Advances in Regional Anesthesia - Future Directions in the Use of Regional Anesthesia is a comprehensive exploration of the evolving landscape of regional anesthesia. It provides insights into the latest developments, techniques, and research that shape the practice of regional anesthesia today. Regional anesthesia has undergone a remarkable transformation, emerging as an integral component of modern perioperative care, and we have assembled a distinguished group of experts, clinicians, and researchers who share their insights, experiences, and innovations in this field of knowledge. This book is designed for a diverse audience, including anesthesiologists, pain specialists, surgeons, residents, and students interested in the expanding domain of regional anesthesia. Each chapter is crafted to deliver valuable information, foster critical thinking, and inspire further exploration into the ever-evolving field. We hope that you will find this book a useful resource that deepens your understanding of regional anesthesia and its pivotal role in shaping the future of perioperative medicine.

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Tracheal intubation is a common medical procedure. It is relatively simple to accomplish, although there are cases in which tube placement is difficult or even impossible. This book provides a comprehensive overview of endotracheal tube placement with chapters on advanced techniques, ultrasound use for airway management, airway management techniques for obstetric patients, and much more.

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This book provides a comprehensive overview of current developments in anaesthesiology. It covers the organisation of anesthesia services, surgical specialties and medical education and emphasises the patient's perspective during the perioperative process. The chapters "Solutions for Insufficient Epidural Analgesia for Planned Vaginal Birth" and "Interdisciplinary Emergencies in the Delivery Room" address current aspects of obstetric anaesthesia. "Anesthesia for Robotic Surgeries in Children" poses challenges, including patient positioning, restricted access for airway management and physiological changes due to the pneumoperitoneum. Adapted ventilation strategies are crucial for the safety of young patients. A forward-looking chapter, "Anesthetic Management of Bronchoscopic Lung Volume Reduction", investigates a minimally invasive treatment for severe COPD. The reduction in morbidity and mortality is an advantage of this method, but it harbours risks such as pneumothorax, which is why careful interdisciplinary care is required. "General Anaesthesia in the Context of Haemorrhagic Shock and Trauma" describes the negative effects on the patient's homeostasis. Individualised anaesthesia is essential to address the patient's specific physiological needs. The chapter "Anesthesiologic Management of Patients with Opioids or Psychoactive Substance Use" deals with a particularly demanding patient group. The chapters "Fascial Plane Blocks" and "Considerations and New Perspectives of Locoregional Anesthesia in Dentistry" convey exciting new aspects of regional anaesthesia. Finally, "The Effect of Parental Anxiety on Postoperative Paediatric Cognitive Dysfunction" addresses the psychological impact of surgery on children. High parental anxiety can delay the recovery process and cause long-term cognitive impairment.

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Epidural administration is used by physicians and nurse anesthetists to administer local anesthetic agents, analgesics, and diagnostic medicines such as radiocontrast agents, glucocorticoids and other medicines. The epidural administration of medication has made some aspects of clinical practice much more accessible. This book focuses on various aspects of epidural administration, from methods to clinical uses, and its diverse applications. The book will be a valuable asset for anaesthesiologists, paediatricians, radiologists, internists, and intensivists in active clinical practice, including medical students and practitioners undergoing residency training.

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Epidural analgesia is a form of pain relief administered through the space surrounding the dural sheath either by direct injection or via catheter. The agent, when administered, can cause both a loss of sensation (anesthesia) and a loss of pain (analgesia), by reversibly interrupting the transmission of signals through nerves in or near the spinal cord. This form of pain relief has been found useful in many clinical situations. This book intends to provide an in-depth review of the current knowledge on epidural analgesia. The use of this form of analgesia is explored by contributors from different perspectives, including labor and delivery, postoperative analgesia in both pediatric and geriatric patients, and its role during anesthesia and surgery. In order to provide a balanced medical view this book was edited by an obstetric anesthesiologist.

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In the past, ketamine was considered a dangerous medication with the potential for abuse as a recreational drug. Healthcare providers were warned of its dangers and taught to fear its use. With this book, we hope to eliminate any fear and misgivings associated with this drug. It can be a useful medication in many situations, some of which we describe herein. This book discusses the use of ketamine in anesthesia, pain disorders, depression, palliative care, and trauma situations. It also examines ketamine usage in developing countries.

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This new open access edition supported by the Fragility Fracture Network aims at giving the widest possible dissemination on fragility fracture (especially hip fracture) management and notably in countries where this expertise is sorely needed. It has been extensively revised and updated by the experts of this network to provide a unique and reliable content in one single volume.

