The Oxford Specialist Handbook in Paediatric Anaesthesia returns for a new edition with updated practical management advice, and detailed perioperative plans for a wide selection of basic and advanced paediatric procedures. Invaluable to trainees and consultants alike, this go-to guide details current techniques in a concise and rapid manner, describing how to approach each case. It covers everything from pharmacology, preoperative assessment, and the basic principles of anaesthetic care, to advanced vascular access, pain management, and neonatal surgery. With additional speciality chapters containing both elective and emergency cases, it is the ideal companion to all aspects of paediatric anaesthesia. * Features up-to-date information on fasting guidelines, pregnancy testing and thromboprophylaxis * Covers patient care from pre-operative assessment to post-operative care. * Contains detailed chapters on advanced airway management, advanced vascular access, and regional anaesthesia. * Includes easy-to-follow perioperative plans for all the common elective and emergency procedures. * New section on resuscitation, transfers, and emergencies.

Acute Stroke Management in the First 24 hours bridges the clinical application gap by offering a practice-based approach to treating ischemic and hemorrhagic stroke. The comprehensive text, written by international experts in the field of stroke care, covers all aspects of stroke care, including review of stroke systems, clinic features, neuroimaging diagnostic characteristics, and pre-hospital care and challenges. Practical clinical studies in each chapter engage readers in the discussion of common diagnostic pitfalls and work challenges. Chapters also include detailed figures and management algorithms, making this book an easy-to-use reference guide ideal for first responders and clinicians working in emergency medicine, neurology, neurosurgery, and critical care.

This updated second edition of Gupta and Gelb's Essentials of Neuroanesthesia and Neurointensive Care contains the ideal combination of updated information for the practitioner, presented in easy-to-digest short chapters. With an essential clinical focus on key neuroanesthesia and neurointensive care knowledge, it is a practical guide for any practitioner of neuroanesthesia, beginner, occasional or experienced. The user-friendly format contains bullet points to ensure retention of important data, key points to summarize the take-home messages, suitable images to enhance understanding, and pertinent and appropriate references to allow for further exploration of the topics. This book is ideal for residents and others undergoing neuroanesthesia training. It is also a great tool for Operating Room nurses and other OR support workers, neurosurgical residents and neurointensive care professionals. This will also be a useful book to supplement knowledge for postgraduate fellowship and Board examinations.

This fully-updated third edition provides a practical and concise guide to all aspects of the perioperative care of cardiac surgical patients. Produced by recognised leaders from world-renowned cardiac centres, this is the authoritative text for residents and fellows in anaesthesia and cardiac surgery, clinical perfusionists, and critical care nurses. Updated chapters include regional anesthesia, paediatric cardiac anaesthesia, and anaesthesia for specific procedures such as aortic valve surgery and cardiac transplantation. An entire section is dedicated to transoesophageal echocardiography (TOE) in recognition of the increasing demand for basic TOE training. The book also includes an expanded chapter on the applications and anaesthetic implications of extracorporeal membrane oxygenation (ECMO). The text focuses on clinical practice and the basic science and pharmacology underpinning cardiac anaesthesia, ensuring the reader can easily apply the knowledge gained to real-life situations.

SAQs for the Final FRCA is an invaluable guide to the Short Answer Question paper for the Final FRCA examination, providing 9 papers of 12 questions per paper. Each question is accompanied by a full model answer structured using a star system to indicate the essential, desirable and supplementary information. Most answers also carry references and additional notes giving insight into why a question was written or what the examiner was really after. A highly informative FAQ section gives advice on all aspects of exam preparation. The book is laid out to enable the candidate to practise sitting whole papers of 12 questions or to attempt individual questions. Written by a group of authors who have either just successfully taken the Final FRCA or are regularly involved with training anaesthetists via the Frenchay Final FRCA Crammer Course, SAQs for the Final FRCA is an invaluable tool for your exam preparation!

Medizinische Prozeduren sind fur Patienten haufig mit Angst und Stress und deren negativen Folgen verbunden. Medikamentoese Gegenmassnahmen erweisen sich hier nur in begrenztem Masse als zielfuhrend. Allerdings gibt es nichtmedikamentoese Moeglichkeiten, die die herkoemmlichen Massnahmen sinnvoll erganzen koennen und unter dem Projekttitel "Angstfreier Operationssaal (AFRO)" zusammengefasst werden. Hierzu zahlen individuelle audiovisuelle, olfaktorische und taktile Angebote ebenso wie eine spezielle bauliche Gestaltung der Raumlichkeiten. Auf dieser Basis koennen zudem auch Beitrage zur Arbeitssicherheit und -zufriedenheit des Personals geleistet werden. Auf die Dauer ist zu erwarten, dass eine angemessene Berucksichtigung der psychischen Aspekte medizinischer Behandlungen nicht zuletzt zum wirtschaftlichen Erfolg einer medizinischen Einrichtung beitragt.

