Anaesthesia has traditionally meant the condition of having sensation (including the feeling of pain) blocked or temporarily taken away. This allows patients to undergo surgery and other procedures without the distress and pain they would otherwise experience. General anaesthesia can depress ventilation, determining variations in pulmonary mechanics and alteration of gas exchange, often related to underlying anatomical and physiological status. The authors of this book describe the mechanisms responsible for the impairment of intraoperative respiratory function and discuss several aspects of mechanical ventilation that can be employed to improve patients' outcome. Furthermore, the administration of IV fluid is a part of carrying out a good anaesthesia. This book examines whether perioperative fluid management could change the outcome for patients undergoing procedures involving anaesthesia. The possible extra-cardiac indications of beta-blockers during the perioperative period is explored as well. Other chapters in this book examine the effect of high remifentanil doses in patients with brain tumours, the use of multivariable fuzzy logic and self-organising fuzzy logic controller structure to control anaesthesia, the different modalities of anaesthesia techniques for gastrointestinal diagnostic procedures performed in children, and an analysis of the poly-alert system for cardiovascular changes during anaesthesia.

The world is experiencing an obesity epidemic. In both industrialized and emerging countries, the percentage of adults and children with obesity is increasing annually. It is no longer unusual to encounter a patient with extreme or morbid obesity in the operating room; these patients are routinely scheduled for every type of surgical procedure. Everyone involved in the peri-operative management of the surgical patient with morbid obesity - surgeons, anesthesiologists, internists, psychologists, nurses, nutritionists, respiratory therapists - must be aware of the special needs of these patients. Morbid Obesity: Peri-operative Management, 2nd edition considers the perioperative care of the morbidly obese patient, from preoperative preparation to intraoperative management and through to their postoperative course. Edited by leading experts in the management of the morbidly obese surgical patient, Morbid Obesity: Peri-operative Management, second edition, provides clear, practical clinical guidance on the management of the extremely obese surgical patient.

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

Gerry's Real World Guide to Pharmacokinetics & Other Things teaches the basic elements of pharmacokinetics of anesthetic drugs in the form of conversations between a curmudgeonly older anesthesiologist and an anesthesia resident as they administer anesthesia.

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

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.

Cambridge Pocket Clinician / Pediatric Anesthesia is designed to be a vital point-of-care guide to aid the clinician in the care of children in the perianesthetic period. It is a condensed and practical approach to the patient management, showcasing consistent standards that have been tested at the leading children s hospitals world-wide. It is divided into three main sections: surgical procedures, co-existing diseases, and regional anesthesia"

Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. Why waste time guessing at what you need to know for the CRNA (Certified Registered Nurse Anesthetist) exam? Maximize your exam preparation time with this quick-hit question and answer review. The unique question and single-answer format eliminates the guesswork associated with traditional multiple-choice Q&A reviews and reinforces only the correct answers you'll need to know on exam day. Emphasis is placed on distilling key facts and clinical pearls essential for exam successs. Great for certification and re-certification, this high-yield review for the CRNA is the perfect compliment to larger texts for intense, streamlined review in the days and weeks before your exam.

