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Fundamental Principles and Practice of Anaesthesia [Kietas viršelis]

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  • Formatas: Hardback, 1072 pages, weight: 2790 g
  • Išleidimo metai: 17-Jan-2002
  • Leidėjas: Taylor & Francis Ltd
  • ISBN-10: 1899066578
  • ISBN-13: 9781899066575
Kitos knygos pagal šią temą:
  • Formatas: Hardback, 1072 pages, weight: 2790 g
  • Išleidimo metai: 17-Jan-2002
  • Leidėjas: Taylor & Francis Ltd
  • ISBN-10: 1899066578
  • ISBN-13: 9781899066575
Kitos knygos pagal šią temą:
This book exemplifies the new problem-orientated approach to teaching anaesthesia. It comprises four sections that correspond closely with the four-year training programme set out by the American Board of Anesthesiology for candidates studying for the Diploma in Anesthesiology and with the new FRCA primary examination. The first three sections provide an integrated core text covering material that every trainee needs to know and understand, while the fourth section is a multi-author review of more specialized topics. Contributions are drawn from experts in the UK, Europe, the USA and Australasia, so presenting the best of current opinion and practice worldwide. Its highly illustrated presentation provides readers with a source of information on key topics that is concise and can readily be assimilated.

Recenzijos

'Contains all you need and more to become and remain a 'proper' anaesthetist! I have no doubt that successive editions will go from strength to strength.' - British Journal of Anaesthesia

'An excellent new textbook covering both the scientific basis of anaesthetic and intensive care and the practical aspects of clinical practice. It is an essential edition to all anaesthetic libraries and both trainees and consultants should consider investing in their own copy.' - Anaesthesia Points

Foreword xv
Preface xvii
Contributors xix
Section 1 Basic anaesthesia practice
Anaesthesia and the preoperative visit
3(6)
P. Hutton
The scope of anaesthesia practice
3(1)
The Preoperative visit
4(4)
Further reading
8(1)
Induction of general anaesthesia
9(6)
P. Hutton
Basic principles
9(1)
Elective intravenous induction
9(2)
Elective inhalational induction
11(2)
Induction of a patient with a difficult airway or known risk of aspiration
13(1)
Management of accidental extravenous injection of intravenous induction agent
13(1)
Further reading
13(2)
Maintenance of anaesthesia
15(12)
P. Hutton
Basic requirements and objectives
15(1)
General anaesthesia
15(4)
Sedation
19(1)
Positioning
20(3)
Tourniquets
23(1)
Conservation of body heat
24(1)
The conclusion of maintenance anaesthesia
25(1)
Further reading
25(2)
Emergence, reversal and recovery from anaesthesia
27(6)
P. Hutton
General principles
27(1)
The patient recovering from a regional block (with or without sedation or general anaesthesia)
28(1)
The patient recovering from general anaesthesia
29(1)
Clinical problems in the recovery period
29(3)
Criteria for discharge from recovery
32(1)
Further reading
32(1)
Postoperative care
33(20)
C. Dodds
P. Hutton
Acute pain management
33(8)
Maintenance of tissue oxygenation
41(2)
Maintenance of fluid balance
43(1)
Postoperative nausea and vomiting (PONV)
43(1)
Other complications in the first 24 hours
44(2)
Later complications
46(1)
Conclusion
47(1)
Administration of analgesics
48(2)
Administration of local anaesthetics
50(1)
Summary of the recommendations of the Royal College of Anaesthetists' Working Party on the use of NSAIDs in the perioperative period (1998)
51(1)
Further reading
52(1)
Airway management I: anatomy and equipment
53(20)
P. Hutton
The anatomy of the airways
53(10)
Equipment for airway maintenance
63(8)
Further reading
71(2)
