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.

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.

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.

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

Highly commended in the Anaesthesia category of the 2014 BMA Medical Books awards! From reviews: "Altogether, this textbook offers an excellent detailed overview of basic principles, mechanics, and physics of technical equipment used in anaesthesia and intensive care medicine." Critical Care, Feb 2014 "This book is excellent. I have read a number of equipment related books and found most of them stale and filled with minutia. Instead this fresh look at equipment really makes it interesting to read and keeps your attention. With sections that give quick answers to how things work, advantages and disadvantages, in an easy to read format you get exactly what you want to know RIGHT away. In addition the full color photos and well done charts really add to the depth of this book. It is my opinion this may be one of the best books on the market for quick review of anesthesia and critical care equipment. Let's be honest, no one is sitting at home reading equipment books for pleasure so when you NEED the information you likely need it right away. This book does exactly that; easy format, clear and concise information with everything you need to know about a piece of equipment easy to find and within a page or two. I would recommend this to all trainees in anesthesia but also for those providers who like to be prepared in the operating room to deal with any issue that might arise." www.nurse-anesthesia.org, 8 Feb 2014 Equipment in Anaesthesia and Critical Care specifically follows the syllabus published by the Royal College of Anaesthetists and is the perfect guide for candidates studying for their FRCA qualifications. The book is beautifully illustrated and features high quality colour photographs throughout. The text is engaging and comprehensive, relating each piece of equipment back to its basic physics, mechanics and clinical context. The clear, concise and standardised format means that information is easy to access and perfect for revision. Every major piece of equipment is featured alongside colour photos, reproducible line diagrams, and information on its uses, how it works, pros and cons, and safety considerations. The authors, all senior registrars in anaesthesia and critical care, appreciate exactly what candidates need to know to pass the FRCA exam. They have identified and tackled difficult subjects which are often glossed over or omitted in other resources, to produce a book that is comprehensive, engaging and to the point. In addition to FRCA candidates, the book is also suitable for operating department practitioners, critical care staff, and physicians with an interest in anaesthesia or critical care.

This issue of Anesthesiology Clinics, edited by Dr. Michael T. Walsh in collaboration with Consulting Editor Lee Fleisher, is focused on Ambulatory Anesthesia. Topics in this issue include: Preoperative evaluation for ambulatory anesthesia; Obesity and obstructive sleep apnea in the ambulatory patient; Pediatric ambulatory anesthesia challenges; Safety in dental anesthesia for office-based practitioners; Office-based anesthesia; Regional anesthesia for the ambulatory anesthesiologist; Anesthesia for same-day total joint; Enhanced recovery in outpatient surgery; Outcomes in ambulatory anesthesia: Measuring what matters; ASC Medical director issues; NORA: Anesthesia in the GI suite; MACRA/MIPS/APM, etc: Payment issues in ambulatory anesthesia; Emergency response in the ASC; and Quality Improvement in ambulatory anesthesia.

This issue of Anesthesiology Clinics, edited by Drs. Maureen McCunn, Mohammed Iqbal Ahmed, and Catherine M. Kuza is dedicated to Cutting-Edge Trauma and Emergency Care. Topics in this issue include: Recognizing preventable death: the role of survival prediction algorithms; ATLS (R) Update 2019: Adult management and applications to pediatric trauma care; Induction agents in specific trauma situations: RSI versus 'slow sequence intubation': Considerations for cervical spine, massive facial trauma, and tracheal disruption; Hemorrhage control and the anesthesiologist: resuscitative endovascular occlusion (REBOA) and emergency perfusion resuscitation (EPR); TEG/ROTEM as a guide for massive transfusion of patients with life-threatening hemorrhage; The anesthesiologist's response to a multiple casualty-incident: our roles working through Hurricanes Irma and Harvey; When the provider becomes the victim: how to prepare for an active shooter in the trauma center; Non-accidental pediatric injuries, pediatric TBI, and sports concussions; Gender disparities in trauma care: how sex determines treatment, behavior, and the outcome; Pain management in trauma in the age of the opioid crisis; The use of point of care ultrasound (PoCUS) in trauma anesthesia care; Post-intensive care syndrome (PICS) and posttraumatic stress disorder (PTSD) in trauma patients; Enhanced recovery after surgery: Are ERAS principles applicable to adult and geriatric trauma and acute care surgery?; and Future trends in trauma care: lessons from current research and treatment strategies in the military.

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.

