Anaesthesia at a Glance.

Format:

Book

Author/Creator:

Stone, Julian.

Contributor:

Fawcett, William.

Series:

At a Glance Ser.

Language:

English

Subjects (All):

Anesthesia.

Anesthesiology.

Anesthetics.

Physical Description:

1 online resource (91 pages)

Edition:

1st ed.

Place of Publication:

Hoboken : John Wiley & Sons, Incorporated, 2014.

Summary:

Anaesthesia at a Glance is a brand new title that provides a concise and visually-orientated summary of a comprehensive lecture course in anaesthesia. Ideal for clinical undergraduate medical students and Foundation Programme doctors undertaking anaesthesia attachments, it gives a systematic, broad view of anaesthesia in various specialties, taking the reader through preparation, management and the pharmacology behind anaesthetic medicine. Anaesthesia at a Glance is supported by a companion website at www.ataglanceseries.com/anaesthesia containing interactive multiple-choice questions and answers together with a selection of interactive cases - perfect for study and revision. Whether you want to refresh your knowledge or need a thorough overview of the specialty, Anaesthesia at a Glance presents all the vital clinical information you need.

Contents:

Cover

Title page

Copyright page

Contents

Preface

How to use your textbook

About the companion website

Abbreviations

1: History of anaesthesia

First documented anaesthetic

Ether and chloroform

Anaesthesia as a medical specialty

The development and use of local anaesthetics

Typical career path in anaesthesia

Useful links

2: Monitoring

Electrocardiography (ECG)

Oximetry

Blood pressure (BP) and cardiac output (Figure 5.4)

Gas analysis

End tidal CO2 (ETCO2) monitoring

Airway pressure

Central venous pressure (CVP)

3: Equipment

Anaesthetic machine

Vaporizer

Safety features

Breathing circuits

Laryngoscopes

4: Airway devices

Supraglottic devices

Simple oral (Guedel) airway

Simple nasopharyngeal airway

Laryngeal mask airway (Figure 4.2)

Infraglottic devices

Emergency airway devices

5: Fluid management

Fluid compartments

Intravenous fluids

Fluid prescribing

Assessment of fluid status

6: Preoperative preparation of the patient for surgery

Timing of surgery

Assessment of risk

Preoperative assessment clinics

History and examination

Preoperative tests

Perioperative medication

Fasting

Preoperative care

Arrival in theatre

7: Temperature regulation

Consequences of hypothermia

Monitoring temperature during anaesthesia

Maintaining temperature during anaesthesia (Figure 7.3)

Postoperative shivering

8: The perioperative patient journey

Preoperative stage

Intraoperative stage

Postoperative stage

9: General anaesthesia - inhalational anaesthetics

Minimum alveolar concentration (MAC)

General effects

Isoflurane (Figure 9.1(a))

Sevoflurane (Figure 9.1(b))

Desflurane (Figure 9.1(c))

Halothane (Figure 9.1(d))

Nitrous oxide

Oxygen

Xenon.

10: General anaesthesia - intravenous anaesthetics

Propofol (2,6-diisopropylphenol)

Thiopental

Benzodiazepines (e.g. midazolam)

Ketamine

Etomidate

11: Local anaesthetics

Uses

Mechanism of action

Speed of onset of action

Duration of action

Toxicity

Other side effects

Eutectic mixture of local anaesthetics (EMLA) and intravenous regional anaesthesia (IVRA)

12: Neuromuscular blocking drugs

Depolarizing neuromuscular blocking drugs (NMBDs) - suxamethonium

Non-depolarizing neuromuscular blocking drugs

Monitoring of muscle paralysis

13: Acute pain

Pain management

14: Postoperative nausea and vomiting

Mechanism

Treatment

Drug treatment

Non-pharmacological treatment

Management

15: Chronic pain

Neuropathic pain

Chronic back pain

Neck pain

Fibromyalgia (FMS) and myofascial (MFS) syndromes

Headache and facial pain

16: The airway

Airway assessment

Management of the airway (basic)

The expected difficult airway

The unexpected difficult airway

Unstable neck

17: Emergency anaesthesia

What is an emergency?

