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.

Written by residents and attendings at the world-renowned Massachusetts General Hospital Department of Anesthesia, Clinical Anesthesia Procedures of the Massachusetts General Hospital, Tenth Edition, offers current, comprehensive, and concise guidelines on all facets of anesthesia, perioperative care, critical care, and pain management. Emphasizing the clinical fundamentals necessary for patient safety and optimal outcomes, this trusted guide provides fast answers to the most frequent problems encountered in daily anesthetic practice, making it an invaluable resource for practicing anesthesiologists and residents as well as nurse anesthetist trainees and practitioners. Focuses on the clinical fundamentals needed for the safe delivery of anesthesia and perioperative care in day-to-day practice. Uses an easy-to-scan outline format that progresses intuitively from preoperative evaluation through administration of anesthesia to perioperative issues for each subject. Updated and reorganized table of contents in addition to chapters on evaluating the patient, anesthesia for pediatric surgery and care of the neonate, non-operating room anesthesia and pain management. Includes new chapters on the basics of echocardiography, anesthesia for orthopedic surgery, anesthesia for transplant surgery and vascular access. Features appendices covering drugs and intravenous antibiotics. Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

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.

Obstetric anaesthesia is a specialized practice and covers the entire range of pain relief throughout normal labor as well as general anaesthesia for special procedures such as caesarian section. While there is a specialist group based at main teaching centers who practice obsteric anaesthesia exclusively, the majority of anaesthetists are based at smaller hospitals where there is no such specialist. Consequently, it is essential that all anaesthetists are familiar with the anaesthetic requirements of normal labor, and of all but the most extreme cases of abnormal labor. While this book is written for the specialist in obstetric anaesthesia, it is also ideal for trainee anaesthetists. It provides enough information for the final FRCA examination, but also contains sufficient detail on the various clinical problems that may present at any stage in their future career. The underlying principle is that the anaesthetist must understand the physiology of labor in normal and abnormal situations as well as the interventions of his obstetric colleagues in order to practice safely and effectively. The book will replace J. Selwyn Crawford's text, which presented a personal view, backed by his extensive research experience of obstetric anaesthesia.

Long regarded as the undisputed leading text of its kind, Miller's Basics of Anesthesia provides comprehensive yet concise coverage of both basic science and clinical topics in anesthesiology. Under the experienced editorial leadership of Dr. Manuel C. Pardo, Jr., the 8th Edition has been meticulously updated to reflect the latest advances in practice and important aspects of contemporary anesthesia care, including pathophysiology, pharmacology, regional anesthesia, anesthetic management, and special problems and patient groups. It remains the first learning resource of choice for anesthesia providers, including anesthesia residents and fellows, medical students, and student registered nurse anesthetists, and is also a valuable review tool for practitioners undergoing maintenance of certification or recertification. Features a reader-friendly format with color-coded section tabs, easy-to-read chapters, and a concise writing style, along with color patterns in every chapter for quick navigation. Contains new chapters on Clinician Well-Being, Perioperative Point-of-Care Ultrasound, Environmental Impact of Anesthetics, and Perioperative Medicine. Covers key topics such as anesthesia neurotoxicity, palliative care, sleep medicine, trauma, and much more. Includes high-quality images that offer a detailed visual understanding of complex topics, while numerous figures and tables condense material for easier retention and review. Shares the knowledge and experience of renowned anesthesia expert Dr. Manuel C. Pardo, Jr. and a team of more than 80 global contributing authors. Serves both as an initial learning resource and a useful tool for solidifying the essential "must know" information and reviewing core knowledge for maintenance of certification. 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.

In 2012, the American Board of Medical Specialties (ABMS) approved Interventional Radiology (IR) as its own specialty. Born out of the field of Diagnostic Radiology, IR requires a more clinical focus on initial consultation and post-procedural management, rather than its previous role of performing image-guided procedures. Interventional Radiology: Fundamentals of Clinical Practice is written with this new focus in mind to help readers incorporate their procedural knowledge into a holistic approach of patient management. Chapters explore topics across a broad spectrum of IR, with a focus on etiology and pathophysiology of disease, followed by discussions on intra-procedural and post-procedural management. Numerous tables and boxes, and over 420 total figures complement chapter content. This comprehensive text is a must-have for IR residents and all practicing interventional radiologists.

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.

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 Aoebertragung, die klinische Anwendung und Aoeberwachung der neuromuskulAren Blockade werden nach dem aktuellen Wissensstand dargestellt. Ein Buch fA1/4r AnAsthesisten und AnAsthesie-Krankenpflegepersonal.

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.

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.

