Spinal manipulation under anesthesia (MUA) is a procedure intended for patients who suffer from musculoskeletal disorders in conjunction with biomechanical dysfunction. Performed using monitored anesthesia care, this technique is overcoming its controversial image and receiving regular use by a great number of practitioners. Manipulation Under Anesthesia is the first book to present the procedure from a historical perspective to present day use. Focusing on all aspects of MUA technique, the text provides an outline that represents this procedure from a scientific perspective, along with information concerning patient selection criteria, and documentation explaining outcomes from patient procedures. It discusses the protocols and standards by which the procedure should be incorporated into the facilities where it is being performed, features an overview of the generic procedure and policies for documenting results, and addresses the overall use of the procedure from pre-MUA through post-MUA rehabilitation. With justification for the procedure from both a clinical and patient management standpoint, this unique compilation of information is useful as both a reference and as an educational aid for doctors. It provides the necessary tools for investigating the procedure and incorporating it into any healthcare specialty.

Quality improvement (QI) principles are increasingly important in every area of today's healthcare, encompassing efforts to make healthcare delivery safer, more effective, patient-centered, timely, equitable, and efficient. Perioperative Quality Improvement provides up-to-date, easy-to-read guidance for perioperative clinicians on this critical topic. Each chapter covers a pertinent area of QI in the perioperative setting, focusing on both concepts and implementation. Written and edited by key opinion leaders in the field, this text is a relevant, concise resource for anesthesiologists, surgeons, nurse anesthetists, and hospitalists-anyone involved in perioperative medicine regardless of specialty area. Explains concepts related to understanding the tools and techniques used in improving the quality of care, establishing a culture of quality, prioritizing areas of improvement, collecting and analyzing data, communicating, motivating people to change, and performing ongoing evaluations. Covers key topics such as patient-centered care, equity, shared decision making, process mapping, and sustainability. Addresses the critical areas of structure, process and outcome with a focus on perioperative care and relevant case studies. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

The first in the Problems in Anesthesia seris, Cardiothoracic Surgery examine and provide guidance for a number of problematic clinical scenarios in cardiothoracic surgery anesthesia. This is a field which is growing in complexity due to the increasingly diverse set of conditions that are now treated surgically, and also due to developments in technology which are leading to different approaches to even common problems. This book will be of interest to the qualified specialist and the general trainee in anesthesiology.

Cases are presented followed by an approach to the case, utilizing the various experiences of anesthesiologists from both sides of the Atlantic. The case-based teaching relates the material to the clinic, and the discussion then explains the options in approach. Each chapter concludes with a series of essential tips in dealing with the various problems. Cases covered range from the common (e.g. off-pump coronary bypass) to the rare (e.g. anesthetic management of the patient with carcinoid heart disease).

The aim of the book is to allow readers to learn from both the successes and the complications within the cases covered, and in this way disseminate knowledge amongst those working in the field as well as pave the way for further investigation and continued advancement.

Ideal for clinicians at all levels of experience-from the resident to the subspecialist-Cohen's Comprehensive Thoracic Anesthesia compiles the many recent advances in thoracic anesthesiology into one convenient, easy-to-use reference. Concise, clinically focused chapters written by international authorities in the field cover all facets of anesthesia practice for thoracic procedures, logically organized by preoperative, intraoperative, and postoperative considerations. Discusses new devices for lung isolation, new lung protection protocols, new information on post-operative complications, and new drugs for modulating pulmonary circulation. Covers 20 key procedures including tracheal resection, esophagectomy, mediastinoscopy, mediastinal mass, SVC syndrome, and more. Describes complex surgeries related to the lungs, pleura, diaphragm, and esophagus. Provides case studies and clinical vignettes to illustrate and support case management decisions. Offers highly practical guidance for quick reference from editor Dr. Edmond Cohen and a team of expert contributing authors from around the world. Features extensive illustrations throughout, including clinical photos and drawings, radiographic images, device images, charts, and graphs. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

This extensively illustrated book provides an accessible and up-to-date introduction to obstetric anaesthesia and analgesia. With only three principal authors, there is a consistency of style within a comprehensive textbook that presents the basic science, pharmacology and clinical practice relevant to obstetric anaesthesia. Chapters cover topics such as analgesia during labour, anaesthesia and postoperative analgesia for caesarean delivery, major obstetric and anaesthetic complications, evaluation of the foetus and resuscitation of the neonate, and common clinical scenarios such as management of pre-eclampsia, obesity, multiple gestation and co-existing disease.

