Intensive care medicine Books

Book SynopsisThis 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.Table of ContentsPart 1. Introduction: the very old ICU patients.- Chapter 1. The demography of ageing and the very old critical ill patients.- Chapter 2. Objectives of ICU management for very old patients.- Part 2. Age-related physiological changes.- Chapter 3. Aged related physiological changes CNS function.- Chapter 4. Age-related physiology changes- cardiovascular function in the very old critically ill patient.- Chapter 5. Age-related changes physiological changes.- Chapter 6. Immunological changes.- Chapter 7. The Very Old Critically Ill Patient.- Part 3. Geriatric syndroms.- Chapter 8. Multimorbidity.- Chapter 9. MULTIPHARMACY ON THE OLDER ADULT.- Chapter 10. Sarcopenia: an overview.- Chapter 11. Geriatric syndromes: Frailty.- Chapter 12. The Very Old Critically Ill Patients.- Chapter 13. Functional status and older age.- Chapter 14. Comprehensive Geriatric Assessment (CGA).- Part 4. Triage.- Chapter 15. Pre-ICU triage - The very old critically ill patient.- Chapter 16. Decision-making under resource constraints.- Chapter 17. Risk scores for the very old, achievable?.- Part 5. Usual ICU procedures.- Chapter 18. Ventilation.- Chapter 19. Vasoactive drugs.- Chapter 20. Acute KidneyInjury and Renal Replacement Therapy in the Very Old Critically Ill Patient.- Chapter 21. Sedation and analgesia.- Chapter 22. Nutrition.- Part 6. Withhold and withdraw therapy.- Chapter 23. Limitation of life-sustaining treatments.- Part 7. Outcomes after intensive care.- Chapter 24. Outcomes after intensive care: Survival.- Chapter 25. Outcomes after intensive care: Functional Status.- Chapter 26. Cognitive Disorders: outcomes after intensive care.- Chapter 27. Rehabilitation.- Chapter 28. The Caregiver.- Part 8. Specific diseases & conditions.- Chapter 29. Acute Respiratory Failure.- Chapter 30. Sepsis in older adults.- Chapter 31. Chapter Acute Kidney Injury.- Chapter 32. Neuro intensive care.- Chapter 33. Postoperative patients: planned surgery.- Chapter 34. Post-operative patients: urgent surgery.- Chapter 35. DELIRIUM.- Chapter 37.Logistic Challenges and Constraints in Intensive Care during a Pandemic.- Part 9. Future developments.- Chapter 37. Future challenges for geriatric intensive care.

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Book SynopsisThis comprehensive update of the previous two successful editions covers both basic and advanced anesthesia topics. These include pharmacology, procedures, monitoring, equipment, subspecialty anesthesia, safety, professionalism, pain management, and more.Chapters are concise, easy-to-read, and authored by faculty specialized in medical education. They feature case studies designed to help apply theoretical knowledge to real patient situations, as well as questions and answers. A convenient resource for medical students, student registered nurse anesthetists, and student anesthesiologist assistants in any student of anesthesia will find this unique book useful.Table of ContentsPart I Introduction to Anesthesiology 1 How to Be a “Star” Student, Career Options, and the Match 2 History of Anesthesia and Introduction to the Specialty Part II Pharmacology 3 Pharmacology Principles 4 Pharmacology of Intravenous Anesthetic Agents and Analgesics 5 Pharmacology of Inhalational Anesthetics 6 Pharmacology of Local Anesthetics 7 Pharmacology of Adjunct Agents Part III Preoperative Considerations 8 Preoperative Patient Evaluation 9 Airway Evaluation and Management 10 The Anesthesia Machine 11 Anesthesia Equipment and Monitors Part IV Intraoperative Considerations 12 Anesthetic Techniques: General, Sedation, MAC 13 Anesthetic Techniques: Regional 14 Electrolytes and Acid-Base Analysis 15 Fluids and Transfusion Therapy 16 Peripheral, Arterial, and Central Lines and Gastric Tube Placement 17 Intraoperative Problems Part V Systems Physiology and Anesthetic Subspecialties 18 Physiology and Anesthesia for Cardiac and Thoracic Surgery 19 Physiology and Anesthesia for Neurologic, ENT, and Ophthalmologic Surgery 20 Obstetrics 21 Physiology and Anesthesia for General and Bariatric Surgery 22 Anesthesia for Urological Surgery 23 Pediatric Surgery 24 Physiology and Anesthesia for Elderly Patients 25 Ambulatory Surgery 26 Out-of-OR (OOR) Procedures 27 Trauma and Orthopedic Surgery Part VI Postoperative Considerations 28 Perioperative Acute and Chronic Pain Management 29 Postoperative Anesthesia Care Unit (PACU) and Common Postoperative Problems 30 Introduction to Critical Care Part VII Special Topics 31 Anesthesiology as a Perioperative Medicine Specialty 32 Professionalism, Safety, and Teamwork 33 Quality Assurance, Patient and Provider Safety 34 Ethical and Legal Issues in Anesthesia 35 Clinical Simulation in Anesthesia Education 36 Anesthesia in Adverse Environments Appendix A: ASA Difficult Airway Algorithm Appendix B: Malignant Hyperthermia Appendix C: Useful Formulae Appendix D: Clinical Algorithms

