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Förebygg och hantera kriser inom anestesiologi

Anestesiologi är en bred specialitet: kollegor som är anställda vid samma klinik kan huvudsakligen vara involverade i allt från ambulanssjukvård till intensivvård, och extrakorporal livsuppehållande behandling till smärtmedicin.

Denna text är avsedd att ge narkosläkare och annan narkospersonal en överblick över de icke-tekniska färdigheter och kunskaper som vi alla i allmänhet förväntas kunna aktivera med mycket kort varsel. Den passar som uppfräschning för specialister, som förberedelse inför teamträning samt som handbok till vardags.

Innehållsförteckning

1 Inledning: Säkerhet vid anestesi, icke-tekniska färdigheter och teamutbildning inom kontinuerlig medicinsk fortbildning (CME)

2 Principer for att förebygga och hantera kriser under anestesi

3 Ett Strukturerat arbetssätt för att förbättra beslutsfattandet och undvika fel

4 Bedömning och hantering av luftvägar

5 Transport inom och mellan sjukhus

6 Den hjärtsjuka patienten inför icke-kardiell kirurgi

7 Circulationssvikt under anestesi

8 Intraoperativ arytmi 

9 Hjärtstopp under anestesi 

10 Peroperativ hypertoni

11 Onormal kapnografi, hypoxi och Ventilationssvårigheter 

12 Massiv blödning

13 Malign hypertermi

14 Anafylaxi i samband med anestesi

15 LAST: systemtoxiska effekter av lokalanestetika

16 Akut förgiftning

17 Obstetriska kriser och anestesi

18 Elektrolytrubbningar

VINNARE AV HUGO AWARD & NEBULA AWARD


En av tidernas 100 mest inflytelserika romaner enligt BBC


Melange är det mest eftertraktade ämnet i universum: en drog som kan förlänga människors liv och berika det med ett multidimensionellt medvetande, det sista en förutsättning för navigering under interstellära rymdresor. Melange finns bara på den karga ökenplaneten Arrakis.

När kejsaren tar ifrån adelsfamiljen Harkonnen vasallskapet för att i stället ge planeten i förläning till familjen Atreides slår Harkonnen tillbaka och mördar fursten Leto Atreides. Sonen Paul flyr ut i öknen med sin mor lady Jessica och de räddas från att törsta ihjäl av Arrakis ursprungsfolk. Paul måste vinna arrakisfolkets tillit innan han kan leda upproret mot familjen Harkonnen.

Berättelsen om kampen om herraväldet över Arrakis är en storslagen och oavbrutet fängslande historia om makthunger, religion, svek, teknologisk övertro och begränsade naturtillgångar. I svensk översättning av Gabriel Setterborg.


FRANK HERBERT [1920-1986] var en amerikansk science fiction-författare som publicerade sina första noveller på 1950-talet. Dune, som utkom 1965, betraktas allmänt som en av de främsta romanerna någonsin i genren. Den belönades med både The Hugo Award och The Nebula Award. Vintern2020 har den nya, stort påkostade filmatiseringen av Dune premiär, i regi av Denis Villeneuve (Prisoners, Sicario).


»Kraftfull, övertygande, genialisk.« Robert A. Heinlein


»Lika fängslande i sin handling som i sina filosofiska vyer. Ett häpnadsväckande science fiction-fenomen.« Washington Post


»Dune är unik. Jag kan inte komma på något annat att jämföra den med än Sagan om ringen.« Arthur C. Clarke

Emma Stone (LA LA LAND) stars in Disney's CRUELLA, an all-new live-action feature film about the rebellious early days of one of cinema's most notorious – and notoriously fashionable – villains, the legendary Cruella de Vil. Set during the 1970s punk rock revolution in London, the story follows a clever and creative young grifter named Estella, who is determined to become a successful designer. After Estella befriends a pair of young thieves who appreciate her appetite for mischief, the three build a life for themselves on the London streets. Before long, Estella's flair for fashion catches the eye of the Baroness von Hellman, a devastatingly chic and terrifyingly haute fashion legend, played by Emma Thompson (HOWARDS END, SENSE AND SENSIBILITY). But their relationship sets in motion a course of events and revelations that will cause Estella to embrace her wicked side and become the raucous, fashionable and revenge-bent "Cruella." CRUELLA is directed by Craig Gillespie (I, TONYA) from a screenplay by Dana Fox and Tony McNamara, story by Aline Brosh McKenna and Kelly Marcel & Steve Zissis. It was produced by Andrew Gunn (FREAKY FRIDAY), Marc Platt (MARY POPPINS RETURNS) and Kristin Burr (CHRISTOPHER ROBIN), with Emma Stone, Michelle Wright, Jared LeBoff and Glenn Close serving as executive producers. Spectacular costume designer Jenny Beavan (MAD MAX: FURY ROAD, A ROOM WITH A VIEW) creates the dazzling and imaginative costumes, which take on a life of their own. WARNING: Some flashing lights scenes in this film may affect photosensitive viewers.
Soon to be an original series starring Rosamund Pike as Moiraine!