This innovative, comprehensive book covers the key elements of perioperative management of older patients. The book's chapter structure coincides with the clinical path patients tread during their treatment, from preoperative evaluation to post-hospital care. Epidemiological aspects and aging processes are illustrated, providing keys to understanding the quick expansion of geriatric surgery and defining the clinical profile of older surgical patients in a cybernetic perspective. Preoperative evaluation and preparation for surgery, including medication reconciliation and pre-habilitation, are developed in the light of supporting decision-making about surgery in an evidence-based and patient-focused way. Intra- and postoperative management are discussed, aiming to tailor anesthetic, surgical and nursing approaches to specific patients' needs, in order to prevent both general and age-related complications. This volume also addresses issues relevant to geriatric surgery, from different organizational models to clinical risk management and systems engineering applied to hospital organization.

The kidneys participate in all vital processes of the body to maintain overall homeostasis and health. When kidneys are injured during surgical interventions, metabolic and hemodynamic control is disrupted, leading to dysfunction associated with greater mortality, length of hospital stay and cost. Peri-operative Kidney Injury presents the epidemiology, risk factors, diagnosis, treatment and outcomes associated with kidney injury during the peri-operative period. Concepts and principles of care to prevent kidney complications during surgical procedures are provided to equip health care professionals along with strategies to manage acute kidney injury and associated challenges when they occur. Chapters detail diverse surgical settings, ranging from the more common, such as abdominal, cardiac and vascular surgeries, to the intricately complex, including the use of the left ventricular assist device and organ transplants. This practical and comprehensive text blends the evidence-based standards of care with cutting edge advances in the field, while also providing the reader with a peek into innovations on the horizon.

This book highlights the practical characteristics of uncommon diseases and presents the most relevant features for the management of intensive care units. It does not aim to provide an exhaustive description of uncommon diseases, focusing instead on the major diseases that intensivists may encounter in their clinical practice. After a brief introduction on the epidemiology and pathophysiology of each disease, the authors emphasize the aspects related to diagnosis and treatment, providing concise and pragmatic guidance for residents and intensivists who care for patients with uncommon diseases. Although by definition uncommon diseases have a low prevalence in the general population, they can affect a large number of patients admitted to intensive care units, as they can often be diagnosed at intensive care units. Indeed, often a complication of the disease is what leads to the patient's being admitted to an intensive care unit.

Geriatric Trauma and Critical Care provides a multidisciplinary overview of the assessment and management of the elderly patient presenting with surgical pathology. By utilizing current literature and evidence-based resources, the textbook elucidates the unique nature of caring for the elderly population. The structure of the volume provides the reader with an overview of the physiologic and psychological changes, as well as the impact on the healthcare system, associated with the aging process. Emphasis is placed on the impact of aging, pre-existing medical problems, effects of polypharmacy, advanced directives and end-of-life wishes on acute surgical problems, including trauma and surgical critical care. Special attention is given to the ethical implications of management of the aged. The multidisciplinary contributors provide a unique point of view not common to surgical texts. The textbook is the definitive resource for practicing surgeons, emergency medicine physicians, intensivists, anesthesiologists, hospitalists, geriatricians, as well as surgical residents, nurses and therapists, all who care for elderly patients with surgical emergencies.

This book is unique in approaching multiple organ dysfunction syndrome (MODS) from the perspective of its pathophysiological mechanism, and addressing aspects that are overlooked in most of the available literature. Eminent experts in the field from Europe and beyond offer new insights into risk stratification, severity assessment, and management of critically ill patients with sepsis. The principal focus is on recently developed concepts in infection management and in antibiotic use, bearing in mind that in these patients the pharmacokinetics of antibiotics are altered, affecting renal clearance and requiring dosage adjustments. The significance of the PIRO (predisposing factors, infection, response, organ dysfunction) model in the development of effective treatment strategies is emphasized. This book will be of interest and value to all who are involved in the treatment of, or research into, sepsis and MODS.

This volume describes the most recent medical guidelines for perioperative management in arthroplasty with the aim of facilitating excellent control of bleeding/thrombosis, pain and infection. For each area – hemostasis control, pain control and infection control – hot topics of key practical importance are discussed and contrasting perspectives are presented on controversial issues, covering the views of different practitioners and specialties. Using the information contained in this book, the practitioner will be in an excellent position to meet the principal goals of perioperative medical management. The information provided will assist in the choice of a multimodal guideline that minimizes the complication rate regarding bleeding and thromboembolism while not interfering with the patient’s recovery. Similarly, effective means of pain control and an optimized pain control protocol are discussed with a view to shortening hospital stay and achieving functional milestones that meet the patient’s expectations. Finally, host, wound and environmental factors relevant to infection and its prevention are explained, with discussion of the best means of prophylaxis, treatment and imaging. Surgeons, anesthesiologists and all medical practitioners and staff involved in the field of total hip and knee arthroplasty will find this book to be of value in their daily clinical practice. It will assist in the provision of enhanced medical management that ensures quicker recovery of the patient with fewer complications.

