Showing posts with label anesthesiology. Show all posts
Showing posts with label anesthesiology. Show all posts

7/09/2012

Anesthesiologist's Manual of Surgical Procedures Review

Anesthesiologist's Manual of Surgical Procedures
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Having been in practice for the last 25 years, I have seen a few of the procedures described in this book. (And then some.) Now teaching at the university level, I try to find textbooks that embody what the cover suggests. As for Jaffe's book: the accuracy is fair, but the way in which it is written is rather insulting to the anesthesiologist's intelligence. This book puts the emphasis on the surgeon's role and viewpoint as being paramount. There is a noticable lack of patient safety and comfort that is considered. This is, after all, why we are there. For documentation of specific surgical protocol, this is a reasonable text. For actual practice, there are better sources of information. Most who have been through residency know the ones I mean. Either change the name to "Surgical Procedures from the Surgeon's Point of View" or add information that would provide insight thus allowing the anesthesia practitioner to tailor their anesthetic to enhance the patient's overall surgical/anesthetic experience.

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Completely updated, and now in full color, this practical reference is a comprehensive guide to the anesthetic and perioperative management of patients during all procedures performed by general and subspecialist surgeons. The book explains each procedure from both the surgeon's and the anesthesiologist's perspective, presents details on anesthetic technique, and guides the anesthesiologist and surgeon through the decisions that must be made before, during, and after surgery. Emphasis is on factors that impact the anesthesiologist, including patient positioning, duration of surgery, and complications. The Fourth Edition covers almost 40 new surgical procedures, with an increased focus on laparoscopic and endovascular procedures.
A companion Website will offer the fully searchable text and an image bank.

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6/26/2012

Clinical Anesthesia (Clinical Anesthesia (Barash)) Review

Clinical Anesthesia (Clinical Anesthesia (Barash))
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In Anesthesiology they say you are either a "Barash Person" or a "Miller Person." It is my personal opinion that Barash does probably the best job at providing content that is relevant and devoid of minutia. All sections contain material that is optimal for reading and assimilation. The text is large, yet it is far from dry. I highly recommend this as "The" backbone text for Anesthesiology!

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The premier single-volume reference in the field of anesthesia, Clinical Anesthesia is now in its Sixth Edition, with thoroughly updated coverage, a new full-color design, and a revamped art program featuring 880 full-color illustrations. More than 80 leading experts cover every aspect of contemporary perioperative medicine in one comprehensive, clinically focused, clear, concise, and accessible volume. Two new editors, Michael Cahalan, MD and M. Christine Stock, MD, join Drs. Barash, Cullen, and Stoelting for this edition.
A companion Website will offer the fully searchable text, plus access to enhanced podcasts that can be viewed on your desktop or downloaded to most Apple and BlackBerry devices.

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3/03/2012

From Craft to Specialty: A Medical and Social History of Anesthesia and Its Changing Role in Health Care Review

From Craft to Specialty: A Medical and Social History of Anesthesia and Its Changing Role in Health Care
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Dr. Shephard has done something unique. He has encapsulated the huge, complex history of anesthesia into 329 pages of text. Not only has he looked at and revealed to us the long and sometimes tortured path of pain relief, particularly the agonizing pain of surgery, but he has done so in a completely captivating manner.
He looks at the social, religious and psychological history of the very idea of relieving human pain but then gets down to the nitty-gritty of the people, the drugs and the equipment needed. There have been a large number of books about small areas of the growth of anesthesia as a specialty central to the whole of acute medicine; for example Morton's courageous demonstration of the utility of ether to render the patient unaware even during the most invasive and long-lasting surgeries has been the central drama in many books and at least one movie.
But the story is so much larger and more complex. Dr. Shephard brilliantly pulls it all together in a completely absorbing narrative and brings the personalities and drives of our founders to vivid life. It is an entrancing read that goes from early human history to the present day - something no previous author has succeeded in doing successfully. He brings the reader right up to date in understanding why we now have so many sub-specialties such as anesthesia for tiny babies, for sick elderly people with very bad hearts or long and complicated brain operations during which the surgeon needs . albeit briefly - to talk with the patient.
He reveals how anesthesia has gone from a completely empirical drop-the- chloroform on a rag (and not understanding at all what was happening to the patient) to our present situation where we know from moment to moment how the patient's every organ is working.
He writes beautiful clear English illuminated by vignette-biographies of the great names in the specialty.
A young anesthesiologist reading this book will understand where he or she stands in this remarkable history and in so doing will be aided in improving the future care and safety of our patients.
In my opinion this will become the standard history of anesthesia for the foreseeable future.

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From Craft to Specialty is a medical and social history of surgical anesthesia, from long before the advent of 'modem' clinical anesthesia in 1846 to the present day. It emphasizes the fact that, over the past century and a half, anesthesia has progressed from being a craft based on empirical knowledge, to a discipline in which a scientific approach began to shape its practice, and, finally, in the 1930s,to become a medical specialty that encompassed research and formal education and certification of practitioners as well as practice. Two other aspects of change in anesthesia are stressed in this comprehensive history. One concerns the change in the nature and scope of anesthesia. Today, anesthesiologists work not only in the technically sophisticated environment of operating rooms but also elsewhere, specializing in the management of pain due to various causes, participating in intensive care of the critically ill, and involving themselves also in the resuscitation of victims of sudden collapse. The second aspect of change follows on the first, for the diversity of the practice of anesthesiology is such that it now plays an increasingly important part in health care.

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