Tiel I Grundlangen.- 1 Historische Einfuhrung.- 2 Spezielle Anatomie des Halses und der oberen Atemwege.- 3 Erkennen eines schwierigen Atemwegs.- 4 UEberwachung der Sicherung freier - Atemwege Monitoring.- Tiel II Klinisches Atemwegsmanagement.- 5 Algorithmus.- 5.1 Einfuhrung.- 5.2 Mainzer Algorithmus zur Atemwegssicherung wahrend klinischer Anasthesie.- 5.3 The New Haven Algorithm for the Evaluation of the "Unknown" Airway.- 6 Standardsituationen des erwartet schwierigen Atemwegs.- 6.1 Halswirbelsaulenpathologien und Atemwegsmanagement.- 6.2 Der schwierige Atemweg in der Mund-Kiefer-Gesichtschirurgie - Anatomie und haufige Krankheitsbilder.- 6.3 Fremdkoerperaspiration.- 6.4 Klinisches Atemwegsmanagement - Besonderheiten im Kindesalter.- 6.5 Grundlagen, Indikation und Durchfuhrung der Ein-Lungen-Ventilation.- 7 Der unerwartet schwierige Atemweg.- 7.1 Allgemeine Grundlagen.- 7.2 Algorithmen, Richtlinien, Empfehlungen.- 7.3 Apnoische Oxygenierung.- Tiel III Praklinisches Atemwegsmanagement.- 8 Philosophie und Konzept.- 9 Algorithmus - Praklinisches Atemwegsmanagement.- 10 Vorgehen bei speziellen Verletzungsmustern und Krankheitsbildern.- 10.1 Atemwegsmanagement bei Schadel-Hirn-Trauma, Halsverletzungen und beim Einklemmungstrauma.- 10.2 Anaphylaxie, Veratzungen, Verbrennungen.- 10.3 Atemwegsobstruktion, Fremdkoerperaspiration.- 11 Besonderheiten im Kindesalter: Krupp/Pseudokrupp, Epiglottitis.- Tiel IV Besonders empfohlene Techniken und Instrumente.- 12 Notfallbeatmung mit einfachen Hilfsmitteln.- 13 Endotracheale Intubation.- 13.1 Allgemeine Grundlagen.- 13.2 Laryngoskope und Intubationsspatel.- 13.3 Intubation Techniques for Unanticipated Difficult Direct Laryngoscopy: Stylets and Introducers.- 13.4 Starre Tracheoskope/Bronchoskope ("Notrohr").- 13.5 Intubationsfiberskope.- 13.5.1 Flexible Intubationsfiberskope.- 13.5.2 Starre Intubationsfiberskope.- 13.5.3 Fiberoptische Intubation - Wiederaufbereitung.- 13.6 Endotrachealtuben.- 14 Alternative Techniken und Instrurnente.- 14.1 Larynxmaske.- 14.2 Intubationslarynxmaske.- 14.3 Larynxtubus.- 14.4 Combitube - OEsophagotrachealer Doppellumentubus.- 14.5 EasyTube.- 14.6 Jet-Ventilation/tracheale Sauerstoffinsufflation.- 15 Chirurgischer Zugang zum schwierigen Atemweg.- V Qualitatsmanagement, Ausbildung und Training.- 16 Qualitatsmanagernent und Dokumentation.- 17 Ausbildung und Training.- 17.1 Ziele/Zielgruppen.- 17.2 Atemwegsmanagement-Training an der Klinik fur Anasthesiologie des Klinikums der Johannes Gutenberg-Universitat Mainz.- 17.3 Airway Education.- VI Ausblick und Zukunftsperspektiven.- 18 Intubationsfiberskope (starr/flexibel) fur die Praklinik.- 19 Videolaryngoscopy.- 20 Fiberendoskope fur die Neonatologie.

Seit der ErwAhnung von Curare kurz nach der ersten Reise von Kolumbus nach Amerika sind 450 Jahre, seit der ersten Anwendung des Muskelrelaxans Curare in der AnAsthesie erst knapp 60 Jahre vergangen. Inzwischen ist der Gebrauch neuromuskulArer Blocker Routine geworden, ohne dass sich an der potentiellen GefAhrlichkeit ihrer Wirkung etwas geAndert hat.
Das vorliegende Kompendium liefert den "State of the art" zum Thema Muskelrelaxanzien: Die Geschichte, die Physiologie und Pathophysiologie der neuromuskulAren Aoebertragung, die klinische Anwendung und Aoeberwachung der neuromuskulAren Blockade werden nach dem aktuellen Wissensstand dargestellt. Ein Buch fA1/4r AnAsthesisten und AnAsthesie-Krankenpflegepersonal.

This text explains how the respiratory system functions and provides a framework for understanding many respiratory diseases. It was developed as a working text with problem-solving exercises for students. The book covers pulmonary anatomy and microstructure, mechanics, gas exchange, acid-base balance, and control mechanisms. Unlike other texts, it strikes a good balance between the principles of pulmonary gas exchange, neural control, and integrative aspects of respiration.

This book describes in fascinating detail the history of the use of anesthesia in childbirth and in so doing offers a unique perspective on the interaction between medical science and social values. Dr. Donald Caton traces the responses of physicians and their patients to the pain of childbirth from the popularization of anesthesia to the natural childbirth movement and beyond. He finds that physicians discovered what could be done to manage pain, and patients decided what would be done. Dr. Caton discusses how nineteenth-century physicians began to think and act like scientists; how people learned to reject the belief that pain and suffering are inevitable components of life; and how a later generation came to think that pain may have important functions for the individual and society. Finally he shows the extent to which cultural and social values have influenced "scientific" medical decisions.