The past few decades have seen major impacts of different pandemics and mass casualty events on health resource use in terms of rising healthcare costs and increased mortality. In this context, the development of acute respiratory failure in patients requires the use of mechanical ventilation, either invasive or noninvasive. Recently, noninvasive ventilation (NIV) has proved to be a valuable strategy to reduce mortality rates in patients. This is the first book to describe the clinical indications of NIV in patients who have been hospitalized with high-risk infections as well as in the prehospital management of mass casualty incidents, including chemical or biological disasters and pandemics. Compiled by internationally respected experts, it offers comprehensive coverage of all aspects of noninvasive mechanical ventilation in public health emergencies, such as equipment needs and guidelines for health organizations. Considering recent events (SARS, H1N1 influenza pandemic), the book concludes with a critical review of current studies and future prospects for the use of NIV, offering a valuable resource for all practitioners managing mass casualty incidents and disasters.

David O'Flaherty describes the physiology and techniques of carbon dioxide measurement and the clinical significance of the capnogram.

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.

Part of the highly popular Practical Approach to Anesthesia series, this new edition combines the comprehensive depth of a textbook and the user-friendly features of a practical handbook. Focusing on clinical issues in pediatric anesthesia, it contains the in-depth information you need for daily practice and study, presented in a concise, bulleted format for quick reference. With its emphasis on developmental aspects of pediatric anesthesia, numerous illustrations and tables, and methodical approach to decision making, this updated reference is an invaluable resource for anyone involved with anesthesia of children.Key Features Features new chapters on vascular biology and vascular anomalies, healing and recovery in pediatric surgery, and training and education in pediatric anesthesia. All existing chapters have been fully updated to keep you up to date. Covers key issues of growth and development – anatomic, physiologic, and pharmacologic – that form the basis for a better understanding of pediatric anesthesia. Discusses the approach to the pediatric patient, clinical and operational aspects of pediatric anesthesia, anesthetic management of normalities and abnormalities of each organ system, and special situations such as fetal surgery, anesthesia outside the operating room, and trauma. Provides a clear understanding of anomalies, embryology, anatomy, and surgery so that you’re well prepared to choose the best induction, maintenance, and emergence techniques, as well as make informed monitoring and equipment decisions. Presents information in a bulleted, outline format for easy reference and review. Now with the print edition, enjoy the bundled interactive eBook edition, which can be downloaded to your tablet and smartphone or accessed online and includes features like: Complete content with enhanced navigation Powerful search tools and smart navigation cross-links that pull results from content in the book, your notes, and even the web Cross-linked pages, references, and more for easy navigation Highlighting tool for easier reference of key content throughout the text Ability to take and share notes with friends and colleagues Quick reference tabbing to save your favorite content for future use

Automated Drug Delivery in Anesthesia provides a full review of available tools and methods on the drug delivery of anesthesia, bridging the gap between academic development, research and clinical practice. The book takes an interdisciplinary approach, pulling information about tools developed in other disciplines such as mathematics, physics, biology and system engineering and applying them to drug delivery. The book's authors discuss the missing element of complete regulatory loop of anesthesia: the sensor and model for pain pathway assessment. This is the only book which focuses specifically on the delivery of anesthesia.

This book covers a broad range of topics, providing trainee and practising anaesthetists with a comprehensive source of knowledge on applied sciences and clinical anaesthesia. The book has been divided into six sections with various chapters serving as a synopsis of the practice of anaesthesia. Each chapter discusses the significance and importance of problems that can impact the peri-operative management of the surgical patient. The case scenarios at the end of each chapter will additionally help in understanding the practical relevance of basic science. This book will be an invaluable educational resource for trainee anaesthetists and an indispensable aide-memoire for practising anaesthetists. It is, therefore, essential study material for trainees and a great educational tool for trainers. 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 companion.

This comprehensive, state of the art overview of pediatric and adult cardiac anesthesia brings together all the latest developments in this rapidly developing field. This text is intended both as a reference and for daily use by practicing and prospective anesthesiologists.

Thoroughly updated for its third edition, "Anesthesia for Cardiac Surgery" fills the gap between encyclopaedic references and brief outlines, presenting just the right amount of information to guide trainees and practitioners who care for cardiac surgical patients.

This edition features:
The introduction of Dr Zvara as co-editor
A new chapter on Special Considerations
Practical clinical information coupled with comprehensive descriptions of physiology
Key facts and tables summarized for convenient access.

This essential resource will prove invaluable for residents, fellows, and practicing anesthesiologists.

This book describes the state of the art concerning some of the most hotly debated topics in anesthesia and intensive care and is at the same time intended to serve as a useful practical guide that will assist in improving outcomes. The topics covered are wide ranging and include, for example, use of the prone position in ARDS, the role of therapeutic hypothermia in the critically ill, the value of immunoglobulins in the treatment of severe sepsis, drug management of septic shock, new strategies for prevention of ventilator-associated pneumonia, non-invasive ventilation outside of the ICU, management of postoperative bleeding and prognostic factors in cardiac arrest. Written by recognized experts in the field, the book will offer a comprehensive and easy to understand update for specialists and students of anesthesia and intensive care.