McCormack Jon - Oxford Case Histories in Anaesthesia

Oxford Case Histories in Anaesthesia

Oxford Case Histories

Series Editors:

Sarah Pendlebury and Peter Rothwell

Published:

Neurological Case Histories (Sarah Pendlebury, Philip Anslow, and Peter Rothwell)

Oxford Case Histories in Cardiology (Rajkumar Rajendram, Javed Ehtisham, and Colin Forfar)

Oxford Case Histories in Gastroenterology and Hepatology (Alissa Walsh, Otto Buchel, Jane Collier, and Simon Travis)

Oxford Case Histories in Respiratory Medicine (John Stradling, Andrew Stanton, Najib Rahman, Annabel Nickol, and Helen Davies)

Oxford Case Histories in Rheumatology (Joel David, Anne Miller, Anushka Soni, and Lyn Williamson)

Oxford Case Histories in TIA and Stroke (Sarah Pendlebury, Ursula Schulz, Aneil Malhotra, and Peter Rothwell)

Oxford Case Histories in Neurosurgery (Harutomo Hasegawa, Matthew Crocker, and Pawan Singh Minhas)

Oxford Case Histories in Oncology (Thankamma Ajithkumar, Adrian Harnett, and Tom Roques)

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Library of Congress Control Number: 2014936673

ISBN 9780191014932

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Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up-to-date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breast-feeding

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A note from the series editors

Case histories have always had an important role in medical education, but most published material has been directed at undergraduates or residents. The Oxford Case Histories series aims to provide more complex case-based learning for clinicians in specialist training and consultants, with a view to aiding preparation for entry- and exit-level specialty examinations or revalidation.

Each case book follows the same format with approximately 50 cases, each comprising a brief clinical history and investigations, followed by questions on differential diagnosis and management, and detailed answers with discussion.

At the end of each book, cases are listed by mode of presentation, aetiology, and diagnosis. We are grateful to our colleagues in the various medical specialties for their enthusiasm and hard work in making the series possible.

Sarah Pendlebury and Peter Rothwell

From reviews of other books in the series:

Neurological Case Histories

contains 51 cases that cover the spectrum of acute neurology and the neurology of general medicinethis breadth makes the volume unique and provides a formidable challenge it is a heavy-duty diagnostic series of cases, and readers have to work hard, to recognise the diagnosis and answer the questions that are posed for each case I recommend this excellent volume highly

Lancet Neurology

This short and well-written text is designed to enhance the readers diagnostic ability and clinical understanding A well-documented and practical book.

European Journal of Neurology

Oxford Case Histories in Gastroenterology and Hepatology

a fascinating insight into clinical gastroenterology, an excellent and enjoyable read and an education for all levels of gastroenterologist from ST1 to consultant.

Gut

Preface

This textbook is the latest in the Oxford University Press Case Histories series. It has tried to stay true to the basic form of the earlier works, i.e. the case histories are largely based on (anonymous) real cases, and a small amount of information is given, followed by a question posed as to how the patient should be managed. The reader should thus try to formulate a management plan in their own mind at each stage before reading further. However, the authors recognize that a book on anaesthetic management is subtly different from other specialties.

First, the diagnosis has generally been made, and one is usually asked to provide an anaesthetic intervention for a procedure to treat that diagnosis. That said, one should always keep an open mind. Thus, there is a break from the pattern in other books of historyinvestigationdiagnosistreatment. Each chapter in this book has a brief introduction with some learning outcomes for the following cases. As some of the chapters could warrant a book in their own right, we have not attempted to give a comprehensive overview of all possible cases within one area. Rather, we have attempted to report important cases which illustrate learning outcomes within this field.

Second, there is often a lack of what would arguably be called the gold standard of treatment in medicine (an adequately powered randomized controlled trial in humans) in the practice of anaesthesia. The decision as to which anaesthetic technique is used will be determined by such factors as the condition and comorbidities of that patient, the experience of the individual anaesthetist, and, in some circumstances, the equipment available. There is thus generally a discussion of the advantages and disadvantages of the techniques used.

There are also some concepts in anaesthesia that do not fit easily into a case-based discussion yet are still important to the practice of anaesthesia as a whole. This is best exemplified in , which touches on the efficient running of an anaesthetic list and department, as well as the discussion of anaesthetic risk.

Whilst every care has been taken to ensure that the book is free from factual errors, it is left to the reader to ensure the correct dosage of any drug regimen mentioned.