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Clinical Anesthesia Procedures of the Massachusetts General Hospital Handbook
History

Table of Contents

Free Topics
Part I. Evaluating the Patient Before Anesthesia
- 1. Evaluating the Patient Before Anesthesia
- 2. Basics of Echocardiography
- 3. Specific Considerations With Cardiac Disease
- 4. Specific Considerations With Pulmonary Disease
- 5. Specific Considerations With Renal Disease
- 6. Specific Considerations With Liver Disease
- 7. Specific Considerations With Endocrine Disease
- 8. Infectious Diseases and Infection Control in Anesthesia
Part II. Administration of Anesthesia
- 10. The Anesthesia Machine
  - Anesthesia Machine Checkout Recommendations
  - Anesthesia Ventilators
  - Breathing Systems
  - Emergency Equipment
  - Gas Analysis
  - Overview
  - Safety Features
  - Scavenging
  - Suggested Readings
  - The Gas Delivery System
- 11. Administration of General Anesthesia
  - Airway Management
  - Emergence and Extubation
  - Indications
  - Induction of Anesthesia
  - Intraoperative Adverse Effects Related to General Anesthesia and Management
  - Introduction
  - Maintenance of Anesthesia
  - Postoperative Adverse Effects Related to General Anesthesia
  - Pre-op Evaluation and Planning
  - Suggested Readings
  - Transport and Disposition
- 12. Intravenous and Inhalation Anesthetics
  - Pharmacology of Inhalation Anesthetics
  - Pharmacology of Intravenous Anesthetics
  - Suggested Readings
- 13. Airway Evaluation and Management
  - Applied Anatomy
  - Endotracheal Intubation
  - Evaluation
  - Laryngeal Mask Airway
  - Mask Airway
  - Special Considerations
  - Suggested Readings
  - The Difficult Airway and Emergency Airway Techniques
- 14. Neuromuscular Blockade
  - Disorders That Influence the Response to NMBDs
  - Effects of NMB
  - General Pharmacology
  - Introduction
  - Monitoring of Neuromuscular Function
  - Neuromuscular Blockade
  - Neuromuscular Junction
  - Reversal of NMB
  - Suggested Readings
- 15. Monitoring
  - Cardiovascular System
  - CVP and Cardiac Output
  - Respiratory System
  - Standard Monitoring
  - Suggested Readings
  - Temperature Monitoring
- 16. Monitoring Anesthetic Brain States
  - Age-Related Changes in Anesthetic-Induced EEG Signatures
  - Clinical Monitoring of Anesthetic States
  - Conclusion
  - Effects of Different Anesthetics on the Brain
  - Electroencephalogram-Based Indices of Level of Consciousness
  - End-Tidal Anesthetic Concentration
  - General Considerations
  - Suggested Readings
  - The Spectral Analysis of the EEG
- 17. Intra-anesthetic Problems
  - Abnormal Urine Output
  - Anaphylactic and Anaphylactoid Reactions
  - Aspiration
  - Bronchospasm
  - Cardiac Tamponade
  - Diaphoresis (Sweating)
  - Dysrhythmias
  - Equipment Malfunctions
  - Fire and Electrical Hazards in the Operating Room
  - Hypercarbia
  - Hypertension
  - Hyperthermia
  - Hypotension
  - Hypothermia
  - Hypoxemia
  - Laryngospasm
  - Malignant Hyperthermia
  - Myocardial Ischemia
  - Pneumothorax
  - Pulmonary Embolism
  - Suggested Readings
- 18. Perioperative Hemodynamic Control
  - Adrenergic Agonists
  - Adrenergic Receptor Physiology
  - Autoregulation
  - Beta-Adrenergic Antagonists
  - Blood Pressure
  - Controlled Hypotension
  - Drug Dosage Calculations
  - Nonadrenergic Agents
  - Suggested Readings
  - Vasodilators
- 19. Local Anesthetics
  - Clinical Uses of Local Anesthetics
  - General Principles
  - Novel Developments
  - Suggested Readings
  - Toxicity
- 20. Spinal, Epidural, and Caudal Anesthesia
  - Anticoagulation and Neuraxial Blockade
  - Caudal Anesthesia
  - Combined Spinal-Epidural Anesthesia
  - Contraindications to Neuraxial Anesthesia
  - Epidural Anesthesia
  - General Considerations
  - Segmental Level Required for Surgery
  - Spinal Anesthesia
  - Suggested Readings
- 21. Regional Anesthesia
  - Abbreviations
  - Acknowledgments
  - Complications Common to All Nerve Blocks
  - Equipment
  - General Considerations
  - General Contraindications
  - Nerve Localization Techniques
  - Regional Anesthesia of the Lower Extremity
  - Regional Anesthesia of the Neck
  - Regional Anesthesia of the Trunk
  - Regional Anesthesia of the Upper Extremity
  - Suggested Readings
- 22. Anesthesia for Orthopedic Surgery
  - Anesthesia for Elbow, Arm, and Hand Surgery
