Clinical scenarios are included as an introduction to questions in all sections, enabling the candidates to assess their problem0solving ability.  In both sections the answers are presented clearly and thoroughly, and explained with simple illustrations and many tables.

This book is essential study material for candidates sitting senior anaesthetic postgraduate examinations, and enables them to understand their strengths and weaknesses in areas of clinical knowledge, clinical skills, technical skills, problem solving, organisation and planning.  With thorough revision of this book, candidates can enter these exams with confidence.  It is an invaluable educational resource for all anaesthetists, and especially so for those involved with training. 

Table of Contents:

Preface

Acknowledgements

Abbreviations

SOE 1
Clinical Anaesthesia

Long case 1
Postoperative hypoxia and renal failure following abdominal aortic aneurysm repair

Short cases
1.1: Pyloric stenosis
1.2: Difficult airway
1.3: Tension pneumothorax

Clinical Science
Applied anatomy 1.1: Anatomy for opthalmic anaesthesia
Applied physiology 1.2: Pulmonary vascular resistance
Applied pharmacology 1.3: Calcium channel blockers
Equipment, clinical measurement and monitoring 1.4: Ayre's T piece

SOE 2
Clinical Anaesthesia

Long case 2
Peri-operative myocardial infarction in a patient scheduled for a hip hemi-arthroplasty

Short cases
2.1: Jehovah's Witness
2.2: Aspiration under general anaesthesia
2.3: Emergency Caesarean section

Clinical Science
Applied anatomy 2.1: Anatomy of the epidural space
Applied physiology 2.2: Arterial tourniquet
Applied pharmacology 2.3: Patient-controlled analgesia
Equipment, clinical measurement and monitoring 2.4: Defibrillator

SOE 3
Clinical Anaesthesia

Long case 3
An elderly lady with cervical spondylosis, rheumatoid arthritis and obstructive sleep apnoea scheduled for a posterior cervical fusion

Short cases
3.1: Down's syndrome
3.2: Transurethral resection of the prostate (TURP)
3.3: Head injury

Clinical Science
Applied anatomy 3.1: Pain pathways
Applied physiology 3.2: Oxygen delivery
Applied pharmacology 3.3: Neuromuscular blocking drugs
Equipment, clinical measurement and monitoring 3.4: Capnometry

SOE 4
Clinical Anaesthesia

Long case 4
A young female patient with hyperthyroidism and sickle cell disease scheduled for a subtotal thyroidectomy

Short cases
4.1: Latex allergy
4.2: Wolff-Parkinson-White (WPW) syndrome
4.3: Post-tonsillectomy bleeding

Clinical Science
Applied anatomy 4.1: Bloody supply to the spinal cord
Applied physiology 4.2: Physiology of pregnancy
Applied pharmacology 4.3: Non-steroidal anti-inflammatory drugs (NSAIDs)
Equipment, clinical measurement and monitoring 4.4: Invasive blood pressure measurement

SOE 5
Clinical Anaesthesia

Long case 5
Elective craniotomy for clipping of a cerebral aneurysm in an obese patient

Short cases
5.1: Malignant hyperthermia
5.2: Guilain-Barre syndrome
5.3: Dental anaesthesia

Clinical Science
Applied anatomy 5.1: Phrenic nerve
Applied physiology 5.2: Pre-eclampsia
Appied pharmacology 5.3: Remifentanil
Equipment, clinical measurement and monitoring 5.4: Monitoring the debth of anaesthesia

SOE 6
Clinical Anaesthesia

Long case 6
A patient with anaemia and chronic alcohol abuse scheduled for a hernia repair

Short cases
6.1: Septic shock
6.2: Myasthenia gravis
6.3: Epidural abscess

Clinical Science
Applied anatomy 6.1: Coeliac plexus block
Applied physiology 6.2: Cerebral circulation
Applied pharmacology 6.: Respiratory pharmacology
Equipment, clinical measurement and monitoring 6.4: Magnetic resonance imaging

SOE 7
Clinical Anaesthesia

Long case 7
A middle-aged man with mania/depression scheduled for a full dental clearance

Short cases
7.1: Cartid endarterectomy
7.2: Trifascicular heart block
7.3: Burns

Clinical Science
Applied anatomy 7.1: Anatomy of the nose
Applied physiology 7.2: Haemorrhagic shock
Applied pharmacology 7.3: Apha-andrenergic blockers
Equipment, clinical measurement and monitoring 7.4: Temperature measurement

SOE 8
Clinical Anaesthesia

Long case 8
Post partum haemorrhage and postoperative acute respiratory distress syndrome

Short cases
8.1: Carcinoid syndrome
8.2: Heart transplant
8.3: Postoperative confusion

Clinical Science
Applied anatomy 8.1: Ankle block
Applied physiology 8.2: Weaning from ventilation
Applied pharmacology 8.3: Post-herpetic neuralgia
Equipment, clinical measurement and monitoring 8.4: Measurement of blood gases

SOE 9
Clincial Anaesthesia

Long case 9
An elderly lady with ischaemic heart disease scheduled for an extended colectomy

Short cases
9.1: Ulcerative colitis
9.2: Intravenous drug abuse
9.3: Ruptured abdominal aortic aneurysm (AAA)

Clinical Science
Applied anatomy 9.1: Brachial plexus block
Applied physiology 9.2: Coagulation cascade
Applied pharmacology 9.3: Insulin and hypoglycaemic drugs
Equipment, clinical measurement and monitoring 9.4: Fibreoptic bronchoscope and sterilisation

SOE 10
Clinical Anaesthesia

Long case 10
An elderly man with chronic obstructive airway disease (COAD) scheduled for a total knee replacement

Short cases
10.1: Aortic stenosis
10.2: Laparoscopic Nissen fundoplication
10.3: Penetrating eye injury

Clinical Science
Applied anatomy 10.1: Arterial system of the hand
Applied physiology 10.2: Postoperative nausea and vomiting (PONV)
Applied pharmacology 10.3: Conscious sedation
Equipment, clinical measurement and monitoring 10.4: Physics of ultrasound

Section index