"Anaesthesia Science" presents the scientific foundations upon which the clinical practice of anaesthesia and care of the critically ill are based.
Written on the basis that basic science underlies the practice of anaesthesia
Contributors include some of the world's most eminent anaesthesiologists
Provides coverage on less well appreciated aspects of the subject, such as the microcirculation, multi-organ failure, and the theory of pain
Thoroughly integrates the clinical practice of anaesthesia with basic sciences, providing all the information needed in one convenient source
Based on the Fellowship of the Royal College of Anaesthetists (FRCA) syllabus and aimed at trainee anaesthetists preparing for the FRCA, the European Diploma of Anaesthesiology and other equivalent examinations.

This cutting-edge issue of Anesthesiology Clinics is divided into two sections.? The first covers topics in perioperative clinical information systems (IS), including the following.? The anatomy of an anesthesia information management system; vendor and market landscape; impact of lexicons on adoption of an IS; clinical research using an IS, real-time alerts and reminders using an IS; shortcomings and challenges of IS adoption; creating a real return-on-investment for IS implementation (life after HITECH); Quality improvement using automated data sources and reporting; and opportunities and challenges of implementing an enterprise IS in the OR.? Section 2 is devoted to computers and covers the following topics.? Advanced integrated real-time clinical displays; enhancing point-of-care vigilance using computers; and computers in perioperative simulation and education.

This book reviews and describes anesthetic management of patients during oral and maxillofacial surgery. It covers applied anatomy of oral and maxillofacial surgery, difficult airway management and anesthetic techniques. The anesthetic management for patients with oral and maxillofacial disorders such as head and neck infection, head and neck injuries, and head and neck malignancy is also discussed. It will be a concise, up-to-date reference for specialists in anesthesiology, as well as practitioners in oral and maxillofacial surgery. It aims to share up-to-date knowledge and practical techniques with those who work in the fields related to oral and maxillofacial surgery.

Ongoing improvement in the quality of patient care is essential to all anesthesia practices. This issue of Anesthesiology Clinics provides solid foundation and guidance in how to improve outcomes, as it covers the following topics. An overview of QI structures and initiatives is presented, focusing on the relevance to anesthesiology. A practical guide on how to implement a QI program is provided. Quality measurement approaches and issues, including the use of databases and risk adjustment are also examined. How to use simulation and other cutting-edge technology to improve quality in the OR is provided. Issues in multidisciplinary education and enhanced communication are explored. Recommendations for fostering a culture of safety are provided. How real-time support and decision-making can improve performance on quality process measures are examined. Clinical topics including bariatrics, geriatrics and decreasing perioperative delirium, and pain management are covered, as well as issues about end-of-life care.

New edition of a successful book of concise notes on clinical aspects of the examination for the Fellowship of the Royal College of Anaethetists. It has been fully updated to reflect changes in the examination syllabus. This will be an ideal revision guide for trainee anaesthetists sitting the FRCA and similar examinations. Concise notes for the clinical part of the FRCA Appendix covers the up to date syllabus for the examination Incudes appropriate guidelines and reports from the Association of Anaesthetists Each section ends with list of further reading

Topics: Perioperative Care of Patient with Chronic Opioid Dependence; Anesthesia for Sites Outside the OR; New Developments in Anesthesia Ventilators and Machines; Future of Clinical Research/Ethics in Human Experimentation; Perioperative Glucose Management; Inflammatory Response to Anesthesia and Ways to Attenuate; Chemical Dependence; Anesthesia for Awake Craniotomies; Hyperthermic Peritoneal Chemotherapy; ACGME Competencies; Renal Function Update; Professionalism; New Developments in Neonatal Resuscitation; Automated Anesthesia

