Lecture Notes: Clinical Anaesthesia, 3rd Edition. (2024)

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Volume 110, Issue 6

June 2009

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Reviews of Educational Material| June 2009

Mohanad Shukry, M.D.;

Mohanad Shukry, M.D.

*Oklahoma University Health Sciences Center, Oklahoma City, Oklahoma. mohanad-shukry@ouhsc.edu

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Anesthesiology June 2009, Vol. 110, 1434.

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Mohanad Shukry, MarkA. Warner; Lecture Notes: Clinical Anaesthesia, 3rd Edition.. Anesthesiology 2009; 110:1434 doi: https://doi.org/10.1097/ALN.0b013e3181a5a4c9

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Topics:

anesthesia, general, cardiopulmonary resuscitation, chest, compression, critical illness, environmental air flow, internet, laryngeal mask airways, masks, nurse anesthetists

Lecture Notes: Clinical Anaesthesia, 3rd Edition.Edited by Carl L. Gwinnutt, M.B., M.R.C.S., L.R.C.P., F.R.C.A. Oxford, England, Wiley-Blackwell, 2008. Pages: 172. Price: $36.95.

Medical students are challenged by the limited number of textbooks that provide quick and practical introductions to anesthesiology. Lecture Notes: Clinical Anesthesia introduces medical students, nurses and nurse anesthetists, and nonanesthesiologist general practitioners to the current practices of clinical anesthesiology. The textbook is also a useful tool to instructor anesthesiologists searching for a core text to recommend to their rotating medical students.

In addition to concepts in general anesthesia administration and management, Lecture Notes: Clinical Anesthesia provides a fair content of pain management principles and peripheral nerve blocks. In its six chapters, the book places emphasis on the role of anesthesiologists as perioperative physicians, not just operating room anesthesia providers. Three chapters of the book concentrate on perioperative medicine: chapter one, Anesthesia Assessment and Preparation for Surgery; chapter five, Recognition and Management of the Acutely Ill Patient on the Ward; and chapter six, Management of the Critically Ill Patient.

Although Lecture Notes: Clinical Anesthesia has been condensed in its third edition to 172 pages, it did not lose its standards of clear diagrams, photographs, and key facts boxes. These traits have to be some of the strongest features in earlier editions of this book. The photographs and diagrams assist learners, particularly visual learners, to comprehend key principles in anesthesiology such as applying mask ventilation, performing correct chest compression during cardiopulmonary resuscitation, and inserting laryngeal mask airways. In addition, the book contains self-assessment questions at the end of each chapter that focus the students’ attention on the important concepts, with answers provided at the end of the book. In the reference section of each chapter, useful Web sites related to the chapter are provided as an excellent feature for modern learners who are very comfortable using technology and the internet for learning purposes.

Although Lecture Notes: Clinical Anesthesia contains a fair amount of pharmacology, it falls short of providing any significant content in physiology. In addition, other than a quick review on obstetric anesthesiology, the book does not provide any content regarding other subspecialties in anesthesiology such as pediatric or cardiothoracic anesthesiology.

In summary, Lecture Notes: Clinical Anesthesia offers a comprehensive review of general anesthesiology principles and practices in a quick and easy-to-read style. I recommend it as an excellent first-step for students and other medical professionals who are interested in the field of anesthesiology. The book provides principles of clinical anesthesiology in text, tables, and photographs, but students are encouraged to expand beyond this book for more in-depth knowledge of the medical specialty of anesthesiology.

*Oklahoma University Health Sciences Center, Oklahoma City, Oklahoma. mohanad-shukry@ouhsc.edu

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FAQs

What are the 6 A's of anesthesia? ›

Contemporary general anesthesia focusses on what may be referred to as the 6 A's. These are, in random order, anxiolysis, areflexia, autonomic areflexia, analgesia, amnesia and anesthesia.

What are the three pillars of anesthesia? ›

∎ General anaesthesia often comprises a triad of hypnosis, analgesia and muscle relaxation.

What is the gold standard book for anaesthesia? ›

Fundamentals of Anaesthesia is the gold standard text for the Primary FRCA, encapsulating the basic principles of modern anaesthesia in one easily accessible volume.

