The global obesity epidemic is growing in severity, affecting people of every age and costing healthcare providers millions of dollars every year. Every day, anesthesiologists are presented with obese and morbidly obese patients undergoing every type of surgical procedure; the management of these patients differs significantly from that of normal weight patients undergoing the same procedure. Anesthetic Management of the Obese Surgical Patient discusses these specific management issues within each surgical specialty area. Initial chapters describe pre-operative assessment and pharmacology; these are followed by detailed chapters on the anesthetic management of a wide variety of surgical procedures, from joint replacement to open heart surgery. Essential reading for anesthesiologists and nurse anesthetists worldwide, Anesthetic Management of the Obese Surgical Patient and its companion work by the same authors, Morbid Obesity: Peri-operative Management, enable both trainees and practised professionals to manage this complex patient group effectively.

This volume in the successful Made Easy series is aimed at all doctors working in accident and emergency departments to help remind them of the common nerve block techniques. These techniques can be difficult to master and require great precison. Each procedure is described in step-by-step detail along with accompanying colour illustrations.

Pharmacology for Nurse Anesthesiology provides appropriate chemical, biological, and physical information of the actions, interactions, and reactions of medication, particularly as they apply and impact the practice of nurse anesthesia. Written by CRNAs for CRNAs, the information about various drugs is based on theoretical aspects based in chemistry, biochemistry, biology, and physics/biophysics and practical aspects straight from actual CRNAs who administer and deal with the medications on a case-by-case, daily basis. The perfect resource for both practicing professionals and students in CRNA programs!

Stress is everywhere, experienced by all. No one is immune, particularly the nurse anesthetist or CRNA. A qualitative inquiry was launched to explore occupational stress among Certified Registered Nurse Anesthetists (CRNAs) and to answer four research questions: 1.What are the roles and responsibilities of the CRNAs as they see them? 2.What are the CRNAs perceived stressors encountered on the job? 3.What are their coping strategies related to the perceived stressors? 4.What is the relationship between CRNA job stress and interpersonal work connections? The answers to the research questions underscore the necessity that the shortage of Registered Nurses and anesthetists needs to be addressed in order to more effectively tackle the participants perceived stressors. This book is a rare gem given its unique qualitative, in-depth inquiry into a topic of ever-increasing importance. This work is aimed at the healthcare professional, especially CRNAs and operating room personnel, and also nursing and anesthesia students. If you have ever stepped foot into an operating room, whether as a professional or a patient, you will find this research revealing and honest

Pulse Oximetry is one of the fundamental monitoring techniques in anaesthesia, a truly non-invasive way of checking the patient's oxygenation and blood circulation.

This comprehensive guide describes the principles of Pulse Oximetry, general and specific applications and the limitations of the technique. Written by a leading recognized expert in the field this edition contains a new chapter on high altitude flying and full revisions throughout. The author explores clinical applications in: Emergency medicine, anaesthesia, postoperative recovery, endoscopy, dentistry sleep studies, neonatal medicine.

Authoritative yet clear, Pulse Oximetry is an essential text for anaesthetists, trainees, critical care staff and nurses.

Egal, ob Sie Weiterbildungsteilnehmer sind oder bereits erfahrene Fachpflegekraft in der Anasthesie und Intensivmedizin, mit diesem Arbeitsbuch koennen Sie Ihr Fachwissen gezielt uberprufen und festigen: Multiple-Choice-Fragen, Zuordnungsfragen und Abbildungen zum Beschriften helfen Ihnen dabei. Aus dem Inhalt: Physiologische und pathophysiologische Zusammenhange, Wirkungen und Nebenwirkungen von Medikamenten, Dosierungen, Beatmung, Therapie und Symptome von intensivpflichtigen Krankheitsbildern, postoperative Versorgung nach schweren Operationen, Anzeichen von Komplikationen, Covid-19 und vieles mehr. Die ideale Erganzung zu den grossen Standardwerken der pflegerischen Fachweiterbildung wie z.B. "Larsens Anasthesie und Intensivmedizin fur die Fachpflege". Die 4. Auflage ist komplett aktualisiert und um Fallbeispiele zu typischen Komplikationen in der Anasthesie und Intensivmedizin erweitert.

