Counting Backwards: A Doctor's Notes on Anesthesia


Book Description

“An engaging and illuminating exploration of the invisible medical specialty that is anesthesia.… Counting Backwards pulls back the veil on the very act of being alive.” —Danielle Ofri, MD, PhD, author of What Patients Say, What Doctors Hear For many of the 40 million Americans who undergo it each year, anesthesia is the source of great fear and fascination. In Counting Backwards, pediatric anesthesiologist Dr. Henry Jay Przybylo delivers an unforgettable account of the procedure’s daily dramas and fundamental mysteries. Przybylo has administered anesthesia more than 30,000 times over his thirty-year career: on newborn babies, screaming toddlers, sullen teenagers, even a gorilla. Filled with intense moments of near-disaster, life-saving successes, and simple grace, Counting Backwards is for anyone curious about what happens after we lose consciousness.




Anaesthesia and the Practice of Medicine: Historical Perspectives


Book Description

Written by two anaesthetists, one British and one American, this unique book focuses on the transatlantic story of anaesthesia. The authors have both worked at the two hospitals where the first general anaesthetics for surgery were given in 1846, Massachusetts General Hospital in Boston, Massachusetts and University College Hospital, London. Each with more than fifty years' experience of working in anaesthesia, they combine their knowledge and expertise to offer a fresh outlook on the development of anaesthesia through the ages. This highly informative and intriguing text details the origins of anaesthesia, outlines the different techniques of anaesthesia and traces its progress with illuminating and enlightening commentaries. This is a fascinating book which considers the role key figures have played in developing anaesthesia including, Queen Victoria, William Morris, La Condamine, Bjorn Ibsen and Henry Beecher. Broken down into four sections, which are divided into easy-to-read chapters and filled with top quality photographs, this book makes compelling reading. It is recommended to all those interested in the history and development of medicine through the ages, and is of particular interest to anaesthetists. More than just the science of anaesthesia, this is the story about the people and personalities who have made anaesthesia what it is today.




