309. Equipment In Anaesthesia And Critical Care

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309. Equipment In Anaesthesia And Critical Care

309. Equipment In Anaesthesia And Critical Care

 

 

CATEGORY: Medical & Medicine – 500 Courses

COURSE NUMBER: 309

FEES: 555/- INR only

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Syllabus

Preface ix
Acknowledgements x
Abbreviations xi
1 Medical gases 1
1.1 Vacuum insulated evaporator 2
1.2 Cylinder manifolds 4
1.3 Medical gas cylinders 5
1.4 Compressed air supply 8
1.5 Oxygen concentrator 9
1.6 Piped medical gas supply 10
1.7 Medical vacuum and suction 12
1.8 Scavenging 14
1.9 Delivery of supplemental oxygen 16
1.10 Nasal cannulae 17
1.11 Variable performance masks 18
1.12 Venturi mask 20
1.13 Nasal high flow 23
2 Airway equipment 25
Masks, supraglottic airways and airway adjuncts
2.1 Sealing face masks 26
2.2 Magill forceps 27
2.3 Guedel airways 28
2.4 Nasopharyngeal airways 29
2.5 Bite blocks 30
2.6 Laryngeal mask airways 31
2.7 Bougies, stylets and airway exchange catheters 39
Laryngoscopes
2.8 Direct vision laryngoscopes 42
2.9 Rigid indirect laryngoscopes 46
2.10 Fibreoptic endoscopes for intubation 49
Endotracheal tubes and related equipment
2.11 Endotracheal tubes 53
2.12 Double lumen endobronchial tubes 60
2.13 Bronchial blockers 64
2.14 Airway devices for jet ventilation 65
Infraglottic airways
2.15 Tracheostomy tubes 69
2.16 Cricothyroidotomy devices 74
2.17 Retrograde intubation set 79

3 Breathing systems 81
3.1 Introduction to breathing systems 82
3.2 Bag valve mask 83
3.3 Adjustable pressure limiting valve 84
3.4 Reservoir bag 85
3.5 The Mapleson classification 86
3.6 Humphrey ADE block 93
3.7 The circle system 96
4 Ventilators 99
4.1 Introduction to ventilators 100
4.2 Bag in bottle ventilator 111
4.3 Oxylog ventilators 113
4.4 Manley ventilator 115
4.5 Penlon Nuffield 200 ventilator 117
4.6 The Newton valve and mechanical thumbs 120
4.7 Intensive care ventilators 122
4.8 Manual jet ventilators 124
4.9 High frequency jet ventilators 126
4.10 High frequency oscillatory ventilators 128
5 Delivery of anaesthetic agents 131
5.1 Introduction to delivery of anaesthetic agents 132
Continuous flow anaesthesia
5.2 The anaesthetic machine 134
5.3 Boyle’s bottle 142
5.4 Copper kettle 143
5.5 Modern variable bypass vaporizers 144
5.6 Desflurane Tec 6 vaporizer 147
5.7 Aladin cassette 149
Draw over anaesthesia
5.8 Goldman vaporizer 151
5.9 Oxford miniature vaporizer 152
5.10 EMO vaporizer 154
5.11 Triservice apparatus 155
Total intravenous anaesthesia
5.12 Target controlled infusions 156
6 Monitoring equipment 161
6.1 Introduction to monitoring equipment 162
Monitoring the machine
6.2 Pressure gauges 165
6.3 Flowmeters 169
6.4 The fuel cell 172
6.5 Infrared gas analysers 174
6.6 Paramagnetic oxygen analysers 176
6.7 Other methods of gas analysis 178
6.8 Oxygen failure alarm (Ritchie whistle) 183

Monitoring the patient
6.9 Capnograph waveforms 185
6.10 Pulse oximeters 189
6.11 Electrocardiographs 192
6.12 Non-invasive blood pressure measurement 196
6.13 Invasive blood pressure measurement 199
6.14 Temperature measurement 202
6.15 Pneumotachographs 207
6.16 Wright respirometer 209
6.17 Depth of anaesthesia monitors 211
6.18 Coagulation testing: TEG and Rotem 216
6.19 Activated clotting time measurement 221
6.20 The Clark electrode 223
6.21 The pH electrode 225
6.22 The Severinghaus electrode 226
6.23 Jugular venous oximetry 227
Miscellaneous monitoring
6.24 Hygrometers 229
7 Filters and humidifiers 231
7.1 Passive humidifiers 232
7.2 Active humidification 234
7.3 Filters 238
8 Regional anaesthesia 245
8.1 Nerve stimulators 246
8.2 Nerve stimulator needles 250
8.3 Spinal needles 251
8.4 Epidural needles 255
8.5 Epidural catheters 257
8.6 Loss of resistance syringe 258
8.7 Luer and non-Luer connectors 259
8.8 Sub-Tenon’s set 261
9 Critical care 263
Intravenous lines
9.1 Intravenous cannulae 264
9.2 Central venous catheters 266
9.3 Other vascular access devices 268
Monitoring
9.4 Incentive spirometry 274
9.5 Doppler cardiac output monitors 276
9.6 Pulmonary artery catheters 280
9.7 Other cardiac output monitors 285
9.8 Intra-abdominal pressure measurement 293
9.9 Intracranial pressure measurement 294
Extracorporeal circuits
9.10 Renal replacement therapy in critical care 297

9.11 Extracorporeal membrane oxygenation 303
9.12 Novalung iLA membrane ventilator 305
9.13 Cardiopulmonary bypass 307
Miscellaneous
9.14 Feeding tubes 312
9.15 Infusion pumps 315
9.16 Rigid neck collars 317
9.17 Rapid fluid infusers 318
9.18 Defibrillators 319
9.19 Intra-aortic balloon pumps 323
9.20 Ventricular assist devices 326
10 Surgical equipment relevant to anaesthetists 329
10.1 Diathermy 330
10.2 Chest drains 333
10.3 Lasers 336
10.4 Arterial tourniquet 341
11 Radiological equipment 343
11.1 X-rays 344
11.2 Ultrasound 346
11.3 MRI and compatible equipment 349
12 Miscellaneous 355
12.1 Electricity and electrical safety 356
12.2 Electrical symbols 361
12.3 Cardiac pacemakers 365
12.4 Implantable cardiovertor defibrillators 370
12.5 Decontamination of equipment 372
12.6 The Wheatstone bridge 375
12.7 Regulation and standardization of medical devices 376
12.8 Intraosseous needles 378
12.9 Cell salvage 380
13 Sample FRCA questions 383
Answers 394
Index 397

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