Resuscitation

Signs of an adequately resuscitated patient

Gastric emptying

Preparing a patient for emergency surgery

Postoperative care

Patients in extremis

18: Obstetric anaesthesia

Epidurals for pain relief in labour

What solution is used in the epidural?

What are the side effects/risks? (Table 18.1, Figure 18.3)

Lower segment Caesarean section

LSCS - regional anaesthesia

LSCS - general anaesthesia

Other areas

Pre-eclampsia, eclampsia and HELLP syndrome

Haemorrhage

Risks

19: Ophthalmic anaesthesia

Cataract surgery

Squint surgery

Vitreoretinal surgery

Penetrating eye injury

Problems in ophthalmic anaesthesia

20: Paediatric anaesthesia

Anaesthetic management of children.

Preoperative assessment

Induction of anaesthesia

Maintenance of anaesthesia

Reversal of anaesthesia

Areas of interest

The airway

Pain control

Thermoregulation

Drug handling

21: Cardiac and thoracic anaesthesia

Cardiac anaesthesia

Preoperative preparation

Peroperative management

Postoperative management

Thoracic surgery

Management of patients undergoing major thoracic surgery

22: Regional anaesthesia

Central (neuraxial) blockade

Spinal block

Epidural block

Combined spinal epidural

Nerve plexus blockade

Some common nerve blocks

23: Anaesthetic emergencies in the operating theatre

Aspiration

Air embolism

Laryngospasm

Failed or difficult intubation

Malignant hyperthermia (MH)

24: Anaesthetic emergencies in the wider hospital

Anaphylaxis

Cardiac arrest

Status asthmaticus

Choking/airway obstruction

25: Trauma

Primary survey

Secondary survey

Investigations

26: Orthopaedic anaesthesia

Assessment

Medical conditions

Peroperative care

Positioning

Infection

Fat embolism syndrome (FES)

Bone cement implantation syndrome (BCIS)

Regional and central blocks

Tourniquets

Pain

Thromboprophylaxis

27: Anaesthesia and obesity

Fat distribution

Respiratory system

Obstructive sleep apnoea (OSA)

Difficult intubation

Ventilation

Cardiovascular system

Other factors

Anaesthetic management

28: Anaesthesia and old age

Anaesthetic management of elderly patients

General or regional?

Fluid management

Temperature

Postoperative care (see Chapter 34)

29: Anaesthesia and diabetes

General management of blood glucose in patients with diabetes

Insulin.

Management of blood glucose for diabetic patients undergoing surgery

General management of diabetic patients undergoing surgery

Conduct of anaesthesia

30: Anaesthesia for vascular surgery

Preoperative assessment

Preoperative treatment

Ruptured abdominal aortic aneurysm (AAA): a common vascular emergency

31: Anaesthesia for ENT and maxillofacial surgery

Airway

Peroperative considerations

Special areas

Reducing blood loss

Laser surgery

Free flap surgery (Table 31.4)

Emergency surgery

Post-tonsillectomy haemorrhage

Airway obstruction (Table 31.4)

32: Awareness

Causes of awareness

Patients at risk of awareness

Methods of assessment and measurement

33: Anaesthesia for ECT, dental surgery and special needs

Anaesthesia for electroconvulsive therapy

Remote location

Consent

Co-morbidities

The anaesthetic

Physiological effects of ECT

Anaesthesia for dental surgery

Shared airway

Protection of the airway

Difficult airways

Chair dental surgery

Anaesthesia for those with special needs

Proposed surgery

34: Postoperative management

Analgesia

Fluids

Referral to high dependency unit/intensive care unit

Early warning scores (EWS)

Oxygen therapy

Others

35: Anaesthesia away from the hospital setting

Trauma

Battle scenarios

Index

EULA.

Notes:

Description based on publisher supplied metadata and other sources.

Other Format:

Print version: Stone, Julian Anaesthesia at a Glance

ISBN:

9781118765296

OCLC:

863673126