Free PDF Essentials of Equipment in Anaesthesia Critical Care and Peri-Operative Medicine 5th Edition

Free PDF Essentials of Equipment in Anaesthesia Critical Care and Peri-Operative Medicine 5th Edition is a highly practical textbook that is an invaluable guide to all of these, including anaesthetic instruments with anaesthetic and intensive care nurses and operating department physicians. The book is well-organized and easy to read in the previous editions. The text has been comprehensively updated and more attention has been paid to the FRCA with the addition of test points and new questions. A new chapter addresses the thematic and ever-expanding field of “Point of Care Testing” in anaesthesia and intensive care. Clean colour illustrations and illustrations, as well as over 100 interactive self-assessment OSCE questions that complete this brief account of its use in purification equipment and clinical settings.

Essentials of Equipment in Anaesthesia Critical Care and Peri-Operative Medicine 5th Edition PDF by Baha Al-Shaikh FCARCSI FRCA

Description:

About 5th Edition:

The new fifth edition of Essentials of Equipment in Anaesthesia Critical Care and Peri-Operative Medicine hopefully makes a dry subject simple enough to understand and is structured to aid revision for the exam syllabus.
The text and illustrations have been updated and have become ever more exam-focused: exam tips and new questions are valuable additions. In this edition, we have added a new chapter that starts to address the new and ever-expanding field of ‘point-of-care testing’ in anaesthesia and intensive care. The new edition also includes access to the complete electronic text and over 100 interactive self-assessment OSCE questions based on the book, available.

We have tried not to increase the number of pages through careful editing and the wider use of website addresses where possible. We hope this book will continue to be the equipment book of choice for both the trainees sitting FRCA exams and our Nursing and Operating Department Practitioner colleagues.

About Author:

Baha Al-Shaikh FCARCSI FRCA
Consultant in Anaesthesia, Benenden Hospital, Kent;
Visiting Professor, Canterbury Christ Church University, UK

Topics of this Edition:

Chapter 1

MEDICAL GAS SUPPLY 1
Gas supply 2
Cylinders 2
Cylinder valves 4
Piped gas supply 7
Sources of gas supply 9
Oxygen concentrators 11
Entonox 12
Compressed air 13
Centralized vacuum or suction system 13

Chapter 2

THE ANAESTHETIC MACHINE 21
Pressure gauge 23
Pressure regulator (reducing valve) 23
Second-stage regulators and flow restrictors 24
One-way valve or backflow check valves 25
Flow control (needle) valves 25
Flowmeters 25
Vaporizers 27
Vaporizer filling devices 30
Non-return pressure relief safety valve 31
Emergency oxygen flush 31
Compressed oxygen outlet(s) 32
Oxygen supply failure alarm 32
Common gas outlet 33
Other modifications and designs 33
Anaesthesia in remote areas 35

Chapter 3

POLLUTION IN THEATRE AND SCAVENGING 43
Scavenging 45
Passive system 45
Active system 46
Charcoal canisters (Cardiff Aldasorber) 47

Chapter 4

BREATHING SYSTEMS 53
Properties of the ideal breathing system 54
Components of the breathing systems 54
Mapleson classification 56
Magill system (Mapleson A) 56
Lack system (Mapleson A) 57
Mapleson B and C systems 58
Bain system (Mapleson D) 58
T-piece system (Mapleson E and F) 60
The Humphrey ADE breathing system 61
The circle breathing system and soda lime 62
Use of vaporizers in the circle breathing system 64
Waters canister (‘to-and-fro’) bidirectional flow
breathing system 65

Chapter 5

TRACHEAL TUBES, TRACHEOSTOMY TUBES AND
AIRWAYS 73
Tracheal tubes 74
Specially designed tracheal tubes 77
Tracheostomy tracheal tubes 80
Minitracheostomy tube 83
Cricothyrotomy tube 84
Double lumen endobronchial tubes 84
Endobronchial blocker 86
Oropharyngeal airways 86
Nasopharyngeal airway 87
Supraglottic airway devices 88
Laryngeal mask airway 89
The intubating laryngeal mask airway (ILMA) 90
i-gel airway 91
AuraGain airway 92
COBRA perilaryngeal airway (PLA) 92

Chapter 6

MASKS AND OXYGEN DELIVERY DEVICES 99
Face masks and angle pieces 100
Nasal masks (inhalers) 100
Contents
vi Contents
Catheter mount 101
Oxygen delivery devices 101
Variable performance masks (medium
concentration; MC) 101
Nasal cannulae 103
Nasal catheters 104
Open oxygen delivery systems 104
Fixed performance devices 104
Humidified high-flow nasal oxygenation 106

Chapter 7

LARYNGOSCOPES AND TRACHEAL INTUBATION
EQUIPMENT 113
Laryngoscopes 114
Fibreoptic intubating laryngoscope 116
Video laryngoscopes (rigid indirect laryngoscopes) 117
Magill forceps 117
Introducer, bougie, bite guard, local anaesthetic
spray, Endotrol tube and Nosworthy airway 118
Retrograde intubation set 119

