-learning, CEPD resources and other vital educational materials. To make it easy for the revising candidate, the questions have been split into their respective subspecialty topics, so the reader can assess their knowledge appropriately in a timely manner. It is an ideal companion for candidates who are preparing for their final exams in anaesthesia and will help to assess their preparation and guide appropriate revision. The topics are pertinent for other anaesthetic exams worldwide, including the European exams, Australian and New Zealand fellowships and the Indian DNB exams. The authors have extensive experience in anaesthetic teaching and lead anaesthetic intermediate teaching in the UK, running regular and successfully attended courses. This book will help candidates to adapt to the recent exam changes and revise in an efficient manner. It will not only be an invaluable educational resource for trainee anaesthetists but also for practising anaesthetists. Medical students and junior doctors, who are about to embark on a career in anaesthesia or intensive care medicine, will also find the book to be a useful educational tool.
This book offers a practical tool for handling neuromuscular emergencies, and is divided by the main neuromuscular diseases on the basis of their anatomical and clinical location: diseases affecting the anterior horn of the spinal cord (tetanus), those that affect the nerve roots and nerves (SGB, multiple mononeuritis, porphyria), the neuromuscular junction (MG and botulism) and, lastly, muscle pathologies (rhabdomyolysis, malignant hyperthermia, periodic paralysis). It provides updated diagnostic/therapeutic protocols and decision-making algorithms for each pathology, and examines a range of scenarios on the basis of clinical cases. Emergencies in Neuromuscular Disease will be of interests for a wide variety of specialists including neurologist, neurophysiologists and anesthesiologists.
This book is an introduction to a comprehensive analysis of recent advances and clinical research in noninvasive mechanical ventilation (NIV) in Pulmonary, Critical Care, and Sleep Medicine. The objective of the book is to increase the knowledge and understanding of the reader in the best clinical practice in three main sections. A selected international group of experts in the field of noninvasive ventilation formed a panel to provide an update on the recent literature in the application and efficient utilization of NIV in Pulmonary, Critical Care, and Sleep Medicine. Each particular section will discuss the application of NIV in different disease process. The authors summarized the main results of the recent trials, clinical and technological advances, expert opinions, and practical guidelines. Chapters, summarized by expert committee, provide a "deep and exhaustive critical analysis and summary" of the recent advances in the field of NIV, presented as key points and/recommendations for the best clinical practice from articles published in the last decade. The content of the book will serve as a resource and a tool to the practicing physicians toward NIV. Main objective is to increase their proficiency in management of different pathophysiological aspects of the respiratory system. In this line, the book offers to the readers, who are seeking the latest recommendations, the future research directions in noninvasive mechanical ventilation. Table of contents describe and analyze, the items trend setters in noninvasive ventilation, organized in three main sections, "pulmonary", "critical care" and "sleep medicine", using the primary keyword related with term "noninvasive mechanical ventilation" as search term associated with "secondary keywords" studies from a period of 2018 to 2019. This searching methodology and analysis define this unique book to the approach in noninvasive mechanical ventilation for best clinical practice, research, clinical study designs and critical analysis, how noninvasive ventilation is current and trending. Based on this form of conception of book updated, editors and authors consider that this book opens a new and original vision for adequate knowledge and deep updated based on key publications in the period under review, very useful for clinical practice, studies designs and potential new trends in the use of noninvasive ventilation. As such, it is a unique update book resource in noninvasive ventilation in pulmonary, critical care and sleep medicine that may influence current clinical practice and future studies. With ultimate goal is better care and outcome for our patients.
Maximise your exam success with this unique revision guide on core clinical specialties. The third edition of Oxford Assess and Progress: Clinical Specialties features over 400 Single Best Answer questions that are mapped to the medical school curricula. Packed with questions written by experienced doctors in each specialty, and rooted in real-life clinical encounters, this revision tool is an authoritative guide for students. Further reading resources and cross-references to the Oxford Handbook of Clinical Specialties have been fully updated to expand your revision further on topics you find challenging.
This book covers a broad range of topics, providing trainee and practising anaesthetists with a comprehensive source of knowledge on applied sciences and clinical anaesthesia. The book has been divided into six sections with various chapters serving as a synopsis of the practice of anaesthesia. Each chapter discusses the significance and importance of problems that can impact the peri-operative management of the surgical patient. The case scenarios at the end of each chapter will additionally help in understanding the practical relevance of basic science. This book will be an invaluable educational resource for trainee anaesthetists and an indispensable aide-memoire for practising anaesthetists. It is, therefore, essential study material for trainees and a great educational tool for trainers. Medical students and junior doctors, who are about to embark on a career in anaesthesia or intensive care medicine, will also find the book to be a useful companion.