The first novel in Robert Jordan's #1 New York Times bestselling epic fantasy series, The Wheel of Time®.

The Wheel of Time turns and Ages come and pass, leaving memories that become legend. Legend fades to myth, and even myth is long forgotten when the Age that gave it birth returns again. What was, what will be, and what is, may yet fall under the Shadow.

Moiraine Damodred arrives in Emond’s Field on a quest to find the one prophesized to stand against The Dark One, a malicious entity sowing the seeds of chaos and destruction. When a vicious band of half-men, half beasts invade the village seeking their master’s enemy, Moiraine persuades Rand al’Thor and his friends to leave their home and enter a larger unimaginable world filled with dangers waiting in the shadows and in the light.

Since its debut in 1990, The Wheel of Time® has captivated millions of readers around the globe with its scope, originality, and compelling characters.

The Wheel of Time®
New Spring: The Novel
#1 The Eye of the World
#2 The Great Hunt
#3 The Dragon Reborn
#4 The Shadow Rising
#5 The Fires of Heaven
#6 Lord of Chaos
#7 A Crown of Swords
#8 The Path of Daggers
#9 Winter's Heart
#10 Crossroads of Twilight
#11 Knife of Dreams

By Robert Jordan and Brandon Sanderson
#12 The Gathering Storm
#13 Towers of Midnight
#14 A Memory of Light

By Robert Jordan and Teresa Patterson
The World of Robert Jordan's The Wheel of Time

By Robert Jordan, Harriet McDougal, Alan Romanczuk, and Maria Simons
The Wheel of Time Companion

By Robert Jordan and Amy Romanczuk
Patterns of the Wheel: Coloring Art Based on Robert Jordan's The Wheel of Time

At the Publisher's request, this title is being sold without Digital Rights Management Software (DRM) applied.
The #1 New York Times bestseller!

From the #1 New York Times bestselling author of the Reckoners series, the Mistborn trilogy, and the Stormlight Archive comes the second book in an epic series about a girl with a secret in a dangerous world at war for humanity's future.


All her life, Spensa's dreamed of becoming a pilot and proving herself a hero like her father. She made it to the sky, but the truths she learned there were crushing. The rumors of her father's cowardice are true--he deserted his Flight during battle against the Krell. Worse, though, he turned against his team and attacked them.

Spensa is sure that there's more to the story. And she's sure that whatever happened to her father that day could happen to her. When she made it outside the protective shell of her planet, she heard the stars--and what they revealed to her was terrifying. Everything Spensa has been taught about her world is a lie.

Humankind has always celebrated heros, but who defines what a hero is? Could humanity be the evil the galaxy needs to be protected from? Spensa is determined to find out, but each answer she discovers reveals a dozen new questions: about the war, about her enemies, and even, perhaps, about Spensa herself.

But Spensa also discovered a few other things about herself--and she'll travel to the end of the galaxy to save humankind if she needs to.

"Sanderson delivers a cinematic adventure that explores the defining aspects of the individual versus the society. . . . Fans of Sanderson will not be disappointed." --SLJ

"It is impossible to turn the pages fast enough." --Booklist

"He's simply a brilliant writer. Period." --Patrick Rothfuss, author of the New York Times bestseller The Name of the Wind, on Brandon Sanderson.
In 2004, Android was two people who wanted to build camera software. But they couldn't get investors interested. Today, Android is a large team at Google, shipping an operating system (including camera software) to over three billion devices worldwide.


This is the inside story, told by the people who made it happen.


“What are the essential ingredients that lead a small team to build software at the sheer scale and impact of Android? We may never fully know, but this first person account is probably the closest set of clues we have.”

–Dave Burke, VP of Android Engineering


Androids captures a strong picture of what the early development of Android, as well as the Android team, was like.”