Airway management II: assessment, control and problems
73(22)
P. Hutton
Assessing and controlling the airway
73(11)
Airway problems
84(10)
Further reading
94(1)
Delivery and disposal of gases and vapours
95(34)
P. Hutton
Gas properties, storage and distribution
95(16)
The anaesthesia machine
111(6)
Vaporizers
117(4)
Humidification
121(2)
Scavenging and pollution
123(5)
Further reading
128(1)
Breathing systems I: basic principles and systems without carbon dioxide absorption
129(10)
P. Hutton
Definitions and function
129(1)
Types of breathing system
129(9)
Further reading
138(1)
Breathing systems II: low flow and carbon dioxide absorption
139(10)
P. Hutton
Definitions
139(1)
Absorption of carbon dioxide
139(2)
Principles of gas transfer in circle systems
141(6)
The practical use of circle systems
147(1)
Further reading
148(1)
Ventilators
149(6)
P. Hutton
The requirements of a ventilator
149(1)
Basic definitions
149(1)
Inspiratory characteristics of ventilators
150(1)
Changing from in spiration to expiration
150(1)
Expiratory characteristics of ventilators
150(1)
Functional styles of ventilator
150(4)
Safety procedures
154(1)
Further reading
154(1)
Monitoring and safety
155(22)
P. Hutton
The objectives of monitoring
155(1)
Routine checking
156(1)
The anaesthetic chart
157(2)
The contribution of individual monitors
159(13)
Sterilization, disinfection, and cross-infection
172(2)
Controlled drugs
174(1)
Patients in clinical trials
174(1)
Further reading
175(2)
The unexpected event
177(12)
P. Hutton
C. Dodds
Critical incident analysis
177(1)
Anaphylactic reaction
178(2)
Cardiac arrest and resuscitation
180(3)
Suxamethonium apnoea
183(1)
Management of a sudden pneumothorax
184(1)
Malignant hyperthermia
185(1)
Pulmonary embolism
186(1)
An anaesthetic event with an adverse outcome
187(1)
Further reading
188(1)
Fluid balance and blood replacement
189(16)
C. Dodds
P. Hutton
Fluid distribution within body compartments
189(1)
Examples of presenting abnormalities of fluid balance
190(1)
Perioperative fluid management in routine patients
191(1)
Dehydration
192(1)
Blood loss and shock
193(4)
Burns
197(1)
Products available for replacement therapy
198(6)
Further reading
204(1)
An outline of regional anaesthesia
205(30)
J.D. Connolly
P. Hutton
Basic principles of regional anaesthesia
205(5)
Spinal and epidural anaesthesia
210(14)
Other selected regional blocks
224(8)
Intravenous regional anaesthesia
232(1)
Further reading
233(2)
Surgical requirements of anaesthesia
235(16)
J.M. Budd
Elective general surgery
235(3)
Urgent and emergency general surgery
238(2)
Ear, nose and throat surgery
240(3)
Urological surgery
243(2)
Gynaecological surgery
245(2)
Orthopaedic surgery and fractures
247(3)
Further reading
250(1)
Principles of high dependency care and intensive care medicine
251(28)
P. Nightingale
M.P. Shelly
Units and staffing
251(1)
Scoring systems and prediction of outcome
251(2)
Sepsis and multiple organ failure
253(2)
Individual systems failure and supportive therapy
255(14)
Patient comfort and support
269(2)
Ethics
271(1)
Death and dying
271(1)
Communication
272(2)
The APACHE II severity of disease classification system
274(2)
Components and individual values of the lung injury score
276(1)
Further reading
276(3)
Section 2 Integrated basic sciences
Biochemistry, the cell, and genetics
279(42)
P. Hutton
Basic concepts in biochemistry
279(24)
The cell
303(3)
Genetics and cell division
306(11)
Naming hydrocarbon molecules and functional groups
317(2)
Further reading
319(2)
General physiological and pharmacological principles
321(44)
P. Hutton
Body fluid compartments and transport between them
321(9)
Mechanisms of drug action
330(18)
Pharmacokinetics
348(16)
Further reading
364(1)
Cardiovascular physiology and pharmacology
