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This book provides a detailed, stepwise approach to performing ultrasound guided regional anesthesia, identifying pearls and pitfalls to ensure success. Basic principles are covered, followed by techniques for upper extremity, lower extremity, and chest, trunk and spine nerve blocks. Each nerve block is comprehensively explained, divided up by introduction, anatomy, clinical applications, technique, alternate techniques, complications, and pearls.
In recent years our understanding of molecular mechanisms of drug action and interindividual variability in drug response has grown enormously. Meanwhile, the practice of anesthesiology has expanded to the preoperative environment and numerous locations outside the OR. Anesthetic Pharmacology: Basic Principles and Clinical Practice, 2nd edition, is an outstanding therapeutic resource in anesthesia and critical care: Section 1 introduces the principles of drug action, Section 2 presents the molecular, cellular and integrated physiology of the target organ/functional system and Section 3 reviews the pharmacology and toxicology of anesthetic drugs. The new Section 4, Therapeutics of Clinical Practice, provides integrated and comparative pharmacology and the practical application of drugs in daily clinical practice. Edited by three highly acclaimed academic anesthetic pharmacologists, with contributions from an international team of experts, and illustrated in full colour, this is a sophisticated, user-friendly resource for all practitioners providing care in the perioperative period.
Regional anesthesia and acute pain medicine can add significant non-monetary value to a surgical practice and healthcare system in terms of pain relief, reduced incidence of anesthetic- and opioid-related side effects, and faster recovery. Advances in ultrasonic-guided regional anesthesia and analgesia have given clinicians the opportunity to apply new approaches to easily block peripheral nerves. As a result, improvements in outcomes such as analgesia quality, early rehabilitation and patient satisfaction were noted. The use of ultrasound results in faster sensory blocking, shorter performance time, fewer vascular punctures and needle passages. The practice of regional anesthesia has rapidly progressed in recent years with the application of ultrasound which has resulted in a significant improvement in nervous block quality and patient satisfaction. Regional anesthesia has always had a role to play in minimizing peri-operative opioid requirements, but it should no longer be seen as merely an alternative to general anesthesia, rather a complement to an overall multimodal anesthetic strategy.
Ultrasound technology is enabling anesthesiologists to perform regional anesthetic procedures with greater confidence in accuracy and precision. With improvements in visualizing neural anatomy and needle movement, ultrasound guidance improves patient safety and operating room efficiency. This book offers a detailed, stepwise approach to this technique, identifying pearls and pitfalls to ensure success. Chapters are organized into four sections. The first section provides the basic principles behind ultrasound guided regional anesthesia, setting a strong context for the rest of the book. The last three cover the nerve blocks: upper limb, lower limb, and trunk and spine. Each nerve block is comprehensively explained, divided up by introduction, anatomy, clinical applications, technique, alternate techniques, complications, and pearls. This book provides authoritative, in-depth coverage of ultrasound guided regional anesthesia for the anesthesiologist beginning to use ultrasound and makes a great reference for the more seasoned.
Advances in Anesthesia 2011
Because every single one of us will die, most of us would like to know what—if anything—awaits us afterward, not to mention the fate of lost loved ones. Given the nearly universal vested interest in deciding this question in favor of an afterlife, it is no surprise that the vast majority of books on the topic affirm the reality of life after death without a backward glance. But the evidence of our senses and the ever-gaining strength of scientific evidence strongly suggest otherwise. In The Myth of an Afterlife: The Case against Life after Death, Michael Martin and Keith Augustine collect a series of contributions that redress this imbalance in the literature by providing a strong, compr...
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Nuestras creencias sobre lo que ocurre cuando morimos definen cómo vivimos hoy. Cada vez hay más gente que descubre una verdad radical: cuando nos liberamos del miedo a la muerte, nos abrimos a una vida inmensamente más rica, aquí y ahora. ¿Cómo incorporamos esta profunda percepción a nuestras vidas diarias? En La muerte hace posible la vida, la doctora Marilyn Schlitz presenta abundantes enseñanzas y guías prácticas para transformar este tema tabú en una fuente de paz, esperanza, vínculo y compasión.
An evidence-based board review book, organized according to the ABA keyword list, with concise discussion and clinical review questions and answers.
The Essence of Analgesia and Analgesics is an invaluable practical resource for clinicians giving pain relief in any clinical setting, describing the pharmacologic principles and clinical use of all available pain medications. As well as detailed overviews of pain processing and analgesic theory, sections are dedicated to oral and panteral opioid analgesics, neuraxial opioids, NSAIDs, local anesthetics, anticonvulsant type analgesics, NMDA antagonists, alpha adrenergic analgesics, antidepressant analgesics, muscle relaxants, adjuvant medications, and new and emerging analgesics. The concise format of the chapters allows for quick and easy reading and assimilation of information. Enhanced by summary tables and figures, each chapter provides an overview of a particular drug, covering chemical structure, mode of activity, indications, contraindications, common doses and uses, advantages and disadvantages, and drug related adverse events. Key references are also provided. Edited by leading experts in pain management, this is essential reading for any clinician involved in pain management.