Ambulatory care can be a challenging setting in which to provide anesthesia - not all patients are suitable for rapid discharge post-operatively and opinions differ as to which types of surgery should be performed as day cases. This comprehensive guide delivers up-to-date, evidence-based advice on how to provide optimal anesthesia care for ambulatory surgery. Written by a leading clinical anesthesiologist, it provides clear guidance about how to handle particular patients in particular situations. The evidence and scientific knowledge for each issue are presented with reference to major studies and review papers, followed by practical advice based on the author's continuous clinical and scientific experience over 30 years. Topics include planning, equipping and staffing ambulatory units, pharmacology, basic concepts of ambulatory care, pre- and post-operative issues and current controversies. Clinical Ambulatory Anesthesia is essential reading for the clinical, postgraduate anesthesiologist as well as nurse anesthetists involved with ambulatory care.

Drs. Eduardo D. Bruera and Russell K. Portenoy have completely revised and updated the widely respected Cancer Pain: Assessment and Management for the second edition of this unanimously praised book. This is a comprehensive, clinically oriented review of all aspects of the complex and multidimensional problem of cancer pain. The unique characteristics of cancer pain, including pathophysiology, clinical assessment, diagnosis, and pharmacological and nonpharmacological management are all discussed here in detail. Internationally recognized leaders in cancer pain research have contributed to many new chapters, including neuraxial analgesia, hospice and institution-based palliative care programs, bone pain, and cancer pain and palliative care in the developing world. Cancer Pain continues to be a scholarly but accessible text that is an essential resource for physicians, nurses, and medical students who treat suffering from cancer pain. Per the New England Journal of Medicine, This book should be in the library of every physician who comes into contact with patients with pain. It is truly superb.

Simplify, simplify! Henry David Thoreau For writers of technical books, there can be no better piece of advice. Around the time of writing the first edition - about a decade ago - there were very few monographs on this s- ject: today, there are possibly no less than 20. Based on critical inputs, this edition stands thoroughly revamped. New chapters on ventilator waveforms, airway humidification, and aerosol therapy in the ICU now find a place. Novel software-based modes of ventilation have been included. Ventilator-associated pneumonia has been se- rated into a new chapter. Many new diagrams and algorithms have been added. As in the previous edition, considerable energy has been spent in presenting the material in a reader-friendly, conv- sational style. And as before, the book remains firmly rooted in physiology. My thanks are due to Madhu Reddy, Director of Universities Press - formerly a professional associate and now a friend, P. Sudhir, my tireless Pulmonary Function Lab technician who found the time to type the bits and pieces of this manuscript in between patients, A. Sobha for superbly organizing my time, Grant Weston and Cate Rogers at Springer, London, Balasaraswathi Jayakumar at Spi, India for her tremendous support, and to Dr. C. Eshwar Prasad, who, for his words of advice, I should have thanked years ago. vii viii Preface to the Second Edition Above all, I thank my wife and daughters, for understanding.

Anesthesia Crash Course is uniquely positioned to address the needs of new trainees in anesthesia. This book is written in a conversational tone, avoiding unnecessary jargon and distilling the key concepts of anesthesia into easy-to-remember tidbits - an approach in increasing demand by medical students and junior physicians.
The audience for this book is chiefly new anesthesia residents, interns, medical students who rotate through anesthesia services, and nurse anesthetists. By demystifying the world of anesthesia, it provides a welcome resource to medical students and RNs who are considering additional training in this popular but poorly understood specialty. Surgical residents who feel they're not up to speed with what's happening on the other side of the "ether screen" would certainly also benefit from reading Anesthesia Crash Course.
New anesthesia trainees face an extremely daunting learning curve. As they progress through training, they will read longer and more detailed treatises on every aspect of modern anesthesia. It is not realistic to imagine that someone might finish such a book in the first week of his or her training! Anesthesia Crash Course wil serve as a bridge between a trainee's pre-anesthesia experience and more formal training. It can be read in the last month of internship, or in evenings while completing the first few weeks of anesthesia training. It can also serve as a medical student's accompaniment for a two-week anesthesia elective.

Nowhere in medicine is there a greater imperative to act than in the recognition and management of a patient's pain. This practical and evidence-based resource for emergency medicine and acute care providers will guide physicians in the selection of an effective therapy, define appropriate dosages to use and, equally important, when a treatment doesn't work, explain why, and what to do next. Starting with chapters on the assessment of pain, the safe and effective provision of analgesia in special populations, and featuring a reference table of drug names and interactions; the bulk of the coverage moves on to describe the provision of analgesia in the wide range of conditions likely to be encountered in the emergency department. The fundamental strengths of this approach are the comprehensive coverage, focus on practicality, basis in sound evidence, and authorship by specialists with extensive experience based on years of clinical practice.

