A brand new series from Oxford University Press, the Oxford Clinical Imaging Guides are specifically designed to help doctors master bedside ultrasound imaging techniques. Each guide explains the principles and practice of using imaging in an easy-to-read, highly-illustrated, and authoritative manner. Practical Perioperative Transoesophageal Echocardiography, Third Edition, is the definitive guide dedicated to helping clinicians use this essential imaging technique to manage perioperative cardiac patients. Capturing the latest evidence-based developments; this resource offers authoritative guidance on monitoring and procedures for cardiac anaesthetists and intensivists. International expert authors help you apply this knowledge via clear step-by-step techniques with a focus on problem-solving and safe practice. Extensively illustrated itself, the book comes with online access to even more content: over 670 videos with corresponding annotated still frames, plus you can test your knowledge by answering over 145 self-assessment questions. This guide teaches you exactly what you need to know by covering the curriculum for the British Society of Echocardiography accreditation in Transoesophageal Echocardiography (BSE) and the European Association of Cardiothoracic Anaesthetists/European Society of Echocardiography TOE accreditation examination (EACTA), and the US-based PTEeXAM. An essential reference and interactive guide, this unique book should never be far from the cardiac anaesthetist's side.

Regional Anaesthesia: A Pocket Guide is an essential companion to the practice of regional anaesthesia for consultants and trainees in the specialty. Filled with practical advice and carefully designed for ease of use, this book is the helpful aid to practice that anaesthetists have been waiting for. The book covers all the major blocks by anatomical region, from the head and upper extremities, to the lower extremities and para-axial region. The technique for each procedure is prefaced by information on its difficulty, indications, contraindications, and potential side-effects. Every procedure is also accompanied by a range of high-quality clinical photographs and anatomical drawings that demonstrate the importance of applying anatomical knowledge in practical anaesthetic procedures. Regional anaesthesia is a fast-moving specialty, and this book takes into account recent advances in ultrasound-guided techniques with a strong focus on real-time observation of needle placement. Landmark-placed blocks have are also covered for clinicians without access to ultrasound technology. Regional Anaesthesia: A Pocket Guide is a unique compilation of anaesthetic techniques that offers support and guidance for any trainee or specialist in their every day practice.

Fundamentos de anestesia clinica atesora cerca de 30 anos de experiencia en la ensenanza de la anestesiologia como parte de la serie Anestesia Clinica. Fundada inicialmente por el doctor Paul G. Barash, esta obra presenta, en un formato amigable y de facil lectura, los fundamentos de ciencias basicas en anestesiologia y su aplicacion dentro de entornos clinicos especificos. El contenido de esta 2. edicion sigue organizado en cuatro secciones. La primera es una introduccion al ejercicio de la especialidad; en la segunda parte se abordan los fundamentos de anatomia, fisiologia, farmacologia y tecnologia que influyen en la anestesia; los capitulos que abarcan la tercera seccion cubren los aspectos clinicos de la anestesia, como evaluacion preoperatoria, anestesia en padecimientos especificos, manejo del dolor y tratamiento postoperatorio, entre otros temas; la ultima seccion incluye apendices, protocolos, guias, y elementos de uso y referencia frecuentes. En una era de constante cambio, esta obra responde a los tres principales desafios de la educacion medica: estar informado con respecto a los ultimos avances y descubrimientos biomedicos y biopsicosociales, hacer uso de esa informacion de manera rentable y en beneficio del paciente, y transmitir el conocimiento por medio de metodos de ensenanza atractivos para las nuevas generaciones que incluyan el uso de herramientas digitales y que faciliten el dominio del conocimiento.

Applied Anatomy for Anaesthesia and Intensive Care is an invaluable tool for trainee and practised anaesthetists and intensive care physicians seeking to learn, revise and develop their anatomical knowledge and procedural skills. Concise textual descriptions of anatomy are integrated with descriptions of procedures that are frequently performed in anaesthesia and intensive care, such as nerve blocks, focussed echo, lung ultrasound, vascular access procedures, front of neck airway access and chest drainage. The text is supported by over 200 high-quality, colour, anatomical illustrations, which are correlated with ultrasound, fibre optic and radiological images, allowing the reader to easily interpret nerve block sonoanatomy, airway fibre optic images and important features on CT and MRI scans. Useful mnemonics and easily reproducible sketch diagrams make this an essential resource for anyone studying towards postgraduate examinations in anaesthesia and intensive care medicine.