365(40)
R.O. Feneck
Electrophysiology of the heart
365(7)
Cardiac muscle and its contraction
372(7)
Coronary blood flow and myocardial metabolism
379(4)
The peripheral vasculature and peripheral blood flow
383(4)
Blood pressure regulation and neurohumoral control of the circulation
387(5)
Inotropic mechanisms and inotropic drugs
392(3)
Vasopressor drugs
395(1)
Vasodilators acting on the central and sympathetic nervous systems
396(2)
Angiotensin-converting enzyme inhibitors
398(1)
Calcium antagonists
398(1)
Nitric oxide releasing drugs
399(1)
β-Adrenoceptor antagonists
400(2)
Diuretics
402(1)
Other drugs
402(1)
Further reading
403(2)
Ventilation, gas exchange and gas transport
405(14)
M. Manji
The bellows function of the lungs
405(4)
Pulmonary blood flow
409(1)
The interface between gas and blood
410(2)
Transport of respiratory gases
412(3)
Changes in position and the effects of anaesthesia
415(1)
Bronchial pharmacology
416(1)
Further reading
417(2)
Physiology and pharmacology of the central nervous system
419(24)
A.A. Tomlinson
L. Bromley
Neurons and neuroglia
419(2)
Anatomy of the brain
421(1)
The blood supply to the brain and spinal cord
422(1)
The blood-brain barrier
423(4)
Cerebrospinal fluid and intracranial pressure
427(3)
Factors and drugs affecting cerebral haemodynamics
430(3)
Neurotransmitters in the CNS
433(2)
Drugs acting in the CNS
435(5)
Calcium channel blockers
440(1)
Further reading
441(2)
Physiology and pharmacology of the peripheral somatic and autonomic nervous systems
443(26)
L. Bromley
P. Hutton
G.M. Cooper
Structure and function of motor and sensory neurons
443(7)
Somatic sensory and motor systems
450(7)
The autonomic nervous system (ANS)
457(6)
The pharmacology of the ANS
463(4)
Further reading
467(2)
Muscle and the neuromuscular junction
469(12)
N.J.N. Harper
The neuromuscular junction
469(2)
Muscle and the contractile process
471(4)
The control of muscle contraction
475(3)
Cardiac muscle
478(1)
Disorders of skeletal muscle
479(1)
Further reading
480(1)
The renal system
481(18)
K.-L. Kong
Renal physiology
481(10)
Renal pharmacology
491(6)
Further reading
497(2)
Acid-base balance
499(14)
J.W. Freeman
Terminology/glossary of abbreviations
499(2)
Sources of acids, bases, and buffers
501(1)
Regulation
501(2)
Oxygen and carbon dioxide carriage
503(2)
Assessment of acid--base disorders
505(1)
Clinical aspects
506(3)
Lactic acidosis
509(1)
Anion gap
509(1)
Haemodilution
510(1)
Surgery
510(1)
Summary
510(1)
Further reading
511(2)
The gastrointestinal tract
513(12)
L. Bromley
J.W. Sear
G.M. Cooper
General function
513(1)
The salivary glands
514(1)
The oesophagus
515(1)
The stomach
516(2)
Nausea and vomiting
518(2)
Intestinal function
520(1)
Drug absorption
521(2)
Further reading
523(2)
The liver
525(16)
J.W. Sear
P. Hutton
Functions of the liver
525(1)
Anatomy
525(1)
Enzyme activity and regeneration
526(1)
Liver innervation and blood flow
527(2)
Intermediary metabolism in the liver
529(4)
Production and composition of bile
533(1)
Haem synthesis and breakdown, and bilirubin disposition
534(2)
Drug metabolism and excretion
536(3)
Clinical biochemistry of liver disease
539(1)
Further reading
540(1)
Endocrine systems
541(22)
J.W. Sear
P. Hutton
General principles
541(7)
Individual hormones and endocrine glands
548(12)
Further reading
560(1)
The nomenclature of hormones
561(2)
Pregnancy and fetal physiology
563(10)
A.D. Wilkey
J.P. Millns
Maternal physiology
563(3)
The placenta
566(3)
Fetal development
569(3)
Further reading
572(1)
Blood and its constituents
573(10)
C.S. Reilly
The functions and composition of blood
573(1)
Red blood cells
574(3)
White blood cells
577(1)
Haemostasis and clotting
578(2)
Cross-matching and blood products
580(2)
Further reading