The single best answer format of questions is invaluable in assessing a trainee's clinical skills and problem-solving abilities. It allows the trainee to demonstrate application of their knowledge to clinical practice. This book comprises six sets of practice papers. Each set contains 30 single best answer questions which cover topics including clinical anaesthesia, pain and intensive care. The questions are based on the recent changes introduced to the written part of the final FRCA examination. The best possible answer to a given clinical scenario is substantiated by a detailed explanation drawn from recent review articles and textbooks in clinical anaesthesia. These questions will enable candidates to assess their clinical knowledge and skills in problem-solving, data interpretation and decision making. This book is essential study material for candidates sitting postgraduate examinations in anaesthesia and intensive care medicine. It is not only an essential guide for trainees but also an invaluable educational resource for all anaesthetists.

Cambridge Pocket Clinician / Pediatric Anesthesia is designed to be a vital point-of-care guide to aid the clinician in the care of children in the perianesthetic period. It is a condensed and practical approach to the patient management, showcasing consistent standards that have been tested at the leading children s hospitals world-wide. It is divided into three main sections: surgical procedures, co-existing diseases, and regional anesthesia"

A comprehensive 2006 volume on the theories and applications of evidence-based anaesthesia and critical care. Coming from the internationally renowned Cochrane Collaboration - the global force in evidence-based medicine - this promises to be an authoritative guide for anaesthetists. The Cochrane Anaesthesia Review Group is one of the largest in the collaboration and, as coordinators of the group, the editors of this book have gathered a formidable set of contributions from around the world. The first half of the book provides an introduction to evidence-based medicine and applies the principles to anaesthesia and critical care, including critical appraisal, meta-analysis, interpreting results and controlling bias. The second half shows how to practise this in preoperative evaluation, regional and general anaesthesia, postoperative pain therapy, critical care and acute medicine. Medical professionals working in anaesthesia and surrounding specialties worldwide will find this book immensely useful.

The accuracy with which clinicians can locate nerves and blood vessels has increased greatly with the development of portable handheld ultrasound scanners, and no specialty has felt the benefit more than anesthesia. This practical atlas of ultrasound anatomy addresses the two main challenges for anyone learning ultrasound-guided techniques: 1. Where do I place the probe? 2. What exactly am I looking at? Each nerve block or vascular access site is illustrated with: * An anatomical line illustration * A clinical photograph showing the correct ultrasound probe position * The ultrasound scan * A line illustration of the scan labelled to indicate the salient anatomical features All relevant anatomic regions are included: upper limb, lower limb, neck, thorax and abdomen. Concise notes for each entry indicate scan landmarks and give useful tips and advice on potential complications. Sonoanatomy for Anesthetists is an essential resource for anesthetists, intensivists and chronic pain specialists.

This volume is published under the auspices of the World Federation of Societies of Intensive Care Medicine, which consists of 48 members societies (both medical and nursing) - a truly world wide organisation - and whose aim is to promote excellence in the care of critically ill patients. The volume will be distributed to delegates on occasion of the 9th International Congress of the World Federation of Societies of Intensive and Critical Care Medicine, to be held in Buenos Aires at the end of August 2005.

What do anaesthetists do? How does anaesthesia work? What are the risks? And how does the anaesthetist know if you are really asleep? Anaesthesia is a mysterious and sometimes threatening process. In this Very Short Introduction, Aidan O'Donnell takes the reader on a tour through the whole of the modern anaesthetic practice. He begins by explaining general anaesthesia: what it is, how it is produced, and how it differs from natural sleep and other forms of unconsciousness. He goes on to consider the main categories of anaesthetic drugs, including anaesthetic vapours, intravenous agents, muscle relaxants, and analgesics, together with explanations of how they work and what their purpose is. Set against the historical background of anaesthetic and surgical practice, O'Donnell examines the large role anaesthetists play in specialised areas such as intensive care medicine, pain medicine, and childbirth; and finally, he considers the risks of anaesthesia, putting in to context that anaesthesia is a very safe process. ABOUT THE SERIES: The Very Short Introductions series from Oxford University Press contains hundreds of titles in almost every subject area. These pocket-sized books are the perfect way to get ahead in a new subject quickly. Our expert authors combine facts, analysis, perspective, new ideas, and enthusiasm to make interesting and challenging topics highly readable.

