By Alan R. Aitkenhead BSc MD FRCA, Jonathan Thompson, David J. Rowbotham MD MRCP FRCA, Iain Moppett
2014 BMA scientific publication Awards 1st Prize Award Winner in Anaesthesia type!
Smith and Aitkenhead’s Textbook of Anaesthesia has turn into the booklet of selection for the trainee anaesthetist and is key examining for applicants for the Fellowship of the Royal university of Anaesthetists and related examinations. it's also a hugely relied on, functional consultant for all anaesthetists and different wellbeing and fitness care pros interested in the perioperative period.
Building on earlier around the world luck, this 6th version has been completely up to date and reorganised to mirror present anaesthetic perform and the fundamental sciences that without delay underpin it. The inclusion of a number of new chapters maintains to make sure entire insurance of key and evolving components and new, skilled authors additionally upload a clean point of view to this variation. For the 1st time, Smith & Aitkenhead’s Textbook of Anaesthesia comes with complementary entry to the whole contents on-line at expertconsult.com, making it extra versatile and straightforward to take advantage of than ever ahead of.
- Clear and concise assurance of the whole variety of contemporary scientific practice
- from anaesthetic apparatus and pre-operative overview via to post-operative care, neighborhood anaesthesia, anaesthesia for person specialties, extensive care and the administration of persistent soreness.
- New chapters on resuscitation; administration of the tricky airway; administration of the high-risk sufferer; anaesthetic issues in transplant sufferers; consent and knowledge; defense and caliber development and schooling and training
- Clinically appropriate simple sciences built-in throughout
- together with the foundations of pharmacology, anaesthetic brokers and physics for the anaesthetist
- Take it with you wherever – rapid entry to the total digital textual content, downloadable snapshot library and extra at expertconsult.com
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Extra info for Smith and Aitkenhead's textbook of anaesthesia
It is non-flammable. 5 kPa (664 mmHg) at 20 °C and therefore it cannot be used in a standard vaporizer. A special vaporizer (the TEC-6) has been developed which requires a source of electric power to heat and pressurize it. The MAC of desflurane is approximately 6% in oxygen (3% in 60% nitrous oxide). As with all volatile agents, its MAC is higher in children (9–10% in the neonate in oxygen, 7% in 60% nitrous oxide). It has an ethereal and pungent odour. 42, almost the same as that of nitrous oxide.
A history of unexplained jaundice or pyrexia after previous exposure to halothane is an absolute contraindication to its future use in that patient. The incidence of halothane hepatotoxicity in paediatric practice is extremely low, although there have been case reports in children. Nevertheless, halothane is still used in paediatric anaesthesia In summary, halothane is a useful inhalational anaesthetic agent. Its main advantages are: smooth induction stimulation of salivary and bronchial secretions bronchodilatation.
Thus, in compliant spaces, such as the bowel lumen or the pleural or peritoneal cavities, there is an increase in volume of the space. g. sinuses, middle ear) there is an increase in pressure. In the middle ear, this may cause problems with surgery on the tympanic membrane. When nitrous oxide is administered in a concentration of 75%, the volume of a cavity may increase to as much as three to four times the original volume within 30 min. If an air embolus occurs in a patient who is breathing nitrous oxide, equilibration with the gas bubble leads to expansion of the embolus within seconds; the volume of the embolus may double within a very short period of time.