Friday, September 28, 2007

Managing Death in the ICU: The Transition from Cure to Comfort

Managing Death in the ICU: The Transition from Cure to Comfort, a new book edited by critical care specialists Randy Curtis and Gordon Rubenfeld, covers developments in the care of ICU patients during the final days and hours of life. The publisher is Oxford University Press.
The books contributing authors address clinical, ethical and social issues. Among these are the changing epidemiology of death in the ICU and the kinds of interventions that make a difference for dying patients.
The book offers advice on communicating with patients and patients' families. Contributing writers discuss ethical and practical questions about reducing pain, dyspnea and emotional distress to keep a dying patient comfortable and about providing care for the patient's family. In addition, the authors explore how withdrawal of life support therapies can be done well.
"Articulated is a template for treating patients who do not recover from critical illness or injury. Relief of psychosocial suffering in patients and family is emphasized. Finally, practical and specific advice is given on the means to fulfill the goals of palliative care in the ICU. Due to the severity and complexity of illness in the ICU, death is common and families rate communication with healthcare providers as one of the most important skills for these individuals. This book provides background and tools which allow the intensivist to come to grips with the mortality of patients in the ICU setting." -- Doody's
"The book will be a valuable reference for anyone who cares for critally ill patients, including physicians, nurses, respiratory therapists, patoral care providers, and students, and would be a useful addition to any ICU reference library."--New England Journal of Medicine2002
"The text contains a good balance of clinical information that addresses commonly confronted problems facing the practitioner, as well as providing unique information in specialty areas such as oncology, cardiology, the care of dying children, and the elderly."--American College of Chest PhysiciansOctober 2001

"...represents the definitive text on end-of-life care in the intensive care unit (ICU)...a refreshijng attempt to redefine death in the ICU and will serve as a comprehensive resource for health care professionals caring for critically ill patients."--Respiratory Care May 2002

Book details:
Author: J. Randall Curtis,Gordon D. Rubenfeld
Publisher:Oxford University Press, USA; 1st edition (December 15, 2000)


Size:1,338 mb

Format:Compiled HTML help file(CHM)


Transoesophageal Echocardiography in Anaesthesia

Ultrasound was not used for imaging of the human heart until 1954, but from this time there has been tremendous progress in ultrasound technology and its application for examining the heart and great vessels. There is no doubt that the introduction of echocardiography into clinical practice represents one of the most important medical achievements of the past century. However, in the early days of echocardiography, the quality of transthoracic images was poor compared with present standards, and cardiologists often encountered a patient whose chest was impenetrable to the ultrasound waves. Thus, it is not surprising that they looked for a new window onto the heart that was not obscured by the air in the lungs or bony structures of the chest wall. Finally, in 1975, Dr Lee Frazin discovered this window in the oesophagus

Since cardiologists were not always available to perform the diagnostic TOE procedures in the operating room, the opportunity for a new role as an echocardiographer emerged for anaesthetists and, subsequently, many of them took it. In the early days of TOE, this created a violent controversy within the anaesthesiology community. The "anaesthetist echocardiographers" were called irresponsible "cowboys" and asked to "keep the scopes in their holsters". Fortunately, these times are overcritical anaesthesia and at the same time perform TOE. One should be aware that TOE as a monitoring and diagnostic tool is an integral part of anaesthetic management, particularly in critical situations. In our opinion it is, in most cases, appropriate that the anaesthesia team be responsible for both anaesthesia and TOE. However, there will always be situations when assistance from a cardiologist will be needed and welcome. This approach is common practice in our institutions

Book details:
Author:Jan Poelaert,Karl Skarvan
Publisher:BMJ Publishing Group
Size:8.72 MB
Format:HTML Complied file


Wednesday, September 26, 2007

Anaesthesia Database on your mobile (free)

A-What is twitter?

Twitter is a free social networking and micro-blogging service that allows users to send "updates" (text-based posts, up to 140 characters long) via SMS, instant messaging, email, to the Twitter website, or an application such as Twitterrific. Twitter was founded in March 2006 by San Francisco start-up company Obvious Corp.

Users can receive updates via the Twitter website, instant messaging, SMS, RSS, email or through an application. For SMS, currently three gateway numbers are available: short codes for the USA and Canada and a UK number for international use. Several third parties offer posting and receiving updates via email.