This issue of Anesthesiology Clinics focuses on Practice Management, with topics including: Measuring Clinical Productivity; OR Throughput and Efficiency; Measuring Quality of Individual Anesthesia Clinicians; Challenges in outcome reporting; Reporting Quality; Quality and The Health System; Value Proposition and Anesthesiology; Bundled Payments and the Hidden Costs; Pre-Anesthesia Assessment and Pre-Facilitation Process; Perioperative Surgical Home and the Role of Pain Medicine; Anesthesiology's future with Population Health; Successful Negotiations; and Challenges of merging academic and private-practice cultures.

Do you want to improve your teaching skills in graduate medical education? This book provides suggestions and practical examples for teaching in the Pre-Anesthesia Clinic, the Operating Room, the Pain Clinic, and the ICU. Designed to help the reader become a more efficient and effective teacher, it also provides best practice suggestions for teaching airway management, regional anesthesia, transesophageal echocardiography, and newer technologic advancements such as point-of-care ultrasound. Based on research in education, this book provides information for all medical educators, including creating the optimal learning environment, teaching clinical reasoning, using multimedia and simulation, making the classroom interactive, and the significance of test-enhanced learning, while presenting specific examples of each. Chapters include teaching professionalism, preparing residents to be teachers, teaching quality and safety, providing feedback, and teaching residents how to read the literature. This volume emphasizes providing practical suggestions from recognized leaders in each of the areas discussed.

This book describes the pathophysiological significance of the hemodynamic monitoring parameters available to the clinician and their role in providing reliable and reproducible information on the cardiocirculatory status of a patient in shock. It is explained how measurements of these parameters enable the intensivist to understand the patient's condition and to make more informed treatment decisions in order to optimize the hemodynamic status and improve the prognosis. Full guidance is provided on measurement of intravascular blood pressures, cardiac output, and derived variables. Methods of cardiac output determination based on the classical pulmonary thermodilution, transpulmonary thermodilution, echocardiography, and Doppler techniques are reviewed. Techniques based on calibrated and non-calibrated pulse contour analysis are discussed, with attention to their limitations. Furthermore, the dynamic indices of fluid responsiveness, their clinical applications, and issues related to their use are addressed. Care is also taken to explain the physiological concepts underlying various devices used by anesthesiologists and intensivists.

This issue of Anesthesiology Clinics focuses on Quality Improvement and Implementation Science, with topics including: Applying implementation science principles to perioperative care; Emergency checklists in perioperative care; Human factors applied to perioperative process improvement; Handoffs in perioperative care; Use of simulation in performance improvement; Developing capacity to do improvement science work; Developing multicenter registries to advance quality science; Rethinking clinical workflow; data-driven quality improvement; and Scaling quality improvement at the health system level.

This issue of Anesthesiology Clinics focuses on Transplantation. Editors Aman Mahajan and Christopher Wray have assembled an expert team of authors on topics such as: Immunology and Pharmacology of Transplantation; Infectious Diseases and Malignancies in Transplantation; Anesthesia Management of the Organ Donor; Transfusion Medicine and Coagulation Management in Organ Transplantation; Pediatric Transplantation; Anesthesia for Kidney and Pancreas Transplantation; Anesthesia for Heart Transplantation; Anesthesia for Lung Transplantation; Anesthesia for Liver Transplantation; Anesthesia for Small Bowel and Multivisceral Transplantation; Anesthesia for hand and face transplantation; Anesthesia considerations in Transplant recipients for Non-transplant surgery.

This issue of Anesthesiology Clinics focuses on Anesthesia Out of the Operating Room. Editors Mark Weiss and Wendy Gross have assembled an expert team of authors on topics such as: A Changing Landscape: Demands of Integrated Care Delivery: Interventional Medicine and Anesthesiology: Engineering Challenges and Interdisciplinary Teamwork; Organizational Infrastructure: Attaining and Teaching Clinical Excellence. Improvement across specialties by implementing an "Institute" mentality in the clinical arena; Quality: Who's rules apply?; Electronic Health Records; Monitoring; Interventional Radiology (NOT RADIATION): (Safety/Tumor Ablation/Adult radiology/ equipment); Approaches to Vascular Disease; Cath Lab: Structural Heart Disease, Devices and TAVR; EP Lab; Cardioversions and TEEs; Upper GI EGD and new procedures; Colonoscopy and new procedures anesthesiologist and GI person; Endoscopic Surgery, repair of surgical procedures, bariatric procedures; Interventional Pulmonology; Pediatrics; Market Evaluation; Finances, Bundled Payments and ACOs; Competitive Strategy or Joint Venture Finance: potential threats and likely future scenarios.