–Dianne Hackborn, Android Framework Engineer


Androids is the engaging tale of a motley group of coders with a passion to make insanely great products who banged out the operating system when that idea seemed nuts.

True to his geek genes, Chet Haase tells this remarkable tale of technical and business success from the trenches, an inspiring, massive collective effort of dozens of programmers who flipped their seemingly late timing to their advantage, and presaged a generation of platform builders. Read Androids to discover what it takes to create a hot tech team that shipped a product running today on more than 3 billion devices.”

–Jonathan Littman, co-author of The Entrepreneurs Faces: How Makers, Visionaries and Outsiders Succeed, and author of The Fugitive Game


All profits from the book will be donated to charity.

Two chance encounters. One great love.

While everyone around Carmello Caldo found love, he was busy losing himself in pleasure and pain. But when his cousin Lily wants to help him find true love, he doesn’t hesitate to accept her offer.

Arlo King is not Carmello’s usual type. She’s a bookworm who doesn’t give herself away easy. But she’s the perfect woman to help reform the serial womanizer, even though she has commitment issues of her own.

Quickly their fake relationship goes from slow-burn to scorching hot from the very first touch. But can they work through their troubled pasts and embrace a fairy tale future?

Singe is the eighth full-length standalone novel in the Men of Inked Heatwave series by USA Today bestselling author Chelle Bliss.

Men of Inked: Heatwave Series:

Book 1 - Flame

Book 2 - Burn

Book 3 - Wildfire

Book 4 - Blaze

Book 5 - Ignite

Book 6 - Spark

Book 7 - Ember

Book 8 - Singe

Book 9 - Ashes

Perfect for the fans of Lauren Blakely, Nana Malone, Meghan March, Penny Reid, Skye Warren, Kendall Ryan, Kennedy Fox, Lexi Blake, Carrie Ann Ryan, Katie McCoy, Melissa Foster, Corinne Michaels, Devney Perry, K. Bromberg, Marie Forece, Vi Keeland, Joanna Wylde, Jasinda Wilder, Meredith Wild, and Penelope Ward

Topics: adult romance, family saga, men of inked series, siblings, alpha male, romantic suspense, happily ever after, usa bestselling romance, chelle bliss, long romance series, happily ever after, bad boy romance, tattooed bad boy romance, emotional read, men of inked, contemporary romance, dirty talking alpha, family saga, inspirational romance, single father, single father romance, inspirational romance, Harlequin Romance, single mom romance, single parent romance, reunited lovers, inspirational romance, protective alpha romance.

The woman is kneeling at a gravestone, her hair blowing in the breeze, a bunch of wilting yellow daffodils on the grass beside her. Her eyes are fixed on the ground and her mouth is parted in a silent prayer. But the wax dripping from her cold blue lips means it’s already too late to save her…


On her first day back with the Denton PD after a major trauma, Detective Josie Quinn is on the hunt for a missing woman, Krystal Duncan, the mother of one of five children killed in a devastating school bus crash. Hours later, Josie finds Krystal’s body beside her daughter’s grave, her lips sealed together forever with wax.


Forensics match the wax to one of the candles lit in memory of the sweet little souls who died, giving Josie her first lead to a support group made up of the parents who lost children in the crash. Painstakingly dissecting the lives of these grieving couples, it’s clear to Josie that each of them is hiding something about the day of the accident—but whose secret is worth killing for?


The case takes an agonizing turn when the body of another young mother is found near the site of the bus crash. Someone connected to the accident is out for revenge. As the members of the support group are picked off one by one, every second counts for Josie to save the lives of these loving parents who have already suffered the loss of those they treasured most…


An absolutely gripping and totally unputdownable crime thriller from an Amazon, USA Today and Wall Street Journal bestselling author. Be warned, this book will keep you up all night! Perfect for fans of Angela Marsons, Robert Dugoni and Rachel Caine.