B-What i will recieve when i follow DrWael(anaesthesia-database) on twitter?

When u follow Drwael u will recieve free SMS about:

1-The new books avaliable on anaesthesia-database to download.

2-The conferences,meetings and new events related to anaesthesia critical care medicine,emergency medicine and intensive care.

3-It will remind u by some data and help u to refresh your knowldge

C-How I can follow DrWael?

1-Make free account on twitter( click on join free

2-Complete your account information then Click I accept

3 -Then open this link: Follow DrWael then click on button follow

4- click button activate and make sure that notification is on
this mean that u ll recieve sms notice:(sometimes this doesnt work on
internet explorer if not use firefox it will work).

5-Enter your mobile phone number then click button save

6-It will give u code send this code to the number it give u by SMS

7-after u send the code u ll recieve Sms from the same number

Now you can wait to recieve SMS from DrWael

Tuesday, September 25, 2007

Life And Death In Intensive Care

Life and Death in Intensive Care offers a unique portrait of the surgical intensive care unit (SICU), the place in medical centers and hospitals where patients with the gravest medical conditions—from comas to terminal illness—are treated. Author Joan Cassell employs the concept of "moral economies" to explain the dilemmas that patients, families, and medical staff confront in treatment. Drawing upon her fieldwork conducted in both the United States and New Zealand, Cassell compares the moral outlooks and underlying principles of SICU nurses, residents, intensivists, and surgeons. Using real life examples, Life and Death in Intensive Care clearly presents the logic and values behind the SICU as well as the personalities, procedures, and pressures that characterize every case. Ultimately, Cassell demonstrates the differing systems of values, and the way cultural definitions of medical treatment inform how we treat the critically ill.
"Life and Death in Intensive Care is a valuable addition to our growing understanding of our technology- and bureaucracy-intensive hospital system. Joan Cassell is an advocate as well as comparative ethnographer, and her work will appeal to anyone concerned with health policy or the social world of modern medicine generally."
—Charles E. Rosenberg, Harvard University
Introduction – Moonscape: The Surgical Intensive Care Unit
1. A Caring Ethic: Nurses and the Dilemma of Powerlessness
2. The Best of Times, the Worst of Times: The Residents
3. Diverse Universes of Medical Discourse: The Fellows
4. The Attendings
5. Is Death the Enemy, or Suffering?
6. Confronting Death in the Surgical Intensive Care Unit
7. Intensive Caring in New Zealand
8. Going Gentle into that Good Night: Death in Auckland
9. Focusing on the Bottom Line
10. The Dominion of Death

BooK details:
Author:Joan Cassell
Publisher:Temple University Press (March 30, 2005)
Size:785 KB


Saturday, September 22, 2007

Perioperative Transfusion Medicine

Thoroughly updated for its Second Edition, this volume is the most comprehensive, current reference on perioperative transfusion medicine and coagulation. It provides complete information on all current blood products and transfusion risks, transfusion and coagulation issues during the preoperative, intraoperative, and postoperative periods, and specific concerns in each surgical subspecialty. Eighteen new chapters in this edition cover blood shortages, economic concerns, emergency needs, virus transmission, parasitic and septic risks, immunosuppression risks, non-infectious risks, production and storage issues, hemoglobin-based oxygen-carrying solutions, perfluorocarbon-based oxygen-carrying solutions, preoperative plateletphoresis, volume resuscitation, antifibrinolytics, aprotinin, DDAVP, platelet inhibitors, burn patients, and post-surgical stress response.

