This comprehensive book is written to inform and improve outcomes of patients in need of blood management during surgical procedures. Information is presented in an accessible format, allowing for immediate use in clinical practice. Beginning with an overview of the history of blood transfusions, early chapters present the foundational information needed to comprehend information in later chapters. Nuanced procedures, drugs, and techniques are covered, including new biologicals to assist clotting and blood substitutes. Further discussions focus on potential complications seen in blood transfusions, such as diseases of the coagulation system, pathogen transmissions, and acute lung injuries. Chapters also examine the complexities of treating specific demographics, of which include the geriatric patient and patients suffering from substance abuse. Essentials of Blood Product Management in Anesthesia Practice is an invaluable guide for anesthesiologists, surgeons, trauma physicians, and solid organ transplant providers.

Pharmacology and physiology are the foundation of every anesthesia provider's training and clinical competency. Pharmacology and Physiology for Anesthesia: Foundations and Clinical Application, 2nd Edition, delivers the information you need in pharmacology, physiology, and molecular-cellular biology, keeping you current with contemporary training and practice. This thoroughly updated edition is your one-stop, comprehensive overview of physiology, and rational anesthetic drug selection and administration, perfect for study, review, and successful practice. Contains new chapters on Special Populations (anesthetic pharmacology in obesity, geriatrics, and pediatrics), Oral and Non-IV Opioids, Thermoregulation, Physiology and Pharmacology of Obstetric Anesthesia, Chemotherapeutic and Immunosuppresive Drugs, and Surgical Infection and Antimicrobial Drugs. Incorporates entirely new sections on Physics, Anatomy, and Imaging. Includes new information on consciousness and cognition, pharmacodynamics, the immune system, and anti-inflammatory drugs. Features user-friendly tables, figures, and algorithms (including 100 new illustrations), all presented in full color and designed to help explain complex concepts. Helps you understand the molecular mechanism of drug actions and identify key drug interactions that may complicate anesthesia with dedicated sections on these areas. Expert ConsultT eBook version included with purchase, which allows you to search all of the text, figures, and references from the book on a variety of devices

This book offers an essential guide to managing the most-debated hot topics of practical interest in anesthesia and intensive care. It reviews the state of the art in issues concerning both intensive care medicine and anesthesia, such as perioperative coagulation management, neuroaxial blockade and complications, postoperative pain management, pediatric airway management, septic shock and hemodynamic management, diagnosis and management of acute respiratory distress syndrome, and antifungal treatments for critically ill patients. Written by leading experts and including updated references, it provides a comprehensive, easy-to-follow update on anesthesia and intensive care. The book clearly explains complex topics, offering practicing clinicians valuable insights into the latest recommendations and evidence in the field while, at the same time, making it a vital resource for students new to the fields of anesthesia and intensive care.

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

This book, part of the European Society of Intensive Care Medicine (ESICM) textbook series, provides detailed up-to-date information on the care of the critical ill very old ( 80 years) patients in the ICU. The very old are expanding fast in our populations, and this is mirrored in our hospitals and ICUs as well. During the last decade, a lot more information about the group of critical ill elderly has been published, and several large networks cooperate in performing multinational studies in this field, one of them with roots in the ESICM. This book will give readers knowledge about the current epidemiology of elderly ICU patients, in patients centered outcomes and factors affecting these outcomes. A large part is devoted to age related changes in vital organ functions, and the specific geriatric "syndromes" like frailty, cognitive decline, reduced activity of daily living, sarcopenia and immunosenecence. This is all important for the practicing intensivists to know about. In addition, specific groups of the elderly in the ICU are also described like the elderly patients with trauma or sepsis. The book is written jointly by intensivists and geriatricians, often working in teams and originating from many different countries. This herald a new era in the collaboration between these two groups in order to improve care and rehabilitation. We have a lot to learn from each other, as both groups have a holistic view of our patients although with different perspectives. This book should be of value for all working in adult ICUs, physicians as well as nurses. It will hopefully lead to a better understanding of the particular challenges posed by this important sub-group of ICU patients and how to manage his group in a way that combine respect for life as well as death and includes patients and caregivers in this process.