Operating with bare hands, dressed in his street clothes, he had taken those first steps that every training surgeon must take-gripping the handle of a scalpel and making the first, irrevocable cut into live human flesh. For the surgeon training in the early 1840s, these first surgical milestones were performed on a person who would recoil in terror and horror, flinch, pull away, shake-and scream and scream and scream. Until 1846, surgery was performed without anaesthesia: extraordinary operations, carried out on conscious, terrified patients. Surgeons of that era were bold and courageous and saved many lives, but anaesthesia changed everything. With an unconscious patient, the surgeon could take his time. Surgery became slower, more careful and more delicate. And as anaesthesia removed the pain of surgery, the medical world gave more attention to surgical infection, heralding in the use of antiseptics and eventually aseptic surgery. By 1881, the operating theatre was unrecognisable. Much has been written about surgery in the nineteenth century, but little has been said about the development of the relationship between surgeon and anaesthetist. For anaesthesia to mature and allow further advances in surgery, a professional relationship had to develop between surgeons and anaesthetists. Joseph Clover arguably did more than any other anaesthetist to develop that relationship. In The Chloroformist, Christine Ball tells the captivating story of an innovative, hard-working and deeply humane pioneer of modern patient care.

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.  

Covering everything from preoperative evaluation to neonatal emergencies to the PACU, A Practice of Anesthesia in Infants and Children, 6th Edition, features state-of-the-art advice on the safe, effective administration of general and regional anesthesia to young patients. It reviews underlying scientific information, addresses preoperative assessment and anesthesia management in detail, and provides guidelines for postoperative care, emergencies, and special procedures. Comprehensive in scope and thoroughly up to date, this 6th Edition delivers unsurpassed coverage of every key aspect of pediatric anesthesia. Includes a laminated pocket reference guide inside - also available as an expanded online version ("Pedi Anesth" from the Starship Children's Hospital in Auckland, NZ). Features key references at the end of each chapter that provide a quick summary for review. Presents must-know information on standards, techniques, and the latest advances in pediatric anesthesia from global experts. Provides access to a video library of 70 pediatric anesthesia procedures - 35 are new! Videos include demonstrations on managing the difficult pediatric airway, cardiac assist devices in action, new positioning devices, management of burn injuries, and many demonstrations of ultra-sound guided regional anesthesia blocks and techniques. Features extensive revisions of all chapters with many new contributors, and numerous new figures and tables throughout. Introduces new drugs such as those used to premedicate children and facilitate emergence from anesthesia, plus an up-to-date discussion of the drug approval process and detailed information on opioid safety for children with obstructive sleep. Includes new chapters on pharmacogenomic implications of drugs in children and the anesthetic implications when caring for children with cancer. Offers up-to-date information on the management of emergence agitation, sleep-disordered breathing, neonatal and pediatric emergencies, and the obese child and bariatric surgery. The Essentials chapters, with extensive input from pediatrician experts, provide the latest information concerning hematology, pulmonology, oncology, hepatology, nephrology, and neurology. Contains significant updates on perioperative fluid management, pharmacology, intravenous anesthesia and target controlled infusions, cystic fibrosis, new interventional devices for children with congenital heart defects, cardiopulmonary resuscitation, simulation in pediatric anesthesia, and much more. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.

Encompassing all anesthesia topics from basic to advanced, Miller's Anesthesia Review, 3rd Edition, by Drs. Lorraine M. Sdrales and Ronald D. Miller, is an ideal study guide to assess your knowledge and deepen your understanding. This easy-to-use resource is conveniently cross-referenced to the newest edition of Miller & Pardo: Basics of Anesthesia. Hundreds of questions cover everything from physiologic and pharmacologic principles through anesthetic machine systems, anesthetic delivery in a variety of settings, and anesthesia administration for a full range of disease states. Corresponds to Miller & Pardo's Basics of Anesthesia to help you make the most of your study time and learn more efficiently. Provides immediate feedback with detailed answers to each question at the end of every chapter, cross-referenced to specific pages in Basics of Anesthesia. Includes new chapters on Neurotoxicity of Anesthesia, Palliative Care, Sleep Medicine, and Perioperative Surgical Home. Brings you fully up to date with revised questions throughout, progressing logically from basic to advanced topics. Covers hot topics such as Implantable Cardiac Pulse Generators, Anesthesia for Robotic Surgery, Perioperative Blindness, Human Performance and Patient Safety, and Civil, Chemical, and Biological Warfare. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, Q&As, and references from the book on a variety of devices.