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Book SynopsisThe significant strides made during the past decade in neonatal medicine are based largely upon the provision of intensive perinatal care to the parturient, her fetus, and the newborn. In addition to technologic advances in the bioelec- tronic monitoring of the fetus and newborn, the introduction of noninvasive methods to monitor oxygenation, the pharma- cologic manipulation ofthe ductus arteriosus and pulmonary vasculature, and the use of ultrasonographic diagnosis of congenital heart defects and other lesions, intensive efforts by neonatal specialists throughout the world have also contri- buted to the decline in neonatal and infant mortality. Professors Wille and Obladen have provided an authoritative manual outlining intensive care of newborns and the ways in which the science of neonatal medicine, the technology of the 1980 s, and the art of application have resulted in the practice of neonatal intensive care at the Kinderklinik of the University of Heidelberg. The English translation resulted from the success of the German edition and will serve well the needs of the English-speaking student and practitioner of neonatal intensive care. T. Allen Merrit, M. D.Table of Contents1. Practical Management of High-Risk Newborns.- Evaluation and Treatment of the Newborn Immediately After Birth.- 1.1 Predisposing Risk Factors.- 1.2 Diagnosis of Postpartum Condition.- 1.3 Classification of Asphyxia.- 1.4 Primary Care and Resuscitation.- 1.5 Assessment of Gestational Age.- 1.5.1 Definitions.- 1.5.2 Requirements for Assessment of Gestational Age.- 1.5.3 Criteria for Assessment of Gestational Age.- 1.6 Intrauterine Growth Curves.- 1.7 Differentiation Between Preterm and Small-for-Gestational-Age Infants.- 1.8 Determining the Stage of Dysmaturity.- 1.9 Main Symptoms During the First Days of Life.- 1.1 References.- 2 Transport of High-Risk Newborns.- 2.1 Indications for Transfer.- 2.2 Informations Prior to Transport.- 2.3 Organization and Conduct of the Transport.- 2.4 Equipment of a Mobile Intensive Care Unit.- 2.5 Contents of the Emergency Kit.- 2.6 Measures Following Transport.- 2.2 References.- 3 Patient Supervision.- 3.1 Pulse and Heart Rate.- 3.2 Variance of the Heart Rate.- 3.3 Respiration.- 3.4 Temperature.- 3.4.1 Servocontrol.- 3.4.2 Temperature Monitoring.- 3.4.3 Intermittent Manual Measurement.- 3.4.4 Incubator Temperature.- 3.5 Blood Pressure.- 3.5.1 Flush Method.- 3.5.2 Detection of Pulse Waves or Vascular Movements with Ultrasound.- 3.5.3 Direct Measurement.- 3.6 Central Venous Pressure.- 3.6.1 Umbilical Vein Catheter.- 3.6.2 Continuous Measurement with Electronic Pressure Transducer.- 3.7 Computer-Assisted Patient Monitoring.- 3.3 References.- 4 Nutrition During the First Days of Life.- 4.1 General.- 4.2 Oral Feeding.- 4.2.1 Healthy Term Infants.- 4.2.2 Preterm Infants.- 4.2.3 Small-for-Gestational-Age Infants.- 4.2.4 Sick Infants.- 4.3 Nasojejunal Feeding.- 4.4 Supplementary Intravenous Feeding.- 4.5 Total Parenteral Nutrition.- 4.4 References.- II. Diagnosis and Treatment of Respiratory Disorders.- 5 Blood Gas Analysis.- 5.1 Measuring Techniques.- 5.1.1 Direct Measurement with Sensitive Electrodes (e. g., Corning, AVL).- 5.1.2 Indirect Measurement.- 5.1.3 Criteria for Selecting a Blood Gas Analyzer.- 5.2 Transcutaneous Oxygen Measurement.- 5.3 Collection of Blood Samples.- 5.3.1 Capillary Sampling.- 5.3.2 Warmed Capillary Sampling.- 5.3.3 Arterial Puncture.- 5.3.4 Umbilical Artery Catheter.- 5.3.5 Indwelling Catheter in Radial or Temporal Artery.- 5.4 Interpretation.- 5.5 Blood Gas Analysis: Normal Values in the Newborn.- 5.6 Disturbances of the Acid-Base Balance.- 5.7 Medicinal Treatment of Acid-Base Disturbances.- 5.7.1 Indications.- 5.7.2 Dosage.- 5.7.3 Administration.- References.- 6 Oxygen Therapy.- 6.1 Indication.- 6.2 Hypoxia Diagnosis, Hyperoxia Test.- 6.2.1 Indication for Artificial Ventilation.- 6.2.2 Differential Diagnosis of Congenital Heart Defects.- 6.3 Oxygen Dissociation.- 6.4 Causes of Disturbances in Oxygenation.- 6.4.1 Impaired Ventilation.- 6.4.2 Impaired Diffusion.- 6.4.3 Impaired Perfusion.- 6.4.4 Disturbances of Oxygen Binding and Oxygen Transport.- 6.5 Dosage of Oxygen in Respiratory Gas.- 6.5.1 PaO2 Measurement.- 6.5.2 tcPO2 Measurement.- 6.6 Modes of Administration.- 6.6.1 Incubator.- 6.6.2 Plastic Head Box (Oxyhood).- 6.6.3 Ventilation.- 6.7 Side Effects of Oxygen Therapy.- 6.7.1 Retrolental Fibroplasia.- 6.7.2 Bronchopulmonary Dysplasia.- 6.7.3 Ventilatory Depression.- References.- 7 Artificial Ventilation M. Obladen.- 7.1 Ventilatory Status of the Newborn.- 7.2 Indication for Artificial Ventilation.- 7.2.1 Birth Asphyxia or Emergency.- 7.2.2 Central Respiratory Disturbance and Immaturity.- 7.2.3 Respiratory Distress Syndrome.- 7.2.4 Aspiration Syndrome.- 7.2.5 Cardiac Failure.- 7.3 Technical Essentials.- 7.3.1 Disinfection of Tubing and Equipment.- 7.3.2 Assembly of Ventilator Tubing.- 7.4 Ventilators and Their Operation.- 7.4.1 Classification of Some Ventilators Suitable for Neonatal Use.- 7.4.2 Bird Mark.- 7.4.3 Bourns LS 104–150.- 7.4.4 Bourns BP 200.- 7.4.5 Cavitron PV 10, Biomed MVP 10.- 7.4.6 Ventilator Test Run.- 7.4.7 Basic Settings of a Neonatal Ventilator Ready for Use.- 7.4.8 Intermittent Mandatory Ventilation (IMV).- 7.5 Continuous Positive Airway Pressure (CPAP).- 7.5.1 Definitions.- 7.5.2 Principle.- 7.5.3 CPAP System.- 7.5.4 CNP System (Pulmarca).- 7.5.5 Comparison of CNP and CPAP.- 7.5.6 Complications and Side Effects of CPAP.- 7.6 Control of Ventilation.- 7.6.1 Control Scheme.- 7.6.2 Changing the Ventilator Settings.- 7.7 Examples of Ventilation.- 7.7.1 Immature Preterm Infant with Apneic Attacks and Central Respiratory Disturbance.- 7.7.2 Preterm Infant, Stage-II RDS, Stabilization by Prolonged Inspiration.- 7.7.3 Preterm Infant, Stage-III RDS, Weaning by Use of IMV.- 7.7.4 Child of Diabetic Mother, Stage-IV RDS, Stabilization by High Inspiratory Pressure.- 7.7.5 Heart Defect with Iatrogenic Hyperventilation.- 7.7.6 Meconium Aspiration with Severe Respiratory Failure.- 7.8 Recognition of Equipment Malfunctions.- 7.8.1 Principle.- 7.8.2 Pressure-Controlled Ventilation.- 7.8.3 Volume-Controlled Ventilation with Prolonged Inspiration, High Volume, and Pressure Limit.- 7.8.4 CPAP and PEEP.- References.- 8 Long-Term Ventilation.- 8.1 General Requirements.- 8.1.1 Prevention of Infection.- 8.1.2 Suctioning.- 8.1.3 Humidification and Nebulization.- 8.1.4 Heating.- 8.1.5 Physiotherapy.- 8.1.6 Postural Therapy.- 8.1.7 Feeding.- 8.2 Supervision of the Neonate During Artificial Ventilation.- 8.2.1 Observation and Examination of the Artificially Ventilated Neonate.- 8.2.2 Supervision by Monitor.- 8.2.3 Monitoring the Ventilator Settings.- 8.3 Relaxation.- 8.3.1 Indication for Relaxation.- 8.3.2 Dosage and Procedure.- 8.4 Concluding Artificial Ventilation.- 8.4.1 Weaning from the Ventilator.- 8.4.2 Procedure of Weaning.- 8.4.3 Extubation.- 8.4.4 Procedure of Extubation.- 8.5 Complications.- 8.5.1 Blockage of Endotracheal Tube.- 8.5.2 Tube Dislocation.- 8.5.3 Accidental Disconnection.- 8.5.4 Infection.- 8.5.5 Extra-Alveolar Collection of Air.- 8.5.6 Disturbances of Venous Return.- 8.5.7 Patent Ductus Arteriosus.- 8.5.8 Inappropriate Secretion of ADH.- 8.6 Delayed Damage After Long-Term Ventilation.- 8.6.1 Pressure Lesions.- 8.6.2 Bronchopulmonary Dysplasia.- References.- III. Acute Neonatal Diseases.- 9 Pulmonary Diseases.- 9.1 Respiratory Distress Syndrome (Surfactant Deficiency).- 9.2 Aspiration Syndrome.- 9.3 Pneumothorax.- 9.4 Acute Pulmonary Hemorrhage.- References.- 10 Cardiological Problems in the Newborn.- 10.1 The Newborn with Congenital Heart Disease.- 10.1.1 Differential Diagnosis of Congenital Heart Disease in the Newborn.- 10.1.2 General and Special Cardiological Diagnostic Tests in Suspected Neonatal Heart Disease.- 10.1.3 Cardiac Surgery in the Newborn.- 10.2 Urgent Cardiac Diagnosis in the Newborn.- 10.2.1 Transposition of the Great Arteries (TGA).- 10.2.2 Coarctation of the Aorta (COA).- 10.2.3 Hypoplastic Left Heart Syndrome (HLHS).- 10.2.4 Primary Myocardial Disease.- 10.3 Cardiological Emergencies in the Newborn.- 10.3.1 Congestive Heart Failure.- 10.3.2 Cardiac Arrhythmias.- 10.3.3 Patent Ductus Arteriosus in Premature Infants with Respiratory Distress Syndrome.- 10.3.4 Persistent Fetal Circulation Syndrome.- 10.3.5 Pneumopericardium.- References.- Neurologic Diseases.- 11.1 Postasphyxia Syndrome.- 11.2 Neonatal Seizures.- 11.3 Recurrent Apneic Spells.- 11.4 Intracranial Hemorrhage.- 11.4.1 Subdural Hemorrhage.- 11.4.2 Primary Subarachnoid Hemorrhage.- 11.4.3 Periventricular Intracerebral (Intraventricular) Hemorrhage.- References.- 12 Acute Abdominal Diseases.- 12.1 Acute Gastrointestinal Diseases.- 12.2 Necrotizing Enterocolitis.- 12.3 Acute Renal Failure.- References.- Disorders of Metabolism.- 13.1 Hypoglycemia.- 13.2 Infants of Diabetic Mothers.- 13.3 Hyperglycemia.- 13.4 Acute Metabolic Disorders.- References.- 14 Disturbances of the Electrolyte Balance.- 14.1 Hyponatremia 150 mEq/l.- 14.3 Hypokalemia < 3.8 mEq/l.- 14.4 Hyperkalemia > 7 mEq/l.- 14.5 Hypocalcemia.- 14.6 Hypomagnesemia < 1,2 mEq/l.- References.- 15 Icterus Gravis Neonatorum and Hemolytic Disease of the Newborn (L. Wille).- 15.1 Definitions.- 15.2 Differential Diagnosis and Diagnostic Procedure for Neonatal Jaundice.- 15.3 Hemolytic Disease of the Newborn.- 15.3.1 Rh Erythroblastosis (Anti-D).- 15.3.2 Hemolytic Disease Due to Rare Sensitizations to Blood Group Factors Other than A, B, D (Anti-C, -c, -E, -e, Anti-Kell, -Duffy).- 15.3.3 ABO Erythroblastosis.- 15.4 Hemolytic Diseases Without Isoimmunization.- 15.5 Hyperbilirubinemia Without Hemolysis.- 15.5.1 Term Infants.- 15.5.2 Preterm Infants.- 15.6 Hyperbilirubinemia in Hepatocellular or Obstructive Jaundice.- 15.7 Technique of Exchange Transfusion.- 15.8 Phototherapy.- 15.9 Hydrops Fetalis.- References.- 16 Infections.- 16.1 Prevention of Bacterial Infections.- 16.2 Bacteriologic Diagnosis.- 16.3 Sepsis.- 16.4 Meningitis.- 16.5 Intrauterine Infections.- References.- 17 Hematologic Disease.- 17.1 Anemia.- 17.2 Hypovolemic Shock.- 17.3 Polycythemia.- References.- 18 Blood Coagulation and Hemorrhagic Diatheses.- 18.1 Blood Coagulation.- 18.2 Diagnosis.- 18.3 Coagulopathies.- 18.3.1 Congenital Coagulopathies.- 18.3.2 Acquired Coagulopathies.- 18.4 Thrombocytopenia.- 18.5 Thrombocytopathy.- References.- IV. Appendix.- 19 Techniques of Neonatal Intensive Care.- 19.1 Umbilical Vessel Catheterization.- 19.1.1 Umbilical Vein Catheterization.- 19.1.2 Umbilical Artery Catheterization.- 19.2 Technique of Superior Vena Cava Catheterization.- 19.3 Arterial Puncture and Catheterization.- 19.3.1 Puncture of the Radial and Brachial Arteries.- 19.3.2 Percutaneous Catheterization of the Radial Artery.- 19.3.3 Percutaneous Catheterization of the Temporal Artery.- 19.4 Venesection.- 19.5 Drainage of Pneumothorax.- 19.5.1 Exploratory Puncture.- 19.5.2 Technique of Pleural Drainage.- 19.6 Drainage of Pneumopericardium.- 19.7 Abdominal Paracentesis.- 19.8 Endotracheal Intubation.- 19.8.1 Orotracheal Intubation.- 19.8.2 Nasotracheal Intubation.- 19.8.3 Confirmation of Tube Placement.- 19.8.4 Tube Lengths.- 19.8.5 Fixation of Tube.- 19.8.6 Most Frequent Sources of Error During Intubation.- 19.9 Technique of Peritoneal Dialysis.- 19.10 Ventriculopuncture.- References.- 20 Instrumentarium for Procedures in Neonatal Intensive Medicine.- 20.1 Intubation Set.- 20.2 Pneumothorax Set.- 20.3 Abdominal Paracentesis Set.- 20.4 Umbilical Catheter Set.- 20.5 Venesection Set.- 20.6 Peritoneal Dialysis Set.- 21 Neonatal Drug Therapy (L. Wille).- References.- Results of Neonatal Intensive Care.- 22.1 Neonatal Mortality.- 22.1.1 Organizational Measures for Reducing Neonatal Mortality.- 22.2 Cerebral Handicaps.- 22.2.1 Incidence.- 22.2.2 Prognostic Value of Neonatal Risk Factors.- 22.2.3 Origin of Perinatal Brain Damage.- 22.3 Follow-Up Examination.- 22.3.1 Timing.- 22.3.2 Examination Procedure.- 22.4 Economic Aspects.- References.- 23 Parents in the Intensive Care Unit.- 23.1 Normal Reaction of Parents to the Birth of a Premature or Sick Infant.- 23.2 Consequences of Prolonged Maternal-Infant Separation.- 23.3 Parental Functions in the Intensive Care Unit.- 23.4 Informing the Parents.- 23.5 Conference Following the Death of a Newborn.- 23.6 Atmosphere of the Intensive Care Unit.- References.- 24 Subject Index.

