Case Files Anesthesiology / Edition 1

by Mary Ann Vann, Julia E. Pollock, Lydia A. Conlay, Eugene C. Toy, Sheela Pai

Overview

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Learn the fundamentals of anesthesiology in the context of real patients.

4 STAR DOODY'S REVIEW!
"The book targets medical students, but even junior anesthesia trainees would find it very compelling....Although it has the appearance of a handbook, this book is an overview of clinical anesthesiology. It takes a simulation approach to drive home essential concepts of anesthesia management in different disease conditions. Of all the handy books out there, this is perhaps the only one that teaches anesthesia inthe context of real patients rather than merely stating facts. It would be an invaluable aid to medical students doing anesthesia clerkships or junior anesthesia trainees who need a quick review for an emergency case in the middle of the night."—Doody's Review Service

Case Files: Anesthesiology contains 53 high-yield cases with open-ended questions. Each case includes an extended discussion, definitions, clinical Pearls, 3-5 USMLE-style comprehension questions, and references to the most current literature for further reading.

Features:

• 53 high-yield clinical situations tailored for management of the anesthetic patient
• Clear and easy-to-follow case-based format helps readers develop clinical thinking skills
• Clinical pearls give evidence-based recommendations for patient management
• USMLE-style comprehension questions accompany each case
• Content enhanced by numerous tables, illustrations, and clinical images

Content that makes learning easy:
Preoperative evaluation:Preoperative evaluation: cardiac and pulmonary disease,Preoperative evaluation in an obese patient, Anesthesia in Patients with Heart Disease:Coronary artery disease,Pulmonary hypertension, R heart failure,Left Heart failure,Mitral stenosis, mitral insufficiency,Aortic stenosis,Subacute Aortic Hypertrophy,Congestive heart failure,AICD,Abdominal aortic aneurysm/stint, openCardiac tamponade,Protamine reaction Anesthesia for the Patient with Pulmonary Disease:Anesthesia in a patient with reactive airway disease,Anesthesia in a patient with COPD,Thoracotomy,Aspiration, Anesthesia for the Patient with Neurological or Neurosurgical Conditions:Subdural hematoma/head injury,Crainotomy for mass excision,Crainotomy for aneurysm,The quadriplegic,Cervical fracture,Myasthenia gravis,Anesthesia for obstetrics:For caeserian section,Appendectomy or cholecystectomy in a pregnant patient,Total spinal,Local anesthetic toxicity, Anesthesia in the Pediatric Patient:Child with a Foreign Body,Cleft Palate,Anesthesia for a tonsillectomy—sleep apnea, and hemorrhage,Pyloric stenosis, Anesthesia in Patients with Hematologic Disorders:Hemaglobinapathy,Transfusion reaction,Coagulopathies, Anesthesia for Patients with Endocrinologic or Metabolic Disorders:Diabetes—hyperglycemia/hypoglycemia,Malignant hypertension/pheochromocytoma,Malignant hyperthermia,Cholinesterase deficiency, Anesthesia Special Situations:Complication of laporoscopy—ptx, air embolism,Complication of laporoscopy—occult hemorrhage, Burns,Trauma,MRI,Hypoxia of unknown etiology (equipment failure),Monitoring (including PA line, TEE),Awareness under anesthesia,End of life/ethics

Product Details

ISBN-13:	9780071606394
Publisher:	McGraw Hill LLC
Publication date:	10/22/2010
Series:	LANGE Case Files
Edition description:	Net
Pages:	518
Product dimensions:	5.90(w) x 8.90(h) x 1.00(d)

About the Author

Lydia A. Conlay, MD, PhD, MBA is Professor of Anesthesiology at Baylor College of Medicine and works in the operating rooms of the Michael E. DeBakey Veterans Affairs Medical Center (Houston, Texas). Dr. Conlay received her medical degree at the Louisiana State University School of Medicine in Shreveport, her Ph.D. in Neural and Endocrine Regulation at the Massachusetts Institute of Technology, and completed a residency in anesthesiology at the Massachusetts General Hospital/ Harvard Medical School, where she remained on the faculty for almost two decades. Subsequently, she obtained an M.B.A. at the Boston University School of Management, and chaired the Departments of Anesthesiology of the Temple University School of Medicine in Philadelphia and Baylor College of Medicine in Houston. Dr. Conlay also served as president of the Society for Ambulatory Anesthesia, and the Society for Academic Anesthesia Chairs, and trustee of the College of Physicians of Philadelphia.
Julia E. Pollock, MD is in the Department of Anesthesiology at the University of Washington Medical Center, Seattle, Washington.
Mary Ann Vann, MD is in the Department of Anesthesia and Care at Beth Israel Deaconess Medical Center in Boston, Massachusetts.
Eugene C. Toy, MD is a dual certified family physician and ob/gyn and is Academic Chief and Program Director for the Obstetrics and Gynecology residency at The Methodist Hospital in Houston, Texas. He also oversees the ob/gyn clerkship at St. Joseph Hospital and is actively involved in teaching medical students.
Sheela Pai, MD is in the Department of Anesthesiology at Temple University School of Medicine, Philadelphia, Pennsylvania.


