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.

Manual of Anesthesia Practice is designed to provide a comprehensive review of clinical anesthesiology, oriented toward the clinician's perspective at the point-of-care. Divided into five distinct sections that include the following: I. Coexisting Disease What medical problems does this patient have and how should I manage them? II. Critical Events How do I diagnose and treat unexpected life-threatening perioperative problems? III. Drugs What information do I need to know about a medication I am about to give,or that the patient is receiving on a chronic basis? IV. Procedures What do I need to know about the proposed surgical procedure to safely care for the patient? V. Techniques What are the important aspects of performing certain anesthetic techniques or procedures?

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

This practical handbook is the first resource written by practising pediatric anesthesiologists that provides the reader with a bedside reference for managing critical incidents and for effectively mastering the key topics within pediatric anesthesiology. The first main section of the book addresses critical incidents related to the anesthetic management of pediatric patients. Listed in alphabetical order to allow rapid retrieval by the reader, each Critical Incident follows a concise, standardized format, covering presentation, risk factors, differential diagnosis, pathophysiology, management, and prevention. The second section consists of nearly 100 Essential Topics. Bullet points, key phrases and tables provide a focused and efficient review format. Written and edited by experts from top children's hospitals, this is an essential resource for residents and fellows seeking to master the key topics, as well as a valuable quick-reference handbook for more experienced anesthesiologists caring for pediatric patients.

As the global population lives to an increasing older age, there is a need to research, develop and deliver appropriate anaesthesia and pain management care to these increasingly frail and vulnerable patients. This book provides a comprehensive and detailed overview of all aspects of anaesthesia for the elderly patient looking at the effect of ageing on the systems of the body and the role that age has on drug mechanisms. Designed for both consultants and trainees who care for elderly patients, chapters address the clinical management of the older patient in pain, trauma, intensive care as well as anaesthesia for all aspects of surgery. The expert author team use their experience to provide a practical and stimulating book which informs everyday clinical activity and explores the unanswered questions which face anaesthetists in this changing patient population. This book will give all consultants and trainees a thorough grounding in this growing and demanding area of anaesthetic practice.

This is the new edition of the second volume in this successful and well-known two volume series and covers physics, measurement, safety, and clinical anaesthesia. The book puts together over 200 commonly asked viva questions in these key areas as well as model short answers, supported with clear line diagrams.

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 UEbertragung, die klinische Anwendung und UEberwachung der neuromuskularen Blockade werden nach dem aktuellen Wissensstand dargestellt. Ein Buch fur Anasthesisten und Anasthesie-Krankenpflegepersonal.

As the practice of thoracic anesthesia becomes increasingly recognized as a major subspecialty of anesthesia, there is a growing need among current practitioners to evolve their neuraxial, regional, and general anesthesia techniques and expand their understanding of the latest evidence. Thoracic Anesthesia Procedures is a timely update in the field, providing a concise, evidence-based, and richly illustrated book ideal for students, trainees, and practicing clinicians. Comprehensive in scope, this book addresses essential topics such as thoracic physiology and pathophysiology, airway devices and other equipment, anesthetic techniques, surgical considerations, ventilation techniques, and postoperative care.

It is well known that certain diseases and patient conditions are associated with increased perioperative risk. The aim of this book is to define and identify the clinical factors that warrant a broader and more detailed assessment of pre-operative surgical risk in difficult and unusual clinical settings. One of the sections is dedicated to the main pathway of peri- and post-surgical critical care based on the patient-specific deterioration risk and associated diseases; here, a panel of selected experts describes the correct patient-oriented pathways for complex or unscheduled surgical operations in order to reduce the operative risk. In addition, the book describes the latest trends in minimally invasive surgical techniques that are associated with peri- and post-operative risk reduction, and provides an overview of recent advances in surgical simulation, focusing on perspectives in surgical research to increase patient safety. Guidance is also provided on extracorporeal membrane oxygenation (ECMO), Left Ventricular Assist Devices (LVADs), and their management in patients requiring emergency surgery. The book will help surgical trainees recognize cases with the highest surgical risk and identify the most common complications at an early stage.

This atlas offers a step-by-step approach to Thoracoscopic surgery for Congenital Pulmonary Malformation (CPAM) in each major lung resection. This technique is still a matter of debate and is used approxmately by 50% of the surgeons in Europe. The apprehension of the thoracoscopic approach is complicated firstly by the small size of the child to whom it is proposed and secondly by the risks of perioperative or postoperative complications. Furthermore, the pulmonary malformations object of this investigation are rare, thus making this technique difficult to learn and reproduce The volume - the result of a surgical experience acquired since 2007 in this field - offers a step-by-step approach to the procedure in each major lung resection and is illustrated by numerous intraoperative photos, short video clips and even complete resection videos; tips and tricks are presented to facilitate surgery, to make it reproducible and accessible by all surgeons, whether they are young surgeons in training or experienced surgeons. This atlas aims to complement and not to replace the direct observation in the operating room, or the procedure learning by the reader. It offers essential guide for practitioners, trainees and thoracoscopic surgeons interested in CPAM.