Bei der Bluttransfusion handelt es sich um die Transplantation eines fremden flussigen Organs. Blutkomponenten und Plasmaderivate sind dabei verschreibungspflichtige Arzneimittel und durfen nur auf arztliche Anordnung abgegeben werden. Von dem am Patienten tatigen Arzt werden damit grundlegende klinisch-transfusionsmedizinische Kenntnisse fur den differenzierten Umgang mit Blutkomponenten und Plasmaderivaten gefordert. Das vorliegende Werk gibt diese Hilfestellung und vermittelt Basiswissen zu Blutprodukten und Transfusionen fur Nicht-Transfusionsmediziner. Es beschreibt u.a. die Risiken von Bluttransfusionen, die Grundlagen der Blutgruppenserologie und die Zusammensetzung von Blut und Blutprodukten sowie das Management bei Transfusionszwischenfallen; es geht auf das aktuelle Transfusionsgesetz ein und die Richtlinien zur Bluttransfusion sowie auf die Verordnung und Gabe von Blut und Blutprodukten. Das Werk ist praxisnah und ubersichtlich gestaltet mit vielen konkreten Tipps, Flussdiagrammen und Tabellen. Die 2. Auflage erscheint komplett aktualisiert erweitert, u.a. zu juristischen und arzneimittelrechtlichen Aspekten autologer Transfusionsverfahren und zum Effektivitatsvergleich autologer Verfahren wie Eigenblutspende versus Hamodilution versus maschinelle Autotransfusion. Das Werk richtet sich an klinisch tatige AErzte aller Fachdisziplinen, die keine ausgewiesenen Transfusionsmediziner sind.

Anesthesia and Co-existing Diseases provides a timely, rapid overview of common and uncommon co-morbidities that are encountered in the day-to-day practice of anesthesiology. It provides a guide to the perioperative assessment and anesthetic management of patients with widely prevalent co-morbidities such as hypertension, diabetes, obesity, myocardial ischemia, kidney and liver disease. It concisely outlines priorities for patients with special problems who are undergoing unrelated operative procedures, such as the obstetrical patient, the patient with prior organ transplantation, the adult patient with congenital heart disease, the spinal cord-injured patient, the cancer patient with prior chemotherapy, the critically ill patient or the patient with a psychiatric disorder. It also focuses on specific challenges to the anesthesiologist, such as patients with latex allergy, a history of substance abuse, preoperative use of herbal medications, or who are at risk of malignant hyperthermia.

Endlich ein Buch uber Neuromonitoring Die Notwendigkeit zu diesem modernen Ansatz entsteht durch die immer grosser werdende praktische Bedeutung neurophysiologischer Untersuchungsverfahren im Bereich Intensivmedizin, intraoperative Uberwachung zentral - wie peripher - nervaler lebenswichtiger Funktionen, Narkosefuhrung. Zwei Blickwinkel bestimmen die Gliederung: 1. Darstellung der wichtigsten neurophysiologischen Untersuchungsverfahren im Hinblick auf deren Einsatz auf der Intensiveinheit und im OP. 2. Die relevanten Einsatzmoglichkeiten dieser Verfahren bei haufigen intensivpflichtigen Erkrankungen und diversen chirurgischen Eingriffen an Kopf und Wirbelsaule. Intraoperatives Neuromonitoring sowie Narkosesteuerung mittels neurophysiologischer Verfahren werden in eigenen Kapiteln ausfuhrlich dargestellt."

Perioperative neurocognitive disorders are the most common and least recognized complications of anesthesia and surgery in older patients. This book represents the first unified source of information on this group of disorders, serving as a practical guide on diagnosis, pathophysiology and clinical recommendations. The book introduces new nomenclature that is recognized across medical specialties, tackles issues of informed consent and screening, interprets a plethora of scientific results from both animals and patients, and suggests mitigation strategies. In order to present and discuss essential knowledge and application in clinical practice as well as highlighting areas of controversy, this important book features expert contributions from the multidisciplinary field of perioperative care and cognitive disorders. It will appeal to the entire perioperative team as well as to neurologists, geriatricians, psychologists and researchers in the field.