Chapter 8

VENTILATORS 123
Classification of ventilators 124
Characteristics of the ideal ventilator 125
Manley MP3 ventilator 126
Penlon Anaesthesia Nuffield Ventilator Series 200 126
Bag in bottle ventilator 127
SERVO-U ventilator 128
High-frequency jet ventilator 130
VentiPAC 131
Pneupac VR1 Emergency Ventilator 132
Venturi injector device 132
Self-inflating bag and mask 133
PEEP valve 134

Chapter 9

HUMIDIFICATION AND FILTRATION 137
Heat and moisture exchanger (HME) humidifiers 138
Hot water bath humidifier 139
Nebulizers 140
Bacterial and viral filters 141

Chapter 10

NON-INVASIVE MONITORING 147
Integrated monitoring 148
Electrocardiogram (ECG) 149
Arterial blood pressure 151
Pulse oximetry 153
End-tidal carbon dioxide analysers (capnography) 155
Oxygen concentration analysers 159
Nitrous oxide and inhalational agent concentration
analysers 161
Wright respirometer 163
Pneumotachograph 164
Combined pneumotachograph and Pitot tube 165
Ventilator alarms 166
Peripheral nerve stimulators and neuromuscular
blockade monitoring 167
Bispectral index (BIS) analysis 169
Entropy of the EEG 171

Chapter 11
INVASIVE MONITORING 179
Invasive arterial pressure monitoring 180
Central venous catheterization and pressure 183
Invasive electrocardiogram (ECG) 187
Cardiac output 188
Balloon-tipped flow-guided PA catheter 188
Oesophageal Doppler haemodynamic
measurement 191
LiDCOrapid 192
Masimo 193
Temperature probes 194

Chapter 1
MEDICAL GAS SUPPLY 1
Gas supply 2
Cylinders 2
Cylinder valves 4
Piped gas supply 7
Sources of gas supply 9
Oxygen concentrators 11
Entonox 12
Compressed air 13
Centralized vacuum or suction system 13
Chapter 2
THE ANAESTHETIC MACHINE 21
Pressure gauge 23
Pressure regulator (reducing valve) 23
Second-stage regulators and flow restrictors 24
One-way valve or backflow check valves 25
Flow control (needle) valves 25
Flowmeters 25
Vaporizers 27
Vaporizer filling devices 30
Non-return pressure relief safety valve 31
Emergency oxygen flush 31
Compressed oxygen outlet(s) 32
Oxygen supply failure alarm 32
Common gas outlet 33
Other modifications and designs 33
Anaesthesia in remote areas 35
Chapter 3
POLLUTION IN THEATRE AND SCAVENGING 43
Scavenging 45
Passive system 45
Active system 46
Charcoal canisters (Cardiff Aldasorber) 47
Chapter 4
BREATHING SYSTEMS 53
Properties of the ideal breathing system 54
Components of the breathing systems 54
Mapleson classification 56
Magill system (Mapleson A) 56
Lack system (Mapleson A) 57
Mapleson B and C systems 58
Bain system (Mapleson D) 58
T-piece system (Mapleson E and F) 60
The Humphrey ADE breathing system 61
The circle breathing system and soda-lime 62
Use of vaporizers in the circle breathing system 64
Waters canister (‘to-and-fro’) bidirectional flow
breathing system 65
Chapter 5
TRACHEAL TUBES, TRACHEOSTOMY TUBES AND
AIRWAYS 73
Tracheal tubes 74
Specially designed tracheal tubes 77
Tracheostomy tracheal tubes 80
Minitracheostomy tube 83
Cricothyrotomy tube 84
Double lumen endobronchial tubes 84
Endobronchial blocker 86
Oropharyngeal airways 86
Nasopharyngeal airway 87
Supraglottic airway devices 88
Laryngeal mask airway 89
The intubating laryngeal mask airway (ILMA) 90
i-gel airway 91
AuraGain airway 92
COBRA perilaryngeal airway (PLA) 92
Chapter 6
MASKS AND OXYGEN DELIVERY DEVICES 99
Face masks and angle pieces 100
Nasal masks (inhalers) 100
Contents
vi Contents
Catheter mount 101
Oxygen delivery devices 101
Variable performance masks (medium
concentration; MC) 101
Nasal cannulae 103
Nasal catheters 104
Open oxygen delivery systems 104
Fixed performance devices 104
Humidified high-flow nasal oxygenation 106
Chapter 7
LARYNGOSCOPES AND TRACHEAL INTUBATION
EQUIPMENT 113
Laryngoscopes 114
Fibreoptic intubating laryngoscope 116
Videolaryngoscopes (rigid indirect laryngoscopes) 117
Magill forceps 117
Introducer, bougie, bite guard, local anaesthetic
spray, Endotrol tube and Nosworthy airway 118
Retrograde intubation set 119
Chapter 8
VENTILATORS 123
Classification of ventilators 124
Characteristics of the ideal ventilator 125
Manley MP3 ventilator 126
Penlon Anaesthesia Nuffield Ventilator Series 200 126
Bag in bottle ventilator 127
SERVO-U ventilator 128
High-frequency jet ventilator 130
VentiPAC 131
Pneupac VR1 Emergency Ventilator 132
Venturi injector device 132
Self-inflating bag and mask 133
PEEP valve 134
Chapter 9
HUMIDIFICATION AND FILTRATION 137
Heat and moisture exchanger (HME) humidifiers 138
Hot water bath humidifier 139
Nebulizers 140
Bacterial and viral filters 141