Written in a user-friendly style, each chapter begins with a summary of key points, basic definitions and principles. This is an essential guide for all anaesthetists interested in reading journal articles and conducting research, and it also provides a basic grounding for those preparing for specialist examinations. * enables the reader to interpret statistical methods used in journal articles, understand and use statistics in research projects (and pass examinations!) * offers clear advice on the appropriate use of statistics in anaesthesia and intensive care * explains in simple terms the various statistical methods

More than 80% of patients with cancer will need the services of anesthesiology and perioperative medicine, intensive care medicine, and pain management specialists during their cancer journey for diagnostic, therapeutic, and symptom management needs, as well as for the management of recurrent disease, secondary cancers, and ongoing non-oncologic surgical needs during survivorship. Perioperative Care of the Cancer Patient is today's most up-to-date, authoritative, comprehensive reference on the acute care of surgical patients with cancer, from a team of international experts in this emerging and dynamic specialty. Covers current clinical practice and perioperative care guidelines during the entire cancer journey for both adult and pediatric patients. Includes a diverse array of topics on cancer care, such as cancer epidemiology, cancer biology, ethics in cancer care delivery, value proposition in cancer care, opportunities and challenges with research programs in perioperative cancer care, application of big data and computational sciences in cancer medicine and care delivery, and the MD Anderson Cancer Center Moon Shots Program (R). Discusses newer cancer therapies and their perioperative implications, functional assessment and prehabilitation, enhanced recovery programs in cancer care, challenges with novel cancer therapies in the care of the critically ill cancer patient, chronic and interventional pain management in patients with cancer, and more. An educational resource and clinical reference for surgeons, anesthesia practitioners, hospitalists, internists, pain physicians, intensivists, basic science researchers, and all clinicians involved in the acute care of surgical patients with cancer. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

A fully updated edition of a popular, illustrated review book, covering all of the essential topics required to pass the current American Board of Anesthesiology Applied Oral and OSCE Examinations. Thoroughly revised to reflect recent literature and changes in anesthesia practice, 12 new chapters explore topics like Point of Care Ultrasound (POCUS), Intraoperative Transesophageal Echocardiography (TEE), Foreign Body Aspiration, and Patient Blood Management. The book also contains questions and model answers, alongside valuable tips for exam success reflecting the new exam structure. Chapters feature a sample case and clinical issues alongside a Knockout Treatment Plan, a model providing an answer that could be used in the exam, and a Technical Knockout section, offering additional tips for successfully passing the examination. An evidence-based approach presented in a concise outline-oriented format, this resource also functions as an introduction to anesthesia rotations and as a technical study guide for students.

