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In this issue an impressive group of contributors at the forefront of sedation research has been assembled to provide endoscopists and dedicated nursing personnel alike a comprehensive review of important topics in the field sedation and analgesia. A discussion on the pharmacology and agents used to provide moderate and deep sedation provides the basic framework that is a crucial element in determining the driving force behind the developments in sedation and analgesia. An evidence-based approach on the use of unsedated endoscopy is also provided. Other topics included the use of propofol, patient-controlled sedation and analgesia, extended physiologic monitoring, risk management, and quality assurance as they apply to the spectrum of sedation in the endoscopy suite. Sedation and analgesia in the pediatric patient is also addressed.
"This easy-to-follow book is your complete clinical guide to caring for patients receiving conscious sedation/analgesia during a short-term therapeutic, diagnostic, or surgical procedure. It covers everything you need to know - from practice guidelines for administering sedation, to pre-sedation requirements, intra-procedure monitoring and documentation, and discharge criteria."--BOOK JACKET.
A practical, comprehensive guide to the special needs of infants and neonates undergoing anesthesia.
Hypnosis, amnesia, and immobility are three major therapeutic endpoints of general anesthesia. In one to two cases out of a thousand, hypnosis and amnesia are not achieved - often leaving a patient immobile but capable of experiencing and remembering intraoperative events. Awareness during general anesthesia is one of the most dreaded complications of surgery and is feared by patients and clinicians alike. Despite many advances in the field, there are also a number of unresolved questions that persist. Some of the difficulties in the detection and prevention of awareness during anesthesia relate to the underlying complexities of the neuroscientific basis of consciousness. Consciousness, Awareness, and Anesthesia is a multidisciplinary approach to both the scientific problem of consciousness and the clinical problem of awareness during general anesthesia. An international cadre of authors with expertise in anesthesiology, neurobiology, and philosophy provides a cutting-edge perspective. No other book on the subject has drawn from such a breadth of scholarship.
This book is a comprehensive guide to the monitoring of different organ systems in anaesthetics and intensive care. Divided into nine sections, the text begins with an introduction to the evolution of monitoring equipment, computerised reporting, and minimum standards. The following sections cover monitoring techniques for different systems of the body – cardiovascular, respiratory, central and peripheral nervous, musculoskeletal, metabolic, and coagulation. The final chapters discuss the monitoring of pain and related topics such as ventilator waveforms, foetal monitoring, and future technologies. The book also features discussion on research-based monitoring ideas for the future, including quantifying pain, sedation, and maternal-foetal safety management. Key points Comprehensive guide to the monitoring of organ systems in anaesthetics and intensive care In depth coverage of many different systems of the body Includes discussion on pain monitoring and future technologies Highly illustrated with clinical photographs and diagrams
This book provides a comprehensive guide to delivering analgesia and sedation to critically ill patients for professionals and caregivers being involved in the management of these patients. It discusses and explains in detail the advantages and limitations of each drug and device using clear flowcharts, diagrams and tables. Furthermore, it explores the new drugs and – above all – new sedation delivery systems, particularly those for administering volatile anesthetics on ICUs. This book is a valuable and practical resource for anesthesists, intensivists and emergency physicians interested in sedation.
A concise, practical handbook giving up-to-date, evidence-based, 'how-to' guidance on safe and effective procedural sedation.
Physicians, nurses, and safety experts comprehensively review sedation and analgesia to provide a completely new reference guide to safe sedation practices consistent with existing guidelines. Starting with an integrated review of the basic physiology and neurobiology of the sedated state, the authors proceed through clinical guidelines and practices, and conclude with an examination of quality-outcome measures and processes. They also review current mandates for safe sedation practices and address the key clinical issues of pharmacology, monitoring, and recovery. Special tables and figures throughout the book summarize protocols, regulatory requirements, recommended dosages, monitoring requirements, and quality assurance tools.
This comprehensive guide provides tips and instruction for the entire range of specialists that utilize pediatric sedation. Each specialty receives tailored coverage that focuses on its unique patient population, challenges, potential solutions, and sedation techniques. Each chapter is written by a leading specialist in the field. A comprehensive spectrum of pediatric sedation will be covered, which will be of interest to oncologists, pediatricians, hospitalists, intensivists, radiologists, emergency medicine specialists, anesthesiologists, nurses, dentists, and gastroenterologists. Background chapters cover pharmacology as well as pediatric anatomy, with special focus on the airway and respiratory mechanics. The future of pediatric sedation is also reviewed as well as the cutting-edge research that is being done in the field.