There have been many developments in anaesthesia since Joseph Priestley discovered nitrous oxide. Covering new anaesthetics, the molecular and cellular mechanisms of anaesthesia and the non-hypnotic effects of anaesthetics and other medical gases, Gases in Medicine combines reviews of current research from both academic and clinical perspectives and provides an historical framework in which this research may be placed. Encompassing a wide range of topics including intravenous anaesthetics, neural processes and the 1997 Priestley Lecture on nitric oxide, this book offers an accessible summary of anaesthesia along with the current best research. Also included is the BOC Centenary Lecture, which gives a perspective on anaesthesia for the 21st century. This book will be welcomed by readers in academia and medicine as an illustration of the diversity of research into anaesthesia and the associated history of this fascinating subject.

QBase Anaesthesia 3 is the third volume in the QBase series of book + CD-ROM packages and is aimed at the FRCA candidate. Both the book and CD contain 555 questions divided into a number of pre-set exams (with accompanying fully referenced explanatory notes) and there are also a number of pre-set short exams to attempt, utilising the questions in the book. The CD-ROM can be installed in seconds and gives the reader an incredible range of options, greatly increasing the utility and value of the book. Not only can the reader practice the set exams, but the program will mark these exams, allow the reader to customize exams to focus in on areas requiring further revision, shuffle the stems (A-E) to prevent the candidate from memorising ???patterns??? and advise on examination strategy. It also has the facility to print out and store test results and provide helpful notes on each question. The CD-ROM accompanying this volume has been improved so that the exam analysis now gives a subject-based as well as an overall analysis. On installation, the CD-ROM will automatically update the version of the Qbase program released with QBase Anaesthesia 1 or 2.

Pain and suffering, once associated with punishment for sin, became regarded as a purposeless evil that was hostile to human welfare. The works of Thomas Beddoes, Coleridge, and Shelley embody the change in attitude toward suffering and lay the groundwork for the general use of anesthesia in modern medicine. Papper contends that there was no real societal readiness to treat or prevent pain until the idea of the worth of the common man or woman was established by the upheaval of the French Revolution. The humanitarian concepts that we take for granted were relatively recent developments in Western society and were associated with the recognition of the importance of the individual.

This text is a source of information on the toxicity of anaesthetic agents. The editors define toxicity in a broad sense to mean an adverse effect, whether that effect is the result of pharmacological, toxicological, physiological, or other mechanisms. They bring together reviews by experts in the disciplines concerned - including biochemistry, genetics, and immunology - involved in current research on these adverse effects.; The initial chapters provide an understanding of the factors responsible for toxicity, and the ways in which the adverse effects of anaesthetics can be investigated. Subsequent chapters cover topics such as: hepatotoxicity; nephrotoxicity; malignant hyperthermia triggered by anaesthetics; pulmonary effects of anaesthesia; toxicity of local anaesthetic agents; toxicity of nitrous oxide; immunosuppression in the postoperative period; and reproductive and developmental toxicity of anaesthetics. Many of the contributors offer insights into the anaesthetics and their interactions, such as the immunological effects of anaesthesia and the impact of pharmacogenetics.

Der erste Klinikalltag stellt jeden Berufseinsteiger vor eine Fulle von neuen Aufgaben. Mit viel theoretischem Wissen ausgestattet, aber ohne die langjahrige klinische Erfahrung alterer Kollegen, ist die optimale Betreuung des Patienten in jeder Hinsicht eine besondere Herausforderung. Haufig mussen bereits nach kurzer Zeit - oft alleine - verantwortvolle Aufgaben ubernommen werden. Dabei gibt es eine Menge zu beachten. Im Klinikmanual erfahrt der Berufsanfanger, worauf es ankommt - kurz, pragnant und ubersichtlich dargestellt - ohne den theoretischen Ballast und Kleingedrucktes. Zur groben Orientierung vor der taglichen Aufgabe oder zum schnellen Nachschlagen im Ernstfall. Themen, u.a.: Anasthesieverfahren: Allgemeinanasthesie, Regionalanasthesie, kombinierte Verfahren; Anasthetika: Inhalationsanasthetika, Injektionsanasthetika, Opioide, Muskelrelaxanzien; Besonderheiten in den verschiedenen operativen Fachern: Gynakologie, Kinder, Neurochirurgie; Anasthesierelevante Krankheitsbilder; Komplikationen. Die 2. Auflage erscheint komplett aktualisiert. Das Werk richtet sich an Berufseinsteiger in der Anasthesiologie.