582(1)
Intravenous induction agents
583(14)
G.M. Cooper
J.W. Sear
Mechanism of action
583(1)
Properties of an ideal intravenous induction agent
583(1)
Characteristics of the induction process
583(3)
Barbiturates
586(3)
Imidazoles: etomidate
589(1)
Hindered phenols: propofol
590(1)
Phencyclidines: ketamine
591(1)
Steroids
592(1)
Hypersensitivity reactions
593(1)
Total intravenous anaesthesia
593(2)
Further reading
595(2)
Inhalational anaesthetic agents
597(24)
T. Gallacher
P. Hutton
The quest for the ideal inhalational agent
597(1)
Definitions and physicochemical properties
597(5)
Potency and minimum alveolar concentration
602(1)
Uptake and distribution
603(6)
Individual agents
609(4)
Elimination and metabolism
613(1)
Toxicity
613(6)
Further reading
619(2)
Opioids, non-steroidal anti-inflammatory drugs, and other analgesics
621(12)
D.J. Rowbotham
Opioid analgesics
621(6)
Non-steroidal anti-inflammatory drugs
627(2)
Other analgesics
629(1)
Further reading
630(3)
Neuromuscular blocking and reversal agents
633(12)
J.M. Hunter
History of neuromuscular blocking agents
633(1)
Depolarizing neuromuscular blocking drugs
633(3)
Non-depolarizing neuromuscular blocking drugs
636(4)
Antagonism of residual neuromuscular block
640(2)
Monitoring of neuromuscular block
642(2)
Further reading
644(1)
Local anaesthetics
645(10)
L. Bromley
Physical and chemical properties
645(2)
Mechanism of action
647(4)
Toxicity
651(1)
Individual local anaesthetic agents
652(1)
Further reading
653(2)
Principles of physics and clinical measurement I: units, measurement, gases, vapour, and flows
655(34)
D. Cochrane
K. Burchett
C.J. Vallis
P. Hutton
Units of measurement and simple mechanics
655(4)
Mathematical relationships relevant to basic sciences
659(2)
Exponential equations
661(4)
Principles of making measurements
665(6)
Physics of gases and vapours
671(6)
Dynamics of fluids: factors affecting flow
677(6)
Measurement of volume and flow
683(5)
Further reading
688(1)
Principles of physics and clinical measurements II: heat, humidity, colligative properties, and electricity
689(26)
C.J. Vallis
D. Cochrane
K. Burchett
P. Hutton
Heat transfer and temperature measurement
689(6)
Humidity and hygrometry
695(2)
Colligative properties of solutions
697(3)
Basic concepts in electricity
700(13)
Further reading
713(2)
Principles of physics and clinical measurements III: applied clinical measurement and safety
715(32)
K. Burchett
C.J. Vallis
D. Cochrane
P. Hutton
Lung function tests
715(3)
Principles of capnography and agent monitoring
718(6)
The measurement of Po2
724(2)
Pulse oximetry
726(3)
Measurement of pH and dissolved gases in blood
729(4)
Electrical safety, defibrillators, and pacemakers
733(7)
Monitoring neuromuscular blockade
740(2)
Pressure transducers
742(3)
Further reading
745(2)
Statistical principles
747(20)
D. Saunders
Rationale and aims
747(1)
Descriptive statistics and the type of data
747(1)
The graphical presentation of data and frequency distributions
748(5)
Inferential statistics
753(9)
Interpretation of results and clinical relevance
762(1)
Further reading
762(5)
Section 3 The presenting patient
The assessment of anaesthetic risk and the fit patient
767(6)
G.M. Cooper
Assessment of risk
767(1)
The fit patient
768(4)
Further reading
772(1)
The paediatric patient
773(12)
G.M. Cooper
C. Vallis
Anatomy and physiology
773(4)
Psychology
777(1)
Consent
777(1)
Pharmacology
778(1)
Preoperative assessment and preparation
779(1)
Intraoperative considerations
780(2)
Postoperative considerations
782(1)
Congenital hypertrophic pyloric stenosis
783(1)
Further reading
783(2)
The elderly patient
785(10)
G.M. Cooper
Preoperative assessment
785(3)
Preoperative preparation
788(1)
Intraoperative phase
788(2)
General or regional?