Erwartete und unerwartete schwierige Atemwegssituationen fuh- ren im klinischen Alltag immer wieder zu hypoxischen Ereignissen und haben damit direkte Auswirkungen auf das Outcome der Pati- enten. Die schlimmste aller moglichen Komplikationen in dies em Zusammenhang, die "can't ventilate, can't intubate" - Situation, kommt glucklicherweise sehr selten vor. Die zielgerichtete Siche- rung des Atemwegs gehort primar in die Kernkompetenz der Anas - thesisten wie auch der Notarzte und Intensivmediziner verschie- dener Fachdisziplinen. Eine wichtige Voraussetzung fur die Be- herrschung akuter Atemwegsprobleme ist das sofortige Erkennen dieser zumindest potentiell lebensbedrohlichen Situation, gefolgt von der Realisierung etablierter Algorithmen. Das standardisierte Vorgehen muf der jeweiligen Situation angemessen sein. Dabei konnen sich das praklinische und das innerklinische Atemwegs- management unterscheiden. Sowohl in der Notfallmedizin als auch innerhalb der Klinik mussen die Algorithmen allen Mitarbeitern bekannt und vertraut sein. 1m Gegensatz zur praklinischen Notfall- medizin kann bei innerklinischen schwierigen Atemwegssituatio- nen auf zusatzliches erfahrenes Personal und auf erheblich erwei- tertes Equipment zurtickgegriffen werden. Aus dies em Grund ist der praklinische Algorithmus eher einfach gehalten, wohingegen der innerklinische Algorithmus eine groBere Anzahl an Alternativen bereithalt. Dieses Buch vermittelt in exzellenter Weise die pra- und innerkli- nischen Voraussetzungen und Notwendigkeiten fur ein erfolgreiches Management des schwierigen Atemwegs. Ausgehend von einer aus- fiihrlichen Darstellung der Grundlagen tiber eine detaillierte Beschreibung der Besonderheiten des innerklinischen und prakli- nischen Atemwegsmanagements inklusive der aktualisierten Emp - fehlungen und Algorithmen werden eine groBe Zahl besonders ge- eigneter alternativer Techniken und Instrumente kompetent be- schrieben.

Ein zentrales OP-Management gilt heutzutage in Krankenhausern als Schlussel zum Erfolg. Denn stabil, sicher und effizient organisierte Behandlungsablaufe gewahrleisten den oekonomischen Unternehmenserfolg und starken den Wettbewerbsfaktor Patientenorientierung. Erfolgreiches OP-Management integriert hierzu medizinisch wie betriebswirtschaftliches Wissen mit modernen Erkenntnissen aus Management, Fuhrung und Organisationsentwicklung. Herausgeber und Autoren haben im vorliegenden Werk die zentralen Themen des modernen OP-Managements aktuell und praxisnah aufbereitet. Entstanden ist so ein Leitfaden, der dem Leser bewahrte und innovative Konzepte zur effizienten Prozessgestaltung aufzeigt. - Grundlagen und Konzepte: Medizincontrolling und Changemanagement; Marketing und Risikomanagement, - Realisierung und Gestaltung: Aufbauorganisation und Ablauforganisation; Materiallogistik und Hygienerichtlinien - Team und Kommunikation: Personalentwicklung und Konfliktmanagement; Reporting und Benchmarking Wissen, da zu einem erfolgreichen OP-Management fuhrt.

Gli esami di valutazione della funzionalita respiratoria sono sempre piu diffusi e hanno assunto un valore elevato nella decisione terapeutica e nella perizia medica.

Quale esame, quando, perche: Spirometria, pletismografia corporea, test di diffusione, test di provocazione, misurazione della pressione d occlusione alla bocca, misurazione del picco di flusso, emogasanalisi.

Affidabilita nelle procedure diagnostiche: Consigli e suggerimenti per informare e guidare il paziente. E solo grazie alla sua collaborazione attiva che si possono ottenere risultati corretti.

Referti corretti: Valutazione del contesto unita alla valutazione clinica del paziente e ai risultati degli esami.

All interno del volume: principi di base della pratica clinica, introduzione alle metodiche, parametri di riferimento, guida all interpretazione degli esami e altre informazioni utili.

Approccio sistematico a casi clinici di varia complessita con esempi pratici, domande, esercizi e referti.

Il successo: autonomia e sicurezza nell esecuzione degli esami e nella definizione del referto."