With contributors from Massachusetts General Hospital and Harvard Medical School, the unique and thorough Anesthesia Review: 1000 Questions and Answers to Blast the BASICS and Ace the ADVANCED covers both BASIC or ADVANCED levels of Anesthesiology training in a single volume. Any resident in Anesthesiology will find a gold mine of material-including topic-specific chapters with exam-like questions, answers with explanations, and references for further, in-depth review-for fast, efficient preparation. Format and style of questions align directly with what you'll encounter on actual exams. Perfect for Anesthesiology Residents, Certified Registered Nurse Anesthetists, and Advanced Practice Nurses. Answer explanations include reasons for incorrect answers, as well as references for further study, ideal for anyone who wants more help with topics. Enhance Your eBook Reading Experience: Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

In dieser kurzgefaAten Anleitung werden die klinisch relevanten EKG-VerAnderungen A1/4bersichtlich und praxisbezogen dargestellt. Anhand plausibler "Grundregeln" wird am Beispiel vieler Original-EKG-Registrierungen exemplarisch der Weg zur richtigen elektrokardiographischen Diagnose gewiesen. Tabellarische Aoebersichten mit Leitliniencharakter erleichtern die Befundinterpretation. Knappe stichwortartige Texte bringen die EKG-Befunde auf den Punkt. Das Buch empfiehlt sich fA1/4r alle im Not- und Nachtdienst mit akuten EKG-Befunden konfrontierten A"rzte. Es ist zudem ein hilfreicher Leitfaden fA1/4r Studenten im praktischen Jahr, A"rzte im Praktikum sowie AssistenzArzte der inneren Medizin und angrenzender Fachgebiete.

This evidence-based guide is the first of its kind to outline the surgical and perioperative management of patients with anatomical anomalies and support clinical decision-making under these difficult circumstances. Presented in a simple, accessible format and organized by anatomical area, this book contains all the essential topics required by trainees and practitioners to assess the patient quickly, diagnose anatomic anomalies, determine the feasibility and safety of the planned surgical and anesthetic procedures, and arrange for advanced consults and care, if needed. Newer techniques for surgical and anesthetic management of patients with anatomic anomalies are presented to facilitate practitioners' development of their skills. Chapters include the latest ultrasound techniques and images, as well as case studies. Physicians, nurses, and trainees involved in the surgical, anesthetic, perioperative, or critical care of patients will find this guide to be their go-to resource in the OR, lab, or pain clinic.

Das Buch beschreibt die genaue Vorgangsweise vor einer notwendig gewordenen Operation. Es werden die Voruntersuchungen, der genaue Ablauf der Narkose und die patientenrelevanten Details der Operation erklArt und der Patient auf allfAllige Probleme aufmerksam gemacht. Die Darstellung erfolgt in einer fA1/4r medizinische Laien verstAndlichen Sprache. Mit diesen Informationen A1/4ber die Arbeitsweise von A"rzten und Pflegepersonal werden zukA1/4nftigen Patienten A"ngste und Sorgen genommen. Eigene Kapitel beleuchten jeweils die besondere Situation von Kindern und Alteren Personen im Spital. Ein gut informierter Patient kann als mA1/4ndiger Partner des Arztes sAmtliche Krankenhausleistungen genauer beurteilen und sich selbst ein besseres Bild A1/4ber seine medizinische Versorgung machen.

Provides consensus advice for the correct and safe prescribing of essential drugs used in anaesthesia. Prepared by WHO in collaboration with the World Federation of Societies of Anaesthesiologists, the book is the first in a series of handbooks offering up-to-date and objective information on the correct prescribing of essential drugs. The book opens with a concise introduction to the do's, don'ts, musts, and nevers of drug use in anaesthesia. Though reliance is placed firmly on WHO's Model List of Essential Drugs, other options are discussed where these have particular relevance. Procedures that are absolutely contraindicated when certain essential skills and equipment are not available are clearly indicated. The main part consists of model information sheets for 31 drugs presented in the categories of premedication, general and local anaesthetics, non-opioid analgesics, opioid analgesics and antagonists, muscle relaxants and cholinesterase inhibitors, blood substitutes, and solutions for correcting water and electrolyte imbalance. For each drug, general information on properties and uses is followed by details of dosage and administration, contraindications, precautions, use in pregnancy, adverse effects, drug interactions, the signs and treatment of overdose, and storage requirements. Information on drugs used to induce general anaesthesia is especially detailed, including advice on each drug's advantages and disadvantages as well as details on its use according to different techniques.

Cardiothoracic Surgery covers all areas of adult and pediatric, cardiac and thoracic surgery and intensive care. This new edition, with updated cardiac surgery and thoracic sections, provides on-the-spot guidance to common and less common operative procedures.
Every chapter is divided into topics presented across two pages to enable easy reference, with pages on intensive care edged in red for immediate access. Completely updated with current evidence and guidelines, the book is practically oriented to provide reliable guidance in intensive care and in theatre. Fully indexed and lavishly illustrated, the book is a must for anyone seeking a comprehensive yet portable guide to all areas of cardiothoracic surgical practice.

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.

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.

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.

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.

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!

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.

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.