Recent Advances in Anaesthesia and Intensive Care, volume 23 is the latest volume in this very successful and long-established series (previously entitled Recent Advances in Anaesthesia and Analgesia) to present a collection of cutting-edge topics for anaesthetists. It has been compiled by some of the world's leading authorities in their subjects and builds on the successful formula of the previous volumes. As the title suggests, these latest volumes have increased input from the field of intensive care, and the emphasis remains on producing articles of high quality and interest to the reader while providing exceptional value for money. This volume is recommended reading for trainee and practising anaesthetists and intensivists at all levels of experience.

Le situazioni critiche in medicina d urgenza e in terapia intensiva rappresentano una tra le sfide piu difficili nella pratica clinica. La natura stessa dell ambiente di cura, l incertezza, il rischio elevato, i tempi ristretti e lo stress, rendono queste discipline particolarmente vulnerabili agli errori nella gestione dei pazienti. Nell ultimo decennio e diventato sempre piu evidente, che la capacita di erogare trattamenti sicuri in queste circostanze dipende da un approfondita conoscenza dei meccanismi all origine dell errore umano. Questo volume, che e la traduzione italiana della seconda edizione di Crisis Management in Acute Care Settings, propone una rassegna originale e completa di tutti i problemi correlati ai fattori umani, rilevanti per la sicurezza dei pazienti durante l erogazione di trattamenti urgenti. Le energie di medici e psicologi si sono mescolate in un testo facilmente accessibile, che aiutera i medici e altri professionisti della salute a comprendere meglio i principi del comportamento umano e del processo decisionale nelle situazioni critiche, per evitare errori e garantire un trattamento piu sicuro ai loro pazienti.

Vastly expanded and completely re-written, this is the definitive companion and revision aid for the short answer paper which forms part of the Final FRCA examination. It includes a comprehensive introduction to this section of the examination together with details of examination technique (much of which applies both to oral and to written questions). It contains 180 sample questions which cover the breadth of the specialty and which are divided into subspecialty areas. Each question is prefaced with a comment about the topic which attempts to place it in context to suggest the underlying rationale and to indicate its importance.

50 Studies Every Anesthesiologist Should Know presents key studies that have shaped the practice of anesthesiology. Selected using a rigorous methodology, the studies cover topics ranging from pain medicine, critical care, cardiothoracic anesthesiology to general anesthesiology. For each study, a concise summary is presented with an emphasis on the results and limitations of the study, and its implications for practice. Brief information on other relevant studies is provided, and an illustrative clinical case concludes the review. This book is a must-read for health care professionals in anesthesiology and pain medicine, and anyone who wants to learn more about the data behind clinical practice in anesthesiology, pain medicine, critical care and its broad subspecialties.

Step-by-step videos and images, board-style review questions, and coverage of new blocks make this highly respected title a must-have reference for clinical practice. Written by Andrew T. Gray, MD, PhD, one of the pioneers of the use of ultrasound to guide needle placement, Atlas of Ultrasound-Guided Regional Anesthesia, 3rd Edition, shows you how to safely and effectively use the latest methods and applications of this technique. Board-style review questions found on the Expert Consult eBook version test your knowledge and help you prepare for the ABA exam. Helps ensure correct needle placement with numerous 3-D and long-axis views that clearly depict surrounding structures. Includes coverage of 11 new blocks: Adductor Canal, Posterior Femoral Cutaneous, Pectoral, Quadratus Lumborum, Pudendal, Paravertebral, Transversus thoracis, Supraorbital, Transtracheal, Greater Occipital and Lesser Occipital. Features access to 20 author-narrated videos showing proper placement of needles using ultrasound guidance, including 11 new videos: Forearm (ulnar, median and radial), Ankle (tibial, saphenous, superficial peroneal, deep peroneal, sural), Paravertebral, Adductor Canal, and Catheters. Presents several new chapters, including Regional Anesthesia in Resource-Constrained Environments and Safety of Ultrasound Guided Regional Blocks. 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.

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.

Anesthesiology Applied Exam Board Review is a comprehensive guide for preparing for the American Board of Anesthesiology Applied Exam, which includes the traditional Standardized Oral Examination (SOE) and a new Objective Structured Clinical Examination (OSCE) component. This guide is also a useful review for residents preparing for in-training examinations in Anesthesiology. The text contains over 40 long and short exam stems, with questions regarding the preoperative, intraoperative, and postoperative care. Included with the book is access to the questions online for an e-learning experience. Topics chosen are based on ABA-released exams and student feedback regarding what are the highest yielding topics for the oral board exam. Each chapter includes not just questions and answers based on ABA-provided grading criteria, but also an emphasis on how to formulate answers and break down complex topics and processes into simpler formats.

