Anesthesia Review for DNB Students

834 Pages·2016·35.278 MB·English

by  Kaushik Jothinath

Anesthesia Review
for DNB Students

Anesthesia Review
for DNB Students
Kaushik Jothinath
MBBS DNB FCA FIACTA
Specialist
Department of Cardiac Anesthesiology
Manipal Hospitals
Bengaluru, Karnataka, India
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Anesthesia Review for DNB Students
First Edition: 2016
ISBN 978-93-85999-18-5
Printed at
Dedicated to
Appa, Amma, Sowmya, Jay and Sai
AT THY LOTUS FEET

Preface
It was during my postgraduate years that I realized that the subject of anesthesiology does not have a comprehensive
and examination-oriented book. The pursuit of DNB as a postgraduation degree itself is an arduous task, owing
to the difficult work schedule, and high expectations from the students at the time of examinations. This problem
is compounded manifold for the subject of anesthesiology, as it is a discipline in which the students have to have a
wide base of knowledge.
Most of the textbooks available today are not student-friendly as there is a lot of information in them, from which
the examinee has to pick and retain in memory only those details which are necessary. As a result, there is a whole lot
of unwanted information to which he is subjected, which may be confusing at the time of examinations. Secondly,
there is no single textbook which gives all the details in an examination-oriented format. As a result, the student
is forced to study from several different textbooks spanning multiple subjects. Also, owing to the importance of
knowledge of various clinical guidelines, it becomes mandatory for the anesthesiology examinee to be familiar with
the latest guidelines across a wide variety of disciplines. I have attempted to address these problems by compiling
a book, which is student-friendly, well researched and is based on the most recent clinical practice guidelines.
This book has been written to cater to the DNB anesthesiology board examinations in a comprehensive and
point-based system. Also, most of the references are from standard textbooks in order to prevent confusion arising
due to numerous research papers published in the recent past.
Therefore, the information has been provided in a highly concise, crisp and readable manner to help you crack
the anesthesiology boards.
Hope you enjoy reading it and wishing you all the best to crack your boards!!
Kaushik Jothinath

Acknowledgments
My humble gratitude to my teacher, father figure and guiding spirit, Dr Krishnadasan, without whom this book
would not have materialized. Words would not suffice to express my gratitude to him.
I am also indebted to Dr Sathya Swaroop Patnaik for his help during those difficult years, when life looked
uncertain. He was an invaluable guide and helping hand, who showed me the way during this arduous journey.
I sincerely acknowledge my anesthesiology professors, Dr Debadas Bagchi, Dr Pandey, Dr Anand, Dr Hemadri,
Dr Kolli S Chalam, and Dr Prabhakar for their enormous help and guidance during the formative years of this book.
Bhishma Sir, the man who lives up to his name, will always be remembered for the exclusive and exceptional
moral support he gave to bring out this book.
My humble gratitude to Dr Murthy, Dr Jalaja and Dr Ramachandra for giving me the confidence during the
initial stages of the book, and for being the sturdy and unrelenting backbone of this entire process.
I am immensely thankful to my mentors, Dr Vindhya Kumar, Dr Shivananda NV, and Dr Nagaraj, whose constant
motivation, guidance, and support helped in bringing out this book efficiently.
I am also thankful to Dr Jayashree, Dr Iyer, Dr Vasanth Nayak, Dr Prabhakar, Dr Parameshwar, Dr Suma,
Dr Rehana, Dr Sowmini, Dr Kumaresan, Dr Manjunath, Dr Niranjan, Dr Vaishali, and Dr Anita from Manipal
Hospitals, Bengaluru, Karnataka, India, for their valuable guidance.
I sincerely acknowledge Dr Devananda, Dr Sameer Rao, and Dr Gangadhar from Manipal Hospitals for their
valuable inputs into this book.
I would also like to thank my colleagues in Puttaparthi, Andhra Pradesh, India—Dr Satyaprakash, Dr Gayathri,
Dr Vinay, Dr Vidhyadhar, Dr Suryasnata, Dr Ranga, Dr Sapna, Dr Shivashankar Reddy, Dr Sreeharsha, Dr Isha, and
Dr Tripathi, for their invaluable support.
I would like to express my gratitude to Dr Neelam Desai, Dr Trushar, Dr Hiremath, Dr J Nageshwar Rao,
Dr Saibal Neogee, Dr Dilip Patil, Dr Prashanth, Dr Sharath, Dr Saishekar, and Dr Nishith from Sri Sathya Sai
Institute of Higher Medical Sciences, Puttaparthi.
I am also grateful to my colleagues, Dr Thirumuruga Pandian, Dr Anupama, Dr Jyoti Jose, Dr Arun, Dr Radhika,
Dr Venkatesh, Dr Prajakta, Dr Monica, Dr Bharathi, Dr Arati Badgandi, and Dr Amrutha from Manipal Hospitals.
I am indebted to my closest friend, Mahesh T Venkataramani, whose constant inputs and feedback at various
stages made this book what it is today.
My biggest source of strength has been my group of friends who form V6—Dr Satya Swaroop Patnaik, Dr Anoop
Pothen John, Dr Gokulakrishnan, Dr Aamir Farooq Siddique, Dr Abhinay Indrakumar Reddy, and Dr Sandeepan.
I also appreciate the continuous moral support given by my parents and wife during this process. Thank you for
your patience.
I am also thankful to the staff of Sri Sathya Sai Institute of Higher Medical Sciences, and Manipal Hospitals for
rendering a helping hand.
I appreciate Shri Jitendar P Vij, Group Chairman, Jaypee Brothers Medical Publishers (P) Ltd, for his patience,
encouragement and punctuality for publishing this book. I would also like to thank Mr Santosh, and Ms Payal
Bharti for their suggestions and help in making this book a reality.
I owe this book to everyone who contributed directly or indirectly. Any oversight is purely unintentional.