Book details:
Author:Bruce D Spiess,Richard K Spence,Aryeh Shander
Publisher:Lippincott Williams & Wilkins; 2 edition (December 1, 2005)
Size:14 MB
Format:Compiled HTML help file(CHM)


Wednesday, September 12, 2007

Gastrointestinal and Colorectal Anesthesia

This resource stands as the only authoritative text to specifically focus on developments and best practices in anesthesiology for procedures affecting the gastrointestinal tract and related appendages. This book provides in-depth coverage of topics such as risk assessment, stress response, and scoring, as well as spans anesthetic trends and practices for endoscopic and laparoscopic procedures, as well as a variety of invasive procedures including hepatobiliary, pancreatic, colorectal, colonic, and abdominal surgeries
Table of Contents
Physiology of the Gastrointestinal Tract (Including Splanchnic Blood Flow and Tonometry).
Surgical Considerations in Upper GI Surgery.
Surgical Considerations in Lower Gastrointestinal Surgery.
Stress Response during Surgery. Measurement and Prediction of Surgical Outcomes. Reducing Morbidity after Colorectal Surgery: Surgical Perspectives.
Anaesthesia for Oesophagectomy.
Perioperative Fluid Management and Optimization.
Regional Anaesthesia in Abdominal Surgery.
Sedation for Endoscopic Procedures.
Anaesthesia for Oesophagogastric Surgery.
Anaesthetic Considerations for Gastric Surgery.
Anaesthesia for Bariatric Surgery.
Anaesthesia for Antireflux Surgery.
Anaesthesia for Hepatobiliary Surgery.
Anaesthesia for Pancreatic Surgery.
Anaesthesia for Laparoscopic Surgery.
Anaesthesia for The Carcinoid Syndrome.
Anaesthesia for Phaeochromocytoma Resection.
Anaesthesia for Colorectal Surgery.
Anaesthesia for Colorectal Surgery in the Elderly.
Rapid Recovery after Major Abdominal Surgery.
Anaesthesia for Anorectal Surgery.
Anaesthesia for Emergency Exploratory Laparotomy.
Postoperative Pain Management after Abdominal Surgery.
Postoperative Nausea and Vomiting after Abdominal Surgery.
The Role of the Critical Care Unit in Abdominal Surgery.

Book Details:
Author: Chandra M. Kumar; Mark Bellamy
Publisher:Informa Healthcare, USA
Pages: 449
Size: 2,86 MB
Format: pdf


Friday, September 7, 2007

Manipulation Under Anesthesia: Concepts in Theory and Application

Spinal manipulation under anesthesia (MUA) is a procedure intended for patients who suffer from musculoskeletal disorders in conjunction with biomechanical dysfunction. MUA is performed using monitored anesthesia care. Manipulation Under Anesthesia is the first book to present the procedure from a historical perspective to present day use. It is a compilation of information that is used as both a reference and as an educational aid for doctors. It contains information on the history, scientific use, and logistics for use in hospitals. It discusses justification for the procedure from both a clinical and patient management standpoint. Also included are an anesthesiology chapter and patient selection criteria.

Book details:
:Robert C. Gordon
:Informa Healthcare (April 21, 2005)
Size:5,556 MB


Thursday, September 6, 2007

The Tourniquet Manual. Principles and Practice

The Tourniquet Manual - principles and practice provides a comprehensive and detailed account of the safe use of the tourniquet by using a physiological approach which ensures good practice. Starting from a historical background the reader learns the detailed effects of ischaemia on the vulnerable tissues, especially muscle and nerve. The effects of releasing the tourniquet on the systemic circulation and the complicated biochemistry of the ischaemia-reperfusion response are explained. Complications and good practice are discussed. There is a chapter on the latest technological advances in tourniquets. This book provides a coherent account of the subject and is an invaluable source of references. It will help avoid medicolegal problems and promote good practice by surgeons, anaesthetists and operation theatre technicians alike and should be in every theatre office.
The use of a tourniquet in orthopaedic surgery is a universal practice that is accepted with little question. Leslie Klenerman has had a life-long interest in the tourniquet and has conducted a considerable amount of research on its use and misuse. He has now written this short account of the history, principles, value and the method of its employment. He has produced a succinct summary of the physiology and application of the tourniquet, drawing attention to the necessity for careful positioning of the device and the problems that may be encountered if the basic principles are ignored. He gives a full account of the complications that may arise with emphasis on the reperfusion syndrome, and outlines the steps to be taken if these are to be avoided.
The historical background.
The effect of the tourniquet on the limb and on the systemic circulation.
The ischaemia-reperfusion syndrome.
The tourniquet used for anaesthesia.
Technology and practice.

Book details:
Author:Leslie Klenerman
Publisher:: Springer, ©2003.
Size:1,911 MB