This book presents current evidence in an Enhanced Recovery Programme context, and provides a common sense approach to using the array of available analgesia techniques appropriately in major abdominal surgery. Current pain relief options are discussed, many of which have been described only in the last ten years. Topics covered range from the now widespread use of portable ultrasound machines to an appreciation of the value of some older drugs in a new context. Analgesia for Major Abdominal Surgery is aimed at anesthetists, acute pain teams, and acute pain nurses, as well as colorectal, hepatobiliary, urological and gynecological surgeons.

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.

This is a practical guide to pediatric vascular access. It covers how to use ultrasound appropriately, how to prevent and manage early and late complications, and how to correctly place the catheter tip using ECG or radiology. It includes all the most modern approaches and devices. In particular, the best approach for some specific populations is covered, including neonates and infants, complex patients, and children with cancer or renal failure requiring long term treatments. A guide on how to establish a vascular access team in a pediatric hospital is included, including the costs and benefits of having this hospital-based team. Vascular Access in Neonates and Children is aimed at pediatric anesthesists and surgeons, and radiologists, pediatricians and other specialities may also find it of interest.

This book provides easy to follow guidance on how to manage emergency situations and common problems in obstetric anesthesia. The book provides different anesthetic recipes for obstetric procedures and describes challenges that will be encountered on a day-to-day basis. There are trouble-shooting chapters and 'what to do lists' for frequent dilemmas. The book covers obstetric-specific resuscitation and medical emergencies seen on the labor ward. Antenatal and postpartum complications relating to anesthesia are covered as well as issues that may arise during follow up of patients who have had neuraxial anesthesia during delivery. Quick Hits in Obstetric Anesthesia should be used as a cognitive aid for emergency cases and as a decision-making tool for urgent management plans. It is a guide to common problems and provides core knowledge to facilitate anesthesia care on labor wards for all grades of anesthetist.

Part of the popular Core Topics series, this book provides a practical guide to pre-operative assessment for consultants and trainee anaesthetists. Chapters cover comprehensive evidence-based guidance for assessing and managing patients with particular conditions, as well as perioperative risk stratification and challenges of pre-assessment. The chapters have been written by specialists in the respective clinical fields, while all content has been edited by anaesthetists to assure it is relevant and accessible to the anaesthetist in the everyday pre-operative clinic. Written specifically for anaesthetists, this resource will allow every reader to contribute effectively in a multidisciplinary approach when assessing and risk stratifying patients to ensure that they are optimised before surgery.

Fundamentals of Anaesthesia is the gold standard text for the Primary FRCA, encapsulating the basic principles of modern anaesthesia in one easily accessible volume. Written and edited by experts with extensive FRCA examination experience, this text deliberately blends the expertise of invited authors in an unrivalled consistency of style more akin to that of a single author text. All of the subject matter required to pass the exam is condensed into an easy-to-read format. This fully updated fourth edition includes new guidelines, an improved chapter structure, and a new section on clinical ultrasound. The generous use of summary boxes, bullet points, tables and diagrams creates a text that is clear, concise and easy to navigate. Each section covers one of the four components of the SOE. This is a unique revision aid for the Primary FRCA and an essential companion for all exam candidates.

Obtain the latest guidelines on safe and effective sedation for infants, children, and adolescents. Invasive and noninvasive procedures are a common and necessary component in the management of infants, children, and adolescents with acute and chronic diseases. As technology continues to expand, there are an increasing number of techniques that require sedation outside of the operating room. Authored by experts in a variety of specialties, Procedural Sedation for Infants, Children, and Adolescents is a comprehensive guide for the initial design and implementation of a procedural sedation program and a tool to educate pediatric health care professionals on medications used for sedation, associated adverse events, and treatment of these adverse events. Contents include: Pre-sedation evaluation Documentation and parental instructions Monitoring for procedural sedation Medications Specific clinical scenarios Non-pharmacologic interventions Topical and local anesthetic agents Quality improvement and assurance and more!

Manual of ICU Procedures is a comprehensive, step-by-step guide to intensive care procedures. The book is divided into four anatomical sections, and a final miscellaneous section. Section one covers airway and respiratory, followed by; vascular and cardiac; neurological; gastrointestinal, abdominal, and genitourinary procedures. Each section covers an extensive range of procedures, and each chapter begins with basic principles before describing the procedure step-by-step. Enhanced by 428 colour images and illustrations, Manual of ICU Procedures is an ideal resource for all critical care professionals. Key Points Step-by-step guide to a range of intensive care procedures Covers respiratory, cardiovascular, neurological, gastrointestinal, genitourinary and miscellaneous procedures 428 colour images