The Structured Oral Examination can be the hardest component of the Primary FRCA examination to prepare for, but help is at hand. This book has been specifically designed to give realistic practice questions and to show you how to phrase and develop your answers. The questions included have been mapped to the FRCA examination curriculum and reflect both core and niche subject areas. Questions are presented as full mock examinations and also divided by section, enabling you to use the book in whichever way you find most effective. Complete scripted answers allow you to see how questions develop and help you to hone your technique. Handy hints and tips for exam preparation are included throughout the book, and a dedicated introduction section covers common pitfalls and how to avoid them. This is an invaluable preparation guide and sample question resource for trainees and trainers alike.

Total intravenous anaesthesia (TIVA) has long been used for specialized surgery, but recent developments in monitoring and delivery and the availability of the intravenous anaesthetic protocol have opened the door to widespread application.

This new addition to the Principles and Practice series is a straightforward introduction to TIVAA, starting with the basic pharmokinetic and dynamic principles and moving on to an overview of the pharmacology of the major intravenous anaesthetic drug groups. The importance of drug interactions are stressed and there is a discussion of the latest technology in delivery and monitoring-such as target controlled infusions and EEG bispectral monitoring systems.

Written by key specialists from the UK and the USA, this practical reference will be an essential introduction for all anaesthetic and intensive care trainees, and will enable anaesthetists to keep up to date on the rapid expansion of TIVA in clinical practice.

Ultrasound has revolutionized the practice of regional anesthesia, yet there remains a paucity of good resources on ultrasound-guided regional anesthesia in children. This book offers a much-needed practical guide to all the major ultrasound-guided blocks in pediatric patients, including neuraxial, truncal, upper and lower limb blocks. The core principles of good clinical practice in regional anesthesia are described and discussed, including the pharmacology of local anesthetics in children, the performance of regional anesthesia, the management of complications, and the clinical anatomy of each block. Every block chapter provides both a 'how to' section and also a comprehensive literature review, with an up-to-date and relevant bibliography for reference and further reading. Chapters are illustrated with unique anatomical images and detailed descriptions. Both trainee and experienced anesthesiologists will find this an essential resource for the safe and effective performance of modern regional anesthesia in children.

Fluid management is the basis of all clinical management in neurosurgical patients. This is a complete book on transfusion practice in clinical neurosciences. It covers in detail the fluids and blood transfusion practice, also discussing the role of total parenteral nutrition in relation to neurologic patients. The importance of fluid management clinically can be seen as on one hand it plays a significant role in maintaining the hydration of the patient and on the other provides sufficient relaxation to the brain to facilitate surgery. The use of hyperosmolar therapy is unique to the practice of clinical neurosciences. Certain fluid types such as those containing glucose are detrimental to the brain. Likewise, large fluid shifts and blood loss are often observed during neurosurgical procedures. It is relevant to understand the physiology of blood and blood transfusion. This book covers all of these topics in their true relevance. It also provides an evidence-based practice of fluid administration for all neurologic patients including, pediatric and geriatric. The proposed book will be useful for trainees and clinicians in any field of clinical neurosciences. It would be very useful for residents and fellows pursuing their courses in neuroanesthesia, neurocritical care, neurosurgery, emergency medicine, anesthesia, and critical care. Fellows, Resident doctors, postgraduates, and even undergraduates would be benefited from this book. The book would be a ready-reckoner and useful during the clinical practice of physicians from varied specialties.