What readers are saying about Her Deadly Touch:


“Absofrickenloutly amazingfantastic start to finish… one of those books that you stay up way too late to readpick up this book ASAP… be prepared to be hooked.” Goodreads reviewer, 5 stars


Loveloveloved this bookfantastickept me guessing till the end… I could keep gushing.” Goodreads reviewer, 5 stars


Brilliantmy goodness it’s a real belter of a read!… I just couldn’t put downloved everythingnot to be missed.” Goodreads reviewer, 5 stars


“An absolute winner!!awesome, edge of your seat, mystery-filled ride.” Amy_bookish_life, 5 stars


Kept me turning those pages chapter after chapter… grabbing you in its claws and not letting go until you reach that final page… highly addicting, entertaining, twisted as well as heartfelt.” Goodreads reviewer, 5 stars


Nail-bitinghad me burning the midnight oil!” Goodreads reviewer, 5 stars


Everyone loves Lisa Regan:


‘I. Don’t. Know. How. She. Does. It… My heart pounded in my chest, my pulse raced, I shed some tears, and my hands shookabsolutely incredible.’ Goodreads reviewer, 5 stars


Mind-blowingly brilliant!! I read it in a day… just blew me away!!… Worth 10 stars if possible. A must read.’ NetGalley reviewer, 5 stars


BUCKLE UPnever-ending twists and turns. You think you know what to expect… and then BAM she hits you with something so out of the blue that you can’t help but gasp.’ Katie Mettner Books, 5 stars


***CRACK*** Lisa Regan has knocked it out of the ballpark yet again, and I could not be happier!!!… I devoured this book… twists and turns galore in addition to a HUGE amount of emotion… Whew!I LOVED IT!I was glued to the pages from the very first page. She had me guessing, she had my heart pounding, she had me pleading “no, no, please no”Read, read, read this book!Open Book Posts, 5 stars

Lexie Greene hasn’t thought about Pierce Cagle in years. So when the popular boy she knew in high school shows up in the middle of the Somali desert, part of the SEAL team rescuing her and a coworker from kidnappers, she’s more than a little shocked. But her surprise turns to awe, then awe to respect…and attraction…when he saves her not once, but twice before they make it safely back to a US Naval ship. Before she can blink, he’s gone from her life again, but not before an emotional goodbye and a promise to keep in touch.

Pierce “Midas” Cagle hasn’t thought about Lexie in years. Though he’s not surprised in the least to learn that the shy, kind girl he knew is now an international aid worker, serving the poor both at home and abroad. His attraction to the woman she’s become, however…that’s definitely unexpected. He hates leaving her behind after his mission, but Midas is more thrilled than he can say when she chooses the Hawaiian branch of Food For All for her next assignment.

Their chemistry is just as strong as it was in Somalia, and neither Lexie nor Midas has ever been so happy. Nor could they possibly suspect someone is outraged that Lexie made it out of the desert alive.

** Finding Lexie is the 2nd book in the SEAL Team Hawaii Series. Each book is a stand-alone, with no cliffhanger endings.

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Read what others are saying about New York Times bestselling author, Susan Stoker:


“I will read anything Susan Stoker puts out…because I know it’s going to be amazing!” Riley Edwards- USAT Bestselling author

“Susan Stoker never disappoints. She delivers alpha males with heart and heroines with moxie.” Jana Aston, NYT Bestselling Author

No one does military romance like Susan Stoker!” Corinne Michaels, NYT Bestselling Author

“Susan Stoker knows what women want. A hot hero who needs to save a damsel in distress…even if she can save herself!” CD Reiss, NYT Bestselling Author

“When you pick up a Susan Stoker book you know exactly what you’re going to get…a hot alpha hero and a smart, sassy heroine. I can’t get enough!” Jessica Hawkins, USAT Bestselling Author

“I love reading about men in uniform and Susan always delivers…the full package!” Kayti McGee

“Susan writes the perfect blend of tough, alpha heroes and strong yet vulnerable heroines. I always feel emotionally satisfied at the end of one of her stories!” Meghan March, NYT Bestselling Author

 “One thing I love about Susan Stoker’s books is that she knows how to deliver a perfect HEA while still making sure the villain gets what he/she deserves!” T.M. Frazier, NYT Bestselling Author

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Look for the entire SEAL Team Hawaii romance series

Finding Elodie

Finding Lexie

Finding Kenna

Finding Monica

Finding Carly

Finding Ashlyn

Finding Jodelle


Topics: contemporary romance, military romance, series, romantic suspense series, mystery, bbw romance, funny romance, modern romance, urban romance, California romance, wealthy, USA today, USA today bestseller, homeless romance, city romance, smart romance, mystery, dogs in romance, lighthearted romance, hot romance, susan stoker, susan stoker romance, proposal, proposal romance, engagement, engagement romance, new york times bestseller romance, NYT romance, new york times romance, sexy, heartwarming, heart-warming, family, love, love books, kissing books, emotional journey, contemporary, contemporary romance, romance series, long series, long romance series, army, army series, former military, sassy, strong heroine, captivating romance, hot, hot romance, forbidden love, sparks, loyalty, swoon, contemporary, rescue, kidnap, handicap, justice, Officer, enlisted, daughter, shelter, claiming, defending, securing, protect, government contractor, secret, damsel in distress, kidnap, Navy, Navy SEAL, Honolulu, Navy base, drama, action and adventure, action romance, Delta Force, Navy romance, veteran, disabled veteran, serial killer, forgiveness, former soldier, soldier, romantic, rescue, HEA, stalker, seasoned romance, silver fox, older characters, Hawaii, desert rescue, ransom, revenge,