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. The Single-Best Review for the American Board of Anesthesiology Written Examinations-Completely Updated to Reflect the New Exam FormatAnesthesiology Examination and Board Review is the most time-proven and effective way to prepare for the ABA written examinations. This powerful study guide delivers 1,500 board-style multiple-choice questions with referenced, paragraph-length discussions for each answer. Anesthesiology Examination and Board Review has been completely redesigned and rewritten to reflect the new exam format. Like the exam, this edition is divided into two parts: Basic and Advanced, each concluding with a practice test. There is no better way for you to boost your test-taking skills, subject knowledge, and confidence than this essential study partner. FEATURES 1,500 board-style questions with fully explained, referenced answers New information from the American Board of Anesthesiology on changes to the certification and recertification process and requirements Complete coverage of the entire field of anesthesiology Two comprehensive practice tests that mimic the actual exams and allow you to test your skill at answering questions under simulated exam conditions Valuable test-taking strategies New questions that reflect the latest research and advances

For years the administrative of anesthesia was extremely dangerous and risky. Because of this the surgeon and anesthesiologist had to balance the risks and benefits for each patient before proceeding with surgery. In the last two decades the care of the surgical patient has changed dramatically. New equipment, monitors and pharmacologic agents have transformed surgical technique and improved outcomes. Patients once deemed "too sick" for the operating room are found frequently on operating room schedules nationwide. Today, anesthesiology for the healthy patient in most developed countries is extremely safe. However, perioperative complications still occur. These events can be catastrophic for patients and may have serious implications for residents, surgical and anesthesiology staff and nurses. Prompt recognition and management of these incidents may reduce or negate complications. This is based on a fundamental base of knowledge acquired through several avenues and practiced with other team members to maximize outcomes. Engagement of all caregivers impacts outcomes. Many organizations do not have the structural components or education to recognize or manage these catastrophic events. This textbook will provide educational material for the many students, as well as nurses, residents or attending physicians who participate in perioperative medicine. It will focus on the most serious perioperative complications and include a discussion of the pathophysiologic and pharmacologic implications unique to each. Additionally, it will provide medicolegal information pertinent to those providing care to these patients. All chapters will be written with the most current and relevant information by leading experts in each field.The layout and format is designed to be purposeful, logical and visually effective. Other features include review questions and answers, chapter summaries and shaded call-out boxes to facilitate learning. Catastrophic Perioperative Complications and Management will be of great utility for medical and nursing students, anesthesiology residents, student nurse anesthestists, surgical residents, nurses involved in perioperative medicine as well as surgical and anesthesiology attending physicians.

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.

Mechanical ventilation is a life-critical intervention provided to patients in a wide variety of clinical settings, involving the careful interplay of physiology, pathology, physics and technology. This unique text explains the underlying physiological and technical concepts of ventilation, aided by numerous full colour diagrams, and places these concepts into clinical context with practical examples. Core Topics in Mechanical Ventilation provides a broad and in-depth coverage of key topics encountered in clinical practice, from the initial assessment of the patient to transportation of the ventilated patient and weaning from ventilation. Issues such as sedation, analgesia and paralysis and the management of complications are reviewed, along with a discussion of various ventilation modes and practical advice on patients with pre-existing diseases. Appealing to doctors, nurses, physiotherapists and paramedics, this book is applicable to a wide range of settings including intensive care, anaesthesia, respiratory medicine, acute medicine and emergency medicine.

Sharing the distinguished reputation of its companion text, "Clinical Anesthesia, Seventh Edition, " this completely revised edition of "Review of Clinical Anesthesia "provides an effective and comprehensive review in preparation of written and oral exams. With the intense volume of information available today, trying to keep up with what's new and relevant can overwhelm students and professionals alike. This text gives you the means to stop and review what you've learned with a sense of context and perspective. The multiple-choice questions in this text can be used as a means of self-assessment before taking a written examination. Additionally, the book may be of even greater benefit if it is incorporated throughout one's studies; a pretest will help the novice as well as the expert focus his or her reading; a post-test will allow one to assess self-mastery of the most relevant material.

Complications during airway management occur frequently when treating children. Although tracheal intubation is a routine procedure, there are no pediatric texts dedicated to this essential practice. The lack of specific resources and knowledge makes treating children with complex airways even more challenging. This landmark book is dedicated to the successful management of the complex pediatric airway. It explores and evaluates current research and covers novel topics such as airway ultrasonography and apneic oxygenation. It delineates the risks associated with intubating children, and their preventative measures. Aimed at clinicians involved in airway management in any form, this book covers the basics of airway management and how to perform a variety of essential techniques. Both occasional and exclusive pediatric clinicians will find this a valuable resource to support best practice. The book is supplemented by additional videos online, enhancing the demonstration of devices and techniques discussed in the text.