Chapter 10

NON-INVASIVE MONITORING 147
Integrated monitoring 148
Electrocardiogram (ECG) 149
Arterial blood pressure 151
Pulse oximetry 153
End-tidal carbon dioxide analysers (capnographs) 155
Oxygen concentration analysers 159
Nitrous oxide and inhalational agent concentration
analysers 161
Wright respirometer 163
Pneumotachograph 164
Combined pneumotachograph and Pitot tube 165
Ventilator alarms 166
Peripheral nerve stimulators and neuromuscular
blockade monitoring 167
Bispectral index (BIS) analysis 169
Entropy of the EEG 171
Chapter 11
INVASIVE MONITORING 179
Invasive arterial pressure monitoring 180
Central venous catheterization and pressure 183
Invasive electrocardiogram (ECG) 187
Cardiac output 188
Balloon-tipped flow-guided PA catheter 188
Oesophageal Doppler haemodynamic
measurement 191
LiDCOrapid 192
Masimo 193
Temperature probes 194
Chapter 12
PUMPS, PAIN MANAGEMENT AND REGIONAL
ANAESTHESIA 201
Patient-controlled analgesia (PCA) 202
Elastomeric pumps 204
Epidural needles 204
Epidural catheter, filter and loss of resistance
device 206
Spinal needles 207
Nerve block needles 209
Percutaneous localization of nerves 211
Nerve stimulator for nerve blocks 211
Ultrasound guidance in regional anaesthesia 212
Chapter 13
ADDITIONAL EQUIPMENT USED IN ANAESTHESIA
AND INTENSIVE CARE 217
Continuous positive airway pressure (CPAP) 218
Haemofiltration 218
Arterial blood gas analyser 220
Polarographic (Clark) oxygen electrode 221
pH electrode 222
Carbon dioxide electrode (Severinghaus electrode) 223
Intra-aortic balloon pump (IABP) 223
Intravenous giving sets 225
Intravenous cannulae 226
Blood warmers 227
Contents vii
Forced-air warmers 227
Defibrillator 228
Chest drain 230
The ultrasound machine 231
Chapter 14
POINT-OF-CARE TESTING 237
Introduction 238
HemoCue 238
Hemochron Junior 238
Original TEG/ROTEM 239
Chapter 15
ELECTRICAL SAFETY 245
Principles of electricity 246
Identification of medical electrical equipment 247
Maintenance of equipment 250
Hazards of electrical shock 250
Diathermy 251
Static electricity 252
Lasers 252
Appendix A
SAFETY AND STANDARDS 257
Appendix B
GRAPHICAL SYMBOLS FOR USE IN LABELLING
MEDICAL DEVICES 259
Appendix C
DECONTAMINATION OF MEDICAL EQUIPMENT 261
CLEAN, DISINFECT OR STERILIZE INSTRUMENTS? 261
Appendix D
DIRECTORY OF MANUFACTURERS 265
GLOSSARY 269
PUMPS, PAIN MANAGEMENT AND REGIONAL
ANAESTHESIA 201
Patient-controlled analgesia (PCA) 202
Elastomeric pumps 204
Epidural needles 204
Epidural catheter, filter and loss of resistance
device 206
Spinal needles 207
Nerve block needles 209
Percutaneous localization of nerves 211
Nerve stimulator for nerve blocks 211
Ultrasound guidance in regional anaesthesia 212
Chapter 13
ADDITIONAL EQUIPMENT USED IN ANAESTHESIA
AND INTENSIVE CARE 217
Continuous positive airway pressure (CPAP) 218
Haemofiltration 218
Arterial blood gas analyser 220
Polarographic (Clark) oxygen electrode 221
pH electrode 222
Carbon dioxide electrode (Severinghaus electrode) 223
Intra-aortic balloon pump (IABP) 223
Intravenous giving sets 225
Intravenous cannulae 226
Blood warmers 227
Contents vii
Forced-air warmers 227
Defibrillator 228
Chest drain 230
The ultrasound machine 231
Chapter 14
POINT-OF-CARE TESTING 237
Introduction 238
HemoCue 238
Hemochron Junior 238
Original TEG/ROTEM 239
Chapter 15
ELECTRICAL SAFETY 245
Principles of electricity 246
Identification of medical electrical equipment 247
Maintenance of equipment 250
Hazards of electrical shock 250
Diathermy 251
Static electricity 252
Lasers 252
Appendix A
SAFETY AND STANDARDS 257
Appendix B
GRAPHICAL SYMBOLS FOR USE IN LABELLING
MEDICAL DEVICES 259
Appendix C
DECONTAMINATION OF MEDICAL EQUIPMENT 261
CLEAN, DISINFECT OR STERILIZE INSTRUMENTS? 261
Appendix D
DIRECTORY OF MANUFACTURERS 265
GLOSSARY 269

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