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Essentials of Trauma Anesthesia 2nd Edition by Albert Varon ISBN 1108363709 9781108363709

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Cover image: Essentials of Trauma Anesthesia
Product details:

ISBN 10: 1108363709
ISBN 13: 9781108363709
Author: Albert Varon

Covering the most important topics in trauma anesthesia, this updated edition provides anesthesiology trainees and practitioners with a practical basis for managing trauma patients. Many recent advances in trauma care are identified, including paradigm shifts in the management of bleeding and coagulopathy, new neuromuscular blockade and anticoagulant reversal drugs, and updated clinical practice guidelines. This volume provides a concise, practical review of the essential elements in the care of the severely injured trauma patient, including emergency airway management, fluid and blood resuscitation, monitoring, coagulation therapy, regional and general anesthesia, and perioperative care. Edited by two of the most experienced trauma anesthesiologists in the United States, with chapters written by experts from leading US and Canadian trauma centers with the highest and most varied caseload of critically injured patients, Essentials of Trauma Anesthesia identifies new trends in surgery and anesthesiology practices that impact on the management of trauma patients.

Essentials of Trauma Anesthesia 2nd Table of contents:

Section 1: Core Principles in Trauma Anesthesia

Chapter 1: Trauma Epidemiology, Mechanisms of Injury, and Prehospital Care

  • Trauma Epidemiology

  • Funding for Research

  • Prevention

  • Mechanisms of Injury

    • Falls

    • Transportation-related Injuries

    • Penetrating Trauma

    • Blasts or Explosions

  • Prehospital Care

    • Trauma Management in the Prehospital Phase

    • Airway and Ventilation Management

    • Breathing

    • Circulation

    • Disability/Exposure

    • Triage

  • Key Points

  • Further Reading

Chapter 2: Initial Evaluation and Management

  • Introduction

  • Before the Patient Arrives

    • Prehospital Coordination

    • Trauma Area Setup

  • Prioritizing Trauma Care

    • First Contact

    • Primary Survey

    • Resuscitation Phase

    • Secondary Survey

  • Additional Considerations

    • FAST Exam

    • CT Imaging

    • Angiography

    • Prioritization of Surgical Management

  • Teamwork and CRM in Trauma

  • Key Points

  • Further Reading

Chapter 3: Airway Management

  • Introduction

  • Airway

  • Equipment and Medications

    • RSI: Anesthetic Agents and NMBDs

    • Oxygenation and Cricoid Pressure

    • Cervical Spine Immobilization

  • ASA Difficult Airway Algorithm (Modified for Trauma)

  • Techniques and Devices

    • Videolaryngoscopy

    • Tracheal Tube Introducers

    • Supraglottic Devices

    • Laryngeal Mask Airway

    • Laryngeal Tube Airway

    • Flexible Bronchoscopy

    • Surgical Airway

  • Special Consideration: Penetrating Neck Injury

  • Key Points

  • Further Reading

Chapter 4: Shock, Resuscitation, and Fluid Therapy

  • Shock

    • Pathophysiology

    • Diagnosis and Recognition

  • Fluid Therapy

    • Timing and Rate of Administration

    • Alternatives for Small Volume Resuscitation

  • Resuscitation from Hemorrhage

    • Early Resuscitation

    • Late Resuscitation

    • Damage Control Hemostatic Resuscitation

  • Key Points

  • Further Reading

Chapter 5: Vascular Cannulation

  • Introduction

  • General Considerations

    • Factors Influencing Flow

    • Ultrasound-Guided Procedures

  • Venous Access

    • Peripheral and Central Venous Access

    • Sites and Techniques

      • Subclavian

      • Internal Jugular

      • Femoral

    • Types of Central Venous Catheters

  • Intraosseous (IO) Access

  • Arterial Access

    • Sites: Radial, Axillary, Femoral, Dorsalis Pedis, Brachial

  • Key Points

  • Further Reading

Chapter 6: Blood Component Therapy and Trauma Coagulopathy

  • Introduction

  • Hemorrhagic Shock & Coagulopathy

  • Blood Products and Compatibility

  • Transfusion Approaches

    • Empiric Ratios

    • Goal-Directed Treatment

  • Massive Transfusion Protocols

    • Activation and Scope

    • Complications

  • Procoagulant Adjuncts

    • Antifibrinolytics

    • Recombinant Factors

    • Fibrinogen Concentrate

  • Anticoagulated Trauma Patient

  • Key Points

  • Further Reading

Chapter 7: General Anesthesia for Trauma

  • Introduction

  • Preoperative Preparation

  • OR Setup and Monitoring

  • General Anesthesia Considerations

    • Airway Management

    • Aspiration Prophylaxis

    • Hypovolemia

    • Cervical Spine Precautions

  • Special Conditions

    • Head Injury

    • Cardiac Injury

    • Burns

  • Normothermia Maintenance

  • Damage Control Surgery

  • Key Points

  • Further Reading

Chapter 8: Regional Anesthesia for Trauma

  • General Considerations

    • Consent, Hemodynamics, Coagulation, Nerve Injury, Infection Risk, Compartment Syndrome, Fall Risk

  • Ultrasound in Regional Anesthesia

    • Physics and Needle Approaches

  • Upper Extremity Blocks

  • Lower Extremity Blocks

  • Neuraxial and Paravertebral Blocks

    • Subarachnoid, Epidural, Paravertebral

  • Local Anesthetic Selection & Toxicity

  • Key Points

  • Further Reading

Chapter 9: Monitoring the Trauma Patient

  • Introduction

  • Non-invasive Monitoring

  • Invasive Monitoring

  • Specialized Monitoring

    • ICP, CO, Venous Saturation, Lactate, Base Deficit

  • Monitoring Without Monitors

  • Key Points

  • Further Reading

Chapter 10: Echocardiography in Trauma

  • Introduction

  • Indications and Clinical Applications

    • Diagnostic: Pneumothorax, Tamponade, Aortic Injury

    • Monitoring: Volume, Function, Shunts

  • Performance of the Echo Exam

  • Key Points

  • Further Reading

Chapter 11: Coagulation Monitoring of the Bleeding Trauma Patient

  • Introduction

  • Assessment of Coagulation

    • Medical History, Clinical Presentation

    • Laboratory and POC Tests

  • Viscoelastic Testing

    • TEG, ROTEM, Interpretation

  • Comparison to Standard Tests

  • Economic Considerations

  • Treatment of Coagulopathy

  • Key Points

  • Further Reading

Chapter 12: Postoperative Care of the Trauma Patient

  • Introduction

  • Disposition and Transport

  • Secondary Resuscitation

  • Postoperative Concerns

    • Pain, Ventilation, Neurologic, Cardiovascular, Renal, GI/Nutrition, Infection

  • Key Points

  • Further Reading

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