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Book SynopsisThe book provides up-to-date and easy to understand information on airway management with special emphasis on practical management along with required theory background and key points. It covers all aspects of airway management including education, training, audit, controversies, recent advances, case discussion, etc. The book covers all the techniques of airway management like the use of video laryngoscopy, fibre-optic intubation, and retrograde intubation. Further, the book includes a chapter on airway management during transmittable infectious diseases, such as COVID-19. The book also includes separate chapters on the available guidelines; discussion of interesting cases; neonatal airway; and out of hospital airway management. The book is written by experienced authors keeping in mind the unique problems and situations related to this specialized and vital area of patient management. It presents summary and key points in each chapter. Overall, this book provides practical, specialty oriented and patient centered approach to airway management. The book is a useful resource for postgraduate students, residents and fellows in anesthesia, emergency medicine, critical care medicine. It is also relevant for anesthesiologists, intensivists, emergency physicians and internal medicine physicians.Table of ContentsPart 1 General1 History and Milestones of Airway Management 2 Anatomy and physiology of the airway applied 3 Preoperative Airway Assessment 4 Imaging of the Airway Part 2 Equipment5 Masks and Airways 6 Supraglottic airway devices 7 Endotracheal Tubes 8 Direct Laryngoscopes 9 Video Laryngoscopes 10 Flexible Video Endoscopes 11 Airway Adjuncts 12 Lung Isolation Devices 13 Difficult Airway CartPart 3 Practice 14 Principles of Airway Management 15 Overview of Airway Techniques and Decision Making 16 Oxygenation During Airway ManagementPart 4 Techniques 17 Airway Management Guidelines: An overview 18 Mask Ventilation 19 Supraglottic Airway Devices: Clinical Applications 20 Endotracheal Intubation – Direct and Video Laryngoscope Guided Techniques 21 Flexible Video Endoscopic Guided Airway Management 22 Unconventional Intubation Techniques 23 Airway Management in Thoracic Surgery 24 Airway Anaesthesia 25 Front of Neck Access Procedures 26 Extubation Part 5 Specialty 27 Airway Management in Paediatric Anesthesia 28 Airway Management in Obstetrics 29 Airway Management in Trauma 30 Airway Management in Obesity 31 Airway Management in Maxillofacial Surgery 32 Airway Management in Neuroanesthesia 33 Airway Management in Upper Gastrointestinal Endoscopy 34 Airway Management in Airway emergency 35 Airway Management in Intensive Care Unit 36 Airway Management in Prehospital Care 37 Airway Management in emergency Department 38 Airway Management in ENT procedures 39 Airway Management in Neonates 40 Airway Management in Infectious diseases Part 6 Others 41 Complications of Airway Management 42 Controversies in Airway Management 43 Airway Management in Low Resource Settings 44 Recent Advances in Airway Management 45 Simulation Based Airway Training

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Book SynopsisPatients with difficult airways represent a clinical conundrum for anaesthetists. With a wide variety of presentations in both an elective and emergency setting, all anaesthetists need to be prepared to manage such a situation. This book consists of real-life clinical scenarios, describing how these were managed at the time and on reflection how their management could have been improved. Further discussion emphasises how any associated failures and complications could have been mitigated. Using a combination of up-to-date knowledge, advanced technology and clinical expertise, this book provides an invaluable resource for any specialist managing airways in a clinical environment. This book is an indispensable aide-mémoire for postgraduate doctors, physicians practising in the emergency department, intensive care specialists, anaesthesia associates and allied healthcare professionals in managing patients with a difficult airway.

