Anaesthesia And Analgesia In Emergency Medicine

Many patients come to the Accident and Emergency department in pain or with conditions requiring local or general anaesthesia. Close co-operation between the staff of the Anaesthesia and Accident and Emergency departments is vital if anaesthesia and analgesia are to be dealt with efficientlyand safely. This new edition of Anaesthesia and Analgesia in Emergency Medicine has been extensively revised throughout, especially with regard to resuscitation techniques. It provides a concise guide to anaesthesia and pain relief in Emergency Medicine. Throughout, the emphasis is on the practicalmanagement of problems, giving clear instructions about the treatment of common conditions. * Features the new 1997 European Resuscitation Council Guidelines * Some new sections included * Revised throughout The book is written for staff working in an Accident and Emergency department, butwill also be of interest to those training in anaesthesia UReviews of first edition: 'The authors are to be congratulated on their efforts in producing a worthwhile addition to the trauma anesthesia literature...' (Anaesthesia and Analgesia, 1995) 'The book contains an enormous assortment ofvery valuable information, nearly all of it in a very clear and concisely presented manner'. (Today's Anaesthetist, 1994) 'The information this book contains will benefit all staff involved in emergency medicine' ( Journal of the British Association for Immediate Care, 1994)

Procedural sedation is commonly used in the emergency department for patients undergoing painful procedures such as fracture reduction or electrical cardioversion. The fourth volume in the Essential Emergency Medicine series, Essential Emergency Procedural Sedation and Pain Management provides a unique interprofessional perspective on delivering procedural sedation and analgesia. The book is designed for staff physicians, residents, nurses, professionals, and allied health care workers. Although procedural sedation is commonly employed and recognized as a required skill set for emergency physicians, there is a lack of appropriate education in the area, and this book bridges gaps in training, especially in the interprofessional team setting.

Basic research, progress in technology and informatics, and the success of clinical pharmacology are the fundamental bases of this interesting field of medicine. Nowadays, critical care medicine is no longer for experts only, but it is a field in which researchers and clinicians, nurses and technical staff work in an interdisciplinary way, each offering their own skills. The volume is divided in six sections, devoted to critical care key issues, to lung diseases, to trauma, to acid-base equilibrium, to perioperative medicine, and to obstetrics.

The management of critically ill patients has,in the past few years, been a discipline at the forefront of development which continues to make progress with the support of basic and clinical research in the broadest sense. The application of biotechnology in this particular area has revealed itself to be essential in an attempt to provide the best interpretation of the bio-humoral and functional alterations present in a long series of often complex clinical conditions. The care of the critically ill is also at the forefront in the application of increasingly sophisticated clinical monitoring systems that also contribute to standardizing certain procedures, establish guidelines, and evaluate the efficacy of therapeutic interventions and their costs.

The interest of researchers, clinicians, practitioners and surgeons in critical care medicine is growing. Clinical pharmacology and new technologies now allow more appropriate therapies, and the commitment of all those involved in this field is of fundamental importance for reaching high interventional standards, in both the prevention and treatment of critical conditions, but also for satisfying the concept of cost-effectiveness in critical care. In this volume advances in critical care medicine are described, including the application of new technologies in the clinical setting, the full integration of computers and informatics, and the continual training of physicians and technicians.

At the APICE '96 research scientists and clinicians were provided with updated guidelines for the treatment of patients with acute and chronic critical conditions. This volume contains 100 chapters,in which the main pathophysiological concepts were reviewed, with special emphasis on the cardiovascular, respiratory, metabolic, and neurologic systems. Special reference is made to the pharmacologic and biotechnologic strategies currently being used to support those vital functions that are affected by severe and sometimes devastating diseases. The topics of infection, sepsis,and SIRS have been reviewed and updated in keeping with the most recent information available, and particular focus has been directed to ethics.

Continuous update in critical care medicine is a real challenge due to the growing dimensions of its contents; these elements are the result of new research acquisitions, and of those clinical situations where the physician is able to intervene at a given moment, with the use of effective prevention techniques. They are also the result of new technologies able to define complex sub-clinical diagnostic aspects; lastly, they are the result of effective therapeutic techniques available, and of treatment strategies able to influence radically and positively the patient's clinical course. Critical care medicine is playing a key role in the most advanced environments, as it represents a cross-sectional field of action, involving several specialties, such as anesthesiology, general medicine, surgery, pediatrics.

Progress in the field of medicine over the last 50 years has led to important results for society, both in terms of prevention and in the treatment of single or variously associated pathologies. The main objective of modern medicine has been the acquisition of increased skills and highly specialised knowledge in the various disciplines. At the same time, there has been a progressive multidisciplinary and multi-professional interest in acute disease conditions that place the patient in potential or real life-threatening situations. The state of the art of intensive medicine comprises a wide range of sophisticated interventions and collaboration between different medical disciplines, both of which give the patient access to the most advanced forms of treatment that are currently available.