Learn to prevent, recognize, and manage complications of local anesthesia administration. Written by Dr. Stanley Malamed, the leading expert on anesthesia in dentistry, the Handbook of Local Anesthesia, 7th Edition covers all the latest advances in science, instrumentation, and pain control techniques. From basic concepts to specific injection techniques, from dosage charts to the proper care and handling of equipment, this how-to guide provides in-depth, full-color coverage of key anesthesia topics, including specific hazards and errors in technique that may result in complications. Recognized as THE local anesthesia textbook in dentistry for over 30 years, the seventh edition has been thoroughly updated with the latest in safe anesthesia practices in dentistry. NEW! Updated and enhanced content throughout reflects latest research evidence. NEW! Two added chapters cover problems in achieving pain control and their solutions; and recent advances in local anesthesia. NEW! Addition of an Expert Consult Site allows you to search the entire book electronically.

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.

Selected as a Doody's Core Title for 2022! Apply the latest advances in regional anesthesia and acute pain medicine! Originally authored by Michael F. Mulroy, MD, this respected title has helped practitioners provide effective regional anesthesia for nearly 30 years. Now it has been retitled A Practical Approach to Regional Anesthesiology and Acute Pain Medicine to reflect the Accreditation Council for Graduate Medical Education's recent establishment of Regional Anesthesiology and Acute Pain Medicine as an anesthesiology fellowship. This clinical reference has evolved with the many changes in this subspecialty to continue bringing you the up-to-date, clinically focused, hands-on guidance you need to offer your patients the best possible care. Master the latest advances in the field with expanded coverage of truncal blocks, systems-based practice, acute pain medicine, and much more. Make optimal use of ultrasound guidance as a nerve localization tool for peripheral nerve blocks, thanks to updated and expanded coverage as well as many new and improved illustrations. The techniques, approaches, and systems-based practices covered in 5th edition will enhance the application and role of regional anesthesia in Enhanced Recovery After Surgery (ERAS) pathways and the perioperative surgical home. Easily find and apply the answers you need thanks to a highly readable, focused, richly illustrated format that provides balanced discussions of indications, complications, and techniques. Your book purchase includes a complimentary download of the enhanced eBook for iOS, Android, PC & Mac. Take advantage of these practical features that will improve your eBook experience: The ability to download the eBook on multiple devices at one time - providing a seamless reading experience online or offline Powerful search tools and smart navigation cross-links that allow you to search within this book, or across your entire library of VitalSource eBooks Multiple viewing options that enable you to scale images and text to any size without losing page clarity as well as responsive design The ability to highlight text and add notes with one click See the inside front cover to find out how to access your eBook! 3 Stars from Doody's Review Service! " With a focus on perioperative blocks, the book is full of practical tips and has a very useful focus on the anatomy of each block... The book is quite handy in providing a quick refresher course for anesthesiologists and trainees in busy practices." - Doody's Review Service