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.

Building on the success of the previous edition, this review book includes all of the original content plus several new chapters dedicated to the education and implementation of transthoracic echocardiography and point-of-care ultrasonography. Chapters feature board review-style questions and answers to assist readers with board exam preparation. This book also includes the most up-to-date echocardiography content and practice guidelines. This book fills an educational gap in the perioperative and critical care echocardiography landscape. It addresses essential perioperative and critical care echocardiography topics in an accessible manner for those who provide acute care and resuscitation in any environment, including the operating room, intensive care unit, and the emergency department. Essential Echocardiography, 2nd edition, is expertly written for the practitioner with limited knowledge of echocardiography preparing for either the Examination of Special Competence in Basic Perioperative TEE (Basic PTEeXAM) or the Examination of Special Competence in Critical Care Echocardiography (CCEeXAM).

This book offers an overview of acute care surgery around the world, focusing on the four main branches of this novel subdiscipline: trauma, general emergencies, critical care, and rescue surgery. The book’s primary goal is to provide a general view of acute care surgery, while addressing the most important issues in depth. The content is divided into three parts, the first of which is dedicated to the general organization of trauma centers, including the composition of modern trauma teams. Protocols of activation and action for the trauma team, as well as damage control procedures both in the emergency room and in the surgical theatre, are described. The book also addresses the development of a trauma registry, together with the quality assessment process that can be applied. In turn, the second part describes the principal protocols for making diagnoses, with special attention to circumstances such as unstable hemodynamics, neurological deterioration, normal vital signs, and penetrating injuries. The book subsequently deals with the most important aspects of trauma to the abdomen, chest, and pelvis, with notes on both surgical and intensive care issues. Practical descriptions of how to treat principal injuries to various organs are also provided. Finally, the third part of the book is dedicated to the most frequent general surgical emergencies and rescue surgical approaches, and includes information on diagnostic support with point of care ultrasound and endoscopic advanced techniques. Presenting cutting-edge strategies, this book will be of interest to professionals involved in surgical and intensive care for emergency conditions, such as colonic perforations, obstructions, acute pancreatitis, biliary tree stones, and caustic injuries.

This book focuses on the technical, cognitive, and behavioral skills needed to implement an extracorporeal membrane oxygenation (ECMO) simulation program. It describes these programs on the individual, team, and hospital system level, and includes the history of ECMO simulation, its evolution to its current state, and future directions of technology and science related to ECMO simulation. Divided into six sections, chapters describe both the theoretical as well as the practical aspects of ECMO simulation, including a pictorial guide to setting up an ECMO simulation circuit and how to recreate ECMO emergencies. It is a pragmatic guide that emphasizes the necessary practical items and discussions necessary to plan, set-up, orchestrate, and debrief ECMO simulations for different types of learners in different Comprehensive Healthcare Simulation: ECMO Simulation - A Theoretical and Practical Guide is part of the Comprehensive Healthcare Simulation Series, and this book is intended for educators, simulation technologists, and providers involved in ECMO programs who recognize the value of simulation to improve ECMO outcomes.

Das vorliegende Werk liefert das Basiswissen fur die Versorgung des internistischen Intensivpatienten - systematisch dargestellt, verstandlich erklart und mit vielen konkreten Tipps. Es wendet sich an Assistenzarzte in der Inneren Medizin, die im Rahmen ihrer Facharztweiterbildung auf die Intensivstation rotieren mussen und eine erste Anleitung fur die Arbeit auf der Intensivstation benoetigen. Dargestellt werden allgemeinen Prinzipien, wie apparative Diagnostik, Ernahrung und Gerinnungsmanagement uber spezielle Interventionen, wie Gefasspunktionen, Schrittmacheranlage und Analgosedierung bis hin zum konkreten Vorgehen bei haufigen intensivpflichtigen Krankheitsbildern und Akutsituationen, wie akutes Koronarsyndrom, Herzrhythmusstoerungen, ARDS und Intoxikationen. Ein praxisnahes Werk, mit dem der Einstieg in die internistische Intensivmedizin gelingt.