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Book SynopsisThis 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.Trade Review'We've read the book at RAUK and we thought Anatomy for the FRCA has an engaging, accurate and accessible approach to anatomical revision. The content for areas specific to regional anaesthesia is well presented, combining clearly labelled diagrams of cadaver dissections alongside ultrasound cross-sectional images and succinct clinical information relevant to each block. We highly recommend this for those studying for the FRCA or wanting to brush up on the foundational knowledge or regional anaesthesia.' Sim West, Regional Anaesthesia United Kingdom (RAUK)'Overall, this book provides a valuable question base for anaesthesia trainees in their preparations for the anatomy covered in fellowship examinations, and should be considered an essential supplementary resource alongside the core physics, physiology, and pharmacology textbooks.' Charlotte L. Smith, British Journal of Anaesthesia'… [an] excellent concise book. I would recommend it to any doctor undertaking the FRCA examination.' Duncan L Hamilton, British Association of Clinical Anatomists NewsletterTable of ContentsPart I. Question Papers: 1. SAQ Exam; 2. OSCE exam; 3. SOE exams; 4. MCQ exam; Part II. SAQs 1–12 (Answers): 5. Base of skull and brain herniation; 2. Brachial plexus and axillary block; 3. Bronchial tree and aspiration pneumonia; 4. Epidural space and Epidural; 5. Femoral triangle and fascia iliaca block; 6. Internal jugular vein and cannulation; 7. Intercostal space and chest drain/procedures; 8. Lumbar plexus and lumbar plexus block; 9. Oesophagus; 10. Pituitary gland and transsphenoidal approach; 11. Popliteal fossa and block; 12. Trachea and tracheostomy; Part III. OSCE Stations 1–18 (Answers): 1. Ankle block; 2. Base of skull, foramina and extradural haematoma; 3. Blood supply of the upper limb and Allen's test; 4. Brachial plexus and Supra-/Infraclavicular Blocks; 5. Circle of Willis; 6. Vagus Nerve (CN 10); 7. Coronary circulation; 8. Diaphragm; 9. Dural venous sinuses and cavernous sinus thrombosis; 10. Inguinal regional and hernia; 11. Larynx; 12. The liver and portal venous system; 13. Nose and paranasal air sinuses; 14. Paravertebral space and block; 15. Peripheral nerves of the upper limb; 16. Rectus abdominis, sheath and rectus sheath block; 17. Ribs and ventilation; 18. Vertebrae and spinal ligaments; Part IV. SOEs 1–3 (Answers): 1a. Cervical plexus and carotid endarterectomy; 1b. Anterolateral abdominal wall and TAP block; 1c. Brachial plexus and interscalene block; 1d. Spinal cord blood supply and tracts; 2a. Trigeminal nerve (CN 5) and trigeminal neuralgia; 2b. Pleura and interpleural block; 2c. Cubital fossa and inadvertent intraArterial injection; 2d. Sacrum and caudal block; 3a. Scalp block; 3b. Fetal circulation; 3c. Blood supply of the lower limb and intraosseous access; 3d. Orbit; Part V. MCQs 1–60 (Answers).

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Book SynopsisWhether a mass casualty, earthquake or weather event at home, or a disaster abroad, proper preparation is essential for providing high-quality care. This concise guide brings together the views and knowledge of experienced responders to offer a much-needed review of the essential elements of anesthesia and intensive care for disasters and austere environments. Combining academic theory and practical advice, the book covers topics such as emergency and trauma surgery; airway management; chemical, biological and radiological exposure; personal protective equipment; and the psychological impact of working in the operating room in disaster situations. As successful care depends on the incident response team working collaboratively, the text also covers emergency communications, infrastructure preservation, and topics relevant to other medical specialists such as pain management and obstetrics. Featuring numerous high-quality illustrations, Essentials of Disaster Anesthesia is a vital, releTable of Contents1. Disaster anesthesia Knut Ole Sundnes; 2. Preparing to deploy to a remote disaster Joseph McIsaac; 3. Principles of emergency and trauma surgery Christos Giannou, Monemvasia Kastro, and Bruce Paix; 4. Total intravenous anesthesia in disaster anesthesia Phillip Blum and Martin Graves; 5. Inhaled anesthetics and Draw-Over devices in disaster response Carlton Brown; 6. Airway management Michael J Murray; 7. Vascular access, hydration, and fluids Michael J Murray; 8. Critical care delivery for disasters in austere environments Liza Weavind; 9. Children in disasters Simon Hendel; 10. Special populations: children Proshad Efune and Mohammed Iqbal Ahmed; 11. Laboratory tests and blood banking Dan Holmes and Felicity Stone; 12. High-altitude physiology and anesthesia Carlton Brown; 13. Disaster: mental health effects, responses, and what clinicians can do Shaukat A Khan and Kirsten M Wilkins; 14. Considerations when working with children and families Steve J Brassington; 15. Chemical and radiologic exposures in trauma and disasters Joseph McIsaac and Corry Kucik; 16. Pain in disasters Jackson and Pena; 17. Radiology in the austere or disaster environment David Besachio and Daniel Sutton; 18. Communications Marina Zuetell; 19. Security in disaster anesthesia Martin Graves and Corry Kucik; 20. International humanitarian law Christopher M. Burkle; 21. Operation Tomodachi: anesthetic implications Carness and Lenart; 22. Austere obstetric anesthesia Johanna de Haan, Kristin Falce, and Nadia Hernandez; 23. Pharmacy in disaster anesthesia Dr Robert Bishop and Ashlee Klevens Hayes; 24. Regional anesthesia in disaster circumstances Nadia Hernandez and Johanna de Haan; 25. Power and light: Impact of electrical systems failure on the delivery of anesthetic care Frederick W. Burgess and Jordan Anderson.

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Book SynopsisPrepare with confidence for the FFICM and EDIC with this dedicated guide featuring 300 original multiple choice (MCQ) and single best answer questions (SBAs) covering the whole FICM curricula.Organized into ten practice papers so readers can practice the style and format of the real exam, questions cover a broad range of intensive care topics for postgraduate exams. Each answer includes a full explanation, up-to-date evidence-based guidelines and sources for further reading to ensure high-quality self-assessment.Written by a team of consultants, these original and high-quality questions have been developed over years of clinical experience. This invaluable resource provides intensive care medicine trainees with an ideal companion for the FFICM and EDIC and other postgraduate critical care exams.Table of Contents1: Paper 1 2: Paper 2 3: Paper 3 4: Paper 4 5: Paper 5 6: Paper 6 7: Paper 7 8: Paper 8 9: Paper 9 10: Paper 10

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Book SynopsisThe objective structured clinical examination (OSCE) has become widely employed in intensive care medicine (ICM) exams such as the UK Final Fellowship of Intensive Care Medicine (FFICM), the European Diploma of Intensive Care (EDIC) exam, or the Australia and New Zealand Fellowship of the College of Intensive Care Medicine (CICM). This book is not only an essential tool for the rehearsal of OSCEs in preparation for these exams, but also for American and Indian exams, and any other exams within the field of intensive care medicine. The OSCE is a style of examination that requires the candidate to present specific information in a short space of time matched to a prescriptive mark scheme. This book allows candidates preparing for an ICM OSCE to format their knowledge for this type of examination whilst practising and rehearsing against time. The 60 OSCE stations provide a broad array of topics from past exams ranging across the training ICM curriculums. The mark schemes are presented in a short, punctuated form allowing the candidate access to important points, ideal at the sharp end of an exam campaign. The 5 sets of OSCE exams are designed to run as a set of 12. Each set will have an array of clinical scenarios requiring swift assessment, diagnosis, recommendations for investigations and management, whilst also exploring aspects of pathophysiology. There are a number of data‐interpretation tools that are incorporated into clinical scenarios as well as standalone stations for electrocardiogram and radiology analysis. This book is an important preparatory tool crucial to the armamentarium of any candidate preparing for an ICM exam.

