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Whilst on a busy on-call in ICU, you are called to a cardiac arrest on the ward. There has been a power cut and, when you arrive, you see the patient still suspended in a hoist where they suffered their collapse. The staff are trying to administer CPR but, with every chest compression, the hoist sags with the effort. The battery is flat on the hoist.
A 12-year-old child has been listed for change of dressings following severe burns. The procedure will be under general anaesthetic in the operating theatre and is scheduled to last one hour. The heating in the operating theatre has been adjusted and the ambient temperature reads 30 °C.
Consider a normal day working as an anaesthetist. There are various phenomena that we may take for granted. These may range from the force we may exert when injecting through a syringe, the time it takes to pour honey into our porridge or the temperature of our bicycle tyre after a 60-minute cycle. The physical principles behind these phenomena make for interesting reading.
A 64-year-old, obese patient is admitted to the critical care unit. He presents with hypotension and evidence of shock. He has pneumonia and acute-on-chronic renal disease. He has a history of ischaemic heart disease and had a pacemaker inserted following coronary angioplasty 2 years ago. He is also diabetic with known autonomic neuropathy.
Maths, physics and clinical measurement hold a degree of mystery and trepidation for many working and training in anaesthesia, intensive care and theatre practice. This important new book covers these core topics in a logical and structured format, creating a more enjoyable learning experience that is accessible and easy to digest. Each chapter opens with a set of learning objectives and summary of chapter contents. Following this is a clinical scenario that relates to the themes of the chapter and a number of hypothetical questions relating to the scenario are laid-out. Clinical pearls are presented in boxes for more advanced learning opportunities. Each chapter closes with a set of MCQ or SBA self-test questions to test the readers' knowledge of the chapter. This book covers everything needed for the FFICM and FRCA exams, making it an essential text for exam candidates, tutors, and those working in theatres, anaesthesia and the ICU.