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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.
The definitive resource on the innovative use of DISE for obstructive sleep apnea Obstructive sleep apnea is the most prevalent sleep-related breathing disorder, impacting an estimated 1.36 billion people worldwide. In the past, OSA was almost exclusively treated with Continuous Positive Airway Pressure (CPAP), however, dynamic assessment of upper airway obstruction with Drug-Induced Sleep Endoscopy (DISE) has been instrumental in developing efficacious alternatives. Drug-Induced Sleep Endoscopy: Diagnostic and Therapeutic Applications by Nico de Vries, Ottavio Piccin, Olivier Vanderveken, and Claudio Vicini is the first textbook on DISE written by world-renowned sleep medicine pioneers. Twenty-four chapters feature contributions from an impressive group of multidisciplinary international experts. Foundational chapters encompass indications, contraindications, informed consent, organization and logistics, patient preparation, and drugs used in DISE. Subsequent chapters focus on treatment outcomes, the role of DISE in therapeutic decision making and upper airway stimulation, pediatric sleep endoscopy, craniofacial syndromes, advanced techniques, and more. Key Highlights Comprehensive video library highlights common and rare DISE findings A full spectrum of sleep disordered breathing and OSA topics, from historic to future perspectives Insightful clinical pearls on preventing errors and managing complications including concentric and epiglottis collapse Discussion of controversial DISE applications including oral appliances and positional and combination therapies This unique book is essential reading for otolaryngology residents, fellows, and surgeons. Clinicians in other specialties involved in sleep medicine will also benefit from this reference, including pulmonologists, neurologists, neurophysiologists, maxillofacial surgeons, and anesthesiologists.
Gastrointestinal endoscopy is the principal tool for the investigation and treatment of most diseases of the gastrointestinal tract. The Atlas of Clinical Gastrointestinal Endoscopy offers a comprehensive overview of the role of gastrointestinal endoscopy in diagnosis. The atlas contains an abundance of high-quality images of a wide range of diseases of the upper and lower gastrointestinal tract, accompanied by precise clinical descriptions. Normal findings and variants are also documented. Furthermore, many images obtained by means of advanced image-enhanced endoscopy, capsule endoscopy, device-assisted enteroscopy, and endoscopic ultrasound are included. This book will be an ideal reference for both specialists and trainees in gastroenterology. It will provide the reader with an invaluable store of knowledge and with the clear guidance required in order to perform gastrointestinal endoscopy to best effect.
This book provides a comprehensive and up-to-date overview of current endoscopic ultrasound use in all aspects of pancreatology, from diagnosis to therapy, i.e., from tissue acquisition, with standard fine-needle aspiration and the newer biopsy needles, to less invasive techniques such as contrast-enhanced ultrasound and elastography. It also covers novel therapeutic strategies, with a particular focus on ablative treatments and lumen-apposing stents, and describes techniques developed by the editors, in particular combined celiac plexus neurolysis with pancreatic tumor ethanol ablation and elastography-guided fine-needle aspiration. All topics are developed by pursuing an evidence-based approach and several recent meta-analyses, the majority of which were published by the authors. Due to several recent advances in the field, endoscopic ultrasound has taken on a pivotal role in the diagnosis, staging, and treatment of pancreatic lesions; as such, the present volume offers an invaluable tool for staying abreast of the state-of-the-art in this field.
Anesthesia for Otolaryngologic Surgery offers a comprehensive synopsis of the anesthetic management options for otolaryngologic and bronchoscopic procedures. Authored by world authorities in the fields of anesthesiology and otolaryngology, both theoretical concepts and practical issues are addressed in detail, providing literature-based evidence wherever available and offering expert clinical opinion where rigorous scientific evidence is lacking. A full chapter is dedicated to every common surgical ENT procedure, as well as less common procedures such as face transplantation. Clinical chapters are enriched with case descriptions, making the text applicable to everyday practice. Chapters are also enhanced by numerous illustrations and recommended anesthetic management plans, as well as hints and tips that draw on the authors' extensive experience. Comprehensively reviewing the whole field, Anesthesia for Otolaryngologic Surgery is an invaluable resource for every clinician involved in the care of ENT surgical patients, including anesthesiologists, otolaryngologists and pulmonologists.