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Book SynopsisA significant number of critically ill neurological and neurosurgical patients are still managed in the medical or surgical ICU by non-neurointensivists, who have a hard time appreciating the delicate needs of these patients. This dynamic guide reviews current topics facing neurocritical care providers in a straight-forward, structured, and practical way. Providing clear summaries in the management of neuro critical care conditions, this text allows for accessible, highly structured, and focused protocols for the assessment, day-to-day management, and treatment of critically ill patients in various ICU settings. This comprehensive, thorough guide to the management and treatment of neurologic and neurosurgical patients is an excellent companion for trainees preparing for the Neurovascular Boards, Neurologists, Neurosurgeons and critical care physicians, alike. Designed by leaders in their field, this thorough guide presents practical, state-of-the-art suggestions for physicians worldwidTrade Review'This second edition of Neurocritical Care by editor Michel T. Torbey offers relevant, up-to-date discussions of diagnostic, therapeutic, and monitoring tools for neurologic and neurosurgical conditions commonly encountered in the Neurocritical Care unit.' Brooke E. Trainer and Nadia Lunardi, Anesthesia & AnalgesiaTable of ContentsList of contributors; Preface; 1. The neurological assessment of the critically ill patient Abdo Barakat and Diana Greene-Chandos; 2. Cerebral blood flow physiology and metabolism in the neurocritical care unit Rajat Dhar and Michael Diringer; 3. Cerebral edema and intracranial pressure in the neurocritical care unit Shivani Ghosal and Kevin Sheth; 4. Hypothermia in the neurocritical care unit: physiology and applications Karina Woodling, Archana Hinduja and Michel T. Torbey; 5. Analgesia, sedation, and paralysis Yousef Hannawi and Wendy C. Ziai; 6. Airway management and mechanical ventilation in the neurocritical care unit David B. Seder and Julian Bösel; 7. Neuropharmacology in the neurocritical care unit Sarah M. Adriance; 8. Intracranial monitoring in the neurocritical care unit Chad M. Miller; 9. Electrophysiologic monitoring in the neurocritical care unit Anh T. Nguyen and Asma Zakaria; 10. The role of transcranial doppler (TCD) as a monitoring tool in the neurocritical care unit Maher Saqqur, David Zygun and Andrew Demchuk; 11. Ischemic stroke in the neurocritical care unit Julian Bösel; 12. Intracerebral hemorrhage in the neurocritical care unit Xuemei Cai and Jonathan Rosand; 13. Management of cerebral venous thrombosis in the neurocritical care unit Xiaoying Yao and Magdy Selim; 14. Subarachnoid hemorrhage in the neurocritical care unit Katja E. Wartenberg and Stephan A. Mayer; 15. Status epilepticus in the neurocritical care unit Fawaz Al-Mufti and Jan Classen; 16. Neuromuscular disorders in the ICU Christopher L. Kramer, Edward M. Manno and Alejandro A. Rabinstein; 17. Management of head trauma in the neurocritical care unit Peter Le Roux; 18. Management of autoimmune encephalitis in the neurocritical care unit Murat Sari, Diana Greene-Chandos and Michel T. Torbey; 19. Management of cerebral salt wasting syndrome and syndrome of inappropriate antidiuresis in the neurocritical care unit Wendy Wright; 20. Brain death in the neurocritical care unit Mark M. Landreneau and David M. Greer; 21. Neuroterrorism and drug overdose in the neurocritical care unit John J. Lewin, III, Mohit Datta and Geoffrey S. F. Ling; 22. Infections of the central nervous system in the neurocritical care unit Mohamed Sharaby and Barnett R. Nathan; 23. Management of the spinal cord injury in the neurocritical care unit epidemiology Kristine O'Phelan; 24. Postoperative management in the neurosurgical critical care unit Ryan A. Grant, Andy J. Redmond and Veronica L. Chiang; 25. Ethical considerations in the neuroscience intensive care unit Fred Rincon; 26. Pulmonary consult: management of severe hypoxia in the neurocritical care unit Rafael A. Calderón Candelario, Matthew C. Exline and Naeem A. Ali; 27. Management of refractory arrhythmias in the neurocritical care unit Mahmoud Houmsse; 28. An infectious diseases consult in the neurocritical care unit Michael Frank and Mary Beth Graham; 29. A nephrology consult in the neurocritical care unit Jason Prosek and Nabil Haddad; 30. Management of hepatic encephalopathy in the neurocritical care unit Stephen M. Riordan and Roger Williams; 31. Hypoxic encephalopathy in the neurocritical care unit Maximilian Mulder and Romergryko G. Geocadin; 32. Management of delirium in the neurocritical care unit Diana Greene-Chandos and Michel T. Torbey; 33. Generalized weakness in the intensive care unit Farrukh S. Chaudhry and Edward M. Manno; 34. Management of severely brain-injured patients recovering from coma Caroline Schnakers and Martin M. Monti; 35. Acute demyelinating disorders in the neurocritical care unit Lauren Koffman and Joao A. Gomes; 36. Building a case for a neurocritical care unit Panayiotis N. Varelas and Efstathios Papavassiliou; 37. Neurointensive (NCCU) care business planning Sarah Widing and Noah Grose; Index.

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Book SynopsisThe global obesity epidemic is growing in severity, affecting people of every age and costing healthcare providers millions of dollars every year. Every day, anesthesiologists are presented with obese and morbidly obese patients undergoing every type of surgical procedure; the management of these patients differs significantly from that of normal weight patients undergoing the same procedure. Anesthetic Management of the Obese Surgical Patient discusses these specific management issues within each surgical specialty area. Initial chapters describe pre-operative assessment and pharmacology; these are followed by detailed chapters on the anesthetic management of a wide variety of surgical procedures, from joint replacement to open heart surgery. Essential reading for anesthesiologists and nurse anesthetists worldwide, Anesthetic Management of the Obese Surgical Patient and its companion work by the same authors, Morbid Obesity: Peri-operative Management, enable both trainees and practise

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Book SynopsisClose monitoring of patients during anesthesia is crucial for ensuring positive treatment outcomes and patient safety. The increasing availability of new technologies and the repurposing of older monitors means more patient data is at anesthesiologists'' fingertips than ever before. However, this flood of options can be overwhelming. A practical resource for understanding this array of clinical monitoring options in anesthesia, this important text focuses on real-world applications in anesthesia and perioperative care. Reviewing the evidence for improved patient outcomes for monitoring technology, neurological monitoring, echocardiography systems and ultrasound are amongst the techniques covered in a head-to-toe approach. Statistics used by manufacturers to gain approval for their technology are discussed, as well as the under-appreciated risks associated with monitoring such as digital distraction. Future monitoring technologies including wearable systems are explored in depth. Focusing on applied practice, this book is an essential text for front-line healthcare professionals in anesthesia.Trade Review'… The book can be used by any anesthesia provider regardless of level of training or years of practice. All readers will finish with additional knowledge that will improve their practice … There is no other book available that is as comprehensive or well written as the current one.' Robert R. Gaiser, Doody's Book Review Service'… an interesting and insightful read for anyone wishing to know more about the study of monitoring in perioperative care.' Daniel Morgan, Journal of Perioperative PracticeTable of Contents1. Statistics used to assess monitors and monitoring application Lester A. H. Critchley; 2. Multimodal neurological monitoring Samson Zarbiv, Erica Fagleman and Neha S. Dangayach; 3. Cerebral oximetry Benjamin Salter and Elvera Baron; 4. Oxygen reserve index Andrew B. Leibowitz; 5. Point-of-care transesophageal echocardiography Ronald A. Kahn; 6. Point-of-care transthoracic echocardiography Julia Sobel and Oliver Panzer; 7. Point of care lung ultrasound Zachary Kuschner and John Oropello; 8. Point of care ultrasound: determination of fluid responsiveness Subhash Krishnamoorthy and Oliver Panzer; 9. Point of care abdominal ultrasound Shaun L. Thompson and Daniel W. Johnson; 10. Noninvasive measurement of cardiac output Sam Gilliland, Robert H. Thiele and Karsten Bartels; 11. Assessing intravascular volume status and fluid responsiveness: a non-ultrasound approach David S. Beebe; 12. Assessment of extravascular lung water Torsten Loop; 13. Point of care hematology Jacob Raphael, Liza Enriquez, Lindsay Regali and Linda Shore-Lesserson; 14. Assessment of intraoperative blood loss Kyle James Riley and Daniel Katz; 15. Respiratory monitoring in low-intensity settings Andrew B. Leibowitz and Adel Bassily-Marcus; 16. The electronic health record as a monitor for performance improvement David B. Wax; 17. Future monitoring technologies: wireless, wearable and nano Ira S. Hofer and Myro Figura; 18. Downside and risks of digital distractions Peter Papadakos and Albert Yu.

