Training In Anaesthesia

643 Pages·2010·72.79 MB·English

by  Kevin Kiff

Oxford Slpteyc iTaraining:
Training in Anaesthesia
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OxfoSrpde ciaTlrtayi ning:
TrainiinnA gn aesthesia
Editebdy
SpeciRaelgiisstt Arnaare sthaensdi a
CatherSiipnn oeo rs
IntenCsiavreMe e dicine,
Baratn'dtsh eL ondSocnh ooofAl n aesthesia,
London
ConsulitanAn nta esthaneds ia
Kevin Kiff
IntenCsiavreMe e dicine,
BroomfHioeslpdi tal,
Chelmsford
SeriEedsi tor
ReseaFreclhl ionPw l asatnidc
MattheDw.G ardiner
ReconstrSuucrtgievrye.
KenneIdnys tiotfRu hteeu matDoliovgiys ion,
ImperCoilalleL goen don.
London
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Foreword
Thiisst hefi resdti tioofa n b ookw hicwhi luln doubtesdelfeyu rtheerd itiaonndbs ecomeen ormoupsolpyu lwairt h
thossei tttihnePg r imaFrRyC A,t hetiera cheanrdsq, u iptoes sitbhleyi,r examiners.
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follotwhseC ollegceu'rsr icualnudam s sessmteencth niqIuetis si. m aginatainvdve ilvyi idlllyu stwriattaheh du ge
numbeorf p ractiecxaalm pltehsa sth owt raineexeasc twlhya tt od o,a ndd iagratmhsaw ti lhle lepn ormouisnl y
examinations.
Althoutghhee -LeamAinnage sthpersoijae acltsc oo vetrhse c onteonftt h ec urriculums,t ipmlralen feytr h ew ritten
wordf orl earnianngdr evistihnibgso; o kf ulftihlanste eda dmirably.
Dr Peter Nightingale
ConsultianAn nta esth&e sIinat enCsairvee
UniverHsoistpyi otfaS lo utMha nchester
•
SeirePsr eface
Ther eceunpthe avali nt rainainndeg d ucathiaosln e fjutnio rd octors mutoc hc ontewnidt hi,n cludain negwc areer
structounrlei,cn uer rilac,ua ndw orklpac-ebased assessmeTnhtens e.e df orr esourtcheasrt e fltehcets chea ngesi s
greaOtt.h ebro okhsav eb ecomeo utmodaend da lthoutghheIn tern eto fferasc cetsosb oundlmeesdsia clm aterial.
lititstl aei lotroet dh en eedosfs pecitarlatiyn Feeeasnr.o tc.h angiesc omintgh;eO xfordS peciTaralitynS ienrgi heass
arrivTehdeS. e rieensc ompascsoerssep ecialtyb ookass w elalsb assicci enacnedr evistieoxntt sh adti rceltyf ollow
theriers pectoiyavlCe o llRgee ucricrulum.
Trainngi iAnn aestheexesmpilifaie st heciorm pacbtu,tc omprehenstslyiev.Ie th ass elf-contiaendd ouble-paegs preads
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Inad dition. thee ditotreiaamaln d contributing authorsd raarwefn r obmo tthra ineaensd se niorc linitcoie ansnusr e
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MattheDw.G ardiner
Editor
Series
Visoitu rw ebsiftoerd etaiolffos r thcomisnegl f-assestsimtelwnewtsw .oup.com/uk/medicine/ost/
•
Preface
Thea rotfl iifets h aer otfa voidpianiagnn ;dh e thbee spti lwoh�os tedeerasr eosftt h e raoncsdkh so awliswth h ichii ts
is
beseTth'o maJse fferson
Ouri ntenitnei dointt ihnvigos l uhmaebs e etnoa doapnti ntegarpap:reodta otc hhpe r oviosfii nofno rmparteisoenn,t ­
inbga ssicci enptriifniccai nptdlh eesci lri naipcpalli ctaotgieotnThsre ari.in nAi nnage sthiesas iimaea dta naesthesia
trainaepepsr oacthhPiern igm FaRrCyA E xaminabtuiwto ehn o,p teh awte d om orte hapnr ovainde ex amination
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leamenreset dol earn.
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asas eroifed so ubles-ppraegTaehd esa .n aesthetici ascd uarurnitocinunealg,nu wdme h opteh areta dweirflsil tn hdi s
formahte lpifnpu lla nnainndt ga ckrleivnigsW ieo hna.v e ttora iveodni ede dlreespse toiftmi aotne rbiuartle ,a ders
shoubledai rnm ind atnhaaets tihsie tssiaeab l lfe ndsepde ci-aplriisnmc eixpplleosir nae c dh apont eorn ea reoaf
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tivbeulrtye ,a dsehrosu alldw adyosu ble-wcihttehhc Bekr itNiasthi oFnoarlm ulaanprdr yo dulcitt erature.
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anpdo si-twiivhleel l upst od eveoluoaprp proAalcflhe .e dbiawsc ekl cotmhee,r ecfoormem:e nsthso ublesd e nto t •
[email protected].
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exprietts:hs a ynoku t,h aynoku t,h aynoku .
KevKiinf f
CatheSrpionoer s

Contents
Detaicloendt ents
xi
Abbreviaxtviioin s
Contributors
xxi
Preoperataisvsee ssment
1
2 Thea naesthertoiocm :c heckasn de quipmen1t9
3 Thea naesthertoiocm :i nductioofan n aesthe5s1i a
4 Theo peratitnhge aternev ironme6n3t
Recover9y7
5
Applieadn atomy1 03
6
•
Centrnaelr voussy steamn dp ain1 39
7
8 Muscl2e0 9
9 Autonomince rvoussy ste2m2 9
Cardiovascsuylsatre 2m4 1
10
Bodyc ompartmenatnsdfl uidb alanc2e89
11
12 Renasly ste3m1 7
13 Respirat3i3o3n
Immunolog3y6 9
14
Haematolo3g7y9
15
Microbiolaongdiy n fectcioonnt ro39l9
16
Gastrointesttriancaatnl dl iver
17
18 Homeostasainsde ndocricnoe4n 1tr3o4 4l1
19Ob stetrainca esthe4s6i7a
20 Paediatarniace sthe4s9i5a
V') 21G eriatarniace sthe5s1i7a
I
z
LIJ
..... 22H OU andI CUc are5 27
z
0
u 23T rauma5 43
24 Statisfotri tchse a naesthe5t6i1s t
Critiicnacli de5n7t3s
25
611
Index
II