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Close 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.
The ability to read a paper, judge its quality, the importance of its results, and make a decision about whether to change practice based on the information given, is a core skill for all doctors. To be able to do this quickly and efficiently is, without a doubt, a skill needed by all time-pressured emergency doctors and one which is tested in the Fellowship of the College of Emergency Medicine (FCEM) examination. Critical Appraisal for FCEM is the essential revision source for all those who want to pass the critical appraisal section of this exam. It is also required reading for those who want to incorporate evidence-based medicine into their everyday clinical practice. Features: Helps you become truly competent in critical appraisal Provides information in "Spod’s Corner," which helps you reach the next level and excel Prepares you for the Critical Topic Review Contains two fictional practice papers to test and practise your knowledge With its relaxed conversational style—yet crammed with essential information, key tips, and advice—this book is indispensable for all those wanting to achieve success in their FCEM and MCEM examinations.
Dedicated to the critical management of acutely ill adults with congenital heart disease, this comprehensive book discusses the many challenges faced in the management of these patients, who require intensive inter- and trans-disciplinary care. It provides the first universal review of the practical management of patients with these complex conditions, who survive into adulthood with congenital cardiac malformations and are often affected by other morbidities. For this reason, it reflects a consistent interaction and collaboration between several disciplines: pediatric and adult cardiology, cardiac surgery, pediatric and adult cardiac intensive care, anesthesia, intensive care nursing, nutrition, psychology and many other specialties. It offers concise and pragmatic recommendations, and provides basic and advanced concepts that allow caregivers to anticipate, prevent and effectively treat such pathologies. The book also includes chapters focusing on cardiac-database and risk-factor assessment, organizational and operational topics, advanced mechanical circulatory assistance and pharmacology. Whilst bringing together top international experts who are leading reference programs around the globe, this book is an indispensable teaching tool for clinicians and caregivers involved in the management of critically ill adults with congenital heart disease.
Anesthesia for Congenital Heart Disease will provide a state of the art summary of the many changes occurring in this rapidly evolving field over the last decade. The unique value of this book is that all chapters are written by leaders in the field of congenital cardiac anesthesia, who perform large numbers of cases clinically, and contribute important knowledge to the research literature, both clinical and basic science. A wide range of contributors from all of the major congenital heart surgery programs in North America give a broad range of perspectives not seen in previous texts in this field. This text will be the leading book in this subspeciality - the most comprehensive, detailed and specific, from the perspective of multiple institutions. Emphasis on new and emerging developments in anesthetic drugs and techniques occurs in each chapter. New chapters on subjects that have never before been addressed in a textbook of pediatric cardiac anesthesia include cardiac catheterization laboratory anesthesia, computers and technology, neurologic monitoring, bleeding and coagulation, approach to the teenager and adult, approach to the premature newborn, the inflammatory response, regional anesthesia and pain management, airway and ventilatory management, dysrhythmia management, non-cardiac surgery and cardiac magnetic resonance imaging; and research, teaching and administration.
Fundamentals of Congenital Minimally Invasive Cardiac Surgery is a first of its kind, fully-illustrated guide that is solely dedicated to the most diffused congenital minimally invasive cardiac surgery procedures. It provides detailed, step-by-step descriptions of surgical maneuvers to underline each aspect of the procedures along with full color drawings and operative pictures to enhance understanding. Each chapter fully describes the preoperative setting, the needed materials and the required technical skills that make specific congenital heart defects amenable to minimally invasive surgical treatment. This is the perfect go-to reference for pediatric and congenital cardiac surgeons, and is also a must-have guide for residents in cardiac surgery who are looking to review the technical aspects and outcomes of utilizing a minimally invasive approach for cardiac surgery. - Provides an extensive, step-by-step description of the most common minimally invasive pediatric cardiac surgical procedures - Uses high quality, full color drawings and operative pictures of the most important steps of the procedures to facilitate understanding - Combines information on both the detailed operations of minimally invasive pediatric cardiac surgery and the approach behind them
Provide optimal anesthetic care to your young patients with A Practice of Anesthesia in Infants and Children, 5th Edition, by Drs. Charles J. Cote, Jerrold Lerman, and Brian J. Anderson. 110 experts representing 10 different countries on 6 continents bring you complete coverage of the safe, effective administration of general and regional anesthesia to infants and children - covering standard techniques as well as the very latest advances. Find authoritative answers on everything from preoperative evaluation through neonatal emergencies to the PACU. Get a free laminated pocket reference guide inside the book! Quickly review underlying scientific concepts and benefit from expert information on preoperative assessment and anesthesia management, postoperative care, emergencies, and special procedures. Stay on the cutting edge of management of emergence agitation, sleep-disordered breathing and postoperative vomiting; the use of new devices such as cuffed endotracheal tubes and new airway devices; and much more. Familiarize yourself with the full range of available new drugs, including those used for premedication and emergence from anesthesia. Benefit from numerous new figures and tables that facilitate easier retention of the material; new insights from neonatologists and neonatal pharmacologists; quick summaries of each chapter; and more than 1,000 illustrations that clarify key concepts. Access the entire text online, fully searchable, at www.expertconsult.com, plus an extensive video library covering simulation, pediatric airway management, burn injuries, ultra-sound guided regional anesthesia, and much more; and new online-only sections, tables and figures.