Throughout the book, attention is given to the difficult question of how to provide best practice in countries where the discipline of geriatric medicine is not well established and resources for secondary prevention are scarce. The revised and updated chapters on the epidemiology of hip fractures, osteoporosis, sarcopenia, surgery, anaesthesia, medical management of frailty, peri-operative complications, rehabilitation and nursing are supplemented by six new chapters. These include an overview of the multidisciplinary approach to fragility fractures and new contributions on pre-hospital care, treatment in the emergency room, falls prevention, nutrition and systems for audit. The reader will have an exhaustive overview and will gain essential, practical knowledge on how best to manage fractures in elderly patients and how to develop clinical systems that do so reliably.

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This book is open access, which means that readers have free and unlimited access Describes physiological basis and rationale behind prescription of intravenous fluids in a critical care setting Covers contemporary evidence related to use of intravenous fluid in critically ill patients Chapters enlist information about additional references

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This book is open access, which means that readers have free and unlimited access Describes physiological basis and rationale behind prescription of intravenous fluids in a critical care setting Covers contemporary evidence related to use of intravenous fluid in critically ill patients Chapters enlist information about additional references

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This book is open access under a CC BY 4.0 license. It constitutes a unique source of knowledge and guidance for all healthcare workers who care for patients with sepsis and septic shock in resource-limited settings. More than eighty percent of the worldwide deaths related to sepsis occur in resource-limited settings in low and middle-income countries. Current international sepsis guidelines cannot be implemented without adaptations towards these settings, mainly because of the difference in local resources and a different spectrum of infectious diseases causing sepsis. This prompted members of the Global Intensive Care working group of the European Society of Intensive Care Medicine (ESICM) and the Mahidol-Oxford Tropical Medicine Research Unit (MORU, Bangkok, Thailand) - among which the Editors – to develop with an international group of experts a comprehensive set of recommendations for the management of sepsis in resource-limited settings. Recommendations are based on both current scientific evidence and clinical experience of clinicians working in resource-limited settings. The book includes an overview chapter outlining the current challenges and future directions of sepsis management as well as general recommendations on the structure and organization of intensive care services in resource-limited settings. Specific recommendations on the recognition and management of patients with sepsis and septic shock in these settings are grouped into seven chapters. The book provides evidence-based practical guidance for doctors in low and middle income countries treating patients with sepsis, and highlights areas for further research and discussion.

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The fascinating history of local anesthetics was born in the Andean Mountains with the use of Erythroxylum coca and has gradually evolved into a group of safe drugs in anesthesiology and pain medicine. Their mechanism of action on the cell membrane produces anesthesia, analgesia, and side effects that can be catastrophic. Other effects such as antimicrobial, anti-inflammatory, antineoplastic, and other therapeutic results have also been found and are still under investigation. Pharmacological advances in local anesthetics, the use of adjuvant drugs, and new regional anesthesia techniques have resulted in greater efficacy and safety for patients.Written by authors from around the world, this book examines selected topics on local anesthetics and their current use in clinical practice.

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Topics on Spinal Anaesthesia consists of eight important and updated chapters covering subarachnoid anaesthesia for major orthopaedic surgeries, ambulatory and short stay plastic surgical procedures, complications, and discussing the usefulness of opioids and non opioids drugs as spinal adjuvants to enhance subarachnoid block, transoperative analgesia and postoperative analgesia in various clinical scenarios. InTech invited respectable anesthesiologists from different countries to write this book. The authors and co-authors discussed in detail the advances in these subjects, so that the reader has an updated view and can use this knowledge on his/her patients. It is a practical book covering current information about subarachnoid anaesthesia.

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Endotracheal intubation is a mandatory practice in the anesthesiologic management of surgical procedures, cardiopulmonary resuscitation, life-saving procedures in the emergency department, and medical procedures, and it involves many medical issues such as anesthesiology, surgery, and pulmonary diseases. This book deals with the basic principles of hypoxia and oxygenation in terms of functional airway anatomy and intubation requirements as well as difficult airway algorithms.

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The word “anesthesia” is commonly associated with surgery in an operating room setting. This book hopes to take the reader on a journey that will highlight the myriad roles that anesthesiologists currently play, and what roles beyond the operating room are on the horizon. In this book, we hope to portray modern anesthesiology as a truly unifying force within the fabric of the contemporary healthcare environment.

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