Based on the most current evidence and best practices, Perioperative Medicine: Managing for Outcome, 2nd Edition, is an easy-to-follow, authoritative guide to achieving optimal outcomes in perioperative care. Written and edited by recognized authorities in anesthesiology and surgical critical care, this fully updated edition helps you think critically about complex, long-term issues surrounding the care of the surgical patient, providing decision trees that define strategies to enhance the medical outcome of care. Focuses on what anesthesiologists, surgeons, and intensivists need to know in order to improve outcomes through evidence- and outcome-based approaches. Provides practical guidance on potential risks to all major organ systems, the etiology of particular organ dysfunctions, preoperative and intraoperative risk factors, and perioperative protection strategies to minimize potential complications. Features a consistent chapter format - with even more color-coded algorithms, summary tables, and boxes - that enables you to quickly explore and determine the best management approaches. Includes six all-new chapters: Perioperative Fluid Management; Delirium and POCD; Role of Palliative Care/ICU; Value-Based Care: The UK Model; CFO Perspective on Value; Hospital to Home (Perioperative Transitions of Care) Discusses timely topics such as quality improvement, pay-for-performance, preexisting disease and comorbid conditions in anesthesiology, and the team-based model of care. Features two new editors, surgeon Clifford Ko, MD, and Perioperative Summit leader, Michael (Monty) Mythen, MD. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Written and edited by experts in the field, the Handbook of Clinical Anaesthesia provides all the essential practical knowledge required by anaesthetists on co-existing medical conditions, operative procedures, and techniques. The fourth edition retains the concise and comprehensive nature of the third, giving readers all they need to know about each part of the FRCA syllabus in short, digestible, practical entries. The first part covers Patient Conditions; the second Surgical Procedures; and the third Anaesthetic Factors. Each part is subdivided into chapter on each organ system, and each chapter is divided into bite-sized entries. These are in alphabetical order, and cover all common and rare conditions that anaesthetists will encounter within their practice. Avoiding prolonged discussion and multiple references, this is the ideal book to 'dip into' either for specific advice or general education, providing quick and reliable information. This is the most thorough handbook to cover the entire FRCA syllabus in a consistent and instructive manner. It continues to be accessible and relevant to all anaesthetists from middle grade trainee up to consultant/specialist.

Functional MRI: Basic Principles and Emerging Clinical Applications provides an overview of the basic principles of fMRI for clinicians with minimal knowledge of the imaging technique and its research potential and clinical applications. The text is divided into two parts, with Section I covering the primary signal measured in fMRI (BOLD), the correlation between neuronal activity and the BOLD signal, and how the data is analyzed and interpreted in fMRI. Section II explores applications of fMRI in cognitive neuroscience and common psychiatric disorders, surgical planning in neurosurgery, anesthesia and the intensive care unit, and more. Timely and highly accessible, this book is a valuable resource for researchers and clinicians interested in understanding what fMRI is, how it works, and its applications.

Trauma is the leading cause of death among people under the age of 40 and it ranks third for all age groups. Still, relatively few clinicians specialize in trauma and training is often obtained through experience. The number of trauma patients is expected to continue to grow as pre-hospital care continues to advance. As well, hospitals increasingly see trauma treatment, which requires no pre-approval, as a good source of revenue. Given these developments, the number of opportunities for specialists trained in trauma, including anesthesiologists and critical care physicians, will expand in the years ahead. This book addresses the need for an up-to-date, comprehensive and clinically focused volume for practitioners and trainees in trauma anesthesia and critical care. It is organized by organ system. The editor is an attending physician at a major urban hospital center recognized worldwide for its outstanding emergency medical services including trauma care and is recruiting leading trauma anesthesiologists to contribute. Anesthesiologists, pain medicine physicians, critical care physicians and trainees are the target audience.

"For courses in Pain Control, ""Local Anesthesia in Dentistry, and Nitrous Oxide Sedation (minimal sedation) in Dentistry." "Local Anesthesia for Dental Professionals," 2/e provides a user-friendly, primary resource for instructors and students of pain control. This text is appropriate for both dental and dental hygiene students and provides step-by-step instructions that are also useful to practicing clinicians seeking to improve their skills or learn new injection techniques. In addition to the superb illustrations, step-by-step approach, and easy-to-understand language established in the first edition, the new second edition includes both local anesthesia and nitrous oxide-oxygen sedation. Extensive online resources and a companion technique DVD augment this text, providing a comprehensive resource for students and dental professionals. Teaching and Learning Experience "Local Anesthesia for Dental Professionals," 2/e provides unparalleled coverage in a straightforward, user-friendly format. It provides:

• Comprehensive yet accessible content: The text is an all-in-one resource in local anesthesia for dental and dental hygiene students and professionals.
• Real-world learning: Chapters present practical expertise, case studies, and resources that will be referenced again and again.
• Extensive teaching and learning resources: Numerous text features and supplemental materials facilitate both teaching and learning.