Manual of Clinical Procedures in the Horse is a detailed step-by-step guide to clinical skills in equine practice. With information on techniques ranging from physical examination and blood sampling to lameness and neurologic exams and other specialized procedures, the book is an aid to confidently and effectively performing procedures used in daily equine practice. Well illustrated with clinical photographs throughout, the book’s focus is on providing thorough, easy-to-understand descriptions of 80 techniques necessary for examining and treating horses. Each topic includes a summary of the purpose, potential complications, equipment and proper restraint for each procedure, with a detailed description of each action for the technique and the rationale behind it. More than 1,100 full-colour clinical photographs demonstrate the techniques. Manual of Clinical Procedures in the Horse is an essential purchase for any veterinary practice seeing equine patients. Key features Details each step for 80 common procedures for veterinary care of the horse Supports veterinarians and technicians in performing techniques in daily equine practice Presents more than 1,100 images depicting the steps described in the text Covers the purpose, potential complications, equipment, restraint, actions and rationale for each procedure Offers a practical patient-side reference to essential techniques in clinical practice, ranging from basic assessment to specialized procedures
Endoscopy has had a major impact in the development of modern gastroenterology. By using different data it provided a better understanding of pathogenic mechanisms, described new entities and changed diagnostic and therapeutic strategies. Meanwhile, taking advantage of many technical advances, endoscopy has had a developed spectacularly. Video-endoscopes, magnification, confocal and narrow-band imaging endoscopes, endoscopic ultrasounds and enteroscopes emerged. Moreover, endoscopy has surpassed its function as an examination tool and it became a rapid and efficient therapeutic tool of low invasiveness. InTech Open Access Publisher selected several known names from all continents and countries with different levels of development. Multiple specific points of view, with respect to different origins of the authors were presented together with various topics regarding diagnostic or therapeutic endoscopy. This book represents a valuable tool for formation and continuous medical education in endoscopy considering the performances or technical possibilities in different parts of the world.
In this issue of Gastrointestinal Endoscopy Clinics of North America, guest editor Dr. Catharine M. Walsh brings her considerable expertise to the topic of Pediatric Endoscopy. Since its inception in the early 1980s, pediatric endoscopy has seen dramatic innovations in both diagnostic procedures and advanced procedures that are increasingly being performed by pediatric trained endoscopists. In this issue, top experts bring you fully up to date with recent advances in this fast-changing field. - Contains 14 practice-oriented topics including pediatric unsedated transnasal endoscopy; tools for improving quality in pediatric endoscopy; artificial intelligence in pediatric endoscopy; advances in endoscopy for pediatric inflammatory bowel disease; and more. - Provides in-depth clinical reviews on pediatric endoscopy, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
This issue of Anesthesiology Clinics focuses on Anesthesia Out of the Operating Room. Editors Mark Weiss and Wendy Gross have assembled an expert team of authors on topics such as: A Changing Landscape: Demands of Integrated Care Delivery: Interventional Medicine and Anesthesiology: Engineering Challenges and Interdisciplinary Teamwork; Organizational Infrastructure: Attaining and Teaching Clinical Excellence. Improvement across specialties by implementing an “Institute mentality in the clinical arena; Quality: Who’s rules apply?; Electronic Health Records; Monitoring; Interventional Radiology (NOT RADIATION): (Safety/Tumor Ablation/Adult radiology/ equipment); Approaches to Vascular Disease; Cath Lab: Structural Heart Disease, Devices and TAVR; EP Lab; Cardioversions and TEEs; Upper GI EGD and new procedures; Colonoscopy and new procedures anesthesiologist and GI person; Endoscopic Surgery, repair of surgical procedures, bariatric procedures; Interventional Pulmonology; Pediatrics; Market Evaluation; Finances, Bundled Payments and ACOs; Competitive Strategy or Joint Venture Finance: potential threats and likely future scenarios.
This book functions as an essential guide to the safe and effective sedation of pediatric patients outside the operating room. It is a multidisciplinary reference that features an international authorship and is also of use for a broad range of specialists who deliver pediatric sedation in the non-OR setting. Organized into four parts, Pediatric Sedation Outside of the Operating Room 3rd edition, begins with the foundational history of the pediatric sedation field. Subsequent chapters explore the basics of procedural sedation, pre-sedation assessments, and sedation policies across various specialties and continents. Part two then examines a multitude of sedation models divided by geographical location and subspecialty. Following this, Part three delves into standards of safety in sedation, including medicolegal risk factors, neurocognitive side effects, and aspiration risks. The book closes with chapters presenting discussions on the future of sedation, insofar as predictions for the role of simulation, medical malpractice, and the intersection of sedation and marijuana. An updated invaluable successor edition, Pediatric Sedation Outside of the Operating Room 3rd edition is accessible to a diverse group of sedation providers from all specialties. This textbook is an invaluable and necessary addition to all sedation providers worldwide.