Total intravenous anaesthesia (TIVA) is an innovative alternative to traditional inhalational anaesthesia. Often incorrectly perceived as overly complex, TIVA has numerous advantages over inhalational drugs, such as a lower risk of nausea, less pain and better cognitive recovery. Taking on TIVA is a practical, easy to read and engaging guide to TIVA. It demystifies this important technique and will empower the novice but also support more experienced practitioners. It is a clear step-by-step approach to treating everything from routine elective to paediatric, geriatric, obese and pregnant patients. Pharmacokinetic models, dosage calculations, and the use of TIVA in emergency medicine are also elucidated. Written by international experts in the field with many years of experience both conducting and teaching TIVA, this handbook is an essential resource for experienced and novice anaesthetists alike who want to improve their understanding and confidence with the technique.

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 pediatric anesthesia utilizing the PBL approach. Each chapter deals with conditions and problems in pediatric 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. Cases were carefully selected to present a broad systems-based tour of commonly encountered clinical cases in pediatric anesthesia. 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 subspecialty 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.

Practical Ambulatory Anesthesia covers all aspects of sedation, anesthesia, and pain relief for patients undergoing day (ambulatory) surgery. Written and edited by leading clinical anesthesiologists from the USA and Europe, it provides clear guidance on how to handle particular patients in particular situations. Comprehensive in scope, each chapter summarizes major studies and review papers, followed by practical advice based on the authors' and editors' clinical and scientific expertise. This combination of authoritative evidence-based guidance and personal advice ensures the reader benefits from the latest scientific knowledge and the authors' wealth of experience. Chapters discuss how to plan, equip and staff an ambulatory unit, pharmacology, key concepts of ambulatory care, pre- and post-operative issues, quality assurance, and current controversies. There are also dedicated chapters for topics including regional anesthesia for ambulatory surgery and pediatric ambulatory anesthesia. This text provides a much-needed comprehensive and evidence-based guide for clinical anesthesiologists.

An essential exam preparation workbook, CRQs for the Final FRCA is dedicated to helping candidates pass this new assessment type for the Final FRCA Written Paper first time. Focusing solely on the Constructed Response Question (CRQ), the book is organised into six practice papers each comprised of 12 CRQs, reflecting the real exam. Each question has been carefully laid out, clearly identifying the weighting of each part of the question and with appropriate space to write your answer. Covering a breadth of topics, the book represents the full spectrum of the Final FRCA curriculum. Appendices indicate which aspects of the curriculum and units of training have been addressed in each practice paper to help you structure your revision efficiently. Written by a team of consultant anaesthetists and active educators, detailed model answers are based on years of clinical experience, best practice guidelines, and supported by further reading and evidence base. Many acceptable answers are listed (more than the candidate is required to give), enriching your revision experience and ensuring that you can mark your answers accurately. This invaluable resource also includes advice on CRQ technique, making this the only guide candidates need to pass CRQs in the Final FRCA Written Paper.

Providing a practical, current, evidence-based approach to all aspects of perioperative care for the patient with vascular disease, Vascular Anaesthesia is an essential read for all vascular anaesthetists, anaesthetic nurses and anyone else involved in the care of vascular patients throughout the world. Vascular Anaesthesia summarizes current knowledge, particularly on interventional procedures (radiological, diagnostic, and surgical). This book also equips the trainee anaesthetist with the scientific and clinical knowledge to pass the Final FRCA examination. It enables doctors to approach vascular surgical patients with a firm understanding of a particular procedure, particularly its risks and options for perioperative management based on current best practice. The management of the patient with vascular disease is evolving rapidly: this indispensible poket reference is of sufficient detail to update the regular and occasional vascular anaesthetist with current best practice for particular, common clinical scenarios. The book also equips the non-anaesthetic medical, nursing, and theatre staff with knowledge and understanding of all other aspects of perioperative care.

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.