Tiel I Grundlangen.- 1 Historische Einfuhrung.- 2 Spezielle Anatomie des Halses und der oberen Atemwege.- 3 Erkennen eines schwierigen Atemwegs.- 4 UEberwachung der Sicherung freier - Atemwege Monitoring.- Tiel II Klinisches Atemwegsmanagement.- 5 Algorithmus.- 5.1 Einfuhrung.- 5.2 Mainzer Algorithmus zur Atemwegssicherung wahrend klinischer Anasthesie.- 5.3 The New Haven Algorithm for the Evaluation of the "Unknown" Airway.- 6 Standardsituationen des erwartet schwierigen Atemwegs.- 6.1 Halswirbelsaulenpathologien und Atemwegsmanagement.- 6.2 Der schwierige Atemweg in der Mund-Kiefer-Gesichtschirurgie - Anatomie und haufige Krankheitsbilder.- 6.3 Fremdkoerperaspiration.- 6.4 Klinisches Atemwegsmanagement - Besonderheiten im Kindesalter.- 6.5 Grundlagen, Indikation und Durchfuhrung der Ein-Lungen-Ventilation.- 7 Der unerwartet schwierige Atemweg.- 7.1 Allgemeine Grundlagen.- 7.2 Algorithmen, Richtlinien, Empfehlungen.- 7.3 Apnoische Oxygenierung.- Tiel III Praklinisches Atemwegsmanagement.- 8 Philosophie und Konzept.- 9 Algorithmus - Praklinisches Atemwegsmanagement.- 10 Vorgehen bei speziellen Verletzungsmustern und Krankheitsbildern.- 10.1 Atemwegsmanagement bei Schadel-Hirn-Trauma, Halsverletzungen und beim Einklemmungstrauma.- 10.2 Anaphylaxie, Veratzungen, Verbrennungen.- 10.3 Atemwegsobstruktion, Fremdkoerperaspiration.- 11 Besonderheiten im Kindesalter: Krupp/Pseudokrupp, Epiglottitis.- Tiel IV Besonders empfohlene Techniken und Instrumente.- 12 Notfallbeatmung mit einfachen Hilfsmitteln.- 13 Endotracheale Intubation.- 13.1 Allgemeine Grundlagen.- 13.2 Laryngoskope und Intubationsspatel.- 13.3 Intubation Techniques for Unanticipated Difficult Direct Laryngoscopy: Stylets and Introducers.- 13.4 Starre Tracheoskope/Bronchoskope ("Notrohr").- 13.5 Intubationsfiberskope.- 13.5.1 Flexible Intubationsfiberskope.- 13.5.2 Starre Intubationsfiberskope.- 13.5.3 Fiberoptische Intubation - Wiederaufbereitung.- 13.6 Endotrachealtuben.- 14 Alternative Techniken und Instrurnente.- 14.1 Larynxmaske.- 14.2 Intubationslarynxmaske.- 14.3 Larynxtubus.- 14.4 Combitube - OEsophagotrachealer Doppellumentubus.- 14.5 EasyTube.- 14.6 Jet-Ventilation/tracheale Sauerstoffinsufflation.- 15 Chirurgischer Zugang zum schwierigen Atemweg.- V Qualitatsmanagement, Ausbildung und Training.- 16 Qualitatsmanagernent und Dokumentation.- 17 Ausbildung und Training.- 17.1 Ziele/Zielgruppen.- 17.2 Atemwegsmanagement-Training an der Klinik fur Anasthesiologie des Klinikums der Johannes Gutenberg-Universitat Mainz.- 17.3 Airway Education.- VI Ausblick und Zukunftsperspektiven.- 18 Intubationsfiberskope (starr/flexibel) fur die Praklinik.- 19 Videolaryngoscopy.- 20 Fiberendoskope fur die Neonatologie.

Authored by three world experts, this is a clinically focused book on pediatric anesthesia. "The Manual", as it is known, has long dominated the market for a succinct and practical resource on administering anesthesia to children and is used by residents, general anesthesiologists, nurse anesthetists, and pediatric anesthesiologists. This new edition retains the basic structure of the book and is updated throughout. Text-heavy in the current edition, the Seventh Edition features the addition of figures to chapters where they are especially helpful (eg, the chapter on cardiovascular surgery and cardiac procedures) and makes greater use of headings to break up the text and guide reading. From reviews of the Sixth Edition:" This is an extremely well written book that I would recommend highly to anyone involved in anaesthetizing children. It is comprehensive enough to provide an excellent reference for trainees and general anaesthetists who occasionally deal with paediatric cases, while at the same time giving valuable supplemental information for paediatric anaesthetists encountering an unusual procedure or condition. In short, this is a book that would make a welcome addition to any anaesthetist's mobile library." --Anaesthesia

Principles of Anaesthesia Equipment provides guidance on the safe use of a wide range of anaesthesia apparatus, edited by recognised experts based in Boston, USA and the University of the West Indies, Barbados. Divided into thirteen chapters, the book begins with the applied physics of anaesthesia equipment, before covering individual instruments and groups of instruments by chapter. Equipment covered includes anaesthesia machines and work stations, anaesthesia breathing systems, equipment for endotracheal intubation, electrocautery and lasers, equipment for regional anaesthesia, and ultrasound equipment for neuraxial blocks. The final chapter covers the use of simulators in anaesthesia training. Safety tips are included in chapters on pre-use checks of anaesthetic equipment, electrical safety, disinfection and sterilisation. A separate chapter on monitoring features capnography and state-of-the-art cardiac output monitors. Enhanced by 85 full colour illustrations, Principles of Anaesthesia Equipment is an essential resource for anaesthetists and anaesthesia trainees. Key Points Comprehensive guide to the safe use of a range of anaesthesia equipment Recognised editorial team from Brigham and Women's Hospital, Boston, USA and University of West Indies 85 full colour illustrations