Das Fachgebiet der Kinderanästhesie entwickelt sich stetig weiter. Damit stehen auch Anästhesisten vor immer mehr Herausforderungen. Gregory's Pediatric Anesthesia bereitet angehende Anästhesisten und gestandene Fachärzte für Anästhesie auf die neuen Anforderungen vor. Sie erhalten das notwendige Wissen und Informationen zu den neuesten Verfahren, um die Anästhesie von Kindern für eine Reihe von Operationen und anderen Eingriffen sich durchzuführen. Die Autoren präsentieren aktuelle Daten und Nachweise, beleuchten u. a. grundlegende Prinzipien, mögliche Komplikationen und Best-Practice-Verfahren und untermauern ihre Erkenntnisse mit ausführlichen Fallstudien zu allen wichtigen Fachrichtungen. Die Neuauflage bietet Zugang zu anschaulichen Videos, neue und erweiterte Kapitel u. a. zu folgenden Themen: - Anästhesie und Komplikationen bei Eingriffen an der Wirbelsäule, auch postoperative Erblindung. - Robotergestützte Operationsverfahren bei Eingriffen am kindlichen Urinaltrakt. - Anästhesie bei Eingriffen an Personen mit angeborenen Herzerkrankungen. Dieses neue Kapitel behandelt keine Herzoperationen. - Umfangreiche neue Ultraschallbilder bei örtlicher Betäubung. - Wiederbelebung bei Neugeborenen. - Betreuung und Rekonvaleszenz von Kindern nach chirurgischen Eingriffen (neues Kapitel). Auch die 6. Auflage von Gregory's Pediatric Anesthesia ist ein verlässlicher und zugänglicher Leitfaden für Anästhesisten, die jüngere Patienten betreuen.
This 8th Edition of Moss and Adams' Heart Disease in Infants, Children, and Adolescents: Including the Fetus and Young Adult, provides updated and useful information from leading experts in pediatric cardiology. Added chapters and a companion web site that includes the full text with bonus question and answer sections make this Moss and Adams’ edition a valuable resource for those who care for infants, children, adolescents, young adults, and fetuses with heart disease. Features: · Access to online questions similar to those on the pediatric cardiology board examination to prepare you for certification or recertification · Leading international experts provide state-of-the-art diagnostic and interventional techniques to keep you abreast of the latest advances in treatment of young patients · Chapters on quality of life, quality and safety, pharmacology, and research design add to this well-respected text
Now in a revised and expanded 7th Edition, Kaplan's Cardiac Anesthesia helps you optimize perioperative outcomes for patients undergoing both cardiac and noncardiac surgery. Dr. Joel L. Kaplan, along with associate editors, Drs. John G. T. Augoustides, David L. Reich, and Gerard R. Manecke, guide you through today's clinical challenges, including the newest approaches to perioperative assessment and management, state-of-the art diagnostic techniques, and cardiovascular and coronary physiology. - Complete coverage of echocardiography and current monitoring techniques. - Guidance from today's leaders in cardiac anesthesia, helping you avoid complications and ensure maximum patient safety. - More than 800 full-color illustrations. - A new section on anesthetic management of the cardiac patient undergoing noncardiac surgery. - New availability as an eBook download for use the in OR. - Online-only features, including quarterly updates, an ECG atlas...an increased number of videos, including 2-D and 3-D TEE techniques in real time...and an Annual Year End Highlight from the Journal of Cardiovascular Anesthesia that's posted each February. - Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, and references from the book on a variety of devices.