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.

Anesthesia for the New Millenium: Modern Anesthetic Clinical Pharmacology contains the refresher course lectures of the 1999 meeting and is a review of the current state of the art in anesthesia clinical pharmacology. The authors of the individual chapters are among the world's most widely recognized experts in the pharmacology of perioperative medicine. The book features sections on new pharmacology concepts, new drug delivery techniques, recently released drugs and novel thinking about older drugs. It also addresses several areas that have recently emerged as very hot clinical and research topics, including depth of anesthesia monitoring technology and anesthesia drug interactions. The textbook is the seventeenth in a continuing series documenting the proceedings of the postgraduate course.

The complete, authoritative, and practical guide to ultrasound-guided nerve blocks - updated to reflect the most current NYSORA initiatives INCLUDES THREE ATLASES Hadzic's is the most comprehensive color guide to the procedures and equipment used in ultrasound guided nerve blocking. Color drawings and photographs are bolstered by concise, step-by-step instruction from the world-renowned St. Luke's Hospital in New York. The Third Edition has been updated to include more international contributors, and better align the book's content with the New York School of Regional Anesthesia's (NYSORA) standards of practice. Featuring sections that progress from the foundations of regional anesthesia to the clinical applications of nerve blocks, Hadzic's includes tips and insider perspective from the leadership of NYSORA and its academic affiliates. The book also includes three separate atlases, including a new atlas of musculoskeletal ultrasound, as well as surface anatomy, and ultrasound-guided anatomy. *A real-world emphasis on clinical utility serves as the underpinning of chapter content and drives the book's in-depth explanations of techniques and procedures *Outstanding organization begins with the foundations of peripheral nerve blocks (e.g., regional anesthesia, equipment, and monitoring and documentation) and then reviews clinical applications for both traditional procedures and ultrasound-guided procedures *Three atlases: musculoskeletal ultrasound, surface anatomy, ultrasound-guided anatomy

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.

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.

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.

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.

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.

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.

Written by two anaesthetists, one British and one American, this unique book focuses on the transatlantic story of anaesthesia. The authors have both worked at the two hospitals where the first general anaesthetics for surgery were given in 1846, Massachusetts General Hospital in Boston, Massachusetts and University College Hospital, London. Each with more than fifty years' experience of working in anaesthesia, they combine their knowledge and expertise to offer a fresh outlook on the development of anaesthesia through the ages. This highly informative and intriguing text details the origins of anaesthesia, outlines the different techniques of anaesthesia and traces its progress with illuminating and enlightening commentaries. This is a fascinating book which considers the role key figures have played in developing anaesthesia including, Queen Victoria, William Morris, La Condamine, Bjorn Ibsen and Henry Beecher. Broken down into four sections, which are divided into easy-to-read chapters and filled with top quality photographs, this book makes compelling reading. It is recommended to all those interested in the history and development of medicine through the ages, and is of particular interest to anaesthetists. More than just the science of anaesthesia, this is the story about the people and personalities who have made anaesthesia what it is today.

Get Through FRCA Primary: 710 MCQs is written for all candidates undertaking the FRCA Primary examination. The authors have focussed on the most daunting parts of the examination syllabus, namely, physiology, pharmacology, clinical chemistry and physics. The text is divided into two sections: the first part consists of 260 MCQs grouped by subject; the second part comprises five sample papers, each containing 90 MCQs. This format is identical to the FRCA Primary exam, thus making this book an ideal learning format. The authors, Raja Jayaweera and Ramanie Jayaweera, between them have wide experience of the FRCA examinations and are particularly aware of the standard of knowledge required to pass this initial Primary MCQ exam. Recommended to all candidates preparing for the FRCA examinations, their trainers and qualified anaesthetists wishing to update their knowledge. Containing MCQs covering all of the tricky topics of the actual exam, this is one text that all candidates for the FRCA exam cannot be without.

This work discusses the methodology and available evidence from systematic reviews on the current best practice in anaesthesia and analgesia. The first edition is built upon in this thoroughly revised and updated text. Contributions are from acknowledged world authorities on systematic review in the specialty. The free access website continues to provide added detail on the literature.

This easy-to-use resource details all of the complications likely to be encountered in clinical practice. The scope has been expanded to include the critical care setting. Internationally renowned authorities explain the nature, likelihood, and causes of each problem, and then guide you through the appropriate treatment measures. Each type of complication is discussed in its own concise chapter making it easier to quickly locate and research specific topics of interest. Presents content in an updated, logical organization covering various types of complications (drugs, testing, intubation, line insertion, surgical procedures, etc.) followed by differential diagnosis and treatment of signs of complications (intraoperative, such as hypoxia or hypotension; and postoperative, such as MI). Follows a problem-based, practice-oriented approach throughout; case synopses are followed by concise coverage of recognition, risk assessment, implications, management, and prevention. Allows you to review the case reports, contemplate the implications, then check your response against what the experts have to say. Includes numerous photographs, diagrams, flow charts, and tables that illustrate key concepts. Ideal as a clinical reference and as a study tool when preparing for oral boards. Brings you up to date with new safety standards and the latest ASA guidelines. 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.