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.

The core clinical competencies in anesthesiology can be pretty blurry just how do they apply to real life? This book answers this question, incorporating the core clinical competencies into an engaging format that anesthesiologists like case studies. So, far from being a dry and dusty volume of forgotten lore, this book actually makes learning the competencies fun Written in the same engaging style as a number of other anesthesia books (specifically, the Board Stiff opus) by leading anesthesiologists from leading medical centers across the United States, this book will bring the core clinical competencies to life for residents, attendings, and medical students alike.

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.

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

This two-volume book offers a comprehensive guide to anesthetic management and critical care management in neurosurgical and neurological patients. This second volume focuses on neurocritical care. The book begins with basic information on the principles of neurocritical care. Management of various neurological problems such as myasthenia gravis, Guillain-Barre syndrome, epilepsy, stroke and many more are discussed in detail. Subsequent sections address nursing care, physiotherapy and psychological care, issues related to brain death and organ donation, and common complications observed in neurological patients during their ICS stays. Each complication is discussed in detail, guiding readers in their clinical practice. In turn, the book's closing chapters cover e.g. the role of hypothermia and evidence-based practice. The book offers a valuable resource for all residents, fellows and trainees in the fields of neurointensive care and critical care; it will also benefit intensivists and neurocritical care experts.

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."

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.

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.

The management of critically ill or injured children has become increasingly specialised; nevertheless, the first point of contact for many sick children remains their nearest hospital. Here, the initial management will usually involve emergency department doctors, anaesthetists and paediatricians. Managing the Critically Ill Child is written by anaesthetists and emergency department physicians who currently have a significant paediatric practice. It provides a straightforward guide for non-paediatricians encountering acutely unwell or injured children. This book helps readers apply their knowledge from adult practice to children, and avoid pitfalls where the approaches in paediatrics differ. Written in a practical, concise format, Managing the Critically Ill Child guides physicians beyond the initial emergency algorithms and is essential reading for physicians and trainees in emergency medicine, anaesthesia and intensive care who may be asked to look after a child.

Ultrasound technology is enabling anesthesiologists to perform regional anesthetic procedures with greater confidence in accuracy and precision. With improvements in visualizing neural anatomy and needle movement, ultrasound guidance improves patient safety and operating room efficiency. This book offers a detailed, stepwise approach to this technique, identifying pearls and pitfalls to ensure success. Topics are organized into four chapters. The first chapter provides the basic principles behind ultrasound guided regional anesthesia, setting a strong context for the rest of the book. The last three cover the nerve blocks: upper extremity, lower extremity, and chest, trunk and spine. Each nerve block is comprehensively explained, divided up by introduction, anatomy, clinical applications, technique, alternate techniques, complications, and pearls. This new edition includes discussions of 6 new blocks: the suprascapular block, axillary nerve block for shoulder surgery, fascia iliaca block, lateral femoral cutaneous block, and the adductor canal block. This edition also contains over 40 new procedural and imaging figures, an appendix on what blocks to perform for specific surgeries, and new information on choice of local anesthetic agent, types of catheters and practical ultrasound physics to help improve scanning. Ultrasound Guided Regional Anesthesia provides authoritative, in-depth coverage of ultrasound guided regional anesthesia for the anesthesiologist beginning to use ultrasound and makes a great reference for the more seasoned physician.

The book provides up-to-date and easy to understand information on airway management with special emphasis on practical management along with required theory background and key points. It covers all aspects of airway management including education, training, audit, controversies, recent advances, case discussion, etc. The book covers all the techniques of airway management like the use of video laryngoscopy, fibre-optic intubation, and retrograde intubation. Further, the book includes a chapter on airway management during transmittable infectious diseases, such as COVID-19. The book also includes separate chapters on the available guidelines; discussion of interesting cases; neonatal airway; and out of hospital airway management. The book is written by experienced authors keeping in mind the unique problems and situations related to this specialized and vital area of patient management. It presents summary and key points in each chapter. Overall, this book provides practical, specialty oriented and patient centered approach to airway management. The book is a useful resource for postgraduate students, residents and fellows in anesthesia, emergency medicine, critical care medicine. It is also relevant for anesthesiologists, intensivists, emergency physicians and internal medicine physicians.

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.

