Anaesthesia – Local

Much of anaesthetic practice is underpinned by physics, yet many struggle when studying the subject. This book has been written with the aim of helping those who have long since parted company with physics.
This new edition has been comprehensively updated, but the content remains aligned with the FRCA syllabus, making Physics in Anaesthesia ideal for trainee anaesthetists, as well as for operating department practitioners and anaesthetic nurses. In addition, clinical science and engineering students will appreciate the linking of theory and practice. Physics in Anaesthesia gives a complete and structured overview:

• Explanations start from first principles
• Simple everyday examples are used to illustrate core concepts
• Clinical examples highlight the applications of physics in anaesthesia
• Worked examples and helpful diagrams develop understanding
• Completely revised MCQs/SBAs now available online with hints and tips, plus answers

Five-star reviews of the previous edition
“This is a superb book and helped me greatly during my Primary FRCA. Easy to read and explains basic concepts really well.”
“I’m an anaesthetic trainee and I am finding this book very helpful… Important equations are highlighted and there are “Clinical applications” boxes throughout to put the information into context.”
“Essential book for trainee anaesthetists undertaking primary FRCA, Well written and easy to read.”
“Very good, simple terminology compared to other physics FRCA primary texts, and covers the required topics.”
“Currently revising for the FRCA Primary and have found this book indispensable. Difficult concepts are explained coherently with easy to understand examples, as well as a key clinical applications.”
“I am a newly qualified ODP and l really find this book very helpful.”
“This is a brilliant book that I’d recommend to anyone doing the exam!”
“The illustrations presented are easy to understand and the book has a structure that builds up your knowledge gradually.”
“An excellent book for all grades of anaesthetist, but particularly for those studying for the FRCA. Useful, too, for ODPs and other anaesthetic practitioners.”
“An excellent, detailed overview of medical physics, not just for anaesthetists, but for anyone working with medical electronics / medical physics equipment.”

Contents

1 Atoms and matter
2 Simple mechanics
3 Energy and power
4 Temperature and heat
5 Waves
6 Pressure measurement
7 Humidity
8 Measurement of gas flow
9 The gas laws
10 Diffusion, osmosis and solubility
11 Measuring gas and vapour concentrations
12 Vaporizers
13 Medical gas supplies
14 Breathing systems and ventilation
15 Optics
16 Blood flow measurement
17 Equipment management
18 Basics of electricity
19 Electromagnetism and alternating current
20 Electrical shocks and safety
21 Electrocardiography, pacing and defibrillation
22 Processing, storage and display
23 Ultrasound
24 Lasers
25 Magnetic resonance imaging
26 Nuclear physics and radiation
27 Basic mathematical concepts
28 Physical quantities and SI units
29 Statistics

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What do anaesthetists do? How does anaesthesia work? What are the risks? And how does the anaesthetist know if you are really asleep?

Anaesthesia is a mysterious and sometimes threatening process. In this Very Short Introduction, Aidan O’Donnell takes the reader on a tour through the whole of the modern anaesthetic practice. He begins by explaining general anaesthesia: what it is, how it is produced, and how it differs from natural sleep and other forms of unconsciousness. He goes on to consider the main categories of anaesthetic drugs, including anaesthetic vapours, intravenous agents, muscle relaxants, and
analgesics, together with explanations of how they work and what their purpose is.

Set against the historical background of anaesthetic and surgical practice, O’Donnell examines the large role anaesthetists play in specialised areas such as intensive care medicine, pain medicine, and childbirth; and finally, he considers the risks of anaesthesia, putting in to context that anaesthesia is a very safe process.

ABOUT THE SERIES: The Very Short Introductions series from Oxford University Press contains hundreds of titles in almost every subject area. These pocket-sized books are the perfect way to get ahead in a new subject quickly. Our expert authors combine facts, analysis, perspective, new ideas, and enthusiasm to make interesting and challenging topics highly readable.

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This highly successful textbook is internationally renowned as a core text for trainee anaesthetists and is essential reading for candidates for the Fellowship of Royal College of Anaesthetists and similar examinations. The previous 6th edition was awarded First Prize at the BMJ Medical Book awards.