790(2)
Postoperative phase
792(1)
Further reading
793(2)
The obese patient
795(4)
G.M. Cooper
Preoperative considerations
795(2)
Intraoperative phase
797(1)
Postoperative phase
798(1)
Further reading
798(1)
The pregnant patient
799(6)
G.M. Cooper
Usual outcome of pregnancy
799(1)
Intercurrent surgery in pregnancy
799(1)
Anaesthesia for delivery or near term
800(3)
The pregnant patient with pre-eclampsia
803(1)
Further reading
804(1)
The day-stay patient
805(4)
G.M. Cooper
Medical fitness
805(1)
Surgical suitability
805(1)
Social circumstances
805(1)
Preoperative considerations
806(1)
Intraoperative considerations
806(1)
Postoperative considerations
807(1)
Further reading
808(1)
The patient with an abnormal ECG
809(16)
P. Hutton
Indications for a preoperative ECG
809(1)
The generation of the ECG
810(2)
Changes in the cardiac axis
812(1)
Morphological changes of the component parts of the ECG
812(1)
Arrhythmias and conduction defects
813(7)
Pacemakers
820(4)
Further reading
824(1)
The patient with ischaemic heart disease
825(10)
G.M. Cooper
P. Hutton
The management of perioperative risk
825(1)
Definitions
825(1)
Left ventricular ischaemia
826(2)
Preoperative considerations
828(1)
Preoperative preparation
829(1)
Intraoperative considerations
830(3)
Postoperative considerations
833(1)
Further reading
833(2)
The patient with hypertension
835(4)
G.M. Cooper
Preoperative assessment
836(1)
Preoperative preparation
836(1)
Intraoperative considerations
837(1)
Postoperative care
837(1)
Further reading
837(2)
The patient with valvular heart disease
839(10)
P. Hutton
Prophylaxis against endocarditis
839(1)
Patients with prosthetic valves
839(1)
Mitral valve disease
840(4)
Aortic valve disease
844(3)
Tricuspid valve disease
847(1)
Pulmonary valve disease
848(1)
Further reading
848(1)
The patient with congenital heart disease
849(4)
P. Hutton
Left-to-right shunts
849(2)
Right-to-left shunts
851(1)
Coarctation of aorta
852(1)
Further reading
852(1)
The patient with anaemia
853(8)
G.M. Cooper
Physiology
853(2)
Clinical setting
855(1)
Preoperative preparation
856(1)
Intraoperative phase
857(1)
Postoperative phase
858(1)
Sickle-cell syndromes
858(2)
Further reading
860(1)
The patient with asthma
861(4)
G.M. Cooper
Preoperative assessment
861(1)
Preoperative preparation
861(1)
Intraoperative considerations
862(1)
Postoperative considerations
863(1)
The treatment of severe asthma
863(1)
Further reading
864(1)
The patient with poor pulmonary function
865(12)
G.M. Cooper
Chronic obstructive airway disease
865(10)
Further reading
875(2)
The patient with diabetes
877(6)
G.M. Cooper
Preoperative assessment
878(1)
Preoperative preparation
879(3)
Intraoperative phase
882(1)
Postoperative phase
882(1)
Further reading
882(1)
The patient with a thyroid, pituitary, or adrenal disorder
883(10)
P. Hutton
The thyroid gland
883(3)
Pituitary gland
886(2)
The adrenal glands
888(2)
Further reading
890(3)
The patient with arthritis
893(4)
G.M. Cooper
Preoperative assessment
893(1)
Preoperative preparation
894(1)
Intraoperative phase
895(1)
Postoperative phase
896(1)
Further reading
896(1)
The patient with jaundice
897(10)
G.M. Cooper