This fully-updated third edition provides a practical and concise guide to all aspects of the perioperative care of cardiac surgical patients. Produced by recognised leaders from world-renowned cardiac centres, this is the authoritative text for residents and fellows in anaesthesia and cardiac surgery, clinical perfusionists, and critical care nurses. Updated chapters include regional anesthesia, paediatric cardiac anaesthesia, and anaesthesia for specific procedures such as aortic valve surgery and cardiac transplantation. An entire section is dedicated to transoesophageal echocardiography (TOE) in recognition of the increasing demand for basic TOE training. The book also includes an expanded chapter on the applications and anaesthetic implications of extracorporeal membrane oxygenation (ECMO). The text focuses on clinical practice and the basic science and pharmacology underpinning cardiac anaesthesia, ensuring the reader can easily apply the knowledge gained to real-life situations.

Due to the differences in the neurophysiology and cranial development of infants and children, the anesthetist's approach to the pediatric neurosurgical patient cannot simply be modelled on that for adults. Infants and children undergoing anesthesia for neurosurgical procedures therefore present unique challenges for the anesthetist. Essentials of Pediatric Neuroanesthesia is a practical guide to best practice in managing the perioperative care of pediatric neurosurgical patients, providing comprehensive information on the techniques to administer anesthesia and sedation to this vulnerable patient group. The chapters, written by leading experts, highlight clinical pearls as well as key recommended references, providing rapid access to vital information in the care of the pediatric neurosurgical patient. It is the first book of its kind to be dedicated solely to neuroanesthesia for pediatric patients, making it an essential read for both experienced and trainee pediatric anesthetists and neuroanesthetists.

This book provides a practical approach to the anesthetic management of surgical and nonsurgical procedures across the spectrum of anesthesia sub-specialties. This book will assist the practitioner to plan their anesthetic from preoperative evaluation phase to complete recovery or transfer to another special care area. The emphasis is on both the planned technique and more importantly the logic or reasoning behind the suggested technique. This book addresses all important procedures in anesthesiology, including preoperative evaluation, airway management, and fluid administration. Every chapter discusses a specific surgery or procedure. Some topics of special interest are also included. Anesthesiology: A Practical Approach is aimed at anesthesia residents, anesthesia nurse practitioners, and experienced anesthesiologists called upon to work in any area or anesthetizing location.

This book discusses the provision of anaesthesia for day case patients from the preoperative period until discharge and patient follow-up. Provides information on patient selection, management of pain and sickness, the recovery process and problems which may occur after surgery. All forms of anaesthesia are covered, including local anaesthesia and nerve blocks, general anaesthesia (with inhaled and injected drugs) and the use of sedatives to supplement local anaesthesia. The special needs of the child are also addressed.

Anatomy questions are asked in all parts of the FRCA examinations, and for many trainees it is a particularly daunting part of the exams. This important new book provides a comprehensive, exam-orientated clinical anatomy book for anaesthetists preparing for all parts of the FRCA. It covers all body regions, relating underlying anatomy to practical procedures and anatomical principles, spanning the breadth of the curriculum and comprising exam-style questions: a chapter of SAQ questions, one of OSCE stations, one of SOE questions and one of MCQs. The text is highly illustrated in full colour with ultrasound images, diagrams and photographs of cadaveric material and models. This is the first anatomy book specifically orientated for the FRCA exam, making it an essential resource for anaesthetists preparing for all parts of the FRCA examination.

This book is a knowledge-based text that covers the anatomy, neurophysiology, and neuropharmacology needed to carry out the necessary management and cerebrospinal protection during neuroanesthesia. Especially to make the subject of neuroanesthesia more approachable, we introduce surgical measures utilized in neurosurgery, cardiovascular surgery, neuromodulation, and related procedures. The main purpose of neuroanesthesia/neurocritical care is to deliver cerebrospinal protection in neurosurgical and cardiovascular surgeries. How should we select the best anesthetic management to prevent neurological complications for patients who, for instance, undergo different types of surgery for subarachnoid hemorrhage, stroke, head trauma, carotid endarterectomy, or cardiovascular surgery under cardiopulmonary bypass? These pathological conditions include the risk of transient cerebrospinal ischemia, and if our management is not precise, it may induce serious neurological sequelae. Although there is an urgent need to establish the treatment and elucidate the molecular mechanisms of cerebrospinal injury, many components are intertwined, making this a challenge we have not completely solved yet. This volume makes the management of neuroanesthesia more accessible not only for primary residents but also for specialists, providing a valuable resource on the current perspectives of neuroanesthesia.

