Yearbook of Anesthesiology-6 Raminder Sehgal, Anjan Trikha
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fm1Yearbook of Anesthesiology-6fm2
EDITORIAL BOARD MEMBERS
VP Kumra MD DA FICA
Past President and Advisor
Indian College of Anaesthesiologists
Ex-Vice President
Indian Society of Anaesthesiologists (National)
Emeritus Consultant and Advisor
Department of Anaesthesiology Pain and Perioperative Medicine
Sir Ganga Ram Hospital
New Delhi, India
B Radhakrishnan MD MPhil FICA
President
Indian College of Anaesthesiologists
Ex-President
Indian Society of Anaesthesiologists (National)
Principal
Academy of Medical Sciences
Kannur, Kerala, India
Jayashree Sood MD FFARCS PGDHHM FICA
CEO
Indian College of Anaesthesiologists
Professor and Chairperson
Department of Anaesthesiology Pain and Perioperative Medicine
Honorary Joint Secretary, Board of Management
Sir Ganga Ram Hospital
New Delhi, India
Baljit Singh MD
CEO
Indian College of Anaesthesiologist
Director Professor
GB Pant Institute of Postgraduate Medical Education and Research
New Delhi, India
fm3Yearbook of Anesthesiology-6
Editors Raminder Sehgal MD DA FICA Ex-Director Professor Maulana Azad Medical College New Delhi, India Ex-Senior Consultant Sir Ganga Ram Hospital New Delhi, India ramindersehgal@hotmail.com Anjan Trikha MD FICA Professor Department of Anesthesiology, Pain Medicine and Critical Care All India Institute of Medical Sciences New Delhi, India anjantrikha@gmail.com
Indian College of Anaesthesiologists
Whole Constituent of
Indian Society of Anaesthesiologists
(Member of the World Federation of Societies of Anaesthesiologists)
Foreword B Radhakrishnan
fm4
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Yearbook of Anesthesiology-6
First Edition: 2017
9789386261533
Printed at
fm5Contributors fm9Foreword
The Indian College of Anaesthesiologists (ICA) is proud to present its state-of-the art publication Yearbook of Anesthesiology-6. This yearbook is the sixth in its series and, each year, we are achieving increased acceptance of the book in anesthesia's academic as well as practice circles. The Indian College of Anaesthesiologists has a unique distinction of introducing a yearbook for the first time in Indian medical literature and we are progressing in building our legacy with new introductions and break-up patterns in publications. The format we have selected is to give a reasonable understanding on the recent anesthetic literature, then releasing brief information on nascent conversed anesthetic concepts. This paradigm shift we are focusing on, with the publication of the yearbook, is being appreciated by our readers and international peer reviewers. We welcome suggestions from our readers for any reasonable change of format, if needed, and if no suggestions are available, we may regard this as our final outlook for presentation to the international expert committee for indexation.
This edition is carefully panned out to include the recent part of information and knowledge in anesthesia academics that has come up in the last 5 years, and aims at a consolidated review of the knowledge. The editors, Raminder Sehgal and Anjan Trikha, have put in considerable efforts to improve the architecture of the publication, along with the contributors of each chapter. The ICA wishes everyone concerned in the promotion of this masterly publication a great success in his/her career and promises every reader a real thought-provoking package of medical knowledge.
The ICA congratulates the contributors, editors, and publishers for bringing out this yearbook. We look forward to varying presentations and improved knowledge dissemination in future.
B Radhakrishnan MD MPhil FICA
President
Indian College of Anaesthesiologists
Ex-President
Indian Society of Anaesthesiologists (National)
Principal
Academy of Medical Sciences
Kannur, Kerala, India
fm11Preface
Yearbook of Anesthesiology-6 is the sixth in its series, brought out by the Indian College of Anaesthesiologists (ICA). The feedback and the response regarding the previous editions has been overwhelming that has motivated the editorial team to bring out the present book. The topics chosen cover all the three specialties that are associated with anesthesiologists, i.e. anesthesia, pain and intensive care. The topics chosen are relevant at present times and would be useful for all the clinicians in the fields mentioned above. Of note would be one of the most trending topics of enhanced recovery after surgery (ERAS). Most of the hospitals in the world have adopted the guidelines for enhanced recovery and it is the time that the same practice be followed in the developing countries. One of the other present controversies in anesthesia is its effect on immune response in humans and one of the chapters in this edition highlights the present knowledge on this topic.
Topics related to pharmacology include transdermal drug delivery, peripheral opioid receptors, opioid-induced hyperalgesia, pharmacokinetics and pharmacodynamics in obstetrics and present status of dexmedetomidine. Important areas of anesthesia practice such as nontechnical skills and medicolegal aspects, have also been covered in detail. Neurological complications of anesthesia and controversies regarding perioperative use of beta blockers have also been included in this edition.
The incidence of malignancies in the world is rising and it is but natural that palliative care would become very important in pain practice. The chapter on management of palliative pain gives an overview of treatment modalities available for alleviation of such pain and should immensely benefit those in pain practice. Regional anesthesia in children has been covered by experts in the field. Pain issues in children in the perioperative period is another neglected area especially in the peripheral hospitals and the chapter on assessment of pain in children and management strategies of pain in this age group gives a summary of all the options available for improving pain management in children. The latest on the management of patients with pheochromocytoma, maxillofacial or brain trauma, anaphylaxis and those presenting for ophthalmic surgery, will be of interest to students as well as practicing anesthesiologists. Relevance of ICU-scoring systems and immune modulating diets has been discussed in detail. Lastly, the chapter on positive end-expiratory pressure (PEEP) and lung recruitment in the intensive care would be very informative to the postgraduate students and those venturing into intensive care.
As editors, we narrow down on the topics that we presume would be interesting for the readers. The Journal Scan covers commentary of experts on topics of interest published in reputed journals during the year. Feedbacks, suggestions and criticism regarding the present edition from our readers would be highly appreciated so that further editions could be improved. We take this opportunity to express our gratitude to all the contributors to this volume and to the reviewers for their constructive criticism. Our special thanks go to the dedicated staff of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, for their support.
Raminder Sehgal
Anjan Trikha