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This book has grown out of decades of practicing simulation and teaching concepts of perioperative crisis resource management at our institutions, at national meetings, and in our residency and fellowship training programs. The purpose is to fill a gap between two areas of valuable work that exist in the perioperative emergency space; namely, between books that consist largely of steps of diagnosing a problem followed by a list of treatment steps and those reference books or articles that form the compendium works. As such, the goal of this volume is to be an up-to-date, high-yield, clinically relevant resource for understanding the epidemiology, pathophysiology, and proper assessment and management of a wide variety of perioperative emergencies. Our target audience is anesthesiologists, nurse anesthetists, surgeons, recovery and critical care nurses, and anyone else practicing within the perioperative arena.Less

This practical online reference provides an overview of the scope of day surgical anaesthesia and features simple and ready-to-use suggestions for the selection of drugs, techniques and protocols to follow.Less

This practical online reference offers a concise introduction to the basic science and major clinical issues facing the anaesthetist when dealing with the overweight and obese patient.

Anesthesia Outside of the Operating Room 2^nd edition covers all aspects of providing anesthesia in settings outside of the main operating room, with a special focus on techniques, procedures and safety considerations. It discusses anesthetic concerns by procedure location, and includes selected latest guidelines from the American Society of Anesthesiologists (ASA) and other professional societies. Topics include patient monitoring techniques, pre-procedure evaluation and post-procedure care, and procedural sedation performed by non-anesthesia providers. The authors address problems of anesthesia that have unique answers in settings outside the operating room, such as patient transport and cardiac arrest, and discuss technological progress and considerations for the future. The text also covers surgical procedures and anesthetic considerations by procedure location, such as radiology, infertility clinics, field and military environments, and pediatric settings.Less

This book describes basic principles and specific clinical situations commonly encountered during the care of patients with coexisting chronic pain in hospital settings. As background to this discussion, the epidemiology of chronic pain as well as its mechanisms, physiology, and general management are summarized. Pain assessment scales, clinical tools, and an overview of both opioids and non-opioid medications are also provided. Management of chronic pain in selected settings is covered, including the emergency department, the intensive care unit, the labor and delivery unit, pediatric and geriatric units, palliative care, nursing homes, long-term care facilities, and prisons. The book also discusses the roles of nursing, pharmacy specialists, and other hospital services in the management of patients' chronic pain. Specific medical conditions in chronic pain patients are addressed, as are neurological disorders. Some patients with chronic pain may also have a history of substance abuse; the book provides guidance in care of these patients. It also addresses management of pain in patients with spinal cord stimulators and intrathecal pumps. Given that many patients with chronic pain undergo surgical procedures, the book addresses perioperative chronic pain management, including both preoperative and postoperative pain management and the roles of general and regional anesthesia. Finally, the book discusses patient satisfaction and quality management of hospitalized chronic pain patients, including strategies for improving patient safety and satisfaction.Less

This resource provides an overview of the management of patients with long-term pain for primary care clinicians. Written in a distinct yet informal style, the book covers the science underlying common pain syndromes and their modern management.Less

Neurocritical Care provides “at the bedside” guidance on the medical knowledge and technical skills required to care for critically ill patients with neurologic conditions such as cerebrovascular disorders, neurotrauma, neuro-oncology, refractory seizures, neuromuscular diseases, infections, alterations in consciousness, and perioperative neurosurgical care. It provides information on the clinical conditions, basic and advanced neuro-monitoring, and addresses some unique special populations. Part of the Pittsburgh Critical Care Medicine series, this compact volume is an ideal reference for physicians and trainees working in either a general intensive care unit or specialty neurointensive care unit. Readers will gain an understanding of background knowledge and concrete solutions to questions and situations encountered in daily practice.Less

Neuropathic pain is a category of chronic pain disorders that are most common, debilitating, costly, and difficult to treat. It is a significant challenge to individuals suffering from it, healthcare providers, and society at large. This book is written by expert clinicians and investigators from multiple disciplines to provide the most comprehensive and updated information on neuropathic pain disorders that are commonly encountered in clinical practice. It strives to reflect the current understanding of the concepts, classification, mechanisms, assessment, diagnosis, and treatment of neuropathic pain. Following chapters addressing these topics in general terms are chapters devoted to specific neuropathic pain disorders consequent to lesions or diseases of the central and peripheral nervous systems. These chapters take a case-based format to stimulate situation-guided thinking, predicting, and learning. The textbook serves to inform best practices and stimulate innovative investigations to advance patient care, as well as the science behind it.Less

This online reference has been fully updated to include all the recent developments in the diagnosis and management of neuropathic pain. It includes new chapters on the clinical assessment of neuropathic pain and the use of screening tools in its diagnosis.Less

This concise and practical online reference covers the basic principles of obstetric anaesthesia with a special emphasis on the unique challenges of service delivery in the developing world.

