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Alan R. Aitkenhead - Smith and Aitkenheads Textbook of Anaesthesia

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2014 BMA Medical Book Awards 1st Prize Award Winner in Anaesthesia category!

Smith and Aitkenheads Textbook of Anaesthesia has become the book of choice for the trainee anaesthetist and is essential reading for candidates for the Fellowship of the Royal College of Anaesthetists and similar examinations. It is also a highly trusted, practical guide for all anaesthetists and other health care professionals involved in the perioperative period.

Building on previous worldwide success, this sixth edition has been thoroughly updated and reorganised to reflect current anaesthetic practice and the basic sciences that directly underpin it. The inclusion of several new chapters continues to ensure complete coverage of key and evolving areas and new, experienced authors also add a fresh perspective to this edition. For the first time, Smith & Aitkenheads Textbook of Anaesthesia comes with complementary access to the complete contents online at expertconsult.com, making it more flexible and easy to use than ever before.

  • Clear and concise coverage of the full range of modern clinical practice - from anaesthetic equipment and pre-operative assessment through to post-operative care, local anaesthesia, anaesthesia for individual specialties, intensive care and the management of chronic pain.
  • New chapters on resuscitation; management of the difficult airway; management of the high-risk patient; anaesthetic considerations in transplant patients; consent and information; safety and quality improvement and education and training (appendix)
  • Clinically relevant basic sciences integrated throughout - including the principles of pharmacology, anaesthetic agents and physics for the anaesthetist
  • Take it with you anywhere - rapid access to the full electronic text, downloadable image library and more at expertconsult.com

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Smith and Aitkenhead's Textbook of Anaesthesia

Sixth Edition

Alan R. Aitkenhead

Emeritus Professor of Anaesthesia, Division of Anaesthesia and Intensive Care, Queen's Medical Centre, Nottingham, UK

Iain K. Moppett

Associate Professor and Honorary Consultant, Division of Anaesthesia and Intensive Care, Queen's Medical Centre, Nottingham, UK

Jonathan P. Thompson

Senior Lecturer/Hon Consultant in Anaesthesia and Critical Care, University of Leicester and UHL NHS Trust, Leicester Royal Infirmary, Leicester, UK

Smith and Aitkenheads Textbook of Anaesthesia - image 1

Table of Contents
Copyright

Smith and Aitkenheads Textbook of Anaesthesia - image 2

2013, Elsevier Limited. All rights reserved.

First edition 1985

Second edition 1990

Third edition 1996

Fourth edition 2001

Fifth edition 2007

The right of A.R. Aitkenhead, I.K. Moppett and J.P. Thompson to be identified as authors of this work has been asserted by them in accordance with the Copyright, Designs and Patents Act 1988.

No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publishers permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.

This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).

Notices

Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.

Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.

With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.

To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.

ISBN: 978-0-7020-4192-1 / IE 978-0-8089-2429-6

Ebook ISBN: 978-0-7020-5112-8

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Printed in China

Last digit is the print number: 9 8 7 6 5 4 3 2 1

Preface

The objective of the sixth edition of Textbook of Anaesthesia remains the same as that of previous editions, namely to provide a concise, easy-to-read text for novices in anaesthesia and an essential resource for those preparing for the Primary Examinations of the Royal College of Anaesthetists. Candidates for these examinations require an extensive knowledge of the basic sciences underpinning anaesthesia, critical care and pain management, and the clinical knowledge and skills expected in those who have completed at least 12-18 months in a full-time training post.

In preparing the present edition, there have been many significant modifications. The title has been changed to Smith and Aitkenheads Textbook of Anaesthesia to reflect the enormous contributions of Professor Graham Smith to the first five editions. Two new editors have joined the editorial team to replace Professors Smith and Rowbotham. After extensive and careful review, we felt that it was essential to continue to cover in detail the basic sciences which have direct and close clinical relevance. Indeed, without this information, it is not possible to understand the clinical material described in the book. We have introduced new chapters dealing with consent and information for patients, management of the difficult airway, management of the high-risk patient, anaesthesia for abdominal surgery and in the obese patient, anaesthetic considerations in transplant patients, safety and quality improvement, resuscitation, and education and training. We have also combined the subjects of clinical measurement and monitoring into a single chapter. In addition, we have rearranged the order of chapters into a more logical format.

We asked a number of senior, experienced authors with expertise in their subject to modify or completely re-write their contributions. We have also recruited 25 new authors to ensure the invigoration of the text by fresh younger minds. We are grateful to all the authors for their contributions and we also thank our reviewers and readers who have made helpful suggestions, many of which have influenced the planning of the new edition. We are also grateful to the publishers who have cooperated in our desire to make fundamental changes.

We hope that the sixth edition will be as popular as previous editions and remain the book of choice for trainees embarking on a career in anaesthesia. Although this book is aimed primarily at the novice trainee, we are aware that many anaesthetists studying for the Final FRCA examinations use Textbook of Anaesthesia when revising the basics; we hope that this will continue. We are also aware that the book is used by trainee anaesthetists in many countries other than the UK; of course, the training needs are the same although the examination structures differ. We also believe that this is more than a book suitable for examination preparation; it continues to be a practical guide for all anaesthetists and other healthcare professionals involved in the care of patients in the perioperative period.

A.R. Aitkenhead, Nottingham

I.K. Moppett, Nottingham

J.P. Thompson, Leicester

List of Contributors

Alan R. Aitkenhead, BSc MD FRCA , Emeritus Professor of Anaesthesia, Division of Anaesthesia and Intensive Care, Queen's Medical Centre, Nottingham, UK

Joseph E. Arrowsmith, MD FRCP FRCA FFICM , Consultant Anaesthetist, Papworth Hospital, Cambridge, UK

Nigel M. Bedforth, BM BS B Med Sci FRCA , Consultant Anaesthetist and Honorary Associate Professor, Division of Anaesthesia and Intensive Care, Queen's Medical Centre, Nottingham, UK

Martin Beed, BMedSci BMBS FRCA FFICM DM , Consultant in Anaesthesia and Intensive Care, Nottingham University Hospitals, Nottingham, UK

Andrew Bodenham, MB BS FRCA FICM , Consultant in Anaesthesia and Intensive Care Medicine, Leeds General Infirmary, Leeds, UK

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