Anaesthesia


Book Description

Winner, 2017 Mark and Evette Moran Nib Literary Award You know how it is when you go under. The jab, the countdown, the— —and then you wake. This book is about what happens in between. Until a hundred and seventy years ago many people chose death over the ordeal of surgery. Now hundreds of thousands undergo operations every day. Anaesthesia has made it possible. But how much do we really know about what happens to us on the operating table? Can we hear what’s going on around us? Is pain still pain if we are not awake to feel it, or don’t remember it afterwards? How does the unconscious mind deal with the body’s experience of being cut open and ransacked? And how can we help ourselves through it? Haunting, lyrical, sometimes shattering, Anaesthesia leavens science with personal experience to bring an intensely human curiosity to the unknowable realm beyond consciousness. What really happens to us when we are anaesthetised? By this I mean not what happens to the pinging, crackling apparatus of our nerves and spinal cords and brains, but what happens to us—to the person who is me or the person who is you—as doctors go about the messy business of slicing and delving within us? Kate Cole-Adams is a Melbourne writer and journalist. Her non-fiction work Anaesthesia won the Mark and Evette Moran Nib Literary Award, 2017 and the 2017 Australian and New Zealand College of Anaesthetists Media Award. It was shortlisted for the Victorian Premier’s Literary Award for Non-fiction, 2017. Her novel Walking to the Moon is also published by Text. ‘Anaesthesia is mesmerising...This rich and thorough study looks more deeply into questions about the nature of consciousness than many of us who undergo an anaesthetic are likely, or willing, to ponder.’ Australian Book Review ‘A work of splendid richness and depth, driven by a curiosity so intense that it hazards at times the extreme boundaries of the sayable.’ Helen Garner ‘Kate Cole-Adams has been fascinated with our funny non-being during surgery for a long time, and Anaesthesia feels like a book that’s taken over a decade to write, which it is. It also feels like you’re having a decade’s worth of conversations with a dogged, but generous and resourceful thinker, with someone (she is both a journalist and a novelist) who can crack open a complex idea, and then run with it.’ Readings 'An obsessive, mystical, terrifying, and even phantasmagorical exploration of anesthesia’s shadowy terra incognita.’ The New Yorker 'Remarkable in its attention to historical detail and quality of the primary sources...practising anaesthetists should read what has become the single best account of our profession’s most philosophically fragile constructs—consciousness and self... Cole-Adams has distilled and articulated the art of our profession.’ Anaesthesia Intensive Care journal (published by Australian Society of Anaesthetists) ‘Extraordinarily well-researched and delicately structured, this is a book with few parallels. Exceptional writing illuminates a topic that affects most of us, but that few of us understand.’ Judges’ Report, Victorian Premier’s Literary Awards, 2018 ‘Comfortably numb. A close-up look at anaesthesia is equal parts social history, popular science and report on experience.’ NZ Listener ‘Anaesthesia is not just an account of medical research but a poetic exploration of the mysteries of the human mind.’ Australian ‘Should be compulsory reading for all anaesthetists, others responsible for the care of surgical patients, and medical students who wish to achieve a true perspective of today’s anaesthesia.’ medicSA ‘Cole-Adams’s prose is sinuous, at times intoxicating, and witty.’ Sydney Morning Herald ‘A troubling, anxious subject that most of us would rather avoid or deflect with dark humour. Cole-Adams has illuminated it in a memorable way. The book is a gift not of oblivion but of awareness.’ Inside Story ‘For the interested reader, it’s an outline of the science, with an emphasis on the unknown. For the practitioner, it’s a patient experience, eloquently expressed. There’s much more the anaesthesia than meets the eye, and this book provides a glimpse into the depths.’ Conversation ‘A fascinating mix of historical background, moving—sometimes shocking—surgical stories, interviews with experts and case studies. Surprisingly, it seems relatively little is really known about exactly how effective and affective anaesthetic is. Despite that, I found this book an oddly reassuring study.’ North and South NZ ‘Kate Cole-Adams has written a book that defies familiar categories. It is a personal memoir, a history, a scientific study, and a philosophical enquiry into the unconscious, and by drawing all these strands together the author has delivered a masterpiece.’ Jamie Grant, head judge, Waverley Council Nib Literary Awards ‘This is a surprising delight of a book about the invention and use of anaesthetics, but it is also about the concept of consciousness. It is a book about the fear of death, the fear of a lack of control, the fear of an imminent operation, the way a life can be plagued by a general feeling of anxiety and how dreams play a part in this.’ Krissy Kneen, Feminist Writers Festival, Favourite Reads of 2017 ‘Kate Cole-Adams’s Anaesthesia propelled me towards new ways of thinking about thinking itself: experience and consciousness and how we make in and make up this world.’ Ashley Hay, Australian, Books of the Year 2017




Healing Children


Book Description

"A groundbreaking medical memoir by one of our nation's leading pediatric surgeons - the visionary head of Children's National - for fans of Jerome Groopman and Atul Gwande. Anyone who has seen a child recover from a deep wound or a broken bone knows that kids are made to heal. Their bodies are more resilient, more adaptive, and far more able to withstand acute stress than adults. And yet children are often treated as an afterthought by the medical establishment and shunted off to doctors who specialize in treating adults. Will an anesthesiologist accustomed to treating older patients know how best to handle a toddler going under for the first time? If your soccer-playing daughter suffers a concussion, should you take her to the nearest ER--or drive further to seek out doctors who specialize in treating kids? In this deeply inspiring memoir Dr. Kurt Newman draws from his long experience as a pediatric surgeon working at one of our nation's top children's hospitals to make the case that children are more than miniature adults. Through the story of his own career and deeply moving accounts of the brave kids he has treated over the years (and their equally brave and determined parents) he reveals the revolution that is taking place in pediatric medicine"--