Written for anaesthesia trainees, this comprehensive text covers all the MCQ preparation required for both the Primary and Final FRCA exams. Broken down into five sections, there are 150 questions for each of the physics, pharmacology, anatomy, and physiology sections, and a fifth section of 400 questions covering clinical anaesthesia. The first four sections of 150 questions match the Primary exam and are laid out to follow its format. The fifth clinical section covers the entire clinical syllabus. The authors are educators in anaesthesia and surgery and their wealth of experience has been brought together in this text to benefit the next generation of anaesthetists. Covering the entire syllabus, with 1,000 expertly distributed questions, this is the most comprehensive text available for MCQ preparation for both parts of the FRCA.
Corona virus disease or COVID-19 or SARS-CoV-2 infection is the latest pandemic that has affected humans globally. The disease has manifested itself in several forms and is now the focus of research worldwide. This book covers all the clinical aspects of the novel corona virus disease, COVID-19, which is one of the most contagious diseases ever known. It includes topics related to basic sciences, such as the virology and pathophysiology of the SARS-CoV-2 disease. It includes chapters related to symptomatology of the disease and making diagnosis, preparation of the health care workers to deal with this global pandemic. The book includes chapters on anesthetic and intensive care management of COVID-19 disease victims as these topics are of vast importance. Additionally, it includes a chapter giving insight in to the ethical aspects of the issues raised regarding disposal of bodies of the victims, as this pandemic has taken many lives across the world. It includes a chapter on special considerations to patient population such as geriatrics, pediatrics and pregnant women. The book serves as a useful resource for practitioners and clinicians in any field of medicine. It is also relevant for residents, trainees, fellows pursuing their courses in emergency medicine, anesthesia and critical care as well as postgraduates and even undergraduates. The book will serve as a ready-reckoner and useful guide for physicians from varied specialties during their clinical practice.
Anatomy questions are asked in all parts of the FRCA examinations, and for many trainees it is a particularly daunting part of the exams. This important new book provides a comprehensive, exam-orientated clinical anatomy book for anaesthetists preparing for all parts of the FRCA. It covers all body regions, relating underlying anatomy to practical procedures and anatomical principles, spanning the breadth of the curriculum and comprising exam-style questions: a chapter of SAQ questions, one of OSCE stations, one of SOE questions and one of MCQs. The text is highly illustrated in full colour with ultrasound images, diagrams and photographs of cadaveric material and models. This is the first anatomy book specifically orientated for the FRCA exam, making it an essential resource for anaesthetists preparing for all parts of the FRCA examination.
Since the first edition of the Handbook on Drowning in 2005, many epidemiological data have confirmed the burden of drowning in several parts of the world. Studies have increased the understanding of effective drowning prevention strategies, rescue techniques, and treatment options. Much has been learned about submersion and immersion hypothermia, SCUBA-diving injuries, the life-saving preparations of water-related disasters and how to deal with forensic investigations. In this updated second edition, experts from around the world provide a complete overview of current research data, consensus statements and expert opinions. The book Drowning provides evidence-based practical information and has a unique informative value for various groups with tasks, duties and responsibilities in this domain. In addition, the book may be an inspiration for future networks and research initiatives.
Every trainee in anaesthesia requires a thorough understanding of basic physiology and its application to clinical practice. Now in its second edition, this comprehensively illustrated textbook bridges the gap between medical school and reference scientific texts. It covers the physiology requirements of the Primary FRCA examination syllabus. Chapters are organised by organ system, with particular emphasis given to the respiratory, cardiovascular and nervous systems. The practical question-and-answer format helps the reader prepare for oral examinations, while 'clinical relevance' boxes translate the physiological concepts to clinical practice. This new edition has been thoroughly updated and revised throughout, and includes six new chapters, including the physiology of the eye, upper airway and exercise testing. It provides junior anaesthetists with an essential 'one stop' physiology resource.