An indispensible pocket reference for critical care trainees, consultants and intensive care nurses, this new Oxford Specialist Handbook provides an evidence-based approach to all aspects of patient care in cardiothoracic intensive care. Written in the Oxford Handbook format, each section is comprised of short topics ideal for quick reference. Portable, accessible, and reliable, the book equips the clinician with the basic scientific and clinical knowledge to safely assist in formulating management plans, based on current best practice. Cardiothoracic Critical Care addresses major recent developments in cardiothoracic critical care, such as cardiovascular support, mechanical support (IABP, VADS, and ECMO), and drug therapies such as nitric oxide and other new inotropic agents. The management of postoperative bleeding is covered in detail, as it increasingly involves updated fluid and blood-product therapies including blood preservation techniques such as cell salvage.

PROMPT (PRactical Obstetric Multi-Professional Training) provides local multi-professional training resources for the management of a range of obstetric emergency situations. Over recent years there has been increasing evidence that PROMPT training has had a significant impact on outcomes for mothers and babies in the UK and internationally. The PROMPT CiPP (Care of the Critically ill Pregnant or Postpartum woman) Course is a constituent part of the third edition PROMPT 'Course in a Box', and provides training resources to support an additional, locally-run, multi-professional training programme for maternity staff involved in maternal critical care. The PROMPT CiPP Course Participant's Handbook is essential for all those attending a local PROMPT CiPP Course, and is also a valuable stand-alone textbook, for evidence-based, current information on maternal critical care.

Evidence-based medicine is a concept that is at the forefront of anaesthesia. Clinicians are increasingly encouraged to practise patient management based on available evidence in the scientific literature. For example, new anaesthesia methods, e.g. regional anaesthesia, are being used more frequently based on case studies that show the efficacy and cost-savings associated with the treatment. Additionally, considering that many anaesthetists are required to cover a range of areas, information discussing proven methods as well as pitfalls to avoid are valuable to all those working in the field.
This book provides a detailed summary of the most important trials and studies in anaesthesia, ranging from neuroanaesthesia and anaesthesia for transplant, to paediatric and thoracic anaesthesia, allowing the reader to rapidly extract key results. Each chapter is written by a prominent anaesthetist in that particular field, and papers have been selected on a number of criteria, included impact factor, authors' choices, or even because the conclusions reached do not indicate best practice. With this wealth of information collected into this newest volume in the 'Landmark Papers in' series, Landmark Papers in Anaesthesia is essential reading for all practicing anaesthetists.

The Oxford Specialist Handbook in Obstetric Anaesthesia returns for a second edition with updated practical management advice for medical and nursing staff in a portable, accessible format. An invaluable quick-reference resource for all consultant anaesthetists and SAS doctors involved in obstetric anaesthesia, as well as a succinct exam revision aid for the FRCA, this go-to guide provides incisive coverage of all aspects of the sub-specialty. This is essential reading for anyone working on the labour ward, with concise instructions for both antenatal and postnatal care. * Illustrated with clear line diagrams of the ideal positioning for regional techniques. * Includes top tips for techniques and troubleshooting, plus practical advice for the busy labour ward. * Headings and bullet points are used throughout for ease of reference and navigation. * Fully updated, with new chapters on 'Obesity in Pregnancy', 'Neonatal Resuscitation', 'The Sick and Septic Mother', and 'Ultrasound in Obstetric Practice'.

Basic Anesthesiology Examination Review is a high-yield, streamlined study aid specifically designed for Anesthesiology residents preparing for the American Board of Anesthesiology (ABA) Basic Anesthesiology Exam. Chapters deliver succinct and efficiently communicated summaries of all content listed in the ABA exam outline, plus highlighted key facts, mneomnics, and relevant images and diagrams. Chapters conclude with board-style practice questions and annotated answers, followed by key references and further reading. With this book as a guide, readers will be able to efficiently prepare for the Basic Anesthesiology Examination and master the key facts and concepts that provide the scientific roundation for the practice of Anesthesiology.

Designed specifically for the revised Final FRCA examination, this book contains four mock exams, combining the new single best answer format with the traditional true/false format MCQs. A further fifth chapter contains only single best answer questions allowing candidates extra practice on this new and more difficult format. Uniquely the book includes answers with explanations and cross-references to key textbooks, allowing the candidate to read around on more difficult areas. The editor team balances extensive exam experience with recent exam success. Each question has also been expertly reviewed to ensure the highest quality and relevance to the Final FRCA. This is a must buy when preparing for this key exam.

