The new edition of this popular text has been extensively revised and updated throughout. It will continue to provide the trainee or practising anaesthetist with all the information, both background and practical, that will be needed in the busy clinical setting or during revision for qualifying examinations.Major changes for the new edition include increased international relevance, made possible by the extensive input of a new American co-editor and the selection of well known contributing authors from around the world. The content is thus applicable to all trainees studying for, and passing, the variety of different certifying examinations for practising anaesthesia in a wide range of locales. The book presents both the basic science underlying modern anaesthetic practice and up-to-date clinical anaesthetic management techniques in a comprehensive, but concise and accessible, style. Reviews are well referenced throughout to guide the reader towards additional information beyond the scope of this text.The book will continue to provide in a single volume all the information relevant to the physician in training, and serve as a convenient and reliable reference for the anaesthetist to use after training.
Section One: History and Science
The origins of modern anaesthesia
Theories of narcosis
Drug-receptor interactions
The principles of pharmacokinetics
The chemical modulation of nociceptive responses and pain
Intravenous anaesthetic agents: induction and maintenance
Volatile anaesthetic agents and their delivery systems
Neuromuscular transmission and neuromuscular disease
Muscle relaxants and clinical monitoring
Physiology of nerve conduction and local anaesthetic drugs
Drugs acting on the cardiovascular system
Physiology and pathophysiology of the cardiovascular system
Effects on respiratory control of anaesthetic agents and adjuvants
Clinical physiology and pathophysiology of the respiratory system
Clinical physiology and pathophysiology of acid-base balance
Calcium and magnesium in anaesthesia
Metabolism and the metabolic response to injury
Autologous blood transfusion
Haemorrhage, blood volume and the physiology of oxygen transport
Haemostasis, haemoglobinopathies and anaesthesia
Maternal and fetal effects of anaesthesia
Ventilators and anaesthetic breathing systems
Essential monitoring
Monitoring the central nervous system
Allergic drug reactions in anaesthesia, pathophysiology and management
Computers in anaesthesia
Operating theatre transmission of infection
Anaesthesia and the immune system.
Section Two: General Systems
Preoperative assessment and premedication for adults
Neonatal anaesthesia
Electrcal, fire and compressed gas safety for the patient and anaesthetist
Anaesthesia for infants and children
Total intravenous anaesthesia
Regional Anaesthetic techniques
The difficult airway
Anaesthesia for the patient with renal disease
The liver and anaesthesia
The geriatric patient
Induced hypotension
Recovery from anaesthesia: assessment and management
Awareness and the depth of anaesthesia
Postoperative analgesia: the pain service
Nutritional support
Pharmacology of analgesia
Critical incidents during anaesthesia
Inherited disease affecting anaesthesia
Hyperbaric physiology and medicine
Trauma associated with patient transfer and the positioning process
Section Three: Anaesthetic Management
Anaesthetic management of patients with endocrine disease
Anesthesia for trauma and emergencies
Management of head injury
Anaesthesia for neurosurgery
The severely burnt child
Management of the adult with severe burns
Anaesthesia for cardiac surgery
Anaesthesia for vascular surgery
Anaesthesia for thoracic surgery
Anaesthesia for transplant surgery and care of the organ donor
Paediatric organ transplantation
Anaesthesia for dental and faciomaxillary surgery
Anaesthesia for ear, nose and throat surgery
Anaesthesia for orthopaedic surgery
Anaesthesia for ophthalmic surgery
anaesthesia and analgesia for obstetric care
Anaesthesia for gastrointestinal surgery
Critical care
The management of chronic pain
Anaesthesia for day-stay (come and go) surgery
Anaesthesia for laparascopic-assisted surgery
The laser
Management of cardiac and respiratory arrest
Management and complications of commonly ingested or inhaled poisons
Section Four: Anaesthesia and Society
Medicolegal aspects: an American perspective
The anaesthetist's duty of care: a British perspective
Quality assurance and cost management
Ethical considerations in anaesthesia