Die unter dem Sammelbegriff "Schock" zusammengefalHen Krank- heitsbilder werden heute als progressive pathologische Pro- zesse definiert, die, ausgelost durch unterschiedliche Ur- sachen und auf unterschiedlichen Wegen, zu einer lokalisier- ten oder auch generalisierten Storung der kapillaren Durch- blutung filhren. Der dadurch bedingte Sauerstoffmangel be- wirkt metabolische Dysregulationen und schliealich reversi- ble und irreversible Zellschaden. Es war ein weiter Weg von der symptomatischen zur kausalen Therapie des Schockgesche- hens. Wahrend die pathologischen Veranderungen in der Makro- zirkulation weitgehend analysiert werden konnten und sich daraus ilbereinstimmende therapeutische Konsequenzen ergaben, befinden wir uns im Bereich der Mikrozirkulation, von den Erkenntnissen und der Therapie her gesehen, rheologisch aus- gedrilckt in einem "low flow-Zustand". Dennoch haben in den letzten Jahren einige Arbeitsgruppen bedeutende Ergebnisse vorgelegt, die uns wichtige Erkennt- nisse ilber die Physiologie und Pathophysiologie der Mikro- zirkulation vermittelten. Die Schocktherapie endet heute nicht mit der Normalisierung der Makrozirkulation, sie stellt lediglich die Basis filr die Beseitigung der filr den weiteren Krankheitsablauf entscheidenden Mikrozirkulationsstorung und aller dadurch bedingten Folgen dar. Die Referate und die Diskussion dieses Workshop sollten die Aufgabe erfilllen, dem Kliniker Grundkenntnisse in der Phy- siologie und Pathophysiologie der Mikrozirkulation zu ver- mitteln, Moglichkeiten der Diagnostik und Therapie aufzu- zeigen oder auch Anregungen, vor allem filr klinische Unter- suchungen, zu geben. Wir mochten annehmen, daa die Erfill- lung dieser Aufgaben gelungen ist, auch wenn zahlreiche Fra- gen und Probleme offen bleiben muaten.

The third edition of Emergencies in Anaesthesia is a practical, accessible guide to all emergency situations encountered during, and immediately following, anaesthesia. Re-structured to follow the ABCDE emergency approach, this handbook guides the clinician through what to do and when, in a format that can be used rapidly. In each chapter, topics are ordered alphabetically for ease of navigation and management is presented in a checklist format. Symbols are used to indicate clinical severity ranging from life-threatening to minor, and the book includes drug dosages, infusion regimes, and key algorithms for quick reference. Reflecting best practice, the third edition includes new frameworks for emergency management and new material on human factors.

This book, part of the European Society of Intensive Care Medicine (ESICM) textbook series, provides detailed up-to-date information on the care of the critical ill very old ( 80 years) patients in the ICU. The very old are expanding fast in our populations, and this is mirrored in our hospitals and ICUs as well. During the last decade, a lot more information about the group of critical ill elderly has been published, and several large networks cooperate in performing multinational studies in this field, one of them with roots in the ESICM. This book will give readers knowledge about the current epidemiology of elderly ICU patients, in patients centered outcomes and factors affecting these outcomes. A large part is devoted to age related changes in vital organ functions, and the specific geriatric "syndromes" like frailty, cognitive decline, reduced activity of daily living, sarcopenia and immunosenecence. This is all important for the practicing intensivists to know about. In addition, specific groups of the elderly in the ICU are also described like the elderly patients with trauma or sepsis. The book is written jointly by intensivists and geriatricians, often working in teams and originating from many different countries. This herald a new era in the collaboration between these two groups in order to improve care and rehabilitation. We have a lot to learn from each other, as both groups have a holistic view of our patients although with different perspectives. This book should be of value for all working in adult ICUs, physicians as well as nurses. It will hopefully lead to a better understanding of the particular challenges posed by this important sub-group of ICU patients and how to manage his group in a way that combine respect for life as well as death and includes patients and caregivers in this process.

Now expanded and updated to reflect the most recent changes in the viva examination, this two volume series is an indispensable aid to success in the anaesthesia viva examinations and appropriate to both the Primary FRCA and the Final FRCA. This first volume covers the essentials of physiology, pharmacology, and statistics and gives the candidate a comprehensive range of possible questions and exemplary model answers to provide the perfect self-learning tool, and it is also useful as a concise reference for the established anaesthetist, being packed with up-to-date information on fundamental questions that face the anaesthetist on a daily basis.