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Index
Cover
Contents
Title page
Copyright page
List of Contributors
Foreword
CHAPTER 1: The Physics of Ultrasound
Sound energy
Generation of the ultrasound wave
Refinements in transducer production
The frequency, wavelength and speed of sound waves
Frequency
Wavelength
Speed
The image
Reduced and distorted images
The probe
Terminology of modes
Doppler shift
The safety of ultrasound
CHAPTER 2: Coronary Artery Stents: Management in Patients Undergoing Noncardiac Surgery
Percutaneous coronary interventions
Radial or femoral access
Antiplatelet and anticoagulant therapy
Coronary artery stenting and noncardiac surgery
Management of complications in patients with stents
Adjunct technology and future developments in coronary stenting
Aspirin and clopidogrel resistance
Conclusions
CHAPTER 3: Anaesthesia and Enhanced Recovery for Colorectal Surgery
Preoperative preparation
Admission
Intraoperative components of ERAS
Postoperative components of ERAS
Discharge
Audit and outcome measurement
Quality Innovation Productivity and Prevention agenda
Summary
CHAPTER 4: The Unanticipated Difficult Airway: The ‘Can’t Intubate, Can’t Ventilate’ Scenario
Why does this scenario occur?
Avoiding the CICV situation
Cricothyroidotomy
Wide bore or narrow bore cannula?
Complications of cricothyroidotomy
Training in cricothyroidotomy
CHAPTER 5: Analgesia for Abdominal Surgery
Epidural analgesia
Spinal anaesthesia
Rectus sheath block
Transversus abdominis plane block
Ilioinguinal and iliohypogastric blocks
Paravertebral block
Summary
CHAPTER 6: Analgesic Regimens for Children
Pain perception
Designing analgesic regimens
Analgesic drugs and techniques
Chronic pain
Postoperative nausea and vomiting (PONV)
CHAPTER 7: The Unstable Cervical Spine
The provision and maintenance of a reliable, patent airway is paramount
Maintenance of spinal cord perfusion is a priority
Airway techniques that minimally displace the alignment of the vertebrae should be used
Normal cervical spine anatomy
Definition of instability
Neurological consequences of instability
Causes of cervical instability
Rheumatoid Arthritis
Tumour
Trauma
Infection
Diagnosis
Conservative management
Surgical management
Anaesthetic management
Airway management
Spinal cord perfusion
CHAPTER 8: Obstetric Haemorrhage
Epidemiology
Antepartum haemorrhage: causes
Postpartum haemorrhage: causes
Major haemorrhage: immediate management
Management in theatre
Options for haemostasis: avoidance of hysterectomy
Emergency anaesthesia
Elective caesarean section: anticipated major haemorrhage
Anaphylactoid syndrome of pregnancy
Cardiac arrest
CHAPTER 9: Anaesthesia for Patients Undergoing Hip Fracture Surgery
Demographics
Preoperative management
The timing of surgery
Intraoperative anaesthetic care
Postoperative care
CHAPTER 10: e-Learning Anaesthesia
The rationale behind e-Learning Anaesthesia
The e-Learning Anaesthesia project
Summary
CHAPTER 11: Consent and the Explanation of Risk in Anaesthesia
Common law of consent
Competence
Patients who lack competence
Children
Teaching, learning and maintaining skills
Research
Data protection
Needlestick injuries
Problems with consent
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