For an anesthesiologist, though the challenge of managing an obstetric patient can be very satisfying and rewarding, it can also be extremely difficult given the potential for serious harm to the fetus and mother. For routine care, it is important to understand the risks and benefits of many practices to provide patients with informed decisions and the most satisfying experiences. There are also many less-usual patients and situations, however, that challenge the anesthesiologist's skills significantly. This issue of the Anesthesiology Clinics presents the most up-to-date information on both of these categories, and is written by an outstanding group of experienced clinicians from all over the world. Topics including high-risk analysis, use of simulators for training, major hemorrhage, off-labor-floor consultation, depth of anesthesia monitoring, pharmaceuticals, use of vasopressors, neurological infections after neuroaxial anesthesia, airway management, the HIV patient, ultrasound, and others.

This issue of the Anesthesiology Clinics provides essential updates for the anesthesiologist who performs procedures outside the operating room. All-important financial considerations are covered, including Medicare payments; and full costing versus differential costing, or "smoothing.? Practice parameters are covered. Each specialty is addressed from the point of view of both a specialist and an anesthesiologist, including cardiology (EP and catheterization), gastroenterology (Endoscopy), and radiology (interventional). Transitional priorities are also covered, including consultation, pre-procedure patient assessment, patient safety, monitoring, and new ICU practices.

Decision making regarding fluid volume loading, fluid restriction, or administration of vasoactive drugs may vary among physicians, depending solely upon their clinical experience in the absence of evidence-based measurement. The initial distribution volume of glucose (IDVG) is believed to be clinically relevant as a marker of cardiovascular and fluid management in critically ill patients without a significant modification of glucose metabolism. This book covers all aspects of IDVG measurement, including the basic concept, its relationship with other fluid volumes, and the clinical application of this technique in the intensive care unit based on both the authors studies and their clinical experience with more than 4000 IDVG determinations. When the concept of IDVG is properly understood and its measurement is then performed routinely, daily fluid and cardiovascular management in critically ill patients can be improved based on evidence-based measurement."

Perioperative care is the care that is given before and after surgery. This textbook is a complete guide to the anaesthetic and critical care management of patients undergoing complex surgeries in all organ systems of the body. Topics cover all age groups - neonates, children, and adults. Divided into 11 sections, the book begins with a general overview of critical care in the perioperative period discussing airway management, pain, fluid and electrolyte therapy, shock, arterial blood gas analysis, respiratory failure and mechanical ventilation, and thromboembolism. The following sections cover surgeries in different organ systems and patient groups - cardiothoracic and vascular, neurosciences, paediatrics, obstetrics and gynaecology, gastrointestinal, genitourinary, orthopaedics, head and neck, and transplantation. The final section explains selected miscellaneous topics including nutrition, haemodynamic monitoring, echocardiography, renal replacement therapy, and antibiotics. Compiling 700 pages, the comprehensive text is further enhanced by clinical photographs, diagrams and tables. Key points Comprehensive guide to perioperative critical care in neonates, children and adults Covers complex surgeries in all organ systems Includes discussion on imaging, airway management, and ventilation Highly illustrated with clinical photographs, diagrams and tables

"Perioperative Addiction" addresses an issue that every anesthesiologist will encounter many times during the course of his or her career: the patient who arrives for operative care under the influence of legal or illegal drugs. The editors and contributors provide expert guidance on how to identify and manage the addicted patient, approaching the subject from the vantage points of the specific drug and of special patient populations.

Features:

Guidance for spotting and managing addicted patients

All common and important drugs of addiction, from opioids, cocaine, club drugs, and alcohol, to tobacco, marijuana, nitrous oxide, inhalants, and propofol

Special populations, including pregnant women, pain patients, adolescents, older patients, and healthcare professionals

Fascinating overview of the long history of addiction

Genetic basis of addiction, and the range of pharmacological treatments for addiction