Part of the popular Core Topics series, this book provides a practical guide to pre-operative assessment for consultants and trainee anaesthetists. Chapters cover comprehensive evidence-based guidance for assessing and managing patients with particular conditions, as well as perioperative risk stratification and challenges of pre-assessment. The chapters have been written by specialists in the respective clinical fields, while all content has been edited by anaesthetists to assure it is relevant and accessible to the anaesthetist in the everyday pre-operative clinic. Written specifically for anaesthetists, this resource will allow every reader to contribute effectively in a multidisciplinary approach when assessing and risk stratifying patients to ensure that they are optimised before surgery.

It gives me great pleasure to have this opportunity to write a Foreword for this new book. In the past two decades we have witnessed very significant advances in the management of the very ill patient. The great success in this field of medical endeavour is largely due to the establishment of intensive care units, but a great deal of progress can also be attributed to the major developments in technology, which affect patient management and care as well as the many sophisticated techniques of diagnosis and patient monitoring. Imaging and Labelling Techniques in the Critically III covers this new important and difficult field of diagnosis and visual monitoring. By establishing the criteria and algorhythms for the choice of the different methods available for this purpose, defining the diagnostic signs on images and resolving some of the mis conceptions and pitfalls, this book will go a long way to help the reader, particularly those involved in the care of patients in the intensive care units. This book brings together many different methods of investigation and discusses the advantages and limitations of these techniques in different clinical circumstances. Some of the techniques are well established and their usefulness in the intensive care unit is in no doubt. Some of the newer techniques such as PET scanning or NMR imaging have not yet found a defined position of usage in the critically ill patient. There is, however, little doubt that in due course this situation will change.

During the last 20 years two groups of investigators have concerned themselves with the problem of acid-base regulation at various body temperatures. Each group, in professional isolation, pursued a separate path. Surgeons and anesthe tists developed techniques and tools for hypothermic cardio-pulmonary by-pass operations and based their rationale for acid-base management on in vitro models of blood behavior. Physiologists and biochemists, on the other hand, endeavored to understand acid-base regulation in living organisms naturally subjected to changes in body temperature. Only in the last decade has there been an increasing awareness that each group could benefit from the other's experiences. With this goal in mind members of both groups were invited to present their views and observations in the hope of arriving at a better understanding of acid-base management during hypothermia and gaining a greater insight into the factors which control acid-base regulation during normothermia. This led to the presen tation of the present volume with the aim of providing the clinician with a survey of present theories and the resulting strategies for management of the hypother mic patient. Acknowledgment The editors express their great appreciation to Miss Augusta Dustan for her dedicated effort in the preparation and editing of the manuscripts. Contributors Heinz Becker, M. D. Department of Surgery, University of California Medical Center, Los An geles, Los Angeles, CA 90024, U. S. A. Gerald D. Buckberg, M. D. Department of Surgery, University of California Medical Center, Los An geles, CA 90024, U. S. A."

Anesthesiology and the Cardiovascular Patient contains the edited presentations of the 41st Annual Postgraduate Course in Anesthesiology, February 1996. The chapters reflect new data and concepts within the general framework of the pathophysiology and management of surgical candidates with cardiovascular disease. The textbook will serve as a vehicle to bring many of the latest concepts in anesthesiology to those who did not attend the conference. Each chapter is a brief but sharply focused glimpse of the current interest in anesthesia. This volume, as well as past and future volumes, reflects the rapid and continuing evolution of anesthesiology in the late twentieth century.

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

In this innovative new book, Steve Selvin provides readers with a clear understanding of intermediate biostatistical methods without advanced mathematics or statistical theory (for example, no Bayesian statistics, no causal inference, no linear algebra and only a slight hint of calculus). This text answers the important question: After a typical first-year course in statistical methods, what next?
Statistical Tools for Epidemiologic Research thoroughly explains not just how statistical data analysis works, but how the analysis is accomplished. From the basic foundation laid in the introduction, chapters gradually increase in sophistication with particular emphasis on regression techniques (logistic, Poisson, conditional logistic and log-linear) and then beyond to useful techniques that are not typically discussed in an applied context. Intuitive explanations richly supported with numerous examples produce an accessible presentation for readers interested in the analysis of data relevant to epidemiologic or medical research.