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Book SynopsisNon-invasive mechanical ventilation has managed to establish itself as the treatment option for a wide variety of causes of acute and chronic respiratory failure in different settings in hospital and home non-invasive mechanical ventilation. In the last decades, we have discovered its positive effects on gas exchange and symptoms such as dyspnea control, widely contrasted against endotracheal intubation. However, although this wide range of beneficial effects have been described, pathophysiology, diagnosis, prevention and treatment of non-invasive mechanical complications could not be forgotten for a correct application as they clearly affect patient outcome and mortality. Nowadays, there is a scarce number of publications analysing non-invasive mechanical ventilation complications and this book is the first dedicated to its analysis. This book brings together a broad multidisciplinary vision of common and unusual complications, thus it serves as the original and essential scientific published reference on non-invasive mechanical ventilation complications. The present book has been structured to offer through its sections and chapters an exhaustive and in-depth analysis of non-invasive mechanical ventilation complications, mechanisms, direct or indirect factors determinants, key recommendations for the early diagnosis and treatment for most frequent applications from multidisciplinary perspective. Finally, we analyse non-invasive mechanical ventilation complications and how they impact in short- and long-term complications and mortality. The book concludes analysing evidence in diagnosis, prevention and treatment. We believe that the readers of this book will find in it an essential reference for a correct application of non-invasive mechanical ventilation, and thus be able to improve results and prognosis. Only the precise knowledge of complications of non-invasive mechanical ventilation will allow us to achieve a proper application to success.Table of ContentsPreface; Complications During Non-Invasive Mechanical Ventilation: Epidemiology, Definitions and Classifications; Discomfort, Compliance, Adherence, Determinants and Prevention of Using NIV; Complications During Non Invasive Mechanical Ventilation: Nasal Symptoms, Sinus Congestions, Oronasal Drying; Bilateral Parotiditis. Ocular Complications/Eye Irritation. Other Unusual Complications; Complications during Non-Invasive Mechanical Ventilation. Skin Breakdown; Complications During Non-Invasive Mechanical Ventilation. Interface-Specific Complications of Helmet (Arm Oedema and Deep-Vein Thrombosis) and Other Interfaces; Complications During Non-Invasive Mechanical Ventilation. Barotrauma: Pneumothorax. Pneumomediastinum/Subcutaneous Emphysema Pneumocephalus; Complications During Non-Invasive Mechanical Ventilation. Secretions Management; Complications During Non-Invasive Mechanical Ventilation Digestive Alterations; Complications During Non-Invasive Mechanical Ventilation. Aspiration Pneumonia. Physiopathology, Risk Factors; Complications During Non-Invasive Mechanical Ventilation. Ventilator-Induced Lung Injury and Effort-Induced Lung Injury; the Importance of PAO2/FIO2 and Tidal Volume; Mask Interface Leakages. Unintentional Leak and Dead Space Mask Displacement; Complications During Non-Invasive Mechanical Ventilation. Response, Carbon Dioxide Rebreathing; Complications During Non-Invasive Mechanical Ventilation. PatientVentilator Asynchrony; Non-Invasive Mechanical Ventilator. Technology for Safety Applications; Complications During Non-Invasive Mechanical Ventilation. Acute and Chronic-Cardio- Hemodynamic Complications; Complications During Non-Invasive Mechanical Ventilation. Comorbidities Influence; Complications During Non-Invasive Mechanical Ventilation. Hypercapnic Failure. Physiopathology, Diagnosis, Prevention and Treatment; Complications During Non-Invasive Mechanical Ventilation. Chronic Obstructive Pulmonary Disease; Neuromuscular Disorders. Motor and Intellectual Disabilities. Rare Neurological Diseases; Complications During Non-Invasive Mechanical Ventilation. Sleep Breathing Disorders; Complications During Non-Invasive Mechanical Ventilation: Oncology/Hematology Clinical Conditions; Complications of Non-Invasive Ventilation in Chronic Respiratory Failure; Complications of Non-Invasive Ventilation in Palliative Care; Complications During Non-Invasive Mechanical Ventilation Bronchofiberoscopy and Other Procedures; Complications During Non- Invasive Mechanical Ventilation. Hypoxia. Preoxygenation, Endotracheal Intubation; Intubation-Related Complications Associated with Delayed Intubation After Failed NIPPV; Complications During Non-Invasive Mechanical Ventilation. Weaning Process. Extubation and Re-Intubation; Complications During Postoperative Non-Invasive Mechanical Ventilation. Anastomotic Leak. Neurotrauma, Neurosurgery, Thoracic, Cardiac Surgery, Abdominal Surgery and Gastric Bypass; Delirium Sedation as Complications of Non-Invasive Ventilation; Complications of Non-Invasive Ventilation in the Emergency Department: Key Practical Issues; Complications During Nasal High Flow Oxygen Neonatology-Pediatrics; General Non-Invasive Ventilation Complications in Acute and Chronic Paediatric Applications; Complications During Non-Invasive Mechanical Ventilation. Malar Hypoplasia; Complications During Long Term Non-Invasive Mechanical Ventilation; Non-Invasive Mechanical Ventilation Complications. Mortality, Determinants, Prevention and Treatment; Complications During Non-Invasive Mechanical Ventilation. Short- and Long-Term Outcomes; Complications During Non-Invasive Mechanical Ventilation: Quality of Life; Cost Associated with Noninvasive Ventilation Complications; Non-Invasive Mechanical Ventilation and Complications: Education Programs Perspectives; Global Health Care in Non-Invasive Mechanical Ventilation Complications. Role of Integrated Social Care, Psychological Holistic Management and Physiological Adaptations; Evidence-Based Recommendations for Diagnosis Prevention and Treatment Non-Invasive Ventilation Complications; Index.

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Book SynopsisStrokes are a leading cause of brain injury that strike approximately 800,000 people per year in the US alone, killing about 150,000 meaning one death in every four minutes. According to World Health Organization, 15 million people suffer strokes world-wide each year and out of these, 5 million die and another 5 million are permanently disabled. Despite advances in stroke research during last decade, current strokes remain a vexing public health problem. Even with the onset of the 21st century, there is still no effective therapy for strokes beyond a limited group of patients who are treated with thrombolytics, which have significant adverse effects. This situation prevails despite intense research efforts and numerous clinical trials that have attempted to develop drugs to reduce morbidity and mortality from strokes. So far, drug development efforts have targeted modulators of ion channels (Ca2+and Na+), scavengers of oxygen radicals, and antagonists of excitotoxic neurotransmitters (primarily glutamate and glycine receptors). Despite tremendous progress in understanding the pathophysiology of a stroke, translation of this knowledge into effective therapies has largely failed, with the exception of thrombolysis, which only benefits a small proportion of patients. Systemic and local immune responses have important roles in causing stroke and are implicated in the primary and secondary progression of ischaemic lesions, as well as in repair, recovery, and overall outcome after a stroke. However, potential therapeutic targets in the immune system and inflammatory responses have not been well characterised. The development of novel and effective therapeutic strategies for strokes will require further investigation of these pathways in terms of their temporal profile (before, during, and after stroke) and risk-to-benefit therapeutic ratio of modulating them.

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Book SynopsisThe majority of all road trauma deaths occur either at the scene of injury or in the pre-hospital setting. The World Health Organization has identified uncontrolled bleeding to be the leading cause of preventable traumatic death. Emergency Medical Services systems play a key role in helping to reduce motor vehicle-related fatalities by providing medical care at the crash scene and by quickly transporting injured patients to the most appropriate level of trauma care. This book''s purpose is to present a systematic review and assessment of the biomedical and clinical literature describing pre-hospital treatment of external haemorrhage caused by traumatic injury. The primary focus of the book is the efficacy of pre-hospital application of tourniquets and hemostatic dressings to control traumatic external haemorrhage.

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Book SynopsisAdverse drug reactions commonly affect the skin. In rare instances, they cause severe morbidity and possibly lead to drug-induced mortality. Toxic epidermal necrolysis (TEN) represents the archetype of such conditions. This book summarises the recent advances in the field of TEN as a major life-threatening adverse drug reaction. Indeed, this dramatic condition remains a puzzling topic for both the clinician at the bedside and in the laboratory. This book is fully updated about the putative biomechanisms, the clinico-pathological correlations and recent treatment advances. The most damaging effects of TEN reside in the skin, eyes and oral mucosa. Physicians keen in intensive care medicine, dermatology and ophthalmology should find here stimulating concepts applicable to the patient with the hope of reducing the TEN fatalities.

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Book SynopsisSevere trauma represents one of the biggest issues threatening modern healthcare systems across the globe. Traumatic injury is the leading cause of lost life years worldwide, responsible for an excess of 5 million deaths every year. The role of laparoscopy in trauma has not paralleled its popularity in other areas of general surgery for several reasons including the emergent nature of many of the operations, the lack of expertise and comfort level of some surgeons and the fear of missed injuries. In this book, the possible indications and pitfalls of integrating minimally invasive surgical techniques into the management of abdominal injuries are examined. Furthermore, post-traumatic haemorrhage is likely to represent the principle cause of preventable deaths amongst patients sustaining major traumatic injuries. Management of these patients and techniques (both old and emerging) are discussed, which may be able to more accurately identify early coagulopathy and enable goal-directed, targeted therapy. The third chapter of the book describes currently accepted classifications of pelvic trauma to examine the link between mechanism of injury and factors predictive of mortality. Recent advances made in services, protocols, imaging, instrumentation and management of pelvic trauma are examined, specifically looked at to determine whether any of it has served to improve the historically poor prognosis. Lastly, pancreatic injury in childhood is rare, constituting 0.3% to 0.7% of all trauma admissions at large paediatric trauma centres. Nonetheless, they do occur. The authors explore pancreatic duct ruptures in children, the subsequent diagnosis and treatment options, which usually require surgery or other interventional therapy and carry a significant risk of morbidity.

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Book SynopsisIn this book, the epidemiology, identification of and management of injuries sustained from blunt abdominal trauma (BAT) in childhood are discussed, with a focus on recent advances and future research. Open abdomen (OA), which refers to leaving abdominal incisions open after surgical procedures, and its management are presented as well. Also in this book, bacterial peritonitis and intra-abdominal abscesses, which are major complicated intra-abdominal infections post abdominal trauma are discussed. The severe abdominal consequences of falling, particularly among older adults, is reviewed as well. Finally, periodontitis is known to be a risk factor for abdominal aortic aneurysm (AAA). The authors focus on the role of specific periodontopathic bacteria in AAA and are able to conclude that periodontal pathogens play a major, critical role in AAA development.

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Book SynopsisThis book covers a broad range of topics, providing trainee and practising anaesthetists with a comprehensive source of knowledge on applied sciences and clinical anaesthesia. The book has been divided into six sections with various chapters serving as a synopsis of the practice of anaesthesia. Each chapter discusses the significance and importance of problems that can impact the peri-operative management of the surgical patient. The case scenarios at the end of each chapter will additionally help in understanding the practical relevance of basic science. This book will be an invaluable educational resource for trainee anaesthetists and an indispensable aide‐mémoire for practising anaesthetists. It is, therefore, essential study material for trainees and a great educational tool for trainers. Medical students and junior doctors, who are about to embark on a career in anaesthesia or intensive care medicine, will also find the book to be a useful companion.

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Book SynopsisChronic pain is a silent epidemic -- it is estimated to affect 20-30% of the population. A good understanding of the disease, diagnosis and management are imperative in providing patient-centred care. A broad range of practitioners will frequently encounter patients with chronic pain. This book covers important topics in chronic pain relevant to many clinicians including, but not limited to, anaesthetists, intensive care professionals, surgical and nursing staff, junior doctors, operating department practitioners, general practitioners and medical students. It makes essential reading for healthcare workers and is also an invaluable first reference for physiotherapists, healthcare managers, psychologists and researchers with a need for an overview of the key aspects of this topic. This book will not only be an invaluable resource for trainee anaesthetists but also for practising anaesthetists with an interest in teaching the basics of chronic pain; it is also a succinct aid for clinical practice. Medical students and junior doctors, who are about to embark on a career in anaesthesia or intensive care medicine, will also find the book to be a useful educational tool. Subjects discussed range from the comprehensive assessment of chronic pain to the multimodal management of chronic pain. It is written in a simple and consistent style that can be easily understood and applied to day-to-day clinical practice. This material will be an important tool for professional exams. It is an ideal companion for candidates who are preparing for their final exams that include the topic of chronic pain and will help to assess their preparation and guide appropriate revision. Questions on chronic pain appear in written and structured oral examinations. This book will be handy for candidates preparing for examinations conducted by the Royal College of Anaesthetists, UK (FRCA), The College of Anaesthesiologists of Ireland (FCAI), the European Society of Anaesthesiology (EDAIC), the European Society of Intensive Care Medicine (EDIC), the Australian and New Zealand College of Anaesthetists (FANZCA), the National Board of Examinations of India (Dip NB), and the American and Canadian board exams, as well as other competitive exams across the globe. Candidates appearing for advanced pain examinations will find this book useful to refresh their knowledge on pain medicine. The authors are consultants in pain medicine with clinical and teaching experience in university hospitals across the UK. They regularly conduct successful pain education courses which consistently attract good feedback. They conduct regular final FRCA and FFPMRCA exam courses attended by candidates from all over the country.

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Book SynopsisContinuous Renal Replacement Therapy (CRRT) is the standard of care for management of critically ill patients with acute renal failure. Part of the Pittsburgh Critical Care series, Continuous Renal Replacement Therapy provides concise, evidence-based, bedside guidance about this treatment modality, offering quick reference answers to clinicians'' questions about treatments and situations encountered in daily practice. Organized into sections on theory, practice, special situations, and organizational issues, this volume provides a complete view of CRRT theory and practice. Tables summarize and highlight key points, and key studies and trials are included in each chapter. The second edition has been updated to include a new chapter on the use of biomarkers to aid in patient selection and timing, extensive revisions on terminology and nomenclature to match current standards, and the most up-to-date information on newly developed CRRT machines.Trade Review"The real success of this book is that it is the most complete yet concise reference book available on this important and ever-more present therapy. Moreover, it takes complex topics and makes them accessible to clinicians who are at the beginning of their training, but manages to add new layers of information for the more seasoned physicians." -International Anesthesia Research SocietyTable of ContentsPart 1: Theory Chapter 1 The Critically Ill Patient with Acute Kidney Injury Aditya Uppalapati and John A. Kellum Chapter 2 History and Rationale for CRRT Ilona Bobek and Claudio Ronco Chapter 3 Nomenclature for Renal Replacement Therapy in Acute Kidney Injury Mauro Neri, Jorge Cerda, Francesco Garzotto, Gianluca Villa, and Claudio Ronco Chapter 4 Basic Principles of Solute Transport Zhongping Huang, Jeffrey J. Letteri, Claudio Ronco, and William R. Clark Chapter 5 Principles of Fluid Management in the ICU Rinaldo Bellomo and Sean M. Bagshaw Chapter 6 Indications, Timing, and Patient Selection John A. Kellum, Raghavan Murugan, and Mitra Nadim Chapter 7 Biomarkers for Initiation of Renal Replacement Therapy Alexander Zarbock and Lakhmir S. Chawla Chapter 8 Extended Indications Rinaldo Bellomo and Ian Baldwin Chapter 9 Dose Adequacy and Assessment Zaccaria Ricci and Claudio Ronco Chapter 10 Acid-base and Electrolyte Disorders John A. Kellum Part 2: Practice Chapter 11 Choosing a Renal Replacement Therapy in Acute Kidney Injury Jorge Cerdá and Claudio Ronco Chapter 12 Vascular Access for Continuous Renal Replacement Therapy Alexander Zarbock and Kai Singbart Chapter 13 The Circuit and the Prescription Rinaldo Bellomo and Ian Baldwin Chapter 14 The Membrane: Size and Material Zhongping Huang, Jeffrey J. Letteri, Claudio Ronco, and William R. Clark Chapter 15 Fluids for Continuous Renal Replacement Therapy Paul M. Palevsky and John A. Kellum Chapter 16 Alarms and Troubleshooting Zaccaria Ricci, Ian Baldwin, and Claudio Ronco Chapter 17 Non Anticoagulation Strategies to Optimise Circuit Function in RRT Ian Baldwin Chapter 18 Anticoagulation Rinaldo Bellomo and Ian Baldwin Chapter 19 Regional Citrate Anticoagulation Nigel Fealy Chapter 20 Drug Dosing in Continuous Renal Replacement Therapy Adrian Wong, Sandra L. Kane-Gill, and John A. Kellum Part 3: Special Situations Chapter 21 Renal Replacement Therapy in Children Michael L. Moritz Chapter 22 Therapeutic Plasma Exchange in Critical Care Medicine Joseph E. Kiss Chapter 23 MARS: Molecular Adsorbent Recirculating System Nigel Fealy and Rinaldo Bellomo Chapter 24 Sorbents Dehua Gong and Claudio Ronco Chapter 25 Hybrid Therapies Dinna N. Cruz and Claudio Ronco Part 4: Organizational Issues Chapter 26 The ICU Environment Ayan Sen Chapter 27 Patient Care Quality and Teamwork Kimberly Whiteman and Frederick J. Tasota Chapter 28 Organizational Aspects: Developing Policies and Procedures for Continuous Renal Replacement Therapies (CRRT) Jorge Cerdá Chapter 29 Documentation, Billing, and Reimbursement for Continuous Renal Replacement Therapy Kevin W. Finkel Chapter 30 Machines for CRRT Lakhmir S. Chawla and Claudio Ronco Chapter 31 Quality Improvement for Continuous Renal Replacement Therapies Ian Baldwin and Rinaldo Bellomo Chapter 32 Educational Resources Ian Baldwin and Kimberly Whiteman