Other readers of Stoker's books enjoyed books by: Riley Edwards, Caitlyn O'Leary, Maryann Jordan, Dale Mayer, Lynn Raye Harris, Cat Johnson, Alexis Abbott, Meli Raine, Nicole Elliot, Lori Ryan, Meghan March, Kristin Ashley, Meli, Raine, Kris Michaels, Brittney Sahin,, Catherine Cowles, Lexi Blake, Piper Davenport, Abbie Zanders, Lani Lynn Vale, and Kristen Proby.


Fans of Thea Harrison and Nalini Singh won’t want to miss this exciting, funny, and sexy novel in the mega-popular series.

“Shelly Laurenston’s shifter books are full of oddball characters, strong females with attitude and dialogue that can have you laughing out loud.” —The Philadelphia Inquirer

It’s instinct that drives Finn Malone to rescue a bunch of hard battling honey badgers. The Siberian tiger shifter just can’t bear to see his fellow shifters harmed. But no way can Finn have a houseful of honey badgers when he also has two brothers with no patience. Things just go from bad to worse when the badgers rudely ejected from his home turn out to be the only ones who can help him solve a family tragedy. He’s just not sure he can even get back into the badgers’ good graces. Since badgers lack graces of any kind . . .
 
Mads knows her teammates aren’t about to forgive the cats that were so rude to them, but moody Finn isn’t so bad. And he’s cute! The badger part of her understands Finn’s burning need to avenge his father’s death—after all, vengeance is her favorite pastime. So Mads sets about helping Finn settle his family’s score, which has its perks, since she gets to avoid her own family drama. Besides, fighting side by side with Finn is her kind of fun—especially when she can get in a hot and heavy snuggle with her very own growling, eye-rolling, and utterly irresistible kitty-cat . . .

“Filled with high-octane action, some serious snark, and a plethora of humor.. the resulting madcap adventures are sure to please series fans.”
Publishers Weekly


 
Orwell believed that true prose should be “like a windowpane” and he, himself, strove to write clearly and precisely. His early works, not only those of a journalistic nature, are primarily autobiographical. He outlined what he considered the essence of prose in his essay “Shooting an Elephant” and further developed the ideas in his essay “Politics and the English Language”. In this work, Orwell argues that political dishonesty and inaccurate, slovenly language are inextricably linked. The Spanish civil war significantly influenced Orwell’s life. In 1936, Orwell arrived in Spain as a journalist. However, always true to his beliefs, upon his arrival in Barcelona he immediately joined a guerrilla group of Marxist workers (POUM). He fought on the Aragon and Teruel fronts and received a grave wound. The impressions wrought by his time in Spain did not fade throughout Orwell’s life. In his final pre-war novel, Coming Up for Air, he denounced the modern erosion of traditional values. Orwell criticized both English socialism and Stalinism. Orwell understood his duty as a writer to be the promotion of an ideal, liberal, socialism while defending against the totalitarian tendencies that threatened the times. His goals are clearly observed in the 1945 novel Animal Farm. This satire of the Russian Revolution and the crushed hopes that resulted is told as an allegory featuring farm animals who take over the management of the farm from the farmer for their betterment. Orwell published his final book, 1984, in 1949. It features a future dystopia in which Orwell intricately portrays a totalitarian society saturated with anger and fear.

THE NOVELS

BURMESE DAYS

A CLERGYMAN’S DAUGHTER

KEEP THE ASPIDISTRA FLYING

COMING UP FOR AIR

ANIMAL FARM

NINETEEN EIGHTY-FOUR

THE MEMOIRS

DOWN AND OUT IN PARIS AND LONDON

THE ROAD TO WIGAN PIER

HOMAGE TO CATALONIA

THE POETRY OF GEORGE ORWELL

THE NON-FICTION

BOOK REVIEWS

AUTOBIOGRAPHICAL NOTE

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