This issue of Anesthesiology Clinics, guest edited by Drs. Alison Perate and Vanessa Olbrecht, focuses on Pediatric Anesthesia. This is one of four issues each year selected by the series consulting editor, Dr. Lee Fleisher. Articles in this issue include, but are not limited to: The Pediatric Difficult Airway: Updates and Innovations; Current Knowledge of the Impact of Anesthetics on the Developing Brain; Anesthesia for Innovative Pediatric Surgical Procedures; Pediatric Mass Casualty Preparedness; The Pediatric Burn: Current Trends and Future Directions; Managing the Child with Complex Congenital Heart Disease; Modernizing Education of the Pediatric Anesthesiologist; Regional Anesthesia: Options for the Pediatric Patient; Managing the Pediatric Patient for Anesthesia Outside of the OR; New Trends in Fetal Anesthesia; Anesthetic Implications of the Common Congenital Anomalies; Managing the Adult Patient with Congenital Disease; Trends in Pain Management: Thinking Beyond Opioids; Sustainability in the OR: Reducing Our Impact on the Planet; Current Trends in OSA; and Processed EEG Guided Propofol Infusion in Children.

This issue of Anesthesiology Clinics, guest edited by Drs. Katherine Forkin, Lauren Dunn, and Edward Nemergut, is focused on Gender, Racial, and Socioeconomic Issues in Perioperative Medicine. Topics include: Addressing Racial and Gender Disparities amongst Physicians and the Impact on the Community they Serve; Addressing Racial and Gender Disparities in Critical Care; Care and Outcomes of Religious Minority Patients in the ICU; Genetics and Gender in Acute Pain and Perioperative Analgesia; Women and Underrepresented Minorities in Academic Anesthesiology; Special Considerations Related to Race, Sex, Gender, and Socioeconomic Status in the Preoperative Evaluation; Racial Differences in Cesarean Section and Labor Analgesia; Gender Differences in Postoperative Outcomes after Cardiac Surgery; Perioperative Considerations Regarding Sex in Solid Organ Transplantation; Considerations for Transgender Patients Perioperatively; Health Disparities in Pediatric Anesthesia; Role of Gender and Race in Patient Reported Outcomes and Satisfaction; and Effects of Gender and Race/Ethnicity in Perioperative Team Performance.

With 32 engaging and dramatic cases and 174 colorful, insightful and innovative graphics, this book takes a fresh, creative and highly visual approach to the fundamentals of obstetric anesthesia as well as emerging knowledge and three emerging technologies: 1) pre-procedural ultrasound to facilitate neuraxial block placement, 2) point-of-care transthoracic echocardiography to guide maternal resuscitation, and 3) electrical cardiometry to trend maternal cardiac output and avoid fetal hypoxia. Besides discussing the threats to fetal oxygenation presented by labor and the avoidance of maternal and fetal complications while providing excellent anesthesia, the book also explores the psychological and behavioral dimensions of obstetric anesthesia practice and promotes the obstetric anesthesiologist as a valued member of the obstetric care team who makes unique, insightful and empathic contributions to the overall excellent care of pregnant patients. Obstetric Anesthesia: A Case-Based and Visual Approach is an indispensable resource for medical students, residents, fellows, anesthesiologists, nurse anesthetists, nurse midwives, and obstetricians.

This compact book contains colour coded sections of checklists and flow charts for the immediate management of a wide range of paediatric situations including resuscitation, trauma, anaesthetic and medical emergencies. The 'age-by-page' section consists of tables of commonly used anaesthetic and resuscitation drugs, pre-calculated for a specific weight within the WHO weight range, for that specific age. Each page includes medication doses, airway equipment including size of endotracheal tubes, laryngeal masks and airway adjuncts, resuscitation fluids including blood products and mannitol and stabilisation infusions such as sedatives and inotropes for ongoing management of the patient. In addition to the emergency guideline sections, the anaesthetic management of 50 common syndromes and congenital conditions are included and the drug formulary providing a convenient reference section of doses and indications of common paediatric medications. An essential quick-reference handbook for anaesthetists, intensive care and emergency department physicians, and trainees.

Fluid therapy is one of the most basic interventions spanning across all medical and surgical disciplines. Physicians need to understand the physiology of fluids and electrolytes before they can evaluate the extent to which disease pathophysiology has altered the balance, enabling them to determine the type and quantity of intravenous fluids required for treatment. This new edition is a practical guide to intravenous fluids and their administration to surgical patients. Divided into sixteen sections, the text begins with an overview of normal water balance and distribution of body fluid. The next sections cover the pharmacology of different types of intravenous fluid, followed by discussion on fluid therapy in different medical circumstances, and concluding with a chapter on fluid calculation. The second edition has been fully revised to provide the latest information in the field, and features new topics including fluid choice in the perioperative period and surgery and stress response. Key points Fully revised, new edition presenting latest information on intravenous fluids in surgery Discusses different types of fluid and their application in different circumstances Second edition includes several new topics Previous edition (9789350903957) published in 2013