The Oxford Textbook of Paediatric Pain brings together an international team of experts to provide an authoritative and comprehensive textbook on all aspects of pain in infants, children and youth. Divided into nine sections, this resource analyses pain as a multifactorial problem and gives the reader a comprehensive understanding of this challenging subject. Topics covered include the biological, social, and psychological basis of pain, pain in specific populations, pain measurement, pharmacology, psychosocial and physical interventions, complementary therapies, education, and ethics of pain control in youths, children, and infants. Evidence-based chapters look in depth at areas ranging from the long-term effects of the pain in children, to sociodemographic differences in paediatric pain management. Case examples and online materials including scales, worksheets, and videos are provided to aid learning and illustrate the application of knowledge.Less

Pediatric Intensive Care offers providers of critical care to children, from trainees to experienced clinicians, a concise, easy-to-carry resource on pediatric critical care medicine. It is designed for frequent and quick reference at the bedside, providing solutions to questions and situations encountered in practice. The 20 chapters are written by authorities in the field and include citations of some of the most essential references for further reading on each topic. The chapters cover key elements of the practice of pediatric critical care medicine, from cardiopulmonary resuscitation, monitoring, and procedures to extracorporeal life support, sedation and analgesia, and end of life care. Etiology and treatment of all types of organ failure are presented, as are chapters on toxicological emergencies/poisoning, critical care pharmacology, trauma, and burns. The book is sized to fit in a pocket, includes access to electronic, web-based content, and contains focused text, bulleted lists, tables, and figures. The book facilitates the delivery of critical care by residents, fellows, generalists in settings where critical care expertise is not readily available, and practicing intensivists.Less

Quality and Safety in Anesthesia and Perioperative Care offers practical suggestions for improving both quality of care and patient safety in the perioperative setting. The book is divided into two parts: the first on clinical foundations and the second on practical applications, and the chapters emphasize strategies that support reform at all levels, from operating room practices to institutional procedures. Written by leading experts in their fields, chapters are based on accepted safety, human performance, and quality management science, and they illustrate the benefits of collaboration between medical professionals and human factors experts. The book highlights concepts such as situation awareness, staff resource management, threat and error management, checklists, explicit practices for monitoring, and safety culture. Quality and Safety in Anesthesia and Perioperative Care is a must-have resource for those preparing for the quality and safety questions on the American Board of Anesthesiology certification examinations, as well as clinicians and trainees in all practice settings.Less

This handbook provides a practical approach to the evaluation, differential diagnosis, and management of common medical and surgical emergencies such as cardiac arrest, acute respiratory failure, seizures, and hemorrhagic shock occurring in hospitalized patients. Less common and special circumstances such as pediatric, obstetric, oncologic, neurologic, and behavioral emergencies as well as palliative care for terminally ill patients encountered in the context of rapid response team (RRT) events are also discussed. An overview of commonly performed bedside emergency procedures by rapid response team members complements the clinical resources that may need to be brought to bear during the course of the rapid response team event. Finally, an overview of organization, leadership, communication, quality, and patient safety surrounding rapid response team events is provided. This book is written with medical students, junior physicians, and nursing staff in mind working in both academic and community hospital settings. Both a novice and an experienced healthcare provider involved in a rapid response system (RRS) will find this handbook to be a valuable supplement to the clinical experiences gained through active engagement in the system. Hospital administrators and senior management staff will also find this book to be useful in the evaluation of quality and performance of the rapid response system, management of staff attitudes and behavior, performance of peer review, care for second victims, and implementation of countermeasures for patient safety problems discovered in the course of rapid response system reviews.Less

A syringe driver, or pump, represents a simple and cost-effective method of delivering a continuous subcutaneous infusion (CSCI). A CSCI provides a safe and effective way of drug administration and can be used to maintain symptom control in patients who are no longer able to take oral medication. There have been several developments in this field since the third edition of this highly successful book. The text in this edition has been completely revised, including a new chapter describing the compatibility and stability of drugs in addition to incorporating new treatment options and an extensive list of new compatibility data. This book serves as a valuable reference source, providing a comprehensive review of syringe pump use and administration of drugs via CSCI. The first chapter provides an overview of syringe pumps and CSCIs, including a useful array of frequently asked questions and reference to needlestick injuries. The new second chapter discusses the reasons why drugs in solution are at risk of compatibility and stability issues. The third chapter incorporates revised and referenced information relating to most drugs likely to be administered via a CSCI using a syringe pump. The fourth chapter briefly discusses the control of specific symptoms that are often encountered when CSCIs are required. The fifth and final chapter contains an extensive, referenced (where possible) list of physical and chemical stability data relating to drug combinations administered via CSCI.Less

This resource addresses the epidemiology and clinical characteristics of the major visceral pain phenomena, the fundamentals of their neurophysiological mechanisms and the principles of their treatment. It also provides overviews of current diagnostic and therapeutic guidelines on the conditions most commonly associated with visceral pain.Less