Assessment of liver function
897(2)
Preoperative considerations in jaundice
899(1)
Preoperative preparation
900(1)
Intraoperative phase
900(1)
Postoperative phase
901(1)
The patient with chronic liver disease
901(4)
Further reading
905(2)
The patient with imparied renal function
907(12)
G.M. Cooper
Acute renal failure
907(6)
Chronic renal failure
913(5)
Further reading
918(1)
The patient with an infection
919(6)
M.J. Wilson
The patient with an incidental respiratory infection
919(1)
The patient with systemic sepsis
920(1)
The patient with an abscess
921(1)
The patient with a communicable disease
921(2)
Further reading
923(2)
The patient with an acute abdomen
925(6)
M.J. Wilson
Black boxes and third spaces
925(1)
Preoperative assessment
925(2)
Preoperative preparation
927(1)
Intraoperative considerations
928(1)
Postoperative considerations
929(1)
Further reading
929(2)
The patient needing transport
931(8)
M. Manji
Overview
931(1)
The transfer
931(1)
Assessment and stabilization
931(1)
Medical considerations
932(1)
Accompanying personnel and equipment
933(4)
Special considerations
937(1)
Audit, education, and training
937(1)
Further reading
937(2)
The patient with neurological disease
939(10)
P. Hutton
Disorders of the central nervous system
939(5)
Peripheral nervous system disorders
944(1)
Neuromuscular junction disorders
945(2)
Disorders of muscles
947(1)
Infections
947(1)
Further reading
948(1)
The injured patient
949(8)
A.J. Sutcliffe
ATLS: resuscitation, assessment, investigation, and diagnosis
949(2)
Anaesthesia for the injured patient: general considerations
951(1)
Anaesthesia for specific types of injury
952(3)
Conclusion
955(1)
Further reading
956(1)
Consent, psychiatric disease, and drug abuse
957(12)
P. Hutton
G.M. Cooper
Consent
957(1)
Psychiatric disorders
958(2)
Psychiatric drugs
960(2)
Drug and substance abuse
962(3)
Alcohol dependence
965(2)
Further reading
967(2)
The patient with a transplanted organ
969(6)
G.M. Cooper
General features
969(1)
Features of individual transplanted organs
970(1)
Further reading
971(4)
Section 4 Special subjects: physiology and pharmacology
Properties of the endothelium
975(4)
D.G. Ririe
The role of the endothelium in anaesthesia
975(1)
Structural barrier
975(1)
Regulation of vascular tone
975(1)
Regulation of coagulation
976(1)
Inflammation
977(1)
Conclusion
977(1)
Further reading
977(2)
Adhesion molecules
979(4)
J.J. McCloskey
Cadherins
979(1)
Integrins
979(1)
Selectins
980(1)
Immunoglobulin superfamily
980(1)
Implications of cell adhesion molecules in anaesthesia
980(1)
Further reading
981(2)
G. proteins
983(4)
P.P. McCaslin
Further reading
985(2)
Cellular ageing
987(4)
D.M. Colonna
The cell cycle
987(1)
Telomeres and cellular ageing
987(1)
Mitochondria, the nucleolus, and cellular ageing
988(1)
Cellular ageing mechanisms and chronic disease
988(1)
Conclusion
989(1)
Further reading
989(2)
Nitric oxide and anaesthesia
991(4)
J.R. Tobin
Further reading
993(2)
Mechanisms of general anaesthesia
995(4)
S.J. Mihic
Further reading
997(2)
Thermoregulation during anaesthesia
999(4)
K. Leslie
Temperature regulation in unanaesthetized patients
999(1)