This highly successful textbook is internationally renowned as a core text for trainee anaesthetists and is essential reading for candidates for the Fellowship of Royal College of Anaesthetists and similar examinations. The previous 6th edition was awarded First Prize at the BMJ Medical Book awards. The book provides full coverage of the sciences underpinning practice in anaesthesia, critical care and pain management together with details of clinical anaesthesia and perioperative care. In combining these aspects, anaesthetists new to the specialty have found the textbook particularly useful during the first few years of training as well as when preparing for professional examinations. It has also proved a valuable day-to-day reference for allied professionals such as operating department practitioners and physician assistants who need an understanding of clinical practice in anaesthesia and related specialties. The goal for this Seventh Edition has remained to equip the reader with the basic knowledge and practical considerations required to administer anaesthesia and perioperative care for a whole range of surgical conditions in patients with all common medical comorbidities. Reflecting the expanding role of anaesthesia beyond the operating theatre it also includes essential material related to safety and quality assurance, consent, resuscitation, intensive care medicine, pre-hospital care and chronic pain management. The content of each chapter is closely aligned to the syllabus of the primary FRCA examination. Sample online questions and answers are provided for each chapter and linked to the relevant part of each chapter. This book's scope includes the full range of clinical practice, from anaesthetic equipment and pre-operative assessment through to post-operative care, local anaesthesia, anaesthesia for individual specialties and the management of chronic pain. The text covers the principles of pharmacology, anaesthetic agents and physics for the anaesthetist. This Seventh Edition has been restructured into four sections: Basic Sciences; Physics and Apparatus; Fundamentals of Anaesthesia and Perioperative Medicine; and Clinical Anaesthesia. There are four new chapters reflecting the UK postgraduate anaesthetic examination syllabus and changes in clinical practice. There are: The older patient; Anaesthesia in low and middle-income areas; Management of critical incidents; and Data analysis, clinical trials and statistics. Thirty new contributors provide a new perspective or contribute new chapters. This edition makes extensive use of new line drawings and diagrams and, for the first time, many of these are available in colour. Chapters have been extensively cross-referenced to aid the reader and avoid repetition to include substantially more information without increasing the overall size of the book. The content of each chapter is closely aligned to the syllabus of the Primary FRCA examination. Sample online questions and answers are provided for each chapter and linked to the relevant part of each chapter.
For many of the millions of people who undergo anaesthesia each year, it is the source of great fear and fascination. In Counting Backwards, anaesthetist Henry Jay Przybylo has written an unforgettable account of the routine procedure's daily dramas and fundamental mysteries. Przybylo has administered anaesthesia more than 30,000 times on newborn babies, screaming toddlers and sullen teenagers, his own son and even a gorilla. With compassion and candour, he weaves his experiences into stories that explore the nature of consciousness, the politics of pain relief and the wonder of modern medicine. Through its intense and humane tales of mistakes, near-disasters, life-saving successes and moments of grace, Counting Backwards shines a light on a fascinating but unexplored corner of the medical world.
Learn to prevent, recognize, and manage complications of local anesthesia administration. Written by Dr. Stanley Malamed, the leading expert on anesthesia in dentistry, the Handbook of Local Anesthesia, 7th Edition covers all the latest advances in science, instrumentation, and pain control techniques. From basic concepts to specific injection techniques, from dosage charts to the proper care and handling of equipment, this how-to guide provides in-depth, full-color coverage of key anesthesia topics, including specific hazards and errors in technique that may result in complications. Recognized as THE local anesthesia textbook in dentistry for over 30 years, the seventh edition has been thoroughly updated with the latest in safe anesthesia practices in dentistry. NEW! Updated and enhanced content throughout reflects latest research evidence. NEW! Two added chapters cover problems in achieving pain control and their solutions; and recent advances in local anesthesia. NEW! Addition of an Expert Consult Site allows you to search the entire book electronically.
Simulation is becoming an integral part of medical education and has already a well-established role within anaesthesia training, with many examination questions already modelled on simulation scenarios. The clinical diversity and multidisciplinary nature of an obstetric team creates the ideal environment for simulation training. It enables the team to develop their knowledge of clinical emergencies whilst becoming more aware of the importance of human factors. This book is a practical guide to inspire clinical leads to establish simulation within their delivery suite. The book comprises an extensive obstetric scenario library, with each scenario broken down into learning outcomes, a list of staff and equipment needed, specific stages mapped to learning outcomes with appropriate results/investigations and a checklist of ideal actions to enable the post-scenario debrief. Written by consultant obstetric anaesthetists, this book will appeal to medical practitioners interested in facilitating obstetric simulation.
