Objective Anaesthesia Review: A Comprehensive Textbook for the Examinees

549 Pages·2013·31.98 MB·English

by  Atul P. Kulkarni (ed.)

Objective
ANAESTHESIA
Review

Objective
ANAESTHESIA
Review
A Comprehensive Textbook for the Examinees
Third Edition
Editors
Atul P Kulkarni MD (Anaesthesiology)
Professor and Head, Division Critical Care
Department of Anaesthesiology, Critical Care and Pain
Tata Memorial Hospital
Mumbai, Maharashtra, India
JV Divatia MD (Anaesthesiology)
Professor and Head
Department of Anaesthesiology, Critical Care and Pain
Tata Memorial Hospital
Mumbai, Maharashtra, India
Vijaya P Patil MD (Anaesthesiology)
Professor
Department of Anaesthesiology, Critical Care and Pain
Tata Memorial Hospital
Mumbai, Maharashtra, India
RP Gehdoo MD (Anaesthesiology)
Professor
Department of Anaesthesiology, Critical Care and Pain
Tata Memorial Hospital
Mumbai, Maharashtra, India
Foreword
KS Sharma
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Objective Anaesthesia Review: A Comprehensive Textbook for the Examinees
First Edition: 2009
Second Edition: 2012
Third Edition: 2013
ISBN 978-93-5090-504-3
Printed at
Contributors
Agarwal Vandana MD (Anaesthesiology) FRCA Desai Madhavi MD (Anaesthesiology)
Associate Professor Assistant Professor
Department of Anaesthesiology, Department of Anaesthesiology,
Critical Care and Pain Critical Care and Pain
Tata Memorial Hospital Tata Memorial Hospital
Mumbai, Maharashtra, India Mumbai, Maharashtra, India
Ambulkar Reshma MD (Anaesthesiology) FRCA Divatia Jigeeshu MD (Anaesthesiology)
Associate Professor Professor and Head
Department of Anaesthesiology, Department of Anaesthesiology,
Critical Care and Pain Critical Care and Pain
Tata Memorial Hospital Tata Memorial Hospital
Mumbai, Maharashtra, India Mumbai, Maharashtra, India
Amin Nayana MD (Anaesthesiology) FRCA Doctor Jeson MD (Anaesthesiology)
Associate Professor Assistant Professor
Department of Anaesthesiology, Department of Anaesthesiology,
Critical Care and Pain Critical Care and Pain
Tata Memorial Hospital Tata Memorial Hospital
Mumbai, Maharashtra, India Mumbai, Maharashtra, India
Bakshi Sumitra MD (Anaesthesiology) Gehdoo Raghubir MD (Anaesthesiology)
Associate Professor Professor
Department of Anaesthesiology, Department of Anaesthesiology,
Critical Care and Pain Critical Care and Pain
Tata Memorial Hospital Tata Memorial Hospital
Mumbai, Maharashtra, India Mumbai, Maharashtra, India
Bhosale Shilpushp MD (Anaesthesiology) FRCA Jain Paramnand MD (Anaesthesiology)
Assistant Professor Professor
Department of Anaesthesiology, Department of Anaesthesiology,
Critical Care and Pain Critical Care and Pain
Tata Memorial Hospital Tata Memorial Hospital
Mumbai, Maharashtra, India Mumbai, Maharashtra, India
Chatterjee Aparna MD (Anaesthesiology) FRCA Joshi Malini MD (Anaesthesiology)
Professor Assistant Professor
Department of Anaesthesiology, Department of Anaesthesiology,
Critical Care and Pain Critical Care and Pain
Tata Memorial Hospital Tata Memorial Hospital
Mumbai, Maharashtra, India Mumbai, Maharashtra, India
vi Objective Anesthesia Review: A Comprehensive Textbook for the Examinees
Kothekar Amol MD (Anaesthesiology) Sareen Raman MD (Anaesthesiology)
Assistant Professor Professor Emeritus
Department of Anaesthesiology, Department of Anaesthesiology,
Critical Care and Pain Critical Care and Pain
Tata Memorial Hospital Tata Memorial Hospital
Mumbai, Maharashtra, India Mumbai, Maharashtra, India
Kulkarni Atul MD (Anaesthesiology) Sharma Kailash MD (Anaesthesiology)
Professor and Head Director (Academics)
Division of Critical Care Tata Memorial Center and Professor
Department of Anaesthesiology, Department of Anaesthesiology,
Critical Care and Pain Critical Care and Pain
Tata Memorial Hospital Tata Memorial Hospital
Mumbai, Maharashtra, India Mumbai, Maharashtra, India
Myatra Sheila MD (Anaesthesiology) Shetmahajan Madhavi MD (Anaesthesiology) FRCA
Associate Professor Associate Professor
Department of Anaesthesiology, Department of Anaesthesiology,
Critical Care and Pain Critical Care and Pain
Tata Memorial Hospital Tata Memorial Hospital
Mumbai, Maharashtra, India Mumbai, Maharashtra, India
Patil Vijaya MD (Anaesthesiology) Trivedi Bhakti MD (Anaesthesiology)
Professor Assistant Professor
Department of Anaesthesiology, Department of Anaesthesiology,
Critical Care and Pain Critical Care and Pain
Tata Memorial Hospital Tata Memorial Hospital
Mumbai, Maharashtra, India Mumbai, Maharashtra, India
Ranganathan Priya MD (Anaesthesiology)
Associate Professor
Department of Anaesthesiology,
Critical Care and Pain
Tata Memorial Hospital
Mumbai, Maharashtra, India
Foreword
The Tata Memorial Center has been in the forefront of educational activities and boasts of good record
in holding continuing medical education programs in many branches of medicine. The Department of
Anaesthesiology, Critical Care and Pain has been conducting the Anaesthesia Review Course, a popular
widely appreciated, continuing medical education (CME) for anaesthesia postgraduate students about
to undertake their final examination.
Objective Anaesthesia Review: A Comprehensive Textbook for the Examinees was first published in 2009
with financial support from the Tata Memorial Center. The book became instantly popular and has been
appreciated for the help it gives the examinees at a critical juncture in their career. The question-answer
format of the book is easy-to-follow. The equipment and table viva topics are thoroughly discussed as well.
I am sure that by partnering with M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, the department has
made sure of wider availability of the book across the country.
I wish both the book and the exam-going students a great success.
KS Sharma
Director (Academics)
Tata Memorial Center
Mumbai, Maharashtra, India