The current practice of medicine is largely moving toward applying an evidence-based approach. Evidence-based medicine is the integration of best research evidence using systematic reviews of the medical literature and then translating it into practice by selecting treatment options for specific cases based on the best research. Clinicians rely on the availability of evidence and accordingly take decisions to provide best treatment to their patients. Clinical management of neurologically compromised patients is challenging and varied; for this reason, treating physicians including neuroanesthesiologists are always in search of best available evidence for patient management and care. Essentials of Evidence-Based Practice of Neuroanesthesia and Neurocritical Care highlights the various controversies that exist in the practice of neuroanesthesia and provides conclusive evidence-based solutions. This comprehensive resource succinctly discusses evidence-based practice of neuroanesthesia based on systematic reviews in clinical neuroscience research. Topics include neurophysiology: ICP or CPP thresholds; neuropharmacology: intravenous or inhalational anesthetics; and neuromonitoring: ICP monitoring. Evidence-based practice is now an integral part of neuroscience, and this book will help residents and trainees gain knowledge to apply it to their practice. Endorsements/Reviews: "Evidence based practice is facilitating changes at a rapid pace in neuroanesthesia and neurocritical care practice. Its practice is exceedingly crucial in neuroanesthesia and neurocritical care considering the criticality of the neurologically sick patients, which leaves little or no room for error for an acceptable outcome in them. Patient management in Neuroanesthesia and neurocritical care has many contentious issues because of rapidly evolving changes in their management which require treatment guided by the latest available evidence in literature. Dr. Hemanshu Prabhakar is a strong proponent of evidence based practice for the management of neurologically ill patients both for surgical procedures and their management in neurointensive care unit. Undoubtedly, this book will be of enormous benefits to the students as well as teachers of neuroanesthesia and neurocritical care sub-specialties." -- Parmod Bithal, Editor-In-Chief, Journal of Neuroanaesthesiology and Critical Care (JNACC)

Plum and Posner's Diagnosis and Treatment of Stupor and Coma, 5th edition, is a major update of the classic work on diagnosing the cause of coma, with the addition of completely new sections on treatment of comatose patients, by Dr. Jan Claassen, the Director of the Neuro-ICU at Columbia New York Presbyterian Hospital. The first chapter of the book provides an up-to-date review on the brain mechanisms that maintain a conscious state in humans, and how lesions that damage these mechanisms cause loss of consciousness or coma. The second chapter reviews the neurological examination of the comatose patient, which provides the basis for determining whether the patient is suffering from a structural brain injury causing the coma, or from a metabolic disorder of consciousness. The third and fourth chapters review the pathophysiology of structural lesions causing coma, and the specific disease states that result in coma. Chapter five is a comprehensive treatment of the many causes of metabolic coma. Chapter 6 review psychiatric causes of unresponsiveness and how to identify and treat them. Chapters 7 and 8 review the overall emergency treatment of comatose patients, followed by the treatment of specific causes of coma. Chapter 9 examines the long term outcomes of coma, including the minimally conscious state and the persistent vegetative state, and how they can be distinguished, and their implications for eventual useful recovery. Chapter 10 reviews the topic of brain death and the standards for examination of a patient that are required to make the determination of brain death. The final chapter 11 is by J.J. Fins, a medical ethicist who was invited by the other authors to write an essay on the ethics of diagnosis and treatment of patients who, by definition, have no way to approve of or communicate about their wishes. While providing detailed background for neurological and neurosurgical specialists, the practical nature of the material in this book has found its greatest use among Internists, Emergency Medicine, and Intensive Care specialists, who deal with comatose patients frequently, but who may not have had extensive neurological training.

This study guide includes in-depth coverage of past FFICM exam material, and is an invaluable resource for trainees preparing for the OSCE examination in intensive care medicine. A structured layout gives the reader clear and convenient access to a wealth of model questions and answers that can be used for quick-fire practice or more detailed study. The book is divided into four sections covering data interpretation, equipment, ethics and communication, and resuscitation and simulation. Questions have been matched to the curriculum, ensuring accurate and comprehensive revision guidance, and a sample marking scheme is provided to assist with exam preparation. Incorporating recommendations from the FFICM Court of Examiners, additional data analysis, images and ECGs are included to build on common areas of potential improvement.

Most people choose their surgeon with care, but very few think about the anesthesiologist, even though that physician's skills and approach can significantly influence surgical outcomes. Here Dr. Steven L. Orebaugh recommends steps we all can take to secure safe and effective anesthesia. What type of anesthesia is used-and how it is applied-directly affects postoperative comfort as well as mental clarity and rehabilitation. This book describes the various options for anesthesia and how they can be used together for the best possible outcome and optimal pain management. Dr. Orebaugh offers a brief history of the subject and a clear and careful overview of the types of anesthesia and their associated complications and risks. Dr. Orebaugh focuses especially on the benefits of regional anesthesia. When appropriately applied-whether alone or with other methods-spinal and peripheral nerve blocks often lead to better recovery and reduced pain. Studies show that as many as half of all surgical patients experience poorly controlled postoperative pain. Regional anesthetic nerve blocks can help significantly in managing this pain while reducing the side effects of general anesthetics and pain medications. A better understanding of anesthesia will reassure people contemplating surgery and equip them to take the necessary steps toward healthy recovery. Knowing their options, they can have informed conversations with their doctor and indicate a preference for a specific anesthetic treatment. Written by a compassionate and experienced anesthesiologist and backed by scientifically accurate information and the latest research, this book will help patients do just that.