Clinical Ethics in Anesthesiology


Book Description

Ethical issues facing anesthesiologists are more far-reaching than those involving virtually any other medical specialty. In this clinical ethics textbook, authors from across the USA, Canada and Europe draw on ethical principles and practical knowledge to provide a realistic understanding of ethical anesthetic practice. The result is a compilation of expert opinion and international perspectives from clinical leaders in anesthesiology. Building on real-life, case-based problems, each chapter is clinically focused and addresses both practical and theoretical issues. Topics include general operating room care, pediatric and obstetrical patient care, the intensive care unit, pain practice, research and publication, as well as discussions of lethal injection, disclosure of errors, expert witness testimony, triage in disaster and conflicts of interest with industry. An important reference tool for any anesthesiologist, whether clinical or research-oriented, this book is especially valuable for physicians involved in teaching residents and students about the ethical aspects of anesthesia practice.




Vigilance


Book Description

If the apocalypse is going to happen, now seems like the time. From hybrid killer bees to domestic terrorism, catastrophe bingo has displaced baseball as America's pastime. No one seems to have a strategy. Until now. Like our modern world, the discipline of anesthesiology is filled with long periods of stressful uncertainty interrupted by unpredictable catastrophes. Vigilance shares how anesthesiologists utilize statistical thinking, cognitive psychology, and behavioral economics to generate stability and prevent complications in the operating room-and how these same strategies apply to our broader systemic problems. Anesthesiologists have perfected their methodology over the last seventy years. Death from anesthesia complications has fallen more than 98 percent despite increasing patient and surgical complexity. Learn how to recognize the invisible synergistic systems that control our modern world, how to intervene decisively when disasters happen, and how to manage sudden catastrophes to prevent harm. Vigilance is a guide for thriving in our new, uncertain world.




50 Years in the OR


Book Description

Ron Whitchurch wrote this wildly entertaining book to offer a firsthand look at what happens after patients are anesthetized and what challenges the staff face in keeping them healthy and safe.




Clinical Anaesthesia


Book Description

Clinical Anaesthesia Lecture Notes provides a comprehensive introduction to the modern principles and practices of anaesthesia for medical students, trainee doctors, anaesthetic nurses and other health professionals working with anaesthetists. This fifth edition has been fully updated to reflect changes in clinical practice, guidelines, equipment and drugs. Key features include: • A new chapter on the roles of the anaesthetist • Increased coverage of the peri-operative management of the overweight and obese patient, as well as an introduction to the fundamental aspects of paediatric anaesthesia • Coverage of recent developments within the specialty, including the rapidly growing recognition of the importance of non-technical skills (NTS), and the management of some of the most common peri-operative medical emergencies • Links to further online resources • A companion website at www.lecturenoteseries.com/anaesthesia featuring interactive true/false questions, SAQs, and a list of further reading and resources Full-colour diagrams, photographs, as well as learning objectives at the start of each chapter, support easy understanding of the knowledge and skills of anaesthesia, allowing confident transfer of information into clinical practice.




Anesthesia Made Easy


Book Description




When We Do Harm


Book Description

Medical mistakes are more pervasive than we think. How can we improve outcomes? An acclaimed MD’s rich stories and research explore patient safety. Patients enter the medical system with faith that they will receive the best care possible, so when things go wrong, it’s a profound and painful breach. Medical science has made enormous strides in decreasing mortality and suffering, but there’s no doubt that treatment can also cause harm, a significant portion of which is preventable. In When We Do Harm, practicing physician and acclaimed author Danielle Ofri places the issues of medical error and patient safety front and center in our national healthcare conversation. Drawing on current research, professional experience, and extensive interviews with nurses, physicians, administrators, researchers, patients, and families, Dr. Ofri explores the diagnostic, systemic, and cognitive causes of medical error. She advocates for strategic use of concrete safety interventions such as checklists and improvements to the electronic medical record, but focuses on the full-scale cultural and cognitive shifts required to make a meaningful dent in medical error. Woven throughout the book are the powerfully human stories that Dr. Ofri is renowned for. The errors she dissects range from the hardly noticeable missteps to the harrowing medical cataclysms. While our healthcare system is—and always will be—imperfect, Dr. Ofri argues that it is possible to minimize preventable harms, and that this should be the galvanizing issue of current medical discourse.