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Principles and Practice of Sedation / Edition 2

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Overview

This manual aims to become the definitive reference work on sedation for all staff involved in administrating sedative agents, including anaesthetists, physicians, radiologists and support staff. The appropriate sedation technique is crucial to the comfort and safety of patients undergoing a wide spectrum of clinical procedures. The general principles of sedative use and protocols for good practice—information that is relevant in all clinical situations—is presented in the first two sections, and the final section looks at sedation and its applications in medicine, surgery and interventional radiology.

The book contains black-and-white illustrations.

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Editorial Reviews

Richard I. Cook
This book seeks to provide a guide to the safe practice of what the editors call ""sedoanalgesia."" It describes a distinctly British approach to sedation in a variety of settings that include minimally invasive surgery, diagnostic procedures, cardiac electrophysiology, and pediatric procedures. The purpose is to provide a guide to safe practice in the administration of sedation. It is particularly directed at administration of sedative medications by nonanesthetists. The book points out that in the United Kingdom there is much greater demand for sedation than formally trained anesthetists available to administer it, so nonspecialists are often involved. Whether the practice of sedation can be safely delegated to nonspecialists is a contentious issue that the editors acknowledge but do not resolve. The likely audience for such a book includes nurses and physicians administering sedative drugs and, to a lesser degree, those anesthetists who might supervise them or be called on to handle problems related to complications from sedation. Many of the approaches described are tied to the way medical care is conducted in the U.K. Readers from other countries may find the organizational aspects of medical care different in significant ways. This book mixes scientific, clinical, and managerial materials and there is some overlap and inconsistency in approach. This reflects, to some degree, the complex and inconsistent nature of clinical practice. In a world where local practices dominate, it is probably better to allow each author to have his or her own say. More broadly, however, the practice of sedation is heavily constrained by the economics of medical practice and local notions ofwhat is acceptable, necessary, correct, and valid. This book reflects a variety of views on that subject, providing a few snapshots of a fast-changing world.
Booknews
Describes drugs and techniques employed in sedation. Part I provides a framework for those practicing sedation, with chapters on pharmacology, details of techniques, and all aspects of the care pathway from patient selection to discharge. Other subjects include resuscitation and legal aspects of minimally invasive therapy. Part II is a series of articles by leading specialists, giving short accounts of their work, including patient selection, and their general management of conscious sedation and analgesia, forming an overview of real-world practice. For anesthetists and other specialists. Annotation c. by Book News, Inc., Portland, Or.
Doody's Review Service
Reviewer: Richard I. Cook, MD (University of Chicago Pritzker School of Medicine)
Description: This book seeks to provide a guide to the safe practice of what the editors call "sedoanalgesia." It describes a distinctly British approach to sedation in a variety of settings that include minimally invasive surgery, diagnostic procedures, cardiac electrophysiology, and pediatric procedures.
Purpose: The purpose is to provide a guide to safe practice in the administration of sedation. It is particularly directed at administration of sedative medications by nonanesthetists. The book points out that in the United Kingdom there is much greater demand for sedation than formally trained anesthetists available to administer it, so nonspecialists are often involved. Whether the practice of sedation can be safely delegated to nonspecialists is a contentious issue that the editors acknowledge but do not resolve.
Audience: The likely audience for such a book includes nurses and physicians administering sedative drugs and, to a lesser degree, those anesthetists who might supervise them or be called on to handle problems related to complications from sedation.
Features: Many of the approaches described are tied to the way medical care is conducted in the U.K. Readers from other countries may find the organizational aspects of medical care different in significant ways.
Assessment: This book mixes scientific, clinical, and managerial materials and there is some overlap and inconsistency in approach. This reflects, to some degree, the complex and inconsistent nature of clinical practice. In a world where local practices dominate, it is probably better to allow each author to have his or her own say. More broadly, however, the practice of sedation is heavily constrained by the economics of medical practice and local notions of what is acceptable, necessary, correct, and valid. This book reflects a variety of views on that subject, providing a few snapshots of a fast-changing world.

1 Star from Doody
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Product Details

  • ISBN-13: 9780632052196
  • Publisher: Wiley
  • Publication date: 12/28/1998
  • Edition description: REV
  • Edition number: 2
  • Pages: 256
  • Product dimensions: 6.00 (w) x 9.30 (h) x 0.90 (d)

Table of Contents

List of Contributors.

Foreword.

Preface.

Introduction.

Section 1: Principles:.

1. Anxiolysis, Sedation and Anaesthesia.

2. Pharmacology.

3. Techniques for Conscious Sedation.

4. Procedural Safety.

5. Cardiopulmonary Resuscitation.

6. Legal Aspects of Surgery and Minimally Invasive Therapy.

Section 2: Practice:.

7. Gastroenterology.

8. Urology.

9. Airways and Bronchoscopy.

10. Cardiology.

11. Accident and Emergency Medicine.

12. Awake Craniotomy.

13. Spinal Surgery.

14. Interventional Radiology.

15. Paediatrics.

15.1. The Sedation of Children.

15.2. Paediatric Sedation for Diagnostic and Therapeutic Procedures.

15.3. Sedation for Magnetic Resonance Scanning of Infants and Young Children.

16. Dentistry.

17. Emergency and Diagnostic Procedures in the Critically Ill.

Appendices:.

1. Intra-articular, Peritoneal and Pleural Opioids and Local Anaesthetics.

2. Pulse Oximetry.

Index

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