The perioperative care of individuals with neurologic compromise is critically important, yet it is only one dimension of the rich relationship between anaesthesiology and the neurosciences. The mechanism of everyday therapeutic interventions such as anaesthesia and analgesia is exciting neuroscience in its own right. At the new frontier of outcomes studies lies the question of how the perioperative period might impact the brain. For example, questions related to anaesthetic neurotoxicity, delirium, and cognitive dysfunction pose critical challenges for the field. The Oxford Textbook in Neuroscience and Anaesthesiology addresses the exciting field of neuroanaesthesiology in a new and stimulating way. In twenty eight chapters, the neuroscientific basis of anaesthesiology, the full spectrum of clinical neuroanaesthesia, and the care of neurologic patients undergoing non-neurologic surgery are explored in one comprehensive textbook for the first time. The first section considers the neural mechanisms of general anaesthetics, cerebral physiology, the neurobiology of pain, and more. The second section explores the care of patients with neurologic disease in the operating room or intensive care unit. These clinical chapters systematically treat the perioperative considerations of both brain and spine surgery, and provide introductions to neurocritical care and pediatric neuroanaesthesia. The final section outlines the care of neurologic patients undergoing non-neurologic surgery. It examines key connections of neurology and anaesthesiology, examining how conditions such as dementia, stroke, or epilepsy interface with the perioperative period. Each chapter has been carefully crafted to be concise yet highly informative, reflecting the cutting edge of neuroscience and neuroanaesthesiology. This international textbook gathers the best available expertise of authors and leaders worldwide. Includes access to online-only content, including more than 20 cases and more than 90 questions that can be used in presentations and teaching sessions. By activating your unique access code, you can access and use the material.
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.
The clinical practice of anesthesia has undergone many advances in the past few years, making this the perfect time for a new state-of-the-art anesthesia textbook for practitioners and trainees. The goal of Essential Clinical Anesthesia is to provide a modern, clinically focused textbook giving rapid access to comprehensive, succinct knowledge from experts in the field. All clinical topics of relevance to anesthesiology are organized into 29 sections consisting of more than 180 chapters. The print version contains 166 chapters that cover all of the essential clinical topics, while an additional 17 chapters on subjects of interest to the more advanced practitioner can be freely accessed at www.cambridge.org/vacanti. Newer techniques such as ultrasound nerve blocks, robotic surgery, and transesophageal echocardiography are included, and numerous illustrations and tables assist the reader in rapidly assimilating key information. This authoritative text is edited by distinguished Harvard Medical School faculty, with contributors from many of the leading academic anesthesiology departments in the United States and an introduction from Dr. S. R. Mallampati. Essential Clinical Anesthesia is your essential companion when preparing for board review and recertification exams and in your daily clinical practice.
Extracorporeal membrane oxygenation (ECMO) is developing rapidly, and is now part of the toolkit for the management of all patients with severe respiratory or cardiac failure. Clinicians of all disciplines are in need of a simple manual, easy and fun to read, that will take them through the management of these patients, explaining the principles of safe and successful practice. Part of the Core Critical Care series, this book is an easy-to-read guide for the aspiring ECMO clinician. Doctors, nurses, physiotherapists, dieticians, pharmacists and all other key members of the team will learn the basics required to better understand the technology and care of the patient. The experienced clinician will enjoy reading through the chapters, which present structured thoughts and knowledge acquired through clinical experience.
Acute heart failure is a potentially life threatening situation where correct, rapid therapy can save lives. Information from the latest research and studies has been used to update this text to bring the latest understanding of the pathophysiology together with a practical guide to diagnosis and management using an evidenced based approach. Since the first edition of Acute Heart Failure, this research has brought to light three important issues to be integrated into a second edition. First, the so-called "vascular heart failure" has been identified as a common and decisive mechanism provoking acute heart failure due to the coupling and interaction between the heart (right and left heart) and the large vessel systems (aorta and pulmonary artery). Second, the interaction and cross-talk between heart and kidneys, the so-called 'cardiorenal syndrome' has been identified as another feature of acute heart failure syndromes. Third, we have new knowledge and updated points of views about the development of pulmonary hypertension in patients suffering from heart failure, the group 2 of the classification system of pulmonary hypertension. These are all covered in this second edition. This revision to a seminal text is a valuable addition to any practitioner who treats patients with acute heart failure and wants a deeper understanding of the condition.
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