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Anesthesia Equipment
Principles and Applications
- 3rd Edition - August 7, 2020
- Authors: Jan Ehrenwerth, James B. Eisenkraft, James M Berry
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 6 7 2 7 9 - 5
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 7 7 5 4 9 - 6
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 7 7 5 4 8 - 9
Offering highly visual, easy-to-read coverage of the full range of anesthesia equipment in use today, this authoritative reference is your go-to text for objective, informed… Read more
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Request a sales quoteOffering highly visual, easy-to-read coverage of the full range of anesthesia equipment in use today, this authoritative reference is your go-to text for objective, informed answers to ensure optimal patient safety. Anesthesia Equipment, 3rd Edition, provides detailed information on the intricate workings of each device or workstation, keeping you fully up to date and helping you meet both equipment and patient care challenges.
- Remains unequalled in both depth and breadth of coverage, offering readable, concise guidance on all aspects of today’s anesthesia machines and equipment.
- Details the latest machines, vaporizers, ventilators, breathing systems, vigilance, ergonomics, and simulation.
- Improves your understanding of the physical principles of equipment, the rationale for its use, delivery systems for inhalational anesthesia, systems monitoring, hazards and safety features, maintenance and quality assurance, special situations/equipment for non-routine adult anesthesia, and future directions for the field.
- Includes ASA Practice Parameters for care, and helps you ensure patient safety with detailed advice on risk management and medicolegal implications of equipment use.
- Highlights the text with hundreds of full-color line drawings and photographs, graphs, and charts.
- Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
Anesthesiologists, Residents
- Cover image
- Title page
- Table of Contents
- Copyright
- Dedication
- List of Contributors
- Foreword, Third Edition
- Preface
- Part 1. Gases and Ventilation
- 1. Medical Gases: Storage and Supply
- Overview
- Medical Gas Cylinders and Their Use
- Characteristics of Gas Cylinders
- Gas Cylinder Safety Issues
- Guidelines for Use of Medical Gas Cylinders
- Medical Gas Pipeline Systems
- Medical Gas Central Supply Systems
- Medical Gas Pipelines
- Hazards of Medical Gas Delivery Systems
- Procedures
- 2. The Anesthesia Machine and Workstation
- Anesthesia Gas Delivery System
- Anesthesia Machine Components
- Gas Flow Through the Anesthesia Machine
- Anesthesia Workstation Obsolescence and Pre-Use Checks
- Contemporary U.S. Anesthesia Workstations
- 3. Anesthesia Vaporizers
- General Principles
- Vapor, Evaporation, and Vapor Pressure
- Regulating Vaporizer Output
- Effect of Use Variables on Vaporizer Function
- Contemporary Vaporizers
- 4. Breathing Circuits
- Introduction
- History of Device Development
- Classifications of Breathing Circuits
- Components of a Breathing Circuit
- Carbon Dioxide Absorption
- Bacterial Filters
- Analysis of Specific Circuits
- Circuit Malfunction and Safety
- 5. Waste Anesthetic Gases and Scavenging Systems
- Trace Concentrations of Anesthetic Gases
- Sources of Anesthetic Gas Contamination
- Operating Room Ventilation Systems
- Waste Gas Scavenging Systems
- Hazards of Scavenging
- Low-Flow Scavenging Systems
- Anesthetic Leak Detection and Waste Gas Management
- Work Practice Recommendations
- Monitoring Trace Levels of Anesthetic Gases
- Are Trace Concentrations of Waste Anesthetic Gases Hazardous?
- Environmental Concerns
- Technologies for Reduction of Waste Gas Release to the Environment
- Conclusion
- 6. Anesthesia Ventilators
- Overview
- History
- Physiology and Mechanical Concepts
- Physics of Gas Flow
- Lung Function During Anesthesia And Mechanical Ventilation
- Classification, Special Features, and Modes of Ventilation
- Capabilities and Limitations of Anesthesia Ventilators
- Modes of Ventilation
- Current Designs of Anesthesia Ventilators
- Ventilator Concerns With Use
- Check-Out Procedures
- Summary
- 7. Humidification and Filtration
- Overview
- Physics of Humidity
- Physiology of Humidification
- Filtration
- Heat and Moisture Exchangers
- Summary
- Part 2. System Monitors
- 8. Respiratory Gas Monitoring
- Overview
- Gas Sampling Systems
- Units of Measurement
- Gas Analysis Technologies
- Infrared Analysis
- Raman Spectroscopy
- Water Vapor and Accuracy of Capnometers
- Colorimetric Carbon Dioxide Detectors
- Oxygen Analyzers
- Balance Gas
- Exotic Gases
- Applications of Gas Monitoring
- Complications of Gas Monitoring
- Credentialing for Use of Gas Monitoring
- Practice Parameters
- American Society of Anesthesiologists Standards for Postanesthesia Care
- 9. Monitoring Ventilation
- Overview
- Respiratory Rate
- Airway Pressures
- Volume Measurement
- Measurement of Gas Flows
- Spirometry, Curves, and Loops
- Capnography and Volumetric Capnography
- Display of Ventilation Data
- Practice Parameters
