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E-raamat: Practical Procedures in Anaesthesia and Critical Care

(, Consultant Anaesthetist and Intensivist, Division of Surgery, Oncology, Reproductive Biology and Anaesthetics, Imperial College London, UK), (, Anaesthetic Department, Royal Berkshire Hospital, Reading, UK), (, Consultant Anaesthetis)
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Practical Procedures in Anaesthesia and Critical CareSuurem pilt
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The ability to perform a wide variety of practical procedures safely and competently is essential for any doctor involved in the practice of anaesthesia and intensive care. Junior doctors especially are now called upon to gain competence in many invasive practical procedures in an increasingly short space of time, whilst also understanding the theory behind them.

This highly practical book is the only guide needed to the procedures and techniques commonly used in anaesthesia and critical care medicine. Step-by-step, it clearly explains each technique and procedure, enabling the reader to fully understand how and why they are performed. Full colour photographs illustrate each technique, and every chapter covers the same essential information: definition, indications, contraindications, complications, equipment, sites, and technique, for ease of use.

This book will be used by all junior trainees in anaesthesia, along with junior doctors from other specialities working in intensive care units. It will also be useful to any senior anaesthetist who wishes to update or refresh their knowledge, as well as anyone working in the emergency ward who performs any of these procedures.

Arvustused

Nothing beats practice and experienced guidance, but this text is an aide memoire I am glad to have found. * British Journal of Hospital Medicine * I can thoroughly recommend this book. It should be available in all departments of anaesthesia and critical care as a handy and rapid reference for anaesthetists beginning their training or before carrying out an invasive procedure. * Anaesthesia * I enjoyed reading through this handbook size, soft cover book...I believe amny anaesthetic and critical care trainess will purchase a copy of the book and it will be a popular choice for departmental libraries. It should also be of interest to other acute medical and surgical trainees, plus other critical care and theatre staff. The writing style and clear illustrations make this book very easy to read. The organisation of the chapters and the size of the book make it an excellent reference text which can be taken to work... It is also a valuable resource for the FRCA examinations. * Dr Matthew Daunt, Nottingham University Hospitals Trust *

Abbreviations xi
Introduction xiii
Chapter 1 Basic Principles
1(20)
Hand washing
2(5)
Aseptic technique
7(4)
Consent
11(1)
Environment, safety and additional equipment
12(1)
Ultrasound in anaesthesia and intensive care
13(1)
Cardiopulmonary resuscitation
14(7)
Chapter 2 Intravascular Access
21(50)
Peripheral venous cannulation
22(4)
Central venous access
26(30)
Ultrasound guidance for intravenous central line insertion
30(3)
Seldinger technique
33(3)
Railroading
36(2)
Internal jugular vein CVC insertion
38(4)
Subclavian vein CVC insertion
42(3)
Femoral vein CVC insertion
45(3)
External jugular vein cannulation
48(2)
Tunnelled central venous lines
50(2)
Peripheral sites for central venous access: peripherally inserted central catheter (PICC) lines
52(4)
`Special' lines
56(10)
Pulmonary artery catheter
56(3)
Intraosseous needle insertion
59(3)
Lines for haemofiltration/dialysis
62(2)
Dialysis
64(2)
Arterial line insertion
66(2)
Rapid infusion devices
68(2)
Transducers
70(1)
Chapter 3 Monitoring
71(10)
`Routine' anaesthetic monitoring
72(1)
12-lead ECG
73(2)
Cardiac output monitoring
75(2)
Intra-abdominal pressure measurement
77(1)
Arterial blood gas sampling
78(3)
Chapter 4 Airway Procedures
81(82)
Airway maintenance
82(8)
Positioning
82(2)
Oropharyngeal airway (aka Guedel Airway)
84(2)
Nasopharyngeal airway
86(2)
Facemasks
88(2)
Laryngeal mask airways
90(5)
Tracheal intubation
95(11)
Oral tracheal intubation
95(6)
Nasal intubation
101(3)
Bougies and other intubation aids
104(2)
Rapid sequence induction (RSI)
106(5)
Double lumen tube insertion
111(6)
Airway devices and `special' airways
117(1)
Video-laryngoscopes
118(2)
Difficult intubation
120(5)
Retrograde tracheal intubation
125(4)
Emergency airway access
129(6)
Cricothyroidotomy
129(6)
Fibreoptic intubation
135(7)
Percutaneous tracheostomy
142(9)
Insertion of a tracheostomy
144(5)
Changing a tracheostomy
149(2)
Bronchoscopy
151(5)
Ventilation
156(7)
Mechanical ventilation
156(7)
Chapter 5 Thoracic Procedures
163(22)
Needle thoracostomy for chest aspiration
164(5)
Aspiration of tension pneumothorax
164(2)
Aspiration of pleural effusion/haemothorax
166(3)
Intercostal drain insertion
169(8)
Surgical chest drain insertion
169(4)
Seldinger chest drain insertion
173(2)
Removal of a chest drain
175(2)
Pericardiocentesis
177(4)
Temporary cardiac pacing
179(1)
External temporary cardiac pacing: percussion pacing
179(2)
External temporary cardiac pacing: transcutaneous pacing
181(4)
Internal temporary cardiac pacing
182(3)
Chapter 6 Abdominal Procedures
185(22)
Nasogastric and nasojejunal tube placement
186(8)
Nasogastric tubes
186(6)
Nasojejunal tubes
192(2)
Sengstaken-Blakemore and Minnesota tube placement
194(4)
Urethral catheterization
198(4)
Abdominal paracentesis
202(5)
Chapter 7 Neurological and Related Procedures
207(26)
Local anaesthesia
208(2)
Lumbar puncture
210(4)
Spinal anaesthesia
214(5)
Epidural anaesthesia analgesia
219(8)
Epidural analgesia troubleshooting
227(2)
Intracranial pressure monitoring
229(4)
Index 233
Guy Jackson graduated from Southampton University in 1998, beginning his anaesthetic career in 2002. He worked in Chichester, Portsmouth and in the Imperial School of Anaesthesia before his appointment as a consultant at the Royal Berkshire Hospital, Reading in 2009.

Christopher Whiten is a consultant anaesthetist currently working in London. He studied medicine at University College London Medical School, graduating in 1996. Following graduation he went on to work in hospitals throughout London, initially in medicine, and then started training in anaesthesia in 2001.

Neil Soni trained in Anaesthesia and Intensive Care in Sydney, Australia, before being appointed Senior Lecturer at Westminster Hospital, UK in 1985. He then became a Consultant in Intensive Care and Anaesthesia at Chelsea and Westminster Hospital, before becoming Consultant Anaesthetist and Intensivist at Imperial College, London, UK.
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