Highly Commended, BMA Medical Book Awards 2015 In 2008, Paul Farmer and Jim Yong Kim described global surgery as the "neglected stepchild" of healthcare, and now leaders from around the world are working to redefine it as a human right through the Lancet Commission on Global Surgery. In order to help advance global surgery and anesthesia as a public health intervention, providers require a practical, hands-on manual to train and educate them to provide safe and effective surgery and anesthesia in resource-limited settings. In an effort to respond to that need, over 140 clinicians from high-, low-, and middle-income countries collaborated to create the Global Surgery and Anesthesia Manual: Providing Care in Resource-Limited Settings. This guide provides in-depth instruction on epidemiology and ethics surrounding surgical services, and on anesthesia, perioperative care, trauma surgery, and non-trauma surgery. With contributions from a group of culturally and academically diverse clinicians, each chapter is enriched by at least one commentary from a surgeon or anesthesia provider in a low- or middle-income country (LMIC) who shares first-hand perspectives on the realities and complexities of providing surgical care in these settings with limited resources. The book will serve as a core reference for surgeons and anesthesiologists at all levels interested in global surgery. It will assist those working in LMICs who are confronted with surgical problems that they are not routinely exposed to in their traditional practice. Filled with expert guidance, decision-making algorithms, and treatment options, it will also serve as an invaluable text for trainees in LMICs as it covers the majority of surgical disease processes that would be encountered in such settings.

This book offers an in-depth examination of labor pain and analgesia with the aim of promoting natural childbirth without pain. All aspects of the subject are covered, including the latest techniques of delivering labor analgesia. Importantly, emphasis is placed on a holistic approach, detailed attention being paid to the humanization of childbirth and behavioral aspects in addition to evidence-based medicine. Potential future developments are also addressed, with discussion of opportunities that have yet to be realized. In order to ensure that the text is easily readable for trainees as well as established practitioners, chapters have been restricted to a manageable length and information is presented clearly and succinctly. Step-by-step tutorials and boxes highlighting practical points are used to clarify technical aspects. The authors include both well-established experts and young emerging professionals from various European countries, ensuring an intercultural perspective.

The cornerstone text on the theory and practice of regional anesthesia and pain management Presented in full color, this classic covers the theory and practice of regional anesthesia in its entirety, providing practitioners and students with both the physiologic principles and specific, state-of-the-art patient-management protocols and techniques. Recognized leaders in the specialty have filled this richly illustrated volume with authoritative, completely practical help. Readers will find algorithms for managing or avoiding a wide range of common clinical dilemmas or complications. The book includes time-saving tools such as intravenous-to-oral opioid conversion tables and PCA setup guides as well as a selection of nerve block techniques and advice on their strengths and pitfalls. This handy reference helps readers make wise choices about anesthetics, dosing intervals, equipment, and perioperative management of patients receiving single-injection or continuous nerve blocks or spinal or epidural anesthesia. It tells them how to successfully manage patients with suspected epidural hematoma or neurologic injuries -- and much more. * NEW INFORMATION on the emerging use of ultrasound in nerve blocks - including patient outcomes, how it affects resident physician training, and the very latest recommendations * Includes hundreds of full-color illustrations * Covers the entire field of regional anesthesia * Details how to achieve reliable anesthesia and analgesia for surgical interventions on the face and upper and lower extremities * Provides information on the advantages and disadvantages of using regional anesthesia in patients with coexisting diseases * Features up-to-date information on the etiology, prevention, and management of a wide range of complications