- Part 3. Patient Monitors
- 10. Capnography
- Overview
- Terms and Definitions
- Measurement Techniques (see also Chapter 8)
- Systematic Interpretation of Time Capnography
- Volumetric Capnography
- Clinical Applications – Time-Based Capnography
- Common Pitfalls
- The Future
- 11. Pulse Oximetry
- Hemoglobin Saturation and Oxygen Transport
- History of Pulse Oximetry
- Physics and Engineering of Pulse Oximetry
- Sources of Error
- Multiwavelength Pulse Oximetry
- Clinical Applications: Accuracy, Response, and Limitations
- Conclusion
- 12. Hemodynamic Monitoring
- Overview
- Arterial Blood Pressure Monitoring
- The Pulmonary Artery Catheter
- Other Commercially Available Devices
- 13. Temperature Monitoring
- Overview
- Thermoregulation
- Effects of Anesthesia
- Mechanisms of Intraoperative Heat Loss
- Effects of Mild Perioperative Hypothermia
- Hyperthermic States
- Perioperative Temperature Management
- Transducers and Devices for Measuring Temperature
- Temperature Monitoring Sites
- Guidelines for Temperature Monitoring
- Summary
- Part 4. Other Equipment
- 14. Airway Equipment
- Airway Patency, Access, and Patient Positioning
- Patient Positioning
- Techniques for Perioperative Oxygenation
- Tracheal Tubes
- Laryngoscopy
- Intubating Adjuncts: Tube Introducers, Tube Exchangers, and Lighted Stylets
- Airway Exchange Catheters
- Optical Stylets and Tubes
- Flexible Intubation Devices
- Supraglottic Airways
- Invasive Airway Techniques
- Conclusion
- 15. Preventing Transmission of Infectious Diseases
- Overview
- Hand Hygiene
- Equipment
- Preventing Blood-Borne Transmission
- The Anesthesia Machine
- Airborne Transmissible Disease
- Managing Infectious Disease Risks to Anesthesia Professionals
- 16. Infusion Pumps
- Background
- Gravity-Driven Infusions
- Positive-Pressure Pumps
- Patient-Controlled Analgesia
- Modern Infusion Pump Features
- Infusion Safety
- Emerging Technologies
- Considerations for Pump Selection
- Final Thoughts
- Part 5. Vigilance, Alarms, and Ergonomics
- 17. Vigilance, Alarms, and Integrated Monitoring Systems
- Overview
- Anesthesia Mishaps
- Vigilance and Monitoring Performance
- Role of Standards in Anesthesia Equipment Design
- Alarms
- Integrated Monitoring Systems
- Conclusions
- 18. Ergonomics of the Anesthesia Workspace
- History
- What is Ergonomics?
- Ergonomics Research in Anesthesiology
- Ergonomics Guidelines
- Ergonomics in Design
- Summary
- Part 6. Special Conditions
- 19. Closed-Circuit Anesthesia
- Principles
- Anesthesia Administration and Monitoring
- Continuum From High-Flow to Low-Flow Anesthesia
- Closed-Circuit Anesthesia
- Respiratory Gas Sampling
- Buildup of Toxic Substances
- Machine Requirements
- Using Today’s Technology: Practicalities
- Idiosyncrasies of Contemporary Anesthesia Machines
- The Future
- Summary
- 20. Anesthesia Delivery in the MRI Environment
- Overview
- MRI Physics and Clinical Applications
- MRI Anesthesia Equipment and Physiologic Monitors
- MRI Video Goggles
- 21. Anesthesia at High Altitude
- Overview
- Gases Around the Body
- Reduced Environmental Pressure
- Anesthetic Problems and Altitude
- Recommendations for Anesthesia at Altitude
- Common Medical Problems and Commercial Flights
- Spaceflight
- 22. Anesthesia in Difficult Locations and in Developing Countries
- Inhalational Anesthesia in Difficult Locations
- Draw-Over Breathing System
- Oxygen Concentrator
- Mechanical Ventilators
- Recent Developments
- Monitoring
- Part 7. Safety, Standards, and Quality
- 23. Hazards of the Anesthesia Delivery System
- Perspective
- Complications
- Circuit Pressure and Volume Problems
- Anesthetic Agent Dosage and Administration Problems
- Prevention of Complications
- Cybersecurity of Medical Devices and the Implications of Cybersecurity Vulnerabilities
- Definitions
- 24. Electrical and Fire Safety
- Introduction
- Principles of Electricity
- Electrical Shock Hazards
- Electrical Power: Grounded
- Electrical Power: Ungrounded
- The Line Isolation Monitor
- Ground Fault Circuit Interrupter
- Double Insulation
- Microshock
- Electrosurgery
- Environmental Hazards
- Electromagnetic Interference
- Construction of New Operating Rooms
- Fire Safety
- 25. Machine Checkout and Quality Assurance
- Overview
- Background
- Preanesthesia Checkout
- Equipment Quality Assurance
- Conclusion
- 26. Risk Management and Medicolegal Aspects of Anesthesia Equipment Use
- Overview
- Elements of Risk Management in Anesthesia Practice
- Incidence and Characteristics of Adverse Equipment Events
- Prevention
- Response
- Medicolegal Issues
- 27. Standards and Regulatory Considerations
- Overview
- Regulation of Medical Devices
- Role of Standards in Medical Device Regulation
- Medical Device Voluntary Standards
- Index
- No. of pages: 784
- Language: English
- Edition: 3
- Published: August 7, 2020
- Imprint: Saunders
- Hardback ISBN: 9780323672795
- eBook ISBN: 9780323775496
- eBook ISBN: 9780323775489
JB
James M Berry
Affiliations and expertise
Professor, Department of Anesthesiology, Vanderbilt University School of Medicine, Nashville, TennesseeRead Anesthesia Equipment on ScienceDirect