Quantitative anaesthesia - exact registration of the degree of anaesthesia - has long been the anaesthetist's dream. Such pre cision could decrease the risk for the patient. Can -this dream now be realized in the foreseeable future? And can the quantifi cation be technically verified? This workshop was organized for these questions to be discussed by a group of experts. Schleswig-Holstein was a logical location for such a gathering. Medical and associated technical advances have socioeconomic consequences: in Schleswig-Holstein there are nowadays more jobs in medical technology than in the traditional shipbuilding industry. The encouragement of medical research and related technical innovation is thus a central component of public poli cy. One result of this emphasis was the recent setting up of a study group on medical technology, one of the aims of which is to provide a forum in Schleswig-Holstein for meetings such as this. The intention is to consolidate Schleswig-Holstein's reputation as a centre for both medical-technical development and scien tific discussion. The organizers of this scientific workshop thank the Schleswig Holstein Ministry of Economics and Transport and Dragerwerk AG for their support.
In clinical anaesthesiology the inhalation anaesthetics halothane (fluothane), enflurane and - in recent times - forane got a renaissance in clinical application. The reasons are not only the ad vantages of volatile anaesthetics, but also the fact that the investi gations of pharmacodynamics and pharmacokinetics of Lv. narcot ics showed negative aspects. It was the aim of the organizers of the symposium to give a survey of the present state of knowledge on inhalation anaesthetics, which is as up-to-date, critical as well as detailed as possible. Furthermore it was the intention to evaluate the recent advances made in the field of basic research. The first section of the symposium in particular enters into the question of the toxicity of volatile anaesthetics as well as their mechanisms of action. In a second main part the influences on cardiovascular system and on microcirculation are discussed. Apart from the extensive discussion of the advances in knowledge in the field of cardiovascular pathophysiology, the focal point of the contribut ions is made up of those with anaesthesia in coronary heart disease and cardiac insufficieny as well as the contribution on interactions of inhalation anaesthetics with cardiovascular drugs. In the third and fourth section the influences of volatile anaesthetics on cerebral, hepatic, renal and pulmonary function are dealt with as well as questions concerning the clinical application. Particular attention is given to the important problems of indicat ion in patients belonging to the extreme age groups.
The new edition of this popular text has been extensively revised and updated throughout. It will continue to provide the trainee or practising anesthetist 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
Key Articles from the Anaesthesia and Intensive Care Medicine Journal
Author: Nicholas Pace
Publisher: Elsevier Health Sciences
This eBook is one of 10 carefully selected collections of key articles from the Anaesthesia and Intensive Care Medicine journal - a continually updated, evidence-based learning resource, based on the RCOA Curriculum. It is ideal for trainees preparing for the FRCA (or similar) exams. It will also prove an invaluable, authoritative refresher for life-long learning and CPD. Related MCQs are included to test your understanding.
The Theory and Practice of Low Flow, Minimal Flow and Closed System Anaesthesia
Author: Jan Baum
Low flow anaesthesia is a technique of anaesthetic management which uses reduced fresh gas flow administered and controlled via a rebreathing system. The first edition of Low Flow Anaesthesia set out to reassure and educate anaesthetists in the theory and practicalities of low flow, minimal flow and closed system anaesthesia. * techniques of low and minimal flow anaesthesia with sevoflurane and desflurane covers low and minimal flow anaesthesia without nitrous oxide, closed system anaesthesia in routine clinical practice, new aspects of carbon dioxide absorption, and a review of current and future perspectives with references to further reading * covers new European regulations * includes new classifications of breathing systems and anaesthetic ventilators
This definitive resource from the eminent Oxford Textbooks series, the Oxford Textbook of Anaesthesia addresses the fundamental principles, underpinning sciences and the full spectrum of clinical practice. It brings together the most pertinent research from on-going scientific endeavours with practical guidance and a passion to provide the very best clinical care to patients. This comprehensive work covers all aspects of anaesthesia; volume one addresses the fundamental principles and the basic sciences whose understanding is required for a logical, effective and evidence-based approach to practice. Volume two focuses on the clinical aspects of anaesthesia, including those aspects of intensive care and pain medicine that are required by all general anaesthetists as well as sections dedicated to procedures, surgical specialities, paediatrics, the conduct of anaesthesia outside the theatre, and concurrent disease. In 91 finely crafted and highly illustrated chapters, experts in anaesthesia review the supporting evidence and key techniques for the clinical management of specific conditions and patient groups. International contributors share their research and extensive experience to provide a wealth of practical advice for use in clinical situations in a global context. This essential reference tool supports all anaesthetists seeking an up-to-date and trustworthy account of all aspects of anaesthesia, ideal for reference, study and revision. It will be an indispensable guide to anaesthetists of all grades and subspecialty interest.
The 30th scientific meeting of the International Society on Oxygen Transport to Tissue (ISOTT) was held at the Western Conference Centre, UMIST, Manchester, in August 2002. It was attended by some 96 delegates and accompanying persons and there were 128 presentations.
Some important constraints of anesthesia must be taken into consideration when the pharmacological properties of modern anesthetics are discussed. The most imp- tant of these could be that the target effect be achieved preferably within seconds, at most within a few minutes. Similarly, offset of drug action should be achieved within minutes rather hours. The target effects, such as unconsciousness, are pot- tially life-threatening, as are the side effects of modern anesthetics, such as respi- tory and cardiovascular depression. Finally, the patient’s purposeful responses are not available to guide drug dosage, because, either the patient is unconscious, or more problematically, the patient is aware but unable to communicate pain because of neuromuscular blockade. These constraints were already recognised 35 years ago, when in 1972 Volume XXX entitled “Modern Inhalation Anesthetics” appeared in this Handbook Series. The present volume is meant as a follow up and extension of that volume. At the beginning of the 1970’s anesthesia was commonly delivered by inhalation, with only very few exceptions. The clinical understanding of that time considered anesthesia as a unique state achieved by any of the inhalation anesthetics, in- pendent of their specific molecular structure. “The very mechanism of anesthetic action at the biophase” was discussed within the theoretical framework of the “u- tary theory of narcosis”.
From fundamental principles to advanced subspecialty procedures, Miller’s Anesthesia covers the full scope of contemporary anesthesia practice. This go-to medical reference book offers masterful guidance on the technical, scientific, and clinical challenges you face each day, in addition to providing the most up-to-date information available for effective board preparation. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Address the unique needs of pediatric patients with guidance from an entire section on pediatric anesthesia. View more than 1,500 full-color illustrations for enhanced visual clarity. Access step-by-step instructions for patient management, as well as an in-depth analysis of ancillary responsibilities and problems. Quickly reference important concepts with ‘Key Points’ boxes integrated into every chapter. Stay current on today's most recent anesthetic drugs and guidelines/protocols for anesthetic practice and patient safety, and access expanded coverage on new techniques such as TEE and other monitoring procedures. Take advantage of the unique, international perspectives of prominent anesthesiologists from all over the world, including the UK, Australia, India, Brazil, and Germany. Remain at the forefront of new developments in anesthesia with coverage of hot topics including Non-OR Anesthesia; Role of the Anesthesiologist in Disasters; Sleep Medicine in Anesthesia; Perioperative and Anesthesia-related Neurotoxicity; Anesthetic Implications of Complementary and Alternative Medicine; and Robotics. Study brand-new chapters on Perioperative Fluid Management; Extracorporeal Support Therapies; Anesthesia for Organ Donation/Procurement; and Malignant Hyperthermia and other Genetic Disorders.