Eugene C. Toy, MD is a dual certified family physician and ob/gyn. He is the John S. Dunn Senior Academic Chair and Program Director of the Obstetrics and Gynecology Residency Program; Vice Chair of Academic Affairs in the Department of Obstetrics and Gynecology at The Methodist Hospital—Houston; Clerkship Director and Assistant Clinical Professor in the Department of Obstetrics and Gynecology at The University of Texas—Houston Medical School (Houston, Texas).

Shella Pai, MD is with the Department of Anesthesiology at Temple University School of Medicine, Philadelphia, Pennsylvania

Table of Contents

Contributors ix

Preface xv

Acknowledgments xvii

Introduction xix

Section I How to Approach Clinical Problems 1

Part 1 Approach to the Patient 2

Part 2 Approach to Clinical Problem Solving 3

Part 3 Approach to Reading 6

Section II Fundamental Information 13

Part 1 Anesthetics 14

Part 2 Anesthetic Principles and Equipment 48

Part 3 The Patient Undergoing Anesthesia 68

Nine Case Scenarios

Section III Clinical Cases 101

Forty-four Case Scenarios 103

Section IV Listing of Cases 497

Listing by Case Number 499

Listing by Disorder (Alphabetical) 500

Index 503

Editorial Reviews

Reviewer: Tariq M. Malik, MD (University of Chicago Pritzker School of Medicine)
Description: As with the other books in the Case Files series, the aim of this one on anesthesiology is to use clinical scenarios to teach medical students.
Purpose: The purpose is to impart learning by posing real clinical situations. The idea is to maintain the interest of readers and to stress the importance of the information by keeping it connected to real life.
Audience: The book targets medical students, but even junior anesthesia trainees would find it very compelling. The multiple choice questions at the end of every topic make the book very useful for taking different exams, especially the USLME, but even in-service anesthesia trainee exams. Edited by some very experienced clinicians, the book is successful in achieving its stated objective of providing a quick review for medical students.
Features: The first of the book's three sections describes the steps involved in clinical problem solving, and I have never seen a better explanation of clinical trouble shooting in anesthesia. The nine cases in section two introduce students to basic anesthesia pharmacology, machine setup, basic fluid management, and basic anesthesia monitors. The cases in the next section are used to demonstrate different aspects of anesthesia related to the management of different organ systems or diseases. All in all, there are 53 cases that cover anesthesia topics in obstetrics, pediatrics, trauma, post-anesthesia care units, perioperative cardiac workups, thoracic surgery, neuroanesthesia, regional anesthesia, and even cardiopulmonary bypass. In short, every part of anesthesia is touched upon, in one way or another. Using the same basic format, each chapter covers one broad topic, either basic science or clinical. It starts with narration of a case and ends with series of questions, which are basically the take home-message. The questions are answered briefly in the next paragraph. This is followed by analysis of the whole situation, including different anesthesia options for the management of the patient. The pathophysiology of the disease process as it relates to the patient in the context of surgery and anesthesia is discussed. Key terms are defined and important teaching points are again reinforced by a few multiple choice questions at the end of the chapter. Finally, the chapter ends with a few clinical pearls to impress upon the readers, one more time, the teaching points of the case. Relevant references are provided for more detailed information. The book is short, but impressively comprehensive in the breadth of information it covers. The writing is clear and unambiguous. The information is practical and relevant to the everyday practice of anesthesia. The editors have managed to maintain consistency in language and format throughout the book despite a long list of contributors.
Assessment: Although it has the appearance of a handbook, this book is an overview of clinical anesthesiology. It takes a simulation approach to drive home essential concepts of anesthesia management in different disease conditions. Of all the handy books out there, this is perhaps the only one that teaches anesthesia in the context of real patients rather than merely stating facts. It would be an invaluable aid to medical students doing anesthesia clerkships or junior anesthesia trainees who need a quick review for an emergency case in the middle of the night.

Doody's Review Service