This book is of great significance for final year MBBS and postgraduate students of general surgery, orthopedics and anesthesia. It provides the basic knowledge needed to answer questions that are routinely asked in practical table viva examinations. It includes simple, comprehensive, condensed and pointwise information with illustrative diagrams wherever required. A comprehensive description of the instruments used in general surgery, orthopedics and anesthesia along with their photographs is a prominent feature of this book. Important major and minor general surgical procedures and commonly performed bedside procedures are described in a step-by-step approach. Some of the neglected, but important commonly-asked topics such as different types of surgical suture materials, surgical needles, perurethral, catheters, tubes, drains, intravenous fluids and intravenous cannulas are also covered in this book. The second edition also includes chapters on recent advances in general surgery such as laparoscopic surgery and robotic surgery. Common surgical emergencies presenting to the emergency room are also discussed in the second edition. The book covers all aspects of practical examination for undergraduates. Also helpful to the postgraduate students of general surgery, orthopedics and anesthesia. Identification points of the instruments and their uses are mentioned in each section. Discusses all surgical instruments used in general surgery and super specialty surgeries such as neurosurgery, urosurgery and plastic surgery along with illustrative photographs. Orthopedic implants used in different fractures are also discussed along with their photographs. Different sterilization procedures of every instrument are discussed in detail. Anesthesia section includes equipments for general as well as regional anesthesia. Commonly used drugs in anesthesia and emergency drugs are also described. Major and minor operative and bedside procedures in general surgery which are commonly asked in examinations are described in a step-by-step approach. Preoperative preparation of the patient prior to surgical procedures is described in detail. Different types of surgical suture materials, needles and the basic surgeries are discussed in the section of suture materials. Different types of perurethral catheter, tubes and drains used in general surgery are described. It covers the basic knowledge of different intravenous fluids and intravenous cannulas used in clinical practice. Includes chapters on recent advances in robotic surgery, instruments used for laparoscopic surgical procedures and a brief description of the energy sources in surgery. A chapter on approach to diagnose common surgical emergencies presenting at the emergency room and its subsequent management has been added.

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

Anesthetics produce a reversible state of unconsciousness accompanied by ante- grade amnesia. This remarkable phenomenon brings great relief to surgical patients and wonder to clinicians and scientists. To date, we do not fully understand the mechanisms by which anesthetics ablate conscious sensation and memory. We are, however, making progress. This book presents original results as well as overviews of the current state of knowledge of the problem. It is authored by investigators who know the ?eld well; their research at a number of levels has contributed substantially to our c- rent understanding of anesthetic modulation of memory and consciousness. Most of the contributors were presenters at two workshops organized by Dr. Pearce and Dr. Hudetz at the 40th Annual Winter Conference on Brain Research, held at Snowmass Village, Colorado, from January 27 through February 2, 2007. One workshop focused on anesthetic modulation of consciousness and another on an- thetic modulation of memory. Seven of the chapters are based on material presented at these symposia - appropriately updated with new relevant ?ndings. This infor- tion is supplemented by chapters on anesthesia and sleep, computational analysis of the state of anesthesia, and the clinical phenomenon of "anesthesia awareness," a topic that has recently received much public attention. With these three additional contributions, the book thus includes 10 chapters.

Jubilee edition of the classic text first published in 1963 Anaesthetists require a particularly specialized knowledge of anatomy The anaesthetist must know intimately the respiratory passages, the major veins and the peripheral nerves to deliver safe and effective pain control. As one of the great teachers of anatomy, Professor Harold Ellis is eminently qualified to elegantly provide the anatomical detail required of anaesthetists. Modern approaches to practice, including the use of imaging to guide anaesthetic practice, add further depth to the fine full-colour anatomical illustrations. Designed for anaesthetists, Anatomy for Anaesthetists covers: The Respiratory Pathway, Lungs, Thoracic Wall and Diaphragm The Heart and Great Veins of the Neck The Peripheral Nerves The Autonomic Nervous System The Cranial Nerves The Anatomy of Pain Clinical Notes throughout provide the clinical context for the anatomical detail. Designed for trainees, but of continuing relevance to practicing anaesthetists, and now in its Golden Jubilee edition, Anatomy for Anaesthetists provides a central pillar of anaesthetic knowledge.

This comprehensive book deals with the fundamental principles of each component of anesthetic machines which every practicing anesthesiologist must know and remember. The relevant applied physics is discussed and explained with clear illustrations, figures and examples. Commonly-used monitors are discussed in detail but in a very simple easy-to-understand manner. The illustrations and figures presented in every chapter are very simple and easy-to-follow. The differences between the older anesthetic machines and the newer workstations are clearly defined. Safety features and precautions related to every equipment are presented in details with their practical significance.

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.

This new edition provides clinicians with the latest advances in the identification, diagnosis and management of acute and chronic pain conditions and syndromes. Beginning with an overview of pain evaluation, the next chapters explain acute and chronic pain. The following chapters examine different types of pain including cancer, thoracic, lower back, head and neck, and more. Each chapter has been fully revised and the third edition features many new topics, including a complete chapter dedicated to opioid pharmacology. Authored by recognised Texas-based experts in the field, the text is presented in a clear, algorithmic approach, enhanced by clinical photographs and figures. Key points Fully revised, third edition presenting latest advances in diagnosis and management pain Features many new topics including a chapter on opioid pharmacology Authored by recognised Texas-based experts in the field Previous edition (9780323019743) published in 2006

Regional Analgesia in Obstetrics provides an account of the developments in the provision of regional analgesia and anaesthesia in obstetrics over the last decade. The book covers the attitudes to obstetric analgesia in different countries; the indications for regional analgesia in labour; the effects of regional analgesia on outcome; and operative delivery.

