A Concise Guide to Anesthesiology and Intensive Care
The information in the second edition is also practically oriented. A description of the workplace of the anesthesia team, the position of the patient on the work table, operative access and infusion therapy is given. Methods of general and regional anesthesia are presented for various diagnostic procedures or therapeutic interventions, as well as for managing emergency conditions and emerging complications.
A place is reserved for prolonged artificial lung ventilation, cardiopulmonary resuscitation, the transport of critically ill patients, organ donation, analgesia and sedation during intensive care. The dangers of anesthesia personnel from chronic exposure to low concentrations of gaseous volatile anesthetics, from injuries with toys and other cutting instruments contaminated with blood or body fluids from patients with HIV or hepatitis are considered. Rules to be followed in the operating room when caring for patients with MRSA are also described.
Topics covered include anesthesia, types, purpose; equipment and workplace inspection of the anesthesia team; lung function; static lung parameters; dynamic pulmonary parameters; preoperative assessment and preparation of the patient before anesthesia; medication preparation (premedication); medicines; provision of venous access; measurement of central venous pressure; arterial cannulation; insertion of a stomach tube; transurethral bladder catheterization; suprapubic bladder catheterization; medication and dosage and others. Inhalation anesthetics have been described; intravenous anesthetics; narcotic analgesics; infusion solutions; mask anesthesia; regional anesthesia and many other topics related to the quality work of the anesthesiologist.
Anesthesia, types, purpose
Equipment and workplace inspection of the anesthesia team
Pulmonary function
Static pulmonary parameters
Dynamic pulmonary parameters
Preoperative assessment and preparation of the patient before anesthesia
Medication preparation (premedication)
Medications Provision of venous access
Measurement of central venous pressure
Cannulation of an artery
Placement of gastric tube
Transurethral bladder catheterization
Suprapubic bladder catheterization
Medications and dosage
Antiarrhythmic agents
Antihistamine preparations
Antihypertensive preparations
Electrolyte supplements
Buffer substances
Corticosteroids
Cardiac glycosides
Sympathomimetics
Inhalation anesthetics
Laughing gas
Halothane
Isoflurane
Enflurane
Sevoflurane
Desflurane
Venous Anesthetics Etomidate Methohexital Thiopental Ketamine
Benzodiazepines
Inhalation anesthesia
Apparatus and supplies for general inhalation anesthesia
Assessment of intubation difficulties
Intubation technique
Complications of endotracheal intubation
Extubation
Monitoring during anesthesia
Muscle relaxation
Neuromuscular transmission
Types of neuromuscular block
Muscle relaxants
Anticholinesterase agents (inhibitors)
Infusion solutions
General anesthesia systems
Low-flow anesthesia - Low-flow anesthesia
Determining the depth of anesthesia
Venous anesthesia
Non-opioid intravenous anesthesia
Neuroleptanalgesia (NLA)
Balanced anesthesia Ketamine-Rohypnol, Dormicum, Diazepam
Stand-by Anesthesia with ketamine
Mask anesthesia
Regional anesthesia
Local anesthetics
Alkaline-acid balance
Water-electrolyte balance - violation, correction, maintenance
Special part
Anesthesia during pregnancy and to assist in childbirth
Medicines during pregnancy and breastfeeding
Anesthesia in children
Anesthesia in abdominal surgery
Peculiarities of anesthesia in abdominal interventions
Anesthesia for intrathoracic interventions
Peculiarities of anesthesia in intrathoracic interventions and diagnostic procedures
Anesthesia for heart surgery
Anesthesia at endocrine diseases
Anesthesia in hyperparathyroidism
Anesthesia in hypoparathyroidism
Anesthesia for thyroid hyperfunction
Anesthesia for thyroid hypofunction
Anesthesia in Cushing's syndrome
Anesthesia in Cohn's syndrome
Anesthesia for disease of the anterior lobe of the pituitary gland - acromegaly (eosinophilic adenoma)
Anesthesia in disease of the posterior lobe of the pituitary gland
Anesthesia with insulin
Anesthesia in pheochromocytoma
Anesthesia in diabetes mellitus
Neuroanesthesia
Anesthesia in neurological diseases
Myasthenia gravis
Multiple sclerosis
Parkinson's disease
Epilepsy
Anesthesia in ophthalmology
Anesthesia for otorhinolaryngological interventions
Anesthesia in maxillofacial surgery
Anesthesia in surgical treatment of diseases of the mouth and teeth
Anesthesia for interventions on the face
Anesthesia in urological operations and in patients with CKD
Anesthesia for transurethral resection of the prostate gland (TURP)
Anesthesia for transurethral resection of bladder tumors (TuTUR)
Anesthesia for open urological interventions
Cystectomy
Kidney surgery
Kidney transplant
In diabetics with CKD
Anesthesia for fistula or arteriovenous shunt
Anesthesia for extracorporeal shock wave lithotripsy (ESWL)
Pulmorenal syndrome
Rhabdomyolysis
Anesthesia in patients with chronic renal failure (CKD)
Anesthesia in orthopedic operations
Hip arthroplasty
Knee arthroplasty
Spine operations
Pelvic bone operations
Peripheral lead anesthesia