  - Anesthesia for Foot and Ankle Surgery
  - Anesthesia for Orthopedic Oncology
  - Anesthesia for Orthopedic Trauma
  - Anesthesia for Shoulder Surgery
  - Anesthesia for Spine Surgery
  - Anesthesia for Total Hip and Knee Arthroplasty
  - General Consideration
  - Suggested Readings
- 23. Anesthesia for Neurosurgery
  - Electrophysiologic Monitoring
  - Intraoperative Management
  - Pharmacology
  - Physiology
  - Preoperative Considerations for Neurosurgical Procedures
  - Specific Neurosurgical Procedures
  - Suggested Readings
  - Surgery on the Spine and Spinal Cord
- 24. Anesthesia for Spine Surgery
  - Blood Loss
  - Disposition
  - Introduction
  - Postoperative Pain Management
  - Spinal Cord Perfusion
  - Suggested Readings
- 25. Anesthesia for Transplant Surgery
  - Anesthesia for Kidney Transplantation
  - Anesthesia for Liver Transplantation
  - Anesthesia for Organ Procurement
  - Anesthesia for Pancreas Transplantation
  - History and Ethical Considerations
  - Suggested Readings
- 26. Anesthesia for Abdominal Surgery
  - Anesthetic Considerations for Specific Abdominal Procedures
  - Anesthetic Techniques
  - Management of Anesthesia
  - Preanesthetic Considerations
  - Suggested Readings
- 27. Anesthesia for Thoracic Surgery
  - Bronchopleural Fistula
  - Endoscopic Procedures
  - Esophageal Surgery
  - Intrapulmonary Hemorrhage
  - Mediastinal Operations
  - Monitoring
  - Preoperative Evaluation
  - Preoperative Preparation
  - Pulmonary Resection
  - Suggested Readings
  - Tracheal Resection and Reconstruction
- 28. Anesthesia for Vascular Surgery
  - Abdominal Aortic Repair
  - Amputations
  - Carotid Revascularization
  - Peripheral Arterial Surgery
  - Preoperative Assessment and Management
  - Suggested Readings
  - Thoracoabdominal Aortic Aneurysm Repair
- 29. Anesthesia for Cardiac Surgery
  - Anesthesia for Off-Site Cardiac Procedures
  - Anesthetic Management
  - Cardiopulmonary Bypass
  - Induction
  - Other Cardiac Procedures
  - Pediatric Cardiac Anesthesia
  - Postoperative Care
  - Preoperative Assessment for Cardiac Surgery
  - Suggested Readings
- 30. Anesthesia for Head and Neck Surgery
  - Anesthesia for Dentistry and Oral and Maxillofacial Surgery
  - Anesthesia for Ophthalmic Surgery
  - Anesthesia for Otorhinolaryngologic Procedures
  - Anesthesia for Procedures of the Neck
  - Suggested Readings
- 31. Anesthesia for Urologic Surgery
  - Anesthesia for Specific Urologic Procedures
  - Lithotripsy
  - Patients With Spinal Cord Pathology
  - Suggested Readings
- 32. Anesthesia for Obstetrics and Gynecology
  - Amniotic Fluid Embolism
  - Analgesia for Labor and Vaginal Delivery
  - Anesthesia for Cesarean Delivery
  - Anesthesia for Gynecologic Surgery
  - Anesthesia for Nonobstetric Surgery During Pregnancy
  - Anesthesia for Oocyte Retrieval
  - CPR During Pregnancy
  - Labor and Delivery
  - Maternal Physiology in Pregnancy
  - Medications Commonly Used for Labor and Delivery
  - Peripartum Hemorrhage
  - Placental Transfer of Drugs
  - Preeclampsia
  - Suggested Readings
- 33. Anesthesia for Pediatric Surgery and Care of the Neonate
  - Analgesia
  - Anatomy and Physiology
  - Common Neonatal Problems Pertinent to Anesthesia
  - Development
  - Emergence and Post-anesthesia Care
  - Endotracheal Intubation
  - Fluid Management
  - General Assessment
  - Induction Techniques
  - Periprocedural Considerations and Fasting Guidelines
  - Pharmacotherapy
  - Preparation of the OR
  - Specific Pediatric Anesthesia Problems
  - Suggested Readings
  - The Preanesthetic Visit
- 34. Non-Operating Room Anesthesia
  - Anesthesia for CT-Guided Thermal Ablations
  - Anesthesia for Diagnostic Radiology
  - Anesthesia for Electroconvulsive Therapy
  - Anesthesia for Gastrointestinal Procedures
  - Anesthesia for Gastrointestinal/Genitourinary and Vascular Radiology Procedures
  - Anesthesia for Neurointerventions
  - Anesthesia for Proton Beam Therapy and Radiation Therapy
  - Anesthesia Techniques
  - Contrast Media
  - General Considerations
  - Suggested Readings
- 35. Anesthesia for Trauma and Burns
  - Initial Evaluation of the Trauma Patient
  - Major Burn Injuries
  - Specific Injuries
  - Suggested Readings
  - The Pediatric Trauma Patient
  - The Pregnant Trauma Patient
- 36. Transfusion Therapy
  - Acknowledