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Handbook of anaesthesia & peri-operative medicine / edited by Cyprian Mendonca, Chandrashekhar Vaidyanath.
- Format:
- Book
- Language:
- English
- Subjects (All):
- Anesthesia.
- Physical Description:
- 1 online resource (841 pages)
- Edition:
- First edition.
- Other Title:
- Handbook of anaesthesia and peri-operative medicine
- Place of Publication:
- Shrewsbury, England : Tfm Publishing Limited, 2017.
- Summary:
- "The Handbook of Anaesthesia & Peri-operative Medicine 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 indispensible 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.
- Contents:
- Handbook of Anaesthesia &
- Peri-operative Medicine
- Title Page
- Copyright
- Contents
- Contributors
- Preface
- Abbreviations
- Acknowledgements
- Section 1: Applied science
- Chapter 1: Intravenous agents
- Introduction
- Propofol
- Clinical uses and indications
- Structure and physical properties
- Mechanism of action
- Pharmacokinetics
- Clinical effects
- Central nervous system
- Cardiovascular system
- Respiratory system
- Other effects
- Thiopental
- Intra-arterial injection
- Ketamine
- Etomidate
- Pharmacokinetics and pharmacodynamics
- Metabolic system
- Midazolam
- Cardiovascular and respiratory systems
- Total intravenous anaesthesia (TIVA)
- Case scenario 1
- Case scenario 2
- Further reading
- Chapter 2: Inhalational agents
- Potency
- Onset of action
- Concentration delivered
- Lung ventilation
- Rate of uptake from the alveoli
- Blood:gas solubility
- Concentration effect
- Second gas effect
- Metabolism of inhalational anaesthetics
- Metabolism of nitrous oxide.
- Metabolism of sevoflurane
- Nitrous oxide
- General properties
- Gastrointestinal system
- Isoflurane
- Sevoflurane
- Desflurane
- Halothane
- Xenon
- Chapter 3: Neuromuscular blocking drugs
- Depolarising muscle relaxants (DMR)
- Suxamethonium
- Indications
- Non-depolarising muscle relaxants (NDMR)
- Vecuronium
- Rocuronium
- Atracurium
- Mivacurium
- Reversal agents
- Anticholinesterases
- Neostigmine
- Sugammadex
- Mechanism of action.
- Pharmacokinetics
- Newer muscle relaxants
- Chapter 4: Analgesic drugs
- Paracetamol
- Presentation
- Dose
- Drug interactions
- Toxicity
- Adverse effects
- Clinical uses
- Non-steroidal anti-inflammatory drugs (NSAIDs)
- Other side effects
- Contraindications of NSAIDs
- Opioids
- Opioid receptors
- Renal system
- Contraindications
- Side effects
- Commonly used opioids for peri-operative analgesia
- Morphine
- Fentanyl
- Pharmacodynamics
- Alfentanil
- Metabolism
- Remifentanil
- Case scenario 3
- Chapter 5: Local anaesthetics
- Local anaesthetic mechanism of action
- Structure
- Duration of action
- Vasodilation and vasoconstriction
- Absorption
- Distribution
- Metabolism and elimination
- Commonly used local anaesthetic agents
- Amides
- Lidocaine
- Bupivacaine
- Levobupivacaine
- Ropivacaine
- Prilocaine
- Esters
- Cocaine
- Amethocaine, also known as tetracaine
- Eutectic mixture of local anaesthetic (EMLA)
- Chapter 6: Peri-operative monitoring
- Introduction.
- Standards of monitoring
- Minimal monitoring
- Specific situations
- Clinical monitoring
- Monitoring display unit
- Electrocardiography
- ECG configurations
- ECG interference
- Pulse oximetry
- Mechanism
- Inaccuracies with the pulse oximeter
- Non-invasive blood pressure (NIBP) monitoring
- Automated methods
- NIBP monitoring disadvantages
- Invasive blood pressure monitoring
- Arterial line waveform
- Damping and resonance
- Practical problems with IBP monitoring
- Cardiac output monitoring
- Minimally invasive cardiac output monitoring
- Invasive cardiac output monitoring
- Central venous pressure monitoring
- Sites of insertion
- Complications of insertion
- CVP waveform
- Oxygen measurement
- Capnography
- Normal capnograph waveform
- Uses of capnography
- Airway
- Breathing
- Circulation
- Measurement of EtCO2
- Mainstream and sidestream sampling
- Infrared spectroscopy
- Errors in capnography
- Measurement of vapour concentration
- Ventilatory parameters
- Modes of ventilation
- Volume and flow measurement
- Ventilator alarms
- Neuromuscular monitoring
- Peripheral nerve stimulators
- Patterns of nerve stimulation
- Objective assessment of response
- Criteria for adequate reversal
- Clinical signs
- Objective method
- Depth of anaesthesia monitoring
- Bispectral Index
- Entropy
- Other methods
- Monitoring temperature
- Non-electrical methods
- Electrical methods
- Sites of measurement
- Chapter 7: Anaesthetic machines
- The modern anaesthetic machine
- Gas supply
- Piped gas supply
- Cylinders
- Gas flow measurement
- Vapourisers
- Gas delivery: breathing systems and ventilators
- Scavenging
- Monitoring
- Safety features of modern machines
- Further reading.
- Chapter 8: Patient positioning for surgery
- Supine position
- Physiological considerations
- Respiratory
- Cardiovascular
- Gastrointestinal
- Anatomical considerations
- Peripheral nervous system
- Pressure areas
- Eyes
- Lateral position
- Peripheral nerves and pressure areas
- Lloyd-Davies and lithotomy position
- Peripheral nerves
- Head-up, deck chair and sitting position
- Trendelenburg position
- Prone position
- Cardiac arrest
- Chapter 9: Regional anaesthesia
- General considerations
- Advantages of regional anaesthesia
- Disadvantages of regional anaesthesia
- Complications of regional anaesthesia
- Safety and procedural considerations
- Local anaesthetics
- Volume and concentration
- Calculating drug dosage
- Local anaesthetic adjuncts
- Neuraxial blockade
- Subarachnoid (spinal) blockade
- Risks of subarachnoid block
- Relevant anatomy
- Performing the subarachnoid block
- Assessment of block height
- Choice of local anaesthetic for subarachnoid block.
- Troubleshooting and tips.
- Notes:
- Includes bibliographical references at the end of each chapters and index.
- Description based on print version record.
- ISBN:
- 1-910079-22-7
- OCLC:
- 1020618670
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