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Book Synopsis50 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.Trade ReviewThere currently is no other book available that allows readers to review the landmark studies as well as get an idea of their clinical applicability. The book is well written and useful for those who practice anesthesiology. * Doody's Notes *Table of ContentsForeword from the Series Editor Preface Acknowledgments Section 1: General Anesthesiology 1. Video vs. Direct Laryngoscopy: A Randomized Clinical Trial 2. Management of the Difficult Airway: A Closed Claims Analysis 3. Predictive Factors of Difficult and Impossible Mask Ventilation 4. Perioperative Normothermia and Incidence of Cardiac Events 5. Perioperative Normothermia, Incidence of Surgical-Wound Infection and Length of Hospitalization 6. Preventable Anesthesia Mishaps 7. Deliberate Increase of Oxygen Delivery in the Perioperative Period 8. Blood Sugar Control in Type Two Diabetes Section 2: Cardiac Anesthesia 9. Congestive Heart Failure and Pulmonary Artery Catheterization 10. Rate Control Vs. Rhythm Control for Atrial Fibriallation 11. Early Use of the Pulmonary Artery Catheter and Outcomes in Patients with Shock and Acute Respiratory Distress Syndrome: A Randomized Controlled Trial 12. Statins and Perioperative Cardiac Complications 13. A Survey of Transesophageal Echocardiography 14. Statins and Perioperative Cardiac Complications 15. Effects of Extended-Release Metoprolol Succinate in Patients Undergoing Non-Cardiac Surgery (POISE Trial): A Randomized Controlled Trial Section 3: Neuroanesthesia 16. Adverse Cerebral Outcomes After Coronary Bypass Surgery 17. Long-term Cognitive Impairment after Critical Illness 18. Cerebral Perfusion Pressure Section 4: Critical Care 19. An Intervention to Decrease Catheter-Related Bloodstream Infections in the ICU 20. Early Goal-Directed Therapy in the Treatment of Severe Sepsis and Septic Shock 21. Intensive Insulin Therapy and Pentastarch Resuscitation in Sepsis 22. Transfusion Requirements in Critical Care TRICC 23. Effects of Intravenous Fluid Restriction on Postoperative Complications 24. The Saline versus Albumin Fluid Evaluation (SAFE) Study Section 5: Perioperative Medicine 25. Prevention of Intraoperative Awareness in High-Risk Surgical Patients 26. Perioperative Medication Errors and Adverse Drug Events 27. Surgical Safety Checklist 28. Prevention of Postoperative Nausea and Vomiting 29. Postoperative Oxygen Desaturation: A Comparison of Regional Anesthesia vs. Continuous Administration of Opioids 30. Surgical Site Infections Following Ambulatory Surgery Procedures 31. Care Coordination 32. Pulmonary Aspiration: Clinical Significance in the Perioperative Period 33. Postoperative Pain Experience Section 6: Pain Anesthesiology 34. An fMRI-Based Neurologic Signature of Physical Pain 35. Clinical Importance of Changes on a Numerical Pain Rating Scale 36. Post-injury Pain Hypersensitivity and NMDA Receptor Antagonists 37. Randomized Trial of Oral Morphine for Chronic Non-Cancer Pain 38. Epidural Glucocorticoid Injections for Spinal Stenosis 39. Magnetic Resonance Imaging of the Lumbar Spine in People Without Back Pain 40. Surgery vs. Rehab for Chronic Lower Back Pain 41. Preoperative Multimodal Analgesia for Laparoscopic Cholecystectomy Section 7: Regional Anesthesiology 42. Neuraxial Anesthesia and Postoperative Mortality and Morbidity 43. Epidural Anesthesia and Analgesia in High-Risk Patients Undergoing Major Surgery 44. Nerve Stimulator and Multiple Injection Technique for Upper and Lower Limb Blockade Section 8: Obstetric Anesthesiology 45. Neuraxial Analgesia Given Early in Labor 46. Postdural Puncture Headache in Obstetrics: A Meta-analysis Section 9: Pediatric Anesthesiology 47. Parental Presence During Induction versus Sedative Premedication 48. Perioperative Pediatric Morbidity and Mortality 49. CRIES: A Neonatal Postoperative Pain Measurement Score 50. Emergence Agitation After Sevoflurane Versus Propofol in Pediatrics Index

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a huge range and FREE tracked UK delivery on ALL orders.

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Book SynopsisManagement of critically-ill trauma patients presents multiple challenges that are unique to this patient population. Optimal management of the trauma patient requires establishing priorities of care, minimizing complications, and striving to return the trauma victim to the best possible functional outcome. Yet, most books devoted to trauma focus on prehospital care, the initial assessment of trauma patients, and operative management of specific injuries. Part of the Pittsburgh Critical Care Medicine series, this book will help intensivisits involved in the care of trauma patients implement best care practices for trauma victims in the intensive care unit. Chapters address issues such as: management priorities for trauma patients in the ICU, the use of monitors and drains in trauma patients, resuscitation from hemorrhagic shock, massive transfusions and coagulopathy, ventilator management of trauma patients including patients with chest trauma, as well as management ICU strategies and Table of ContentsSection 1: Structure ; Chapter 1 Development of the trauma ICU within trauma systems ; Chapter 2 Trauma severity scoring ; Section 2: Patient Management ; Chapter 3 The tertiary survey: how to avoid missed injuries ; Chapter 4 Monitors and drains in trauma patients ; Chapter 5 Airway management in the ICU ; Chapter 6 Resuscitation from hemorrhagic shock ; Chapter 7 Massive transfusions and coagulopathy ; Chapter 8 Ventilator management of trauma patients ; Chapter 9 Abdominal trauma, abdominal compartment syndrome and management of the open abdomen ; Chapter 10 Soft tissue trauma and rhabdomyolysis ; Chapter 11 Orthopedic trauma ; Chapter 12 Traumatic brain injury ; Chapter 13 Brain death and organ donor management ; Chapter 14 Spinal cord injury ; Chapter 15 Burn management ; Chapter 16 Acute kidney injury ; Chapter 17 Endocrine issues ; Chapter 18 Infection and antibiotic management ; Chapter 19 Hypothermia and trauma ; Chapter 20 Nutrition ; Chapter 21 Venous thromboembolism prophlyaxi ; Chapter 22 Sedation and analgesia ; Chapter 23 Pediatric trauma ; Chapter 24 Obstetric trauma ; Chapter 25 Geriatric trauma ; Chapter 26 Toxicology ; Chapter 27 Rehabilitation ; Section 3: Other Issues ; Chapter 28 Legal Issues

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a huge range and FREE tracked UK delivery on ALL orders.

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a huge range and FREE tracked UK delivery on ALL orders.

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a huge range and FREE tracked UK delivery on ALL orders.

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a huge range and FREE tracked UK delivery on ALL orders.

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Book SynopsisCovers the processes involved in transporting sick children and neonates. This book includes: principles of safe transport; transport physiology; the ambulance environment; equipment and monitoring; air transport of critically ill children; neonatal resuscitation and stabilization; and, paediatric resuscitation and stabilization.Table of ContentsContributors. Acknowledgements. Foreword. Principles of safe transport. Transport physiology. The ambulance environment. Equipment and monitoring. Air transport of critically ill children. Neonatal transport. Neonatal resuscitation. Paediatric resuscitation and stabilisation. Management of the airway. Management of the circulation. Trauma. Drugs. Special transport interventions. What to do when it all goes wrong. Drugs. Appendix 1: Typical retrival forms. Appendix 2: Essential equations and aide-mémores. Selected references and bibliography. Index

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a huge range and FREE tracked UK delivery on ALL orders.

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a huge range and FREE tracked UK delivery on ALL orders.

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a huge range and FREE tracked UK delivery on ALL orders.

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a huge range and FREE tracked UK delivery on ALL orders.

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a huge range and FREE tracked UK delivery on ALL orders.

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