What is clinical anaesthesia all about? ›

Clinical anesthesia is a practice of anesthesia to treat the patient who is undergoing a surgery or medical procedures. Clinical anesthesia addresses all the aspects such as anesthesia practice, anesthetic administration, pain treating and management rather than theoretical or laboratory studies.

What is the golden rule of anesthesia? ›

1. -Never give an anasthetic without a third person being present. 2. - Never give any anaesthetic - unless it be nitrous oxide for a dental operation-without being prepared with another in case the first one proves unsatisfactory.

What are the 5 stages of anesthesia? ›

Stages of General Anesthesia
  • Stage 1: Induction. The earliest stage lasts from when you first take the medication until you go to sleep. ...
  • Stage 2: Excitement or delirium. ...
  • Stage 3: Surgical anesthesia. ...
  • Stage 4: Overdose.
Mar 26, 2024

What are the three drugs used in anesthesia? ›

Propofol, etomidate, and ketamine are the intravenous (IV) sedative-hypnotic agents commonly used to induce general anesthesia (table 1), while adjuvant agents (eg, opioids, lidocaine, midazolam, and volatile anesthetics) are often used to supplement the effects of the primary sedative-hypnotic induction agent (table 2 ...

What are the 3 phases of anaesthesia recovery? ›

The recovery from major surgery can be divided into three phases: (1) an immediate, or post anesthetic, phase; (2) an intermediate phase, encompassing the hospitalization period; and (3) a convalescent phase.

What is the Twilight drug? ›

The drugs used in twilight anesthesia are similar to those used in general anesthesia, but the doses are lower. Specific drugs commonly used include: fentanyl, valium, ketamine, midazolam, or nitrous oxide (laughing gas). These drugs can be reversed quickly, so the patient can be woken up in a matter of minutes.

What is baby miller? ›

Called “Baby Miller” or “Miller Light,” Miller's Basics of Anesthesia has been a staple for anesthesia trainees for generations. I read the 4th edition cover to cover my senior year of medical school.

What is the correct anesthesia code? ›

Bundled Services
DescriptionCPT Code
Special anesthesia service99100
Anesthesia with hypothermia99116
Special anesthesia procedure99135
1 more row

Which drug is gold standard for general anesthesia? ›

Propofol has been the gold standard for anesthesia induction and maintenance due to its rapid onset and favorable pharmaco*kinetic properties.

What drug is given before surgery to relax? ›

Descriptions. Midazolam injection is used to produce sleepiness or drowsiness and relieve anxiety before surgery or certain procedures. When midazolam is used before surgery, the patient will not remember some of the details about the procedure.

What are the 4 types of anesthesia? ›

There are four main categories of anesthesia used during surgery and other procedures: general anesthesia, regional anesthesia, sedation (sometimes called "monitored anesthesia care"), and local anesthesia. Sometimes patients may choose which type of anesthesia will be used.

Why did I pee while under anesthesia? ›

A patient who's been anesthetized with general anesthesia isn't able to control their urination. Because of this, the surgical team will usually place a Foley catheter before performing the procedure. This ensures that the bladder stays empty and the operation is clean and sterile.

What does AA stand for in anesthesia? ›

What is the legal authority for AAs to practice? Anesthesiologist Assistants may be either licensed as CAAs or practice under the license of an anesthesiologist under the principle of delegation.

What is an AA in anesthesia? ›

The work of an anesthesiologist assistant (or AA) directly contributes to the success of surgical operations by ensuring the comfort and wellbeing of the patient. • AAs perform their duties under the direct supervision and discretion of the supervising. medical anesthesiologist.

What is anaesthetic code AA? ›

4) Please use these codes to describe the anaesthetic status and use of a neuromuscular blocking agent. AA No anaesthesia when the technique is applied. AB Anaesthesia when the technique is applied but with subsequent recovery. AC Anaesthesia when technique is applied without subsequent recovery.

What are the basic principles of anesthesia? ›

Anaesthesia is a reversible state of pharmacologically controlled sleep with reduction in cortical activity. At sufficient anaesthetic depth there is absence of conscious awareness and recall, and no sensory, motor or autonomic response to stimulation.

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