Anesthesia in patients with thermal trauma
Anesthesia in burn patients (Combustio)
Anesthesia in patients with frostbite (Congelatio)
Anesthesia in patients with multiple trauma
Anesthesia in patients with bronchial asthma
Anesthesia in patients with COPD
Anesthesia in patients with obesitas
Anesthesia in patients with porphyria
Anesthesia in plastic surgery
Anesthesia in one-day (ambulatory) surgery
Anesthesia in geriatrics
Complications during anesthesia
Laryngospasm and bronchospasm
Air embolism
Total spinal anesthesia
Malignant hyperthermia
Most common problems during anesthesia
Sweating
Hiccups (Singultus)
Tachycardia
Bradycardia
Hypotension
Hypertension
Hypothermia
Hyperthermia
Anaphylactic reactions
Incorrect intra-arterial injection
Intensive treatment
Acute respiratory failure
Ventilation modes - basic concepts
Sleep apnea syndrome (Oddin's syndrome - Sleep apnea)
Shock
Polytrauma (multiple trauma)
Traumatic brain injury
Chest trauma
Intra-abdominal herbal
Sepsis
Clinical death
Drowning (Submersio)
Artificial feeding
Enteral nutrition
Parenteral nutrition
Anesthesia in patients on parenteral nutrition
Intoxications
Ethyl alcohol poisoning
Methyl alcohol poisoning
Benzodiazepine poisoning
Barbiturate poisoning
Poisoning with antihistamines
Neuroleptic poisoning
Antidepressant drug poisoning
Lithium poisoning
Heroin and opiate poisoning
Indirect poisoning sympathomimetics and hallucinogens
Acetylsalicylic acid (aspirin) poisoning
Paracetamol poisoning
Poisoning with beta-blockers
Digitalis poisoning
Alkyl phosphate poisoning
Acid poisoning and basics
Mushroom poisoning (Mycetismus)
Snake bite (Morsus serpentis)
Botulism (Botulismus)
Cyanide poisoning
CO poisoning
Antidotes
Flumazenil
Naloxone
Biperiden
Physostigmine
Glucagon
Digitalis – Obidoxim 3-DMAP antidote
Sodium thiosulfate
Cholestyramine
Pain, sedation and anesthesia in the intensive care unit
Care of patients in the intensive care unit
Adverse reactions and complications of blood transfusion
Anti bacterial agents
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The quick guide to anesthesiology and intensive care is a comprehensive and practical guide intended for medical students, anesthesiology residents, and other healthcare professionals who wish to gain an in-depth knowledge of anesthesia and critical care. The guide covers a wide range of topics related to the management of critical care patients, including respiratory physiology, pharmacology of anesthetics, vital signs monitoring and life support techniques.
The first part of the guide provides an overview of the basic principles of anesthesia and intensive care, including definitions, history and evolution of the field. It also discusses the role of the anesthesiologist in a multidisciplinary team to provide care for critically ill patients. The second part delves deeper into the physiology of breathing, explaining the mechanisms behind ventilation, gas exchange and the regulation of breathing. This chapter includes a detailed discussion of the airways, lungs, and chest wall, as well as various breathing disorders such as hypoventilation, hyperventilation, and respiratory acidosis.
The third part of the guide focuses on anesthetic pharmacology, looking at the different classes of drugs used in anesthesia such as analgesics, anesthetics, sedatives, muscle relaxants and anticholinergics. For each drug group, their mechanisms of action are discussed, pharmacokinetics, pharmacodynamics, adverse reactions and appropriate uses in anesthesia and intensive care. The fourth part of the guide deals with the monitoring of vital signs, a key aspect of the care of critically ill patients. It describes various monitoring tools and techniques, such as heart rate monitoring systems, blood pressure monitoring systems, and gas exchange monitoring systems. In addition, he discusses the importance of continuous monitoring of consciousness, hemodynamics, and respiration in critically ill patients.
The fifth part of the manual deals with the life support techniques that are critical to ensuring the survival and well-being of critically ill patients. It covers various approaches to the management of shock, including cardiogenic, hypovolemic, distributed and anaphylactic shock, as well as strategies to treat severe coagulation disorders such as disseminated intravascular coagulation (DIC) and heparin-induced thrombocytopenia (HIT). The sixth and final part of the guideline focuses on pain management in critically ill patients, emphasizing the importance of adequate pain control to optimize treatment outcomes and improve patients' quality of life. It discusses various approaches to pain assessment and treatment, including pharmacologic, nonpharmacologic, and combination strategies, as well as the potential complications and side effects of these treatments.
Overall, The Concise Guide to Anesthesiology and Critical Care provides a comprehensive and practical approach to the complex field of anesthesiology and critical care. Its clear explanations, practical advice, and up-to-date information make it an indispensable resource for medical students, anesthesiology residents, and other healthcare professionals who want to provide high-quality care for critically ill patients.