Launched on Oxford Medicine Online in 2012, with the full-text of eight Mayo Clinic Scientific Press (MCSP) print titles and a bank of multiple-choice questions, Mayo Clinic Toolkit provides a single location for resident, fellow, and practicing clinicians to undertake the self-testing necessary to prepare for, and pass, the Boards.
The Mayo Clinic Atlas of Regional Anesthesia and Ultrasound-Guided Nerve Blockade is a practical guide that vividly illustrates a systematic approach to regional anesthesia of the upper and lower extremity while providing a comprehensive overview of the fundamental principles of ultrasonography, relevant Sonoanatomy of the upper and lower extremity, and the technical skills necessary to become clinically proficient at ultrasound-guided regional anesthesia. With over 200 beautifully illustrated anatomic images that can be enlarged and downloaded to PowerPoint, the online version is essential reading for Board Exam preparation.
Highlights of The Mayo Clinic Toolkit include:
- Each title is presented in an enhanced format, allowing the enlargement and download of all figures and images, and linking to external sources referenced in the text.
- The multiple-choice questions are designed to mirror those in the Board exam for realistic preparation; they also link back to the relevant title, and allow the user to measure their development through the recording of practice-exam success.
- It can be accessed on a range of internet enabled devices, giving residents, fellows, and practicing clinicians the choice to study in locations which suit them
- Subscription lengths range from 1-month to a full year.
Combining two complimentary resource types into a single location, with enhancements to the print works, the flexibility to choose where and when to study, and the ability to monitor revision progress, Mayo Clinic Toolkit is truly the go-to site for Board preparation.

This book provides readers with an anaesthesia-focused alternative to general physiology textbooks. The new edition has been reorganised with the trainee anaesthesist in mind, into shorter bite-sized chapters ideal for exam revision. The content includes the physiology of all major organ systems, with specific emphasis on the nervous, respiratory, and cardiovascular systems as well as special sections on pain, aging, specific environments and obesity. Alongside the learning objectives, reflection points and a handy summary of physiological equations and tables, there is greater emphasis on clinical application in this fourth edition, with applied physiology included in almost every section.