The book provides full coverage of the sciences underpinning practice in anaesthesia, critical care and pain management together with details of clinical anaesthesia and perioperative care. In combining these aspects, anaesthetists new to the specialty have found the textbook particularly useful during the first few years of training as well as when preparing for professional examinations. It has also proved a valuable day-to-day reference for allied professionals such as operating department practitioners and physician assistants who need an understanding of clinical practice in anaesthesia and related specialties.

The goal for this Seventh Edition has remained to equip the reader with the basic knowledge and practical considerations required to administer anaesthesia and perioperative care for a whole range of surgical conditions in patients with all common medical comorbidities. Reflecting the expanding role of anaesthesia beyond the operating theatre it also includes essential material related to safety and quality assurance, consent, resuscitation, intensive care medicine, pre-hospital care and chronic pain management.

• This book’s scope includes the full range of clinical practice, from anaesthetic equipment and pre-operative assessment through to post-operative care, local anaesthesia, anaesthesia for individual specialties and the management of chronic pain.

• The text covers the principles of pharmacology, anaesthetic agents and physics for the anaesthetist.

• • This Seventh Edition has been restructured into four sections: Basic Sciences; Physics and Apparatus; Fundamentals of Anaesthesia and Perioperative Medicine; and Clinical Anaesthesia.
• There are four new chapters reflecting the UK postgraduate anaesthetic examination syllabus and changes in clinical practice. There are: The older patient; Anaesthesia in low and middle-income areas; Management of critical incidents; and Data analysis, clinical trials and statistics.

• Thirty new contributors provide a new perspective or contribute new chapters.

• This edition makes extensive use of new line drawings and diagrams and, for the first time, many of these are available in colour.

• Chapters have been extensively cross-referenced to aid the reader and avoid repetition to include substantially more information without increasing the overall size of the book.

• The content of each chapter is closely aligned to the syllabus of the Primary FRCA examination. Sample online questions and answers are provided for each chapter and linked to the relevant part of each chapter.

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Graphic Anaesthesia is a compendium of the diagrams, graphs, equations and tables needed in anaesthetic practice.

Each page covers a separate topic to aid rapid review and assimilation. The relevant illustration, equation or table is presented alongside a short description of the fundamental principles of the topic and with clinical applications where appropriate.

Now fully updated, this second edition contains 35 new topics, including significant additions to the drugs and equipment sections, and new sections on clinical prediction and anatomy related to regional anaesthesia.

The book includes main sections on:

• physiology
• pharmacodynamics and kinetics
• physics
• equipment
• anatomy
• drugs
• clinical measurement
• clinical prediction
• statistics.

By combining all the illustrations, equations and tables with concise, clinically relevant explanations, Graphic Anaesthesia is therefore:

• the ideal revision book for all anaesthetists in training
• a valuable aide-memoire for senior anaesthetists to use when teaching and examining trainees.

From reviews of the previous edition:
“Graphic Anaesthesia is a well-written, easy-to-read book, ideal for trainees studying for primary FRCA examinations… It will be an ideal companion for preparing for exams.” Ulster Medical Journal, May 2016
“Graphic Anaesthesia is an excellent revision tool that allows trainees approaching exams to prepare in an efficient and simple format. It is a refreshing and unique resource that should be included on any essential revision reading list.” European Journal of Anaesthesiology 2016; 33: 610.
“The diagrams are very clear, the explanations accurate and concise and to pack 245 items into a small reference book is no mean feat…. Each diagram is drawn in just four colours to enable them to be reproduced easily from memory. This intuitive approach was an eye-opener to me and a valuable lesson in simplicity without losing any essential detail. This is something from which many educators could learn and indeed transfer that skill…This is a quality book that could be a useful investment across the spectrum of practitioners involved in anaesthesia and the teaching of anaesthesia.” Journal of Perioperative Practice March 2017, volume 27, issue 3