Considered the go-to reference in airway management not only in anesthesia practice but also in emergency medicine and intensive care settings, Hagberg and Benumof's Airway Management ensures that practitioners worldwide are familiar and proficient with the most recent developments in equipment and scientific knowledge in this fast-changing area. Covering all aspects of this fundamental practice, the new 5th Edition facilitates the safe performance of airway management for all airway practitioners, regardless of specialty, using a concise, how-to approach, carefully chosen illustrations, and case examples and analysis throughout.The only volume of its kind completely dedicated to airway management, this edition features: Well-illustrated and tightly focused coverage, with anatomical drawings, charts, algorithms, photos, and imaging studies for quick reference-many new to this edition. Key Points in every chapter, as well as up-to-date information on the latest ASA guidelines. Two new chapters covering Combination Techniques and Human Factors in Airway Management; all other chapters have been thoroughly revised to reflect current thinking and practice. A significantly expanded video library, including intubating the COVID-19 patient and new videos on ultrasonography of the airway. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

A comprehensive textbook on the principles and practice of sedation in dentistry Drawing on the success of Clinical Sedation in Dentistry, this new edition covers all aspects of conscious sedation in dentistry. Written by experienced educators and internationally renowned researchers in the field, Conscious Sedation for Dentistry, Second Edition has been fully updated to include new national guidelines and equipment recommendations, and a companion website featuring self-assessment questions. Clear, concise, and reader-friendly throughout, chapters cover anxiety management, applied anatomy and physiology, patient assessment, pharmacology of sedation agents, oral and intranasal sedation, inhalation sedation, intravenous sedation, complications and emergencies, sedation and special care dentistry, and medico-legal and ethical considerations. Conscious Sedation for Dentistry, Second Edition is ideal for undergraduate dental students and dentists undertaking conscious sedation, as well as dental nurses completing post-registration sedation courses.

The Royal College of Anaesthetists has introduced Constructed Response Questions (CRQs) as an innovative way of testing trainees, in the fields of anaesthesia and intensive care medicine, in their final FRCA examinations from September 2019. CRQs are a more structured way of assessing knowledge and understanding; they also assess the application of knowledge, evaluation and judgement. This book categorises 134 questions based on the Royal College model, with six mandatory sections of training and two separate sections on general duties and optional units. In the FRCA exam, there will be a total of 12 questions, one each from the six mandatory units of training (neuroanaesthesia; obstetric anaesthesia; paediatric anaesthesia; pain; cardiac anaesthesia; and intensive care), and six from general duties which may include one from optional unit training (perioperative medicine; regional, orthopaedic and trauma anaesthesia; other topics in general medicine; and optional topics). The answers have been extensively researched from recent BJA Education papers, e-learning, CEPD resources and other vital educational materials. To make it easy for the revising candidate, the questions have been split into their respective subspecialty topics, so the reader can assess their knowledge appropriately in a timely manner. It is an ideal companion for candidates who are preparing for their final exams in anaesthesia and will help to assess their preparation and guide appropriate revision. The topics are pertinent for other anaesthetic exams worldwide, including the European exams, Australian and New Zealand fellowships and the Indian DNB exams. The authors have extensive experience in anaesthetic teaching and lead anaesthetic intermediate teaching in the UK, running regular and successfully attended courses. This book will help candidates to adapt to the recent exam changes and revise in an efficient manner. It will not only be an invaluable educational resource for trainee anaesthetists but also for practising anaesthetists. Medical students and junior doctors, who are about to embark on a career in anaesthesia or intensive care medicine, will also find the book to be a useful educational tool.

Treatments, Mechanisms, and Adverse Reactions of Anesthetics and Analgesics is an essential read for anyone working in pain management. The book addresses the onset of pain, the cause of the pain, and the administration of analgesia or anesthesia. The etiology of pain is complex and multi-factorial, which is made more complex with the use of analgesics and local or general anesthetics. This volume works to clarify all of the subjects pertinent to anesthesia and the brain, from their variety, modes of action, and adverse effects.