The latest edition in the popular Yearbook of Anesthesiology series, Volume 11 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 new technologies to secure the airway, tubeless anaesthesia for laryngeal surgery, delirium in critical care, anaesthetic implications in robotic pelvic surgery, advances in cardiopulmonary resuscitation, opioid free anaesthesia, and many more topics. A complete chapter is dedicated to anaesthesia during the Covid pandemic. Written in an easy-to-read format, this yearbook is invaluable reading for trainees preparing for examinations and interviews, as well as for practising anaesthesiologists in keeping up to date with the latest advances in the field. The previous volume (9789390595013) published in 2021.

This quick reference guide, with its easy-to-use format, can be used as a revision tool for professional examinations as well as a tutorial aid for lecturers. It will, therefore, be an essential purchase for trainees and specialists in anaesthesia, intensive care and emergency medicine as well as providing continuing medical education for established senior staff. * Illustrative case scenarios to emphasize the safe, modern approach to a wide variety of problems in the field of paediatric anaesthesia and intensive care * Topics reflecting the scope of current practice with questions and answers * Key references for further reading

This is a highly informative and carefully presented book for trainees and postgraduate students of anaesthesiology as well as practicing clinicians. This book aims to help them in selecting and implementing the most suitable regional block in each clinical scenario and successfully use the techniques of ultrasound-guided regional anaesthesia (USRA) in their practice. This book covers basics of ultrasound imaging, anatomical aspects and techniques of all nerve blocks that are commonly used in clinical practice in a lucid and illustrated presentation. Regional anaesthesia can be a safe alternative to general anaesthesia. When combined with general anaesthesia, it can provide excellent postoperative analgesia too. With the advent of ultrasound, the scope, safety and reliability of regional anaesthesia have expanded manifold. However, there is a lack of formal clinical training in regional anaesthesia in most of the anaesthesia postgraduate curricula and this book intends to bridge this gap. The book serves as a useful resource to the anaesthetist; trainee or practitioner who wants to master the nerve blocks.

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.

The Objective Structured Clinical Examination (OSCE) is a highly reliable and valid tool for the evaluation of trainees in anaesthesia. It enables examiners and trainers to assess a number of competencies in an organised way. Performance in the OSCE is considered to be a fair reflection of the level of knowledge and skill attained during anaesthesia training. Apart from having a wide and deep knowledge on the subject, trainees are expected to have the capacity to demonstrate their competency in a short period of time allotted for each station. The authors of this book have a rich experience in successfully conducting OSCE courses in the United Kingdom. The sample OSCE sets in the book closely simulate the style and content of the Royal College of Anaesthetists' examination format. The book contains 100 OSCE stations with answers based on key practical procedures, clinical skills, communication skills, data interpretation, anaesthetic equipment and the management of critical incidents on a simulator. The answers are presented thoroughly and clearly. The tutorial on the relevant topic and additional key points at the end of each station, together with more than 100 illustrations throughout the book will complement the reader's overall understanding. The marking system signifies the relevance of each question, enabling objective assessment of knowledge and practical skills. This book will also help candidates all over the world to pass highly competitive postgraduate examinations in anaesthesia. It is an invaluable educational resource for all anaesthetists.

There currently is a clear tendency to an increasing number of accidental injuries in elderly people, in sport injuries and car crashes also in countries which recently joined the European Union and candidates to join the European Union. Patients expect very good functional results even after serious injuries. But in contrast to this development, Trauma Surgery as an independent field, is not yet established in all European countries. Therefore, it seems mandatory to compile a book that covers the state-of-the-art in Trauma Surgery. The book also serves to harmonise the practice of Trauma Surgery within the European Union, and to prepare for the exam of the U.E.M.S.