Cardiac Anesthesia: A Problem-Based Learning Approach provides a comprehensive review of the dynamic and ever-changing field of cardiac anesthesia. Its problem-based format incorporates a pool of multiple-choice questions for self-assessment. Each of its 36 case-based chapters is accompanied by questions and answers, accessible online in a full practice exam. The cases presented are also unique, as each chapter starts with a case description, usually a compilation of several actual cases; it then branches out through case-based questions, to increasingly complex situations. This structure is designed to create an authentic experience that mirrors that of working through the nuances of a complicated clinical scenario. The discussion sections that follow offer a comprehensive approach to the chapter's subject matter, thus creating a modern, complete, and up-to-date medical review of that topic.

The third edition of Cardiopulmonary Bypass offers a comprehensive, and up-to-date reference text to extracorporeal cardiopulmonary support. This book provides a clinically-focused tutorial with chapters spanning the technical aspects, patient related considerations, and human factors essential to contemporary practice of cardiopulmonary bypass. Written concisely to allow the reader to gain and apply critical knowledge to the clinical setting and featuring artwork that has been extensively updated to include numerous figures and color plates imbedded into each chapter. A remarkable collection of international experts in the fields of perfusion, anesthesiology, and cardiac surgery were recruited to co-author chapters, providing a multidisciplinary approach to case management. This completely updated edition includes expanded content on developments in minimally invasive extracorporeal circulation, anticoagulation, organ injury, and human factors. The comprehensive coverage of perfusion practice in a concise, highly illustrated format makes it the go-to, portable reference manual for perfusionists, cardiac surgeons, and anesthesiologists.

Audit was a buzz word of the late '80s and early '90s, but in anaesthetic practice the important issues are quality of service and safety of the patient and audit is used to monitor and agree standards for these two.
With contributions from leading figures in anaesthetic audit, "Quality and Safety in Anaesthesia" describes the important work already done and addresses vital aspects such as risk management, resource management, standards and postgraduate training, critical incidents and human error, use of computers, design of equipment for safety and managing a department of anaesthesia.
This book relates the process of quality assurance to the drive to improve the quality of anaesthetic practice. It should be useful for all those working or thinking about working in anaesthetic departments, and will be revealing to all those with an interest in quality and audit.

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

In retrospect, the dosage of IV sedatives used in the early days of endoscopy both in the USA and Great Britain was frequently too high. Today, we are much more careful in the way we sedate patients, being acutely aware of the fact that if the patient becomes unresponsive and verbal contact is lost then, by definition, a general anaesthetic has just been administered with all the clinical and legal implications that this holds. This expertly written book examines all aspects of conscious sedation and will be an essential reference for nurses and other health professionals involved in the clinical care of patients undergoing diagnostic or therapeutic procedures that require conscious sedation. Each chapter covers a particular area of the practice of conscious sedation and the authors come from a wide spectrum of clinical specialities.

Linking existing knowledge to new knowledge by presenting it in the form of a case or a problem is a popular and effective educational approach resulting in better retention of the knowledge and improved ability to apply that knowledge to solve real problems. This problem-based learning (PBL) method was introduced into medical education at McMaster University in Ontario, Canada, in 1969. Since then it has been widely incorporated into secondary, undergraduate, and graduate education in a variety of disciplines worldwide. This new volume for the Anesthesiology Problem-Based Learning series reviews topics in general anesthesiology utilizing the PBL approach. Each chapter deals with conditions and problems in anesthesia practice presented as a case stem with questions to encourage critical thinking, followed by an evidence-based discussion and multiple-choice questions for self-assessment. Current in its knowledge of organ systems and management, the text keeps pace with new technology, new drugs, and new surgical techniques coupled with current guidelines for anesthetic management. Cases highlight the practical issues that arise in the operating room and offers solutions for them. The book can be used to review an upcoming clinical case or as a PBL tool. The 'Stem Case' and 'Key Questions and Discussion' sections can serve as the basis for interactive learning experiences for study groups or as a broad yet in-depth clinical review of the specialty for the individual learner. Self-assessment questions can be used as a measure of knowledge acquisition or simply as a question bank to prepare for examinations.

Yearbook of Anesthesiology-7 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 new chapters on statistics and ethical issues, as well as a complete section dedicated to videolaryngoscopy. 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 the latest advances in anaesthesiology In depth coverage of all three subspecialties - regional and general anaesthesia, pain, and intensive care Complete chapter dedicated to videolaryngoscopy Features recent journal articles with reviews and interpretations by experts in the field