Contents

For full Contents use the Look Inside function

1. PHYSIOLOGY
New in this section: Electroencephalogram waveforms; Immunity, Pregnancy and paediatrics

2. ANATOMY
New in this section: Anatomy for regional anaesthesia

3. PHARMACODYNAMICS AND KINETICS
New in this section: Target-controlled infusions

4. DRUGS
New in this section: Alpha 2 receptor agonists; Anticoagulants; Antiemetics; Antiplatelets; Benzodiazepines; Blood products; Direct acting oral anticoagulants; Intralipid; Paracetamol and NSAIDs; Reversal agents; Tranexamic acid

5. PHYSICS

6. CLINICAL MEASUREMENT
New in this section: Depth of anaesthesia monitoring

7. EQUIPMENT
New in this section: Bronchoscope; Glucometer; Intra-aortic balloon pump; Laryngoscopes; Ultrasound; Viscoelastic tests of clotting

8. STATISTICS

**New chapter** 9. CLINICAL PREDICTION
9.1 ASA classification; 9.2 Clinical frailty scale; 9.3 Cormack and Lehane classification; 9.4 Mallampati classification; 9.5 Scoring systems

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An essential reference text, the fifth edition of this popular book details drugs in anaesthesia and intensive care in an A-Z format. The book describes the pharmacokinetics and pharmacodynamics of all the drugs commonly used by anaesthetists. The A-Z organisation allows rapid access to specific information on the properties and characteristics of almost 200 drugs.

The new edition includes a complete revision of all the featured drugs, and the addition of key new drugs. New diagrams of particular drug structures and comparison tables aid comparison of differences within a drug class for exam revision. Improved navigation in the index enables prompt discoverability of information.

Written in a concise, bullet-point style to allow quick access to information, the book contains all necessary drug references for anaesthetists in training, consultant anaesthetists, intensive care nurses, and anaesthetic assistants.

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Introducing Anaesthesia is a must-have guide for new trainees beginning their specialty training in anaesthesia. It clearly explains the basics of anaesthetics including scientific principles, pharmacology and clinical practice as well as how to deal with common emergencies. The content addresses what a trainee needs to learn in the first three to six months of specialty training and maps to the Royal College of Anaesthetists’ Initial Assessment of
Competency.

Designed to provide structured support and learning, Introducing Anaesthesia builds confidence via the inclusion of diagrams and videos which demonstrate techniques and competencies. Clearly written and focused on the initial hurdles which all newcomers to anaesthesia need to overcome, this is an indispensible guide to the the principles and techniques required for trainees to anaesthetize patients on their own and to pass workbased assessments.

This book is ideal for new anaesthetic trainees and for those responsible for their training, mentoring and assessment.Trainees in acute medicine and emergency medicine who need to gain experience in anaesthetics as well as nurses and operating department practitioners will find this text very useful.

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Among all the great discoveries and inventions of the nineteenth century, few offer us a more fascinating insight into Victorian society than the discovery of anaesthesia. Now considered to be one of the greatest inventions for humanity since the printing press, anaesthesia offered pain-free operations, childbirth with reduced suffering, and instant access to the world beyond consciousness. And yet, upon its introduction, Victorian medics, moralists, clergymen, and scientists, were plunged into turmoil. This vivid and engaging account of the early days of anaesthesia unravels some key moments in medical history: from Humphry Davy’s early experiments with nitrous oxide and the dramas that drove the discovery of ether anaesthesia in America, to the outrage provoked by Queen Victoria’s use of chloroform during the birth of Prince Leopold. And there are grisly ones too: frequent deaths, and even notorious murders. Interweaved throughout the story, a fascinating social change is revealed. For anaesthesia caused the Victorians to rethink concepts of pain, sexuality, and the links between mind and body. From this turmoil, a profound change in attitudes began to be realised, as the view that physical suffering could, and should, be prevented permeated through society, most tellingly at first in prisons and schools where pain was used as a method of social control. In this way, the discovery of anaesthesia left not only a medical and scientific legacy that changed the world, but a compassionate one too.

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