Anaesthetists on labour wards form an important part of the multi-disciplinary team. In addition to providing analgesia and anaesthesia, they are also involved in the acute management of conditions related to pregnancy, and coordinate and plan the care of patients with coexisting medical diseases. This requires an understanding of specialized obstetric procedures and the terminology and conditions unique to obstetrics. Obstetrics for Anaesthetists is a practical manual designed to provide anaesthetists with a clear knowledge of obstetrics and the implications this will have on their anaesthetic practice. Each chapter includes algorithms for the management of obstetric emergencies and text boxes highlighting the anaesthetic implications of a condition. Edited by an obstetric anaesthetist and an obstetrician, and with contributions from many leading practitioners, Obstetrics for Anaesthetists is an invaluable practical guide to all aspects of obstetrics relevant to anaesthetic practice.

This comprehensive update of the previous two successful editions covers both basic and advanced anesthesia topics. These include pharmacology, procedures, monitoring, equipment, subspecialty anesthesia, safety, professionalism, pain management, and more. Chapters are concise, easy-to-read, and authored by faculty specialized in medical education. They feature case studies designed to help apply theoretical knowledge to real patient situations, as well as questions and answers. A convenient resource for medical students, student registered nurse anesthetists, and student anesthesiologist assistants in any student of anesthesia will find this unique book useful.

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 latest edition of this handbook is a concise yet comprehensive guide for attending physicians, fellows, residents, and students who cover the ICU. The chapters follow an outline format and are divided by organ system, including neurologic disorders and cardiovascular disorders, and special topics, such as environmental disorders, trauma, and toxicology. The handbook includes thoroughly updated chapters from the previous edition, alongside completely new content. Written by an authority in the field, the Handbook of Critical and Intensive Care Medicine, Fourth Edition is a valuable one-stop reference for every practitioner engaged in Critical Care Medicine across the world.

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.

Yearbook of Anesthesiology-8 is an up-to-date guide to the latest advances in anaesthesiology practice. Comprising 25 chapters covering all three specialties associated with anaesthesiology - regional and general anaesthesia, pain, and intensive care - this book presents the most recent information in the field, in a concise and highly illustrated format. The book covers the complete field from techniques and post-surgical recovery, to pharmacology, non-technical skills and medicolegal issues. This new volume features chapters on obstetric anaesthesia and analgesia, implications of clinical practice guidelines, renal replacement therapy, management of organophosphorus poisoning, and failed epidural block. The final chapter of the book - Journal Scan - covers recent articles published in respected journals, accompanied by reviews and interpretations by experts in the field. Key points Up-to-date guide to latest advances in anaesthesiology In depth coverage of all three sub-specialties - regional and general anaesthesia, pain, and intensive care Features new topics including obstetric anaesthesia, renal replacement therapy, and failed epidural block Includes recent journal articles with reviews and interpretations by experts in the field

Dieses handliche Kitteltaschenbuch vermittelt anhand von zahlreichen Übersichten, Tabellen und stichwortartigen Fakten absolutes Praxiswissen für den Berufsalltag von Anästhesisten. Gespickt mit vielen Hinweisen zum ganz konkreten Vorgehen sowie auf Fallstricke, Gefahrensituationen und Besonderheiten, bietet es vor allem dem Berufsanfänger in der Anästhesiologie das nötige Wissen, um sowohl bei Erwachsenen als auch bei Kindern eine sichere Anästhesie, Analgesie oder Sedierung durchzuführen.  

This book provides a detailed overview of techniques in paediatric anaesthesia. Beginning with the basic principles of child anatomy, growth and development, the following section explains general principles of anaesthetising a child, from preoperative evaluation and induction, to monitoring, pain assessment, ventilation strategies, and transfusion therapy. The book covers anaesthesia for numerous sub-specialties including neonatal surgery, ENT procedures, dentistry, liver disease, thoracic surgery, ophthalmic procedures, and much more. The final sections describe special circumstances and complications, and associated topics such as safety and quality, and ethical issues. Comprehensive appendices provide an index of syndromes and anaesthetic implications, a paediatric drug index, quick reference tables and formulae, and a photo gallery. Key points Presents overview of techniques in paediatric anaesthesia Covers numerous sub-specialties, special circumstances and complications Discusses associated topics including safety and quality, and ethical issues Comprehensive appendices provide indexes of syndromes, anaesthetic implications and drug dosages, as well as quick reference tables and a photo gallery

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?