Practical Procedures in Anesthesia and Critical Care

Author: Peter J.F. Baskett
Published: January 1995
Publisher: Elsevier Science
ISBN: 1563756064
Hardcover Book
Number of Pages: 298

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This book presents the authors' preferred techniques for procedures commonly performed in a variety of intensive care settings. The chapters are organized by organ system: cardiovascular, respiratory, gastrointestinal, urologic, CNS, and peripheral nervous system. This book provides medical trainees and other health professionals with a standard technique for many invasive procedures. The authors have chosen approaches that they propose reflect a national consensus among specialists. To enhance this book's utility as a rapidly accessible reference, the important indications, contraindications, required equipment, and special caveats were organized into separate lists and placed adjacent to the text. It is intended for graduate medical residents, medical students, nurses, paramedics and, on occasion, experienced physicians. This is an entry-level text describing a variety of invasive procedures. Residents and medical students will accrue the greatest benefit. Experienced clinicians will generally find it of limited value, except as a lecture resource. The lists are provided to highlight clinical considerations and are not comprehensive, but they are adequate for the bulk of the intended audience. For instance, in the section on the fiberoptic intubation of the anesthetized patient, there is no concern or relative contraindication listed regarding the patient with a recognized difficult airway being electively anesthetized before securing the airway. The illustrations suffer from simplicity to the degree that recommended supplies cannot be identified from the drawings. This book is clearly written and intelligently organized. It is particularly well suited for use by junior residents andmedical and nursing students as a reference. Libraries of nursing schools, medical schools, and community hospitals should own a copy. Community hospitals should keep this book on nursing units where invasive procedures are frequently performed. It is difficult to recommend it to experienced clinicians for their own library. Baskett, Peter J.F., BA, MB, BCh (Frenchay Hospital, Bristol); Dow, Alasdair, MB, ChB, MRCP (Royal Devon and Exeter Hospital); Nolan, Jerry, MB, ChB, FRCA (Royal United Hospital, Bath); Maull, Kimball, MD

Table of Contents
Preface
Acknowledgements
Abbreviations
Sect. 1 Cardiovascular system 1
Cannulation of peripheral veins, (including blood culture sampling) 2
Central vein cannulation 6
Tunnelled central venous feeding lines 14
Cut-down venous cannulation 17
Intraosseous cannulation and infusion 20
Temperature controlled rapid fluid infusion 22
Pulmonary artery catheterisation 25
Arterial cannulation 30
Pericardiocentesis 34
External chest compression, active compression/decompression and the precordial thump 38
Internal cardiac massage 44
Defibrillation and cardioversion 48
Recording a 12 lead ECG 54
Temporary and emergency cardiac pacing 57
Pulse oximetry 62
The pneumatic anti-shock garment 64
Sect. 2 Respiratory system 67
Upper airway control 68
Conventional tracheal intubation 85
Fibre-optic intubation 98
Intubation with a double-lumen endobronchial tube 103
Retrograde tracheal intubation 108
Surgical and percutaneous dilatational cricothyroidotomy 111
Surgical and percutaneous tracheostomy 117
Basic ventilation techniques 125
Ventilatory modes 135
Transtracheal jet ventilation 146
Arterial blood gases and end-tidal CO[subscript 2] measurement 149
Needle thoracostomy and chest drainage 153
Bronchoscopy 160
Broncho-alveolar lavage 165
How to set-up and use a nebuliser 168
Sect. 3 Gastro-intestinal system 171
Insertion of a nasogastric tube 172
Gastric lavage 176
Insertion of Sengstaken-Blakemore and Minnesota tubes 178
Diagnostic peritoneal lavage 182
Sect. 4 Urological system 187
Urethral catheterisation 188
Suprapubic catheterisation 191
Pentoneal dialysis 194
Haemofiltration and haemodiafiltration 197
Ultrasound examination of the abdomen 204
Sect. 5 Central nervous system 209
Lumbar puncture 210
Intracranial pressure monitoring 214
Burr hole craniotomy 219
Patient controlled analgesia devices 225
Monitoring neuromuscular blockade 228
Sect. 6 Peripheral nervous system 233
Spinal anaesthesia 234
Epidural anaesthesia and analgesia 240
Brachial plexus block 252
Intercostal nerve block 263
Interpleural block 266
Block of the femoral nerve and the lateral cutaneous nerve of the thigh 269
Intravenous regional anaesthesia (Bier's block) 272
Sect. 7 Supplements 275
Guidelines for adult cardiopulmonary resuscitation 276
Guidelines for paediatric cardiopulmonary resuscitation 279
Criteria for diagnosis and certification of brain death and authority for removal of cadaveric organs 282
Advanced prehospital care 'working out of a box' 284
Who should be taught what 289
Further Reading 292
Index 294

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