Table of Contents

Preface to the first edition

Preface to the second edition

Preface to the third edition

Preface to fourth edition

Acknowledgements

Authors

Contributors

Section One: Basic Cell Physiology

1. Cell Components and Function

2. Physiology of Excitable Cells

3. Neurotransmitters and Receptors, Ion Channels, G Proteins and Second Messengers

Section Two: Physiology of the Nervous System

4. Neuronal Function

5. Blood–Brain Barrier and Cerebrospinal Fluid (CSF)

6. Cerebral Circulation

7. Spinal Cord: Anatomical and Physiological Features

8. Sensory System

9. Motor Function and Control: Descending Tracts

10. Autonomic Nervous System

11. Consciousness, EEG, Sleep and Emotions

Section Three: Muscle Physiology

12. Striated Muscles: Skeletal and Cardiac Muscles

13. Muscle Spindles, Golgi Tendon Organs and Spinal Reflexes

14. Smooth Muscle

Section Four: Respiratory Physiology

15. Functions of the Respiratory System

16. Mechanical Properties of the Lungs

17. Gas Exchange in the Lungs

18. Carriage of Oxygen in Blood

19. Carbon Dioxide Carriage in Blood

20. Pulmonary Circulation

21. Control of Ventilation

22. Applied Respiratory Physiology

Section Five: Cardiovascular Physiology

23. Functions of the Cardiovascular System

24. Electrical Properties of the Heart

25. Mechanical Events of the Cardiac Cycle

26. Pressure–Volume Loop of the Left Ventricle

27. Physical Factors Governing Blood Flow Through Vessels

28. The Systemic Circulation

29. Microcirculation

30. Venous Return and Vascular Function

31. Regulation of Arterial Blood Pressure

32. Integrated Cardiovascular Responses

Section Six: Gastrointestinal Physiology

33. Saliva, Swallowing, and Lower Oesophageal Sphincter

34. Stomach: Gastric Secretions, Motility, Digestion and Vomiting

35. The Small Intestine: Secretions, Digestion and Motility

36. The Large Intestine

Section Seven: Liver Physiology

37. Functions of the Liver

38. Liver Blood Flow

39. Liver Function Tests and Physiological Features of Liver Failure

Section Eight: Renal Physiology

40. Functions of the Kidneys and Functional Anatomy

41. Renal Blood Flow

42. Glomerular Filtration

43. Tubular Function

44. The Loop of Henle and Production of Concentrated Urine: Counter-Current Mechanisms of the Kidney

45. Overview of Renal Control of Acid–Base Balance

46. Applied Physiology: Renal Failure

Section Nine: Acid–Base Physiology

47. Basic Concepts of Acid–Base Physiology

48. Compensatory Mechanisms in Acid–Base Disorders

49. Clinical Aspects of Acid–Base Control

50. Anion Gap and Stewart’s Strong Ion Difference

Section Ten: Physiology of Blood

51. Cellular Components of Blood

52. Plasma: The Non-Cellular Components of Blood

53. Haemostasis

54. Blood Transfusion

Section Eleven: Physiology of the Immune System

55. Immune System and Innate Immunity

56. Acquired Immunity

57. Cytokines

58. Hypersensitivity

Section Twelve: Endocrine Physiology

59. General Aspects of Endocrine Physiology

60. Pituitary Gland

61. Hormones of the Pancreas

62. Thyroid Hormones and Calcium Metabolism

63. Hormones of the Adrenal Gland

64. Erythropoietin, Atrial Natriuretic Peptide and Sex Hormones

Section Thirteen: Metabolism, Nutrition, Exercise and Temperature Regulation

65. Metabolism

66. Nutrition

67. Exercise Physiology

68. Temperature Regulation

Section Fourteen: Physiology of Pain

69. Peripheral Mechanisms of Pain

70. Central Modulation of Pain

71. Pain Sensitization

Section Fifteen: Physiology of Pregnancy, Placenta, Neonate, Ageing and Obesity

72. Physiology of Pregnancy

73. Physiology of the Placenta

74. Physiology of the Neonate

75. Physiology of Ageing

76. Physiology of Obesity

Section Sixteen: Special Environments

77. Physiology Related to Special Environments

Further reading

Index

　

Dieses handliche Kitteltaschenbuch vermittelt anhand von zahlreichen Übersichten, Tabellen und stichwortartigen Fakten absolutes Praxiswissen für den Berufsalltag von Anästhesisten. Gespickt mit vielen Hinweisen zum ganz konkreten Vorgehen sowie auf Fallstricke, Gefahrensituationen und Besonderheiten, bietet es vor allem dem Berufsanfänger in der Anästhesiologie das nötige Wissen, um sowohl bei Erwachsenen als auch bei Kindern eine sichere Anästhesie, Analgesie oder Sedierung durchzuführen.  

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.

This book describes in concise yet detailed step-by-step instructions on how to perform common procedures, including complex airway management, vascular access, neuraxial blocks, and nuanced anesthetic techniques; it not only covers this breadth of procedures, but presents them in an accessible manner. Chapters follow the format of the indications for a particular procedure, a list of equipment required, step-by-step instructions for performing the procedure, common complications, and troubleshooting techniques. The book is designed intentionally for the busy physician to be able to easily read the essential information, including lists of equipment necessary, numbered steps to perform the procedure, tables of common errors and methods to troubleshoot, indications and contraindications for procedures, detailed photos of equipment setup, and handmade diagrams and images. Anesthesiology Resident Manual of Procedures is comprehensive and written with the physician-in-training in mind, as well as those who are completing their residency or fellowship in the fields of anesthesiology, critical care medicine, and emergency medicine.