The anesthetic considerations and procedures involved in the perioperative care of the neurosurgical patient are among the most complex in anesthesiology. The practice of neurosurgery and neuroanesthesiology encompasses a wide range of cases, from major spine surgery, to aneurysm clipping and awake craniotomy. Case Studies in Neuroanesthesia and Neurocritical Care provides a comprehensive view of real-world clinical practice. It contains over 90 case presentations with accompanying focussed discussions, covering the broad range of procedures and monitoring protocols involved in the care of the neurosurgical patient, including preoperative and postoperative care. The book is illustrated throughout with practical algorithms, useful tables and examples of neuroimaging. Written by leading neuroanesthesiologists, neurologists, neuroradiologists and neurosurgeons from the University of Michigan Medical School and the Cleveland Clinic, these clear, concise cases are an excellent way to prepare for specific surgical cases or to aid study for both written and oral board examinations.

Mechanical ventilation is an essential life-sustaining therapy for many critically-ill patients. As technology has evolved, clinicians have been presented with an increasing number of ventilator options as well as an ever-expanding and confusing list of terms, abbreviations, and acronyms. Unfortunately, this has made it extremely difficult for clinicians at all levels of training to truly understand mechanical ventilation and to optimally manage patients with respiratory failure. Mechanical Ventilation was written to address these problems. This handbook provides students, residents, fellows, and practicing physicians with a clear explanation of essential physiology, terms and acronyms, and ventilator modes and breath types. It describes how mechanical ventilators work and explains clearly and concisely how to write ventilator orders, how to manage patients with many different causes of respiratory failure, how to "wean" patients from the ventilator, and much more. Mechanical Ventilation is meant to be carried and used at the bedside and to allow everyone who cares for critically-ill patients to master this essential therapy.

This manual aims to become the definitive reference work on sedation for all staff involved in administrating sedative agents, including anaesthetists, physicians, radiologists and support staff. The appropriate sedation technique is crucial to the comfort and safety of patients undergoing a wide spectrum of clinical procedures. The general principles of sedative use and protocols for good practice--information that is relevant in all clinical situations--is presented in the first two sections, and the final section looks at sedation and its applications in medicine, surgery and interventional radiology.

Patients with a range of medical conditions undergo surgeries of varying levels of risk, and the evolving field of consult medicine aims to address their needs, whether pre- or post-surgery. This new edition of The Perioperative Medicine Consult Handbook provides useful information, advice, and guidelines based on a combination of clinical experience and evidence-based medicine. It covers topics in many major clinical areas (anesthesiology, cardiology, pulmonology, gastroenterology, rheumatology, endocrinology, and many others) and puts critical surgery information at a consult physician's fingertips. New to this edition are chapters on thyroid disease, restrictive lung disease, sickle cell disease, inflammatory bowel disease, nutrition, and perioperative care of elderly patients. The entire volume has been streamlined for a more precise presentation of essential perioperative management guidelines. Originally created by the Medicine Consult Service team at the University of Washington Medical Center, and now fully updated into a comprehensive second edition, this quick reference is sure to be indispensable for residents and consult physicians alike.

This book covers up-to-date knowledge of extracorporeal life support/ membrane oxygenation (ECLS/ECMO), which is performed as one special procedure that takes over the work of the lungs when they are too sick to properly support the body. ECLS has been recognized as one primary rescue strategy when the conventional treatments cannot reverse the process of cardiac dysfunction or respiratory dysfunction. During the recent years, ECLS has also been utilized as the bridge during peioperative organ transplantation, emergency cardiopulmonary resuscitation, and chronic assistant devices such as left ventricular assist device. This book summarizes the major characteristics of technique, current status of implication and topics of development. Physiology and mechanism of ECLS is defined in the initial part of the book. Type and primary characteristics of ECLS, including instrument materials and monitoring methods are further introduced. Methods of cannulation, characteristics of patients and key-point of management during pediatric ECLS are included. ECLS has been recognized as one kind of novel CPR procedures, transport of ECLS, treatment of various complications with preventive strategy are demonstrated. Recent hot topics of ECLS and training perspective are also discussed. 

