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This practical text offers a comprehensive guide to perioperative temperature management for anaesthetists, surgeons and nurses. The physiological basics of thermoregulation and heat exchange are covered, before the changes that occur during general and regional anaesthesia are outlined. The relevant adverse scenarios associated with perioperative hypothermia, including morbid cardiac events, impairment of coagulation, increased blood loss and surgical site infections are discussed, before the methods of measuring core temperature and the equipment and techniques to keep patients warm are described. Richly illustrated and clearly structured for quick reference, Perioperative Temperature Management is an essential daily resource to help ensure safe, effective practice.
" Perioperative hypothermia is a prevalent phenomenon that decreases the quality of care for adult surgical patients under anesthesia. Negative outcomes secondary to perioperative hypothermia include surgical site infections, adverse cardiovascular events, and impaired coagulation that causes bleeding. A thorough literature review revealed evidence-based temperature management strategies such as forced-air warming that can be used to prevent and alleviate the occurrence of perioperative hypothermia. An evidence-based practice (EBP) project that incorporated education and creation of evidence-based temperature management guidelines to direct anesthesia providers' care was developed. Certified registered nurse anesthetists (CRNAs) and other anesthesia providers were recruited as participants in the project because they are in a prime position to mitigate the effects of perioperative hypothermia. Online education was conducted, and performance observation auditing was done to ensure adherence to best practices regarding temperature management. The EBP project ultimately yielded successful outcomes including 100% compliance with EBP warming methods to prevent perioperative hypothermia and achievement of the temperature management quality benchmark. Achievement of these outcomes demonstrates the ability to effectively minimize perioperative hypothermia in the adult surgical patient population. Key words: perioperative hypothermia, anesthesia, forced-air warmers, warming, temperature management, certified registered nurse anesthetist, CRNA. " -- Abstract
A perioperative temperature management guide for anaesthetists and surgeons, covering physiological basics to warming therapy techniques.
The book provides an excellent review of all the clinical aspects of neuroanesthesia in children, including neurosurgeries during fetal state to neonatal, infancy, toddler, and school-going age groups. To provide optimal anesthetic care in children undergoing neurosurgery, the care provider must have adequate knowledge on the developing brain and spinal cord, and the effect of anesthetics on the neuronal tissue, and the inherent issues pertaining to neurologic lesions. This book covers the diagnostic, imaging, surgical as well as anesthetic managements of all the neurosurgical problems in children. The chapters include a wide range of topics from basic neurophysiology to general concerns for pediatric neuroanesthesia, including fluid management, blood transfusion, temperature regulation, and surgical positioning, as well as specific issues such as anesthesia for brain tumor surgery, hydrocephalus, neural tube defects, cerebrovascular surgeries such as aneurysmal surgery, arteriovenous malformations (AVMs), Moyamoya disease, and vein of Galen malformation, functional neurosurgery, epilepsy surgery, neuroendoscopy, craniovertebral junction anomalies, spinal surgeries, neurotrauma, and brain abscess with congenital heart diseases. Interesting topics like neuroanesthesia in remote locations, regional anesthesia during neurosurgery, and anesthesia for children with neuromuscular disease are also discussed. Moreover, the book elaborates on advanced neuroanesthesia techniques during fetal neurosurgery and craniopagus separation surgery; and the postoperative intensive care management aspects in each chapter. It is supplemented with figures depicting surgical procedures and positioning, neuroimages, tables and illustrations for easy understanding. This book caters to neuroanesthesiologists, pediatric anesthesiologists, residents, and fellows of anesthesia or neuroanesthesia, practicing anesthesiologists, pediatric neurointensivists, nurse anesthetists, neurosurgeons, and pediatric neurosurgeons. It also serves as a reference book for the DM (neuroanesthesiology and neurocritical care), DNB-SS (neuroanesthesiology), and MD (anesthesiology) curriculums apart from anesthesia residency and pediatric anesthesia/ neurosurgery fellowship programs offered at various Institutions worldwide.
Presents a modern vision of anaesthesia, integrating technology and knowledge, to change how anaesthesia is taught and practised.
Geriatric anesthesia is a rapidly growing and evolving field and this is the major revision of a classic anesthesia reference. The last few years have seen significant advancements and important new modalities for addressing the needs of an aging population. The editors of this second edition are uniquely situated to put together a text highlighting both essential knowledge and recent breakthroughs of importance to all who work with the elderly. This edition easily maintains the high standard for quality scholarship and useful material set by the first.
This textbook presents the most recent evidenced-based knowledge in basic sciences in anesthesia. It covers topics from the syllabus of the American Board of Anesthesiology (ABA) basic science exam, including anatomy, pharmacology, physiology, physics in anesthesia, and more. In each chapter, key points summarize the content, followed by a pertinent and concise discussion of the topic, ending with multiple choice questions with answers and suggested further reading. Basic Sciences in Anesthesia is aimed at residents taking the ABA basic science of anesthesia examination, and any other anesthesiologist or trainee with an interest in the topic.