Temperature regulation in anaesthetized patients
999(1)
Heat balance in anaesthetized patients
999(1)
Prevention and treatment of hypothermia during anaesthesia
1000(1)
Conclusions
1000(1)
Further reading
1001(2)
Performing an arterial cannulation
1003(6)
L. Groban
J. Butterworth
Site
1003(1)
Components of pressure monitoring
1004(1)
Technique
1004(3)
Accuracy of the pressure measurement
1007(1)
Uses of the intra-arterial cannula
1007(1)
Further reading
1007(2)
Establishing central venous access
1009(4)
L. Groban
J. Butterworth
Central venous pressure waveform
1009(1)
Technique
1009(2)
Internal jugular vein
1011(1)
Subclavian vein
1011(1)
Further reading
1012(1)
Pulmonary artery catheter introduction and interpretation
1013(6)
L. Groban
J. Butterworth
Description of the PA catheter
1013(1)
Preparation
1014(1)
Flotation
1014(1)
Interpretation
1015(2)
Further reading
1017(2)
Methods of measuring cardiac output
1019(6)
M.H. Wall
Fick method
1019(1)
Dye dilution
1019(1)
Thermodilution
1019(1)
Continuous thermodilution
1020(1)
Doppler-derived cardiac output
1021(1)
Transoesophageal echocardiography
1022(1)
Bioimpedance
1022(1)
Pulse contour analysis or pulse waveform
1022(1)
Conclusion
1022(1)
Thermodilution
1022(1)
Further reading
1023(2)
Intraosseous access and infusion
1025(4)
M.L. Cannon
Complications and contraindications
1025(1)
Site selection and technique
1026(1)
Conclusion
1027(1)
Further reading
1027(2)
Diagnostic peritoneal lavage
1029(4)
J.S. Kelly
J.F. Butterworth
Procedure description
1029(1)
Discussion
1029(3)
Further reading
1032(1)
Antibiotics for surgical prophylaxis and infection
1033(4)
D.A. MacGregor
R.J. Sherertz
Timing of initial dose, and subsequent dosing schedule
1033(2)
Location and nature of the surgery
1035(1)
Hospital-specific considerations
1035(1)
Conclusions
1035(1)
Further reading
1035(2)
Enteral and parenteral nutrition
1037(8)
S. Nath
S.L. Hack
P.H. Roberts
T.H. Clutton-Brock
Normal nutritional requirements
1037(2)
Stress and starvation
1039(1)
Enteral nutrition
1040(1)
Parenteral nutrition
1041(2)
Current issues
1043(1)
Conclusions
1043(1)
Further reading
1044(1)
Carbon monoxide poisoning
1045(4)
M.A. Cannon
R.C. Prielipp
Diagnosis
1045(1)
Pathophysiology
1045(1)
Treatment
1046(1)
Further reading
1047(2)
Techniques and considerations in the diagnosis of cerebral death
1049(4)
K.D. Rorie
T.J. Jones
D.A. Stump
History
1049(1)
Diagnostic criteria
1050(1)
Conclusion
1050(1)
Further reading
1051(2)
Hazards of laparoscopy
1053(2)
T.N. Harwood
Further reading
1054(1)
Analgesia for labour
1055(6)
L.S. Dean
Non-pharmacological techniques
1055(1)
Inhalational analgesia
1055(1)
Systemic analgesia
1056(1)
Regional analgesia
1056(4)
Further reading
1060(1)
Safety precautions when using lasers
1061(6)
A.G. Pashayan
M.A. Polkinghorne
Further reading
1065(2)
Management in porphyria
1067(4)
S.Y. Dolinski
Pathophysiology
1067(1)
Clinical features
1068(1)
Diagnosis
1069(1)
Preoperative evaluation
1069(1)
Intraoperative management
1069(1)
Regional anaesthesia
1069(1)
Acute symptom management
1070(1)
Pseudoporphyria
1070(1)
Conclusion
1070(1)
Further reading
1070(1)
Index 1071