Preface
Objective Anaesthesia Review: A Comprehensive Textbook for the Examinees is a culmination of an idea born 9 years ago. We
felt that there was no systematic, condensed yet comprehensive teaching program for the anaesthesia postgraduate about
to face the examination. Individual departments conduct their own teaching activity, but these are of varying standards,
often sporadic, and spaced out through the three years of curriculum. The art and science of anaesthesia is so dependent
on technology that a large part of the practical examination focuses on evaluating the examinee’s knowledge of equipment.
We anaesthesiologists heed the past, as many of today’s standards in safety are achieved slowly over ages from equipment
of earlier generations. Again, this plethora of equipment, particularly the old ones, may not be available in all institutes.
The examinee, therefore, needed a thorough brushing up; in a short span of time; of the clinical cases and equipment and
technology.
To fill this lacuna, the first Anaesthesia Review Course was held in 2004 by Department of Anaesthesiology, Critical Care
and Pain, Tata Memorial Hospital, Mumbai, Maharashtra, India. This course consisted of interactive case discussions with
experienced teachers and hands-on workshops. The course was appreciated for pattern and content by the postgraduates
and the faculty alike and it was deemed to be a resounding success. With the first course came the first workbook, this
contained the cases written up by the faculty. The Anaesthesia Review Course has been held annually since then and every
year there has been a workbook. However, there were several problems. Since we could only discuss only a few cases every
year, each year’s workbook contained only some cases. So the students had to obtain and go through multiple workbooks.
The previous books were scarce, being printed in limited numbers. The equipment and other photographs were not great,
being black and white and reproduced using offset print and photocopying. Many such and more complaints came from
the anaesthesia postgraduates attending the course.
The idea thus germinated for this book. Why not write a book which shall contain all the cases and the entire range of
anaesthesia equipment, and table viva topics such as ABGs, ECGs, PFTs, etc. normally encountered in the examination? This
book, therefore, contains all these and more. There are color plates for the old as well as new equipment, which may not be
available to all postgraduates.
All our colleagues worked hard for the first edition of the textbook, everybody contributing. Publishing books can be
expensive however and we could not have published the first edition without the encouragement and sanction of funds
by Dr RA Badwe, Director, Tata Memorial Center. Dr Raman Sareen, the head of our department then and Dr Sharma also
encouraged us. Since then, we have published one reprint and second edition of this book. The problem with privately
publishing books is the lack of wide availability. Last year M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India,
approached us for publication of the next edition of the book. You will find many of the chapters completely revamped. We
have new chapters on Management of Acute Postoperative Pain and Videolaryngoscopes, something we will increasingly
see being used in our operating rooms.
All our colleagues in the department worked hard and they have also often spared us from our clinical duties so we could
work on the book and our sincere thanks to all of them. Mr Ramesh from M/s Jaypee Brothers Medical Publishers (P) Ltd,
Mumbai Branch, has been remarkably patient with us, and we also thank him for a job well done. Our families have been
particularly supportive while we labored for the sake of the book.
It is our heartfelt hope that the examinee really benefits from this book, and we wait eagerly for the feedback from those
true and sincere critics, and the exam-going students. We welcome any suggestions and constructive criticism. It will only
make the next edition better!
Atul P Kulkarni
JV Divatia
Vijaya P Patil
RP Gehdoo