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Ian Johnston - AAGBI Core Topics in Anaesthesia 2012

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Based on the Association of Anesthetists of Great Britain and Irelands (AAGBI) continuing education lecture series, this clinical-oriented book covers the latest developments in research and the clinical application to anesthesia and pain control.

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AAGBI Core Topics in Anaesthesia This edition first published 2012 The - photo 1

AAGBI Core Topics in Anaesthesia

This edition first published 2012 The Association of Anaesthetists of Great - photo 2

This edition first published 2012 The Association of Anaesthetists of Great Britain and Ireland (AAGBI)

Wiley-Blackwell is an imprint of John Wiley & Sons, formed by the merger of Wileys global Scientific, Technical and Medical business with Blackwell Publishing.

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The right of the author to be identified as the author of this work has been asserted in accordance with the UK Copyright, Designs and Patents Act 1988.

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher.

Designations used by companies to distinguish their products are often claimed as trademarks. All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this book. This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold on the understanding that the publisher is not engaged in rendering professional services. If professional advice or other expert assistance is required, the services of a competent professional should be sought.

The contents of this work are intended to further general scientific research, understanding, and discussion only and are not intended and should not be relied upon as recommending or promoting a specific method, diagnosis, or treatment by physicians for any particular patient. The publisher and the author make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation any implied warranties of fitness for a particular purpose. In view of ongoing research, equipment modifications, changes in governmental regulations, and the constant flow of information relating to the use of medicines, equipment, and devices, the reader is urged to review and evaluate the information provided in the package insert or instructions for each medicine, equipment, or device for, among other things, any changes in the instructions or indication of usage and for added warnings and precautions. Readers should consult with a specialist where appropriate. The fact that an organisation or Website is referred to in this work as a citation and/or a potential source of further information does not mean that the author or the publisher endorses the information the organisation or Website may provide or recommendations it may make. Further, readers should be aware that Internet Websites listed in this work may have changed or disappeared between when this work was written and when it is read. No warranty may be created or extended by any promotional statements for this work. Neither the publisher nor the author shall be liable for any damages arising herefrom.

Library of Congress Cataloging-in-Publication Data

AAGBI core topics / edited by Ian G. Johnston, William Harrop-Griffiths, Leslie Gemmell.
p. cm.
Association of Anaesthetists of Great Britain and Ireland core topics
Core topics
Includes bibliographical references and index.

ISBN-13: 978-0-470-65862-8 (pbk. : alk. paper)
ISBN-10: 0-470-65862-2 (pbk. : alk. paper)
1. Anesthesia. 2. Surgery, Operative. 3. Operations, Surgical. I. Johnston, Ian G.
II. Harrop-Griffiths, William. III. Gemmell, Leslie. IV. Association of Anaesthetists of Great Britain
and Ireland. V. Title: Association of Anaesthetists of Great Britain and Ireland core topics. VI. Title: Core topics.
[DNLM: 1. Anesthesiamethods. 2. Anesthesiacontraindications. 3. Surgical Procedures,
Operative. WO 200]
RD81.A23 2012
617.96dc23

2011024801

A catalogue record for this book is available from the British Library.

List of Contributors

Graham Arthurs

Wrexham Maelor Hospital

Wrexham, UK

Nick Boyd

Derriford Hospital

Plymouth, UK

Ian Calder

The National Hospital for Neurology
and Neurosurgery

London, UK

Leslie Gemmell

Wrexham Maelor Hospital

Wrexham, UK

Alex Grice

Royal Devon and Exeter NHS
Foundation Trust
Exeter, UK

Richard Griffiths

Peterborough City Hospital

Peterborough, UK

Ed Hammond

Royal Devon and Exeter NHS
Foundation Trust
Exeter, UK

William Harrop-Griffiths

Imperial College Healthcare NHS Trust

London, UK

Ian Johnston

Raigmore Hospital

Inverness, UK

Michelle Leemans

The National Hospital for Neurology
and Neurosurgery
London, UK

Stephen Leslie

Raigmore Hospital

Inverness, UK

David Levy

Nottingham University Hospitals
NHS Trust
Queens Medical Centre Campus
Nottingham, UK

Andrew McIndoe

University Hospitals Bristol NHS
Foundation Trust

Bristol, UK

Simon Marshall

Musgrove Park Hospital

Taunton, UK

Colin Moore

Royal Infirmary of Edinburgh

Edinburgh, UK

Christopher Newell

University Hospitals Bristol NHS
Foundation Trust

Bristol, UK

Carol Peden

Royal United Hospital

Bath, UK

Mansukh Popat

Oxford Radcliffe Hospital
NHS Trust
Oxford, UK

Stuart White

Brighton and Sussex University Healthcare
NHS Trust
Brighton, UK

Glyn Williams

Great Ormond Street Hospital for Children
NHS Trust
London, UK

Foreword

Iain Wilson, President of AAGBI

The Association of Anaesthetists of Great Britain and Ireland has worked tirelessly since 1932 to promote and advance patient safety by offering anaesthetists the educational materials they need to support safe and effective practice. Until recently, most of our educational output took the form of the journal Anaesthesia, Seminars at 21 Portland Place, London, and meetings such as WSM London and the Annual Congress. However, times change and the AAGBI is well placed to adapt to changing times and the changing needs of its members. The development of the appraisal process, the start of Revalidation and the introduction of the CPD Matrix have all changed the way that Consultant Anaesthetists and Specialty Doctors need to structure and record their learning and continuous professional development.

Two years ago, we started a highly successful series of Core Topics Meetings that are held in towns and cities throughout the UK and Ireland. Our new website will give us opportunities to develop and deliver online education, and the Tutorial of the Week developed in collaboration with the World Federation of Societies of Anaesthesiologists is already available in pdf format from www.aagbi.org. This Core Topics book is another way in which we are offering the very best of educational material free of charge to our members. We have asked acknowledged experts to write concise and informative articles on topics that really are core to the safe delivery of patient care: difficult airways, pain management, hip fractures and obstetric haemorrhage to mention but four.

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