Table Of ContentAnaesthesiology: Churchill’s Ready Reference
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Anaesthesiology
Churchill’s Ready Reference
Edited by
Michael (Monty) Mythen MBBS FRCA MD
Smiths Medical Professor of Anaesthesia and Critical Care, University College London,
London, UK
Edward Burdett MBBS MA MRCP FRCA
Specialist Registrar, Anaesthesia, University College Hospital, London, UK
Robert CM Stephens BA MBBS FRCA
Consultant in Anaesthesia, University College London Hospitals and Research Training
Fellow in Anaesthesia, Portex Unit, Institute of Child Health, London, UK
David A Walker BM MRCP FRCA
ConsultantinCriticalCareMedicineandAnaesthesia,UniversityCollegeLondonHospitals,
London,UK
Edinburgh London New York Oxford Philadelphia St Louis Sydney Toronto 2010
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Firstpublished2010
ISBN978-0-08-045137-4
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Notice
Knowledgeandbestpracticeinthisfieldareconstantlychanging.Asnewresearchand
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ontheirownexperienceandknowledgeofthepatient,tomakediagnoses,todetermine
dosagesandthebesttreatmentforeachindividualpatient,andtotakeallappropriatesafety
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Contents
Preface vii
Contributors ix
Topic 1 The airway 1
Edward Burdett, Anil Patel
Topic 2 Respiratory system 8
EdwardBurdett,RobertStephens,DavidWalker
Topic 3 Cardiovascular system 37
Kate von Klemperer, David Walker
Topic 4 Central nervous system 58
Caroline Pritchard, Yogi Amin
Topic 5 Peripheral nervous system 87
Caroline Pritchard, Yogi Amin
Topic 6 Renal, metabolic and endocrine
systems 96
Ramani Moonesinghe
Topic 7 Haematology and coagulation 130
Clare Melikian, Sue Mallett
Topic 8 The labour ward 153
Ruairi Moulding, Roshan Fernando
Topic 9 Intensive care 165
Subodh Tote, Murali Thavasothy
Topic 10 Therapeutic drug monitoring 179
Nicola Hill, Rob Shulman
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Preface
The way we manage patients is influenced by the data we receive from
investigations; a thorough understanding of the significance of this data is
essential.Anaesthetistsareuniqueinthattheyinteractwithalmostallhospital
specialties,andmust therefore have aworking knowledgeofabroad rangeof
investigations.
This book aids the anaesthetist in the correct interpretation of data, and
therefore helps in the rational decision-making that is essential to successful
outcomes, by giving a brief and practical overview of the many tests that the
anaesthetist will come across. The level of detail has been carefully
considered, so that only the most pertinent points are given. The book also
details the limitations and complications of tests, so that unnecessary
investigationsandconsequentpatientanxietyandmorbiditymaybeminimized.
Datafromtheinvestigationsinthisbookarenotlistedexhaustively–ratherthe
entryearns aplaceifithasrelevancetotheanaesthetistortheintensive care
physician. The book also outlines the physical and physiological principles
behindthe tests, as well as providing astructure toguide further investigation
if necessary.
This book will be useful for all those with an interest in anaesthesia and
intensivecaremedicine;itwillhelpanaesthetistsofalllevels,especiallythose
preparing for postgraduate examinations.
Professor MG Mythen
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Contributors
Yogi Amin BSc MBChB FRCA
ConsultantinNeuroAnaesthesiaandNeuroCriticalCare,TheNationalHospitalofNeurologyand
Neurosurgery,LondonandHonorarySeniorLecturer,InstituteofNeurologyandUniversityCollege
London,UK
Edward Burdett MBBS MA MRCP FRCA
Specialist Registrar,Anaesthesia, University CollegeHospital,London,UK
Roshan Fernando MBChB FRCA
ConsultantAnaesthetist&HonorarySeniorLecturer,DepartmentofAnaesthesia,UniversityCollege
LondonHospitals,London,UK
Nicola Hill BPharm MRPharmS Clin Dip MSc Pharm Prac
Divisional Pharmacist,WomenandChildren’s PharmacyDepartment, QueenAlexandraHospital
PortsmouthNHSTrust,Portsmouth,UK
Sue Mallett MBBS FRCA
ConsultantAnaesthetist, RoyalFreeHospital,London,UK
Clare Melikian MBBS MRCP FRCA
ConsultantAnaesthesist, AnaestheticDepartment,RoyalFreeHospital, London,UK
S Ramani Moonesinghe BSc MBBS MRCP FRCA
Consultant,AnaestheticsandIntensiveCare, DepartmentofAnaesthetics, UniversityCollege
LondonHospitals,London,UK
Ruairi Moulding BSc MBBS FRCA
VisitingInstructor,Department ofAnesthesiology, UniversityofMichigan,USA
Specialist Registrar,Anaesthesia, University CollegeHospital,London,UK
Michael (Monty) Mythen MBBS FRCA MD
SmithsMedicalProfessorofAnaesthesiaandCriticalCare,University CollegeLondon,
LondonBiomedical ResearchUnit, London,UK
Anil Patel FRCA
ConsultantAnaesthetist, RoyalNationalThroat,Nose andEarHospital, London,UK