This handbook is a guide to ultrasound and its applications in anaesthesia for clinicians. Divided into eight sections, the book begins with an overview of the basics of ultrasound including equipment, terminology and how to perform an ultrasound scan. The following chapters describe techniques for various anaesthetic procedures under ultrasound guidance including central and peripheral venous access, regional block, upper and lower extremity nerve blocks, and transversus abdominis plane block. The comprehensive text is further enhanced by more than 300 ultrasound images, clinical photographs and tables. Key points Guide to ultrasound and its applications for anaesthesiologists Provides understanding of basics of ultrasound Describes techniques for various anaesthetic procedures under ultrasound Highly illustrated with more than 300 ultrasound images, photographs and tables

In the past ten years, full-scale simulation training has become dramatically more evident in undergraduate and graduate medical education. This increase has been due pri marily to two factors: the development of new computer-driven technology and an interest in simulation-specific training techniques. Technologically, simulators have evolved from simple anatomical reproductions to full-scale accurate reproductions of anatomy and physiology powered by multiple computers. High-technology simulation centers run by teams of faculty are emerging as integral tools in fulfilling medical centers' educational missions. In addition, educational techniques specific to simulation, which have been de veloped and used by other industries for over half a century, are being applied to medical training. Aviation and aerospace have used sophisticated simulation since the 1950s to train pilots and astronauts. Extrapolating these methods for use in the medical world has been a natural course of events, particularly in specialties that require some of the same basic thought processes and interactions required of the pilot or astronaut. It is not surprising, then, that anesthesiology would be the medical specialty to take the lead in adding simula tion training to its educational programs. The anesthesiologist's job in the operating room is similar to that of a pilot in a cockpit, not in the specific tasks, but in decision making, technological and human interfaces, and crisis management."

Physicians, nurses, and safety experts comprehensively review sedation and analgesia to provide a completely new reference guide to safe sedation practices consistent with existing guidelines. Starting with an integrated review of the basic physiology and neurobiology of the sedated state, the authors proceed through clinical guidelines and practices, and conclude with an examination of quality-outcome measures and processes. They also review current mandates for safe sedation practices and address the key clinical issues of pharmacology, monitoring, and recovery. Special tables and figures throughout the book summarize protocols, regulatory requirements, recommended dosages, monitoring requirements, and quality assurance tools.

Anesthesia and the Central Nervous System is a textbook for a postgraduate course as well as a reference for all anesthesiologists which presents many of the latest concepts in anesthesiology within a brief formal presentation. An outstanding faculty presents topics relating to the biochemistry, physiology, and pharmacology of the nervous system, the anesthetic management of intracranial and spinal cord surgery, and the intensive care management of central nervous system disease. Each chapter is a brief but sharply focused glimpse of the interests in anesthesia. This textbook is the eleventh in a continuing series documenting the proceedings of the Postgraduate Course in Salt Lake City.

PROFESSOR SIR KENNETH L. STUART Pain control has become one ofmedicine's most rapidly growing disciplines, and Iwelcome the opportunity to write this foreword to abook that Iam sure will make its own unique contribution to advancing this discipline. My pleasure in writing it is heightened by my pride in the fact that its editor was at one time an undergraduate student of mine at the University of the West Indies in Jamaica. One of the uncertainties teachers always face is that they can never predict how their charges will turn out. This uncertainty has been happily resolved. Dr. Parris' professional career has been marked by the same dedication and commitment that characterized his undergraduate days and that clearly has been brought to the preparation of this scholarly and practical work. Pain reliefhas been until recently acomparatively neglected field. Its neglect was determined not so much by lack ofprofessional awareness ofits import ance but mainly because so little could be done about it in the past.

Although the perioperative care of patients by anesthesiologists draws on diverse clinical skills, the principles of anesthesiology and pain management are rooted in the neurosciences. The Neuroscientific Foundations of Anesthesiology thoroughly examines the anesthetic modulation of the central, peripheral, and autonomic nervous systems and will help redefine anesthesiology as a fundamentally neuroscientific field. The book is organized by sections, with each focusing on a different part of the nervous system. State-of-the-art chapters written by thought-leaders in anesthesiology and neuroscience provide a novel and invaluable resource.