About Book
We respect all the variety remarks and tips from the many clinical college students over the previous 7 years related to the Case Files® series. Your fantastic reception has been a tremendous encouragement, in particular in mild of the brief lifestyles of the Case Files® series.
In this first version of Case Files®: Anesthesiology, the fundamental layout of the different books in the collection has been retained, with some special twists to be first-rate appropriate to the subject of anesthesiology.
Cases 1-9 are deemed “Anesthesiology 101,” which opinions the fundamentals such as computing device setup, preoperative evaluation, and how to troubleshoot an intraoperative emergency.
This first part grew from a preliminary draft of a few key standards to 9 unbiased medical instances due to the fact we desired to make sure that college students absolutely grasped the significance of every instructing point.
The final instances are prepared with the aid of surgical or organ device to resource the pupil in the usual strategy to physiology and pathophysiology. The case list in the returned of the e book and the index will permit a pupil rapidly to reference comparable conditions for the sake of comparison.
A couple of preference questions have been cautiously reviewed and rewritten to make sure that they comply with the National Board and USMLE Step two format. As with any first edition, this task has required extra effort, but with the toil comes a lot of delight with the quit product.
We hope that the reader will revel in getting to know anesthesiology thru the simulated scientific instances and that this textual content will assist in organizing the data and scientific strategy in such a difficult specialty. It is virtually a privilege to be an instructor for so many students, and it is with humility that we are existing this book.
The curriculum that advanced into the thoughts for this collection used to be stimulated by means of two proficient and forthright students, Philbert Yao and Chuck Rosipal, who have given that graduated from clinical school.
It has been a super pleasure to work with my pal and colleague Lydia Conlay, a gorgeous anesthesiologist and scientific educator, and the many awesome contributors. I am radically indebted to my editor, Catherine Johnson, whose exuberance, experience, and imaginative and prescient helped to structure this series.
I recognize McGraw-Hill’s believing in the concept of instructing thru scientific cases. I am additionally grateful to Catherine Saggese for her superb manufacturing expertise. At Methodist Hospital, I respect the extraordinary guide from Drs. Marc Boom, Dirk Sostman, Alan Kaplan, and Karin Larsen-Pollock.
Likewise, except Ayse McCracken, David Campbell, and Linda Swagger for their recommendation and support, this e book may additionally by no means have been completed. Without my pricey colleagues, Drs. Konrad Harms, Jeané Holmes, and Priti Schachel, this e book ought to no longer have been written. Most of all, I appreciate my loving wife, Terri, and my 4 high-quality children, Andy, Michael, Allison, and Christina, for their staying power and understanding.
Mastering the cognitive expertise inside a discipline such as anesthesia is a formidable task, in particular for the new learner. It is even greater challenging to draw on that knowledge, procure and filter via the medical and laboratory data, boost a differential diagnosis, and in the end shape a rational therapy plan.
To acquire these skills, the pupil frequently learns quality at the bedside (or for anesthesia, most frequently the running table), guided and advised through skilled instructors and stimulated towards self-directed, diligent reading. Clearly, there is no replacement for training in the working room or bedside.
Unfortunately, scientific conditions typically do no longer embody the breadth of the specialty. Perhaps the satisfactory choice is a cautiously crafted affected person case designed to stimulate the scientific method and selection making.
In a try to attain this goal, we have built a series of scientific vignettes to instruct diagnostic or therapeutic methods applicable to the discipline of anesthesia. Most importantly, the explanations for the instances emphasize the mechanisms and underlying concepts alternatively than basically rote questions and answers.
This e book is equipped for versatility: to enable the scholar “in a rush” to go rapidly via the eventualities and test the corresponding answers, and to grant extra designated data for the pupil who wishes thought-provoking explanations.
The solutions are organized from easy to complex: a precis of the pertinent points, the naked answers, an evaluation of the case, a strategy to the topic, a comprehension check at the give up for reinforcement and emphasis, and a listing of assets for in addition reading.
The scientific vignettes are purposely organized in a systematic manner to greater effortlessly enable the pupil to examine and combine the mechanisms. A record of instances is covered in Section IV to resource the pupil who wishes to check his or her understanding of a positive vicinity or to evaluation a topic, which include fundamental definitions.
Finally, we deliberately did no longer particularly use a multiple-choice query structure due to the fact clues (or distractions) are no longer accessible in the actual world. Nevertheless, quite a few multiple-choice questions are covered at the stop of every state of affairs to toughen principles or introduce associated topics.
HOW TO GET THE MOST OUT OF THIS BOOK
Each case is designed to simulate an affected person stumble upon and consists of open-ended questions. At times, the patient’s grievance differs from the difficulty of most concern, and from time-to-time extraneous records is given. The solutions are prepared into 4 unique parts:
1. Summary: The salient components of the case are identified, filtering out the extraneous information. The scholar has to formulate his or her precis from the case earlier than searching at the answers. An evaluation with the summation in the reply helps to enhance one’s capability to focal point on the important records whilst as it should be discarding beside the point information, a vital talent required in medical hassle solving.
2. A simple reply is given to every open-ended question.
3. An evaluation of the case, which consists of two parts:
a. Objectives: A list of the two or three fundamental concepts that are quintessential for a practitioner in treating a patient. Again, the scholar is challenged to make trained “guesses” about the goals of the case after an initial evaluation of the case scenario, which helps to sharpen his or her clinical and analytical skills.
b. Considerations: A dialogue of the applicable factors and a quick strategy to a unique patient.
PART II
A method to the sickness process, consisting of two wonderful parts:
1. Definitions: Terminology pertinent to the ailment process.
2. Clinical approach: A dialogue of the method to the medical trouble in general, which include tables, figures, and algorithms.
PART III
Comprehension questions: Each case consists of numerous multiple-choice questions that make stronger the cloth or introduce new and associated concepts. Questions about fabric no longer determined in the textual content are defined in the answers.
PART IV
Clinical pearls: A list of numerous clinically necessary points, which are reiterated as a summation of the textual content and to permit for convenient review, such as earlier than an examination.