Fundamentals of Anesthesia

1254 Pages·1999·33.2 MB·English

by  C. Pinnock

Fundamentals of Anaesthesia

Edited by
Colin Pinnock

Ted Lin
Tim Smith

Associate Editor

Robert Jones
© 1999
Greenwich Medical Media Ltd.

137 Euston Road
London
NW1 2AA

ISBN 1 900151618

First Published 1999

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neither the authors nor the publisher can accept any legal responsibility or liability for
any loss or damage arising from actions or decisions based in this book. The ultimate
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practitioner. The opinions expressed are those of the authors and the inclusion in this
book relating to a particular product, method or technique does not amount to an

endorsement of its value or quality, or of the claims made of it by its manufacture.
Every effort has been made to check drug dosages; however, it is still possible that
errors have occurred. Furthermore, dosage schedules are constantly being revised and
new side effects recognised. For these reasons, the medical practitioner is strongly
urged to consult the drug companies' printed instructions before administering any of
the drugs recommended in this book.
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The right of Colin Pinnock, Ted Lin and Tim Smith to be identified as editors of this

work has been asserted by them in accordance with the Copyright, Designs and Patents
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The publisher makes no representation, express or implied, with regard to the accuracy

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This book is dedicated to Samuel and Edd
PREFACE
The advent of a syllabus for the FRCA examination, itself a requirement of the STA, seemed to me to provide
an ideal opportunity for a dedicated revision textbook. It will therefore be of no surprise to readers that this
volume mirrors closely the syllabus for the primary FRCA in both structure and content.
Having enlisted the willing help of my two co-editors, Tim Smith and Ted Lin, we set about recruiting authors
to contribute. Chapter authors have been chosen for their ability and known prowess as teachers and a deliberate
policy of not inviting `usual' contributions from frequently seen names was taken. Having said that, several
primary examiners appear as contributors and within each chapter coverage of revision topics has been kept as
appropriate to the examination as possible.
To reduce the variability that is the bane of multi author texts I have personally edited every chapter to ensure
consistency of style and it is a reflection of the workload involved that it has taken three years to complete this
project. I am grateful to all contributing authors for their tolerance and good humour during alteration of their
golden prose.
Whilst no single book can cover the entire syllabus as a `one stop' aid, the majority of material covered in the
examination is detailed within these pages. Some items lately included in the syllabus, after completion of the
manuscript, will be added in future editions (such as the anatomy pertaining to ankle block). Candidates will,
however, be well served if this book is used as a general basis for revision.
I am extremely grateful to Rob Jones who has been responsible for generating virtually all the artwork within
this text, the few other diagrams being credited to their sources.
Thanks are also due to both my co-editors for their extensive work and dedication. If this volume enables any
candidate to pass the primary examination, who would not have done so otherwise, then our job will have been
well done.
C A PINNOCK
JULY 1999
SECTION EDITORS
Section 1: Clinical Anaesthesia
C A Pinnock and R P Jones
Section 2: Physiology
E S Lin and C A Pinnock
Section 3: Pharmacology
C A Pinnock and T C Smith
Section 4: Physics and Clinical Measurement
E S Lin and T C Smith
CONTRIBUTORS
Dr B L Appadu
Consultant Anaesthetist
Leicester Royal Infirmary
Leicester
Dr I T Campbell
Senior Lecturer in Anaesthesia
University of Manchester
Dr G Cavill
Consultant Anaesthetist
Wansbeck General Hospital
Northumberland
Dr D R Duthie
Consultant Anaesthetist
Glenfield Hospital
Leicester
Dr H B J Fischer
Consultant Anaesthetist
Alexandra Hospital
Redditch
Dr G C Fisher
Consultant Anaesthetist
Russells Hall Hospital
Dudley
Dr S Graham
Consultant Anaesthetist
Royal Victoria Infirmary
Newcastle upon Tyne
Dr D Green
Specialist Registrar
Queen Elizabeth Hospital
Birmingham
Dr R M Haden
Consultant Anaesthetist
Alexandra Hospital
Redditch
Dr C D Hanning
Consultant Anaesthetist
Leicester Royal Infirmary
Leicester
Dr M Horsefield
Lecturer in Physics
Leicester Royal Infirmary
Leicester
Dr M J Jones
Consultant Anaesthetist
Glenfield Hospital
Leicester
Dr R P Jones
Staff Grade Anaesthetist
Alexandra Hospital
Redditch
Dr K E Lewis
Consultant Anaesthetist
Princess of Wales Hospital
Bridgend
West Glamorgan
Dr E S Lin
Consultant Anaesthetist
Glenfield Hospital
Leicester
Dr D Liu
Consultant Anaesthetist
Bedford Hospital
Bedford
Dr C J Lote
Senior Lecturer
University of Birmingham
Birmingham
Dr M C Mushambi
Consultant Anaesthetist
Leicester Royal Infirmary
Leicester
Dr J R Neilson
Consultant in Haematology
Russell Hall Hospital
Dudley
Dr J P Nolan
Consultant Anaesthetist
Royal United Hospital
Bath