Resuscitation is a two-stage process comprising the achievement/maintenance of spontaneous circulation and post- resuscitation management. The approach is complex and multifaceted and entails the integration of new physiological insights, pharmacological options, and technological advances. The purpose of this volume, written by top experts in the field, is to promote, share, and disseminate new advances in resuscitation and post- resuscitation care. The issues addressed are wide ranging and of great topical interest or controversy. They include priorities of intervention, quality of resuscitation, use of mechanical supports, new defibrillation strategies, prevention of organ damage, strategies in cases of sudden cardiac death, new pharmacological treatments, and post-resuscitation care, including temperature management and prediction and improvement of outcome after cardiac arrest. Particular attention is devoted to up-to-date evidence from the most recent experimental and clinical trials on resuscitation science and to gold standard evidence-based resuscitation and post-resuscitation treatments and interventions. In addition, organizational models and integrated care systems for trauma are considered, and critical care education and the process of guideline development are reviewed.

Offering complete, up-to-date coverage of everything from basic science through current clinical practice, Hall Anesthesia: A Comprehensive Review, 6th Edition, provides 1,000 review questions that help you improve your mastery of anesthesiology. You'll reinforce your current knowledge, identify areas that require more study, and improve your long-term retention of the material - all while preparing for certification and re-certification examinations as well as clinical practice. Provides 1,000 completely updated review questions (more than 100 are brand-new) with explanations in the answers. Every question has been reviewed by at least one additional author and vetted by Mayo residents to ensure a consistent level of difficulty. Familiarizes you with the current ABA exam content and format, with challenging board review questions and answers covering the latest discoveries and techniques in physics, biochemistry, and anesthesia equipment; the newest drugs and drug categories; and the most recent information on all anesthesia subspecialties. Allows you to test interactively online with a scoreboard and notes field. Offers discussions after each question, along with corresponding page references to major anesthesia texts so it's easy to find more information on any subject. Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices

All anesthesiologists are confronted with patients who show bleeding disorders, whether congenital, acquired, or pharmacologically induced. Although many studies, meta-analyses, guidelines, and textbooks have been published on the subject, they mostly cover specific aspects or require a thorough knowledge of hemostasis. The goal of this book is to provide the anesthesiologist with an overview of hemostasis and the mechanisms underlying bleeding and coagulation in general and to assist in the understanding of specific coagulation disorders as they may occur in the various anesthesia subspecialties. It is hoped that, through the provision of practical information and tools, the book will help residents and trained anesthesiologists to manage one of the most frustrating challenges that they face: the bleeding patient. A full understanding of coagulation requires a lifelong career, and this book is not intended to replace the consulting hematologist, whose expert opinion should always be sought. The available procoagulant blood products and drugs all have potentially dangerous side-effects; furthermore, in bleeding disorders pitfalls are frequent and a misdiagnosis can have potentially catastrophic consequences. The aim of the editors is thus instead to enhance the collaboration between the disciplines of Anesthesiology and Hematology.

For over thirty years, the Oxford Handbook of Clinical Specialties has guided students and junior doctors through their clinical placements, renowned for providing all the information needed for both practice and revision in a deceptively small package. Now in its eleventh edition, the Handbook has been revitalized by an expanded team of specialty experts and junior doctors to guide readers through each of the specialties encountered through medical school and Foundation Programme rotations, while remaining true to the humanity and patient focus of the original edition. Updated with the latest advice and clinical guidelines, packed full of high-quality illustrations, boxes, tables, and classifications, and with a brand new chapter on how to survive your junior doctor years and beyond, this handbook is ideal for both study and use at direct point of care. Each chapter is clear and concise and filled with medical gems, with features including ribbons to mark your most-used pages and mnemonics to help you memorize and retain key facts. With reassuring and friendly advice throughout, this is the ultimate guide and revision tool for every medical student and junior doctor for each clinical specialty placement. This well-loved Handbook remains the perfect companion to the Oxford Handbook of Clinical Medicine, together encompassing the entire spectrum of clinical medicine and unmatched by any competitor in their class, helping you become the doctor you want to be.