A thoroughly revised second edition providing the knowledge and evidence-base needed for the perioperative practitioner, clarifying the underlying principles needed for an understanding of anaesthetic, surgical, and recovery practice. This book defines the level of knowledge required for perioperative practitioners and provides a comprehensive reference to the principles and practice of modern operating department practice. Featuring a diverse range of topics, it offers a multidisciplinary overview of new techniques and technologies, changes in medico-legal requirements, changes to professional accountability, and requirements for continuous professional development. Twelve new chapters cover healthcare ethics and professional regulation, health and safety, infection prevention and control, basic patient monitoring, human factors, and perioperative care of the paediatric patient. Incorporating a new focus on the provision of evidence-based practice and holistic care in all areas of perioperative care, this invaluable book is essential reading for anyone working in this sector, in both education and practice.

A case-based guide with expert commentary, Challenging Concepts in Critical Care shows how the experts approach and deal with real-life clinical scenarios. Each chapter presents a clinically challenging case complete with a case history, evidence based tips, and up-to-date learning points. To give further insight into the field, each chapter has commentary from an expert who identifies and explains the key points and controversies of the case. Practical yet rich in detail, Challenging Concepts in Critical Care is a key title for anyone preparing for intensive care exams. For each case, key information is highlighted through the use of boxes to stimulate interest and facilitate learning: 'Learning points', 'Clinical tips', 'Evidence base', and 'Expert commentary'. With new information on key trials, clinical practise, and evidence based research, this book is also an invaluable resource for experienced critical care clinicians looking for a concise update on a wide range of challenging topics in the field. In addition, it is of high value to senior ICU nurses, allied health professionals, and anyone with an interest in intensive care medicine.

Selected as a Doody's Core Title for 2022! The full-color Avoiding Common Anesthesia Errors, significantly updated for this second edition, combines patient safety information and evidence-based guidance for over 300 commonly encountered clinical situations. With a format that suggests conversations between an attending and a trainee, the book helps you identify potential problems and develop a treatment plan to minimize the problem. Brief, easy-to-read chapters cover basic and advanced topics and help you digest information in minutes! Coverage spans the entire field of Anesthesiology-including subspecialties such as airway management, critical care and pain medicine. Now with 30% more topics than the first edition. Contributors now include more international authors and Certified Nurse Anesthetists (CRNAs). Features critical updates to popular chapters and sections related to legal issues, professional practice topics and coding and payment. Part of the Avoiding Common Errors series, which presents hard-earned clinical wisdom in an informal, easy-to-read style. 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.

The 2nd edition of this book describes the recent techniques, strategies, and drugs that have been demonstrated by multicenter randomized trials to influence survival in critically ill, defined as those who have acute failure of at least one organ, due to either a pathological condition or a medical intervention, and require intensive care treatment. Each chapter focuses on a specific procedure, device, or drug. The scope is accordingly wide, with coverage of topics as diverse as noninvasive mechanical ventilation, protective ventilation, prone positioning, intravenous salbutamol in ARDS, high-frequency oscillatory ventilation, mild hypothermia after cardiac arrest, daily interruption of sedatives, tranexamic acid, diaspirin cross-linked hemoglobin, albumin, growth hormone, glutamine supplementation, tight glucose control, supranormal oxygen delivery, and hydroxyethyl starch in sepsis. The topics selection was performed with the help of hundreds of specialists from dozens of countries; they expressed via web if they agreed or not with these topics and if they used them in their daily clinical practice. The clear text is supported by "how to do" sections and "key point" boxes that provide easily accessible practical information. Written by acknowledged international experts, Reducing Mortality in Critically Ill Patients is of interest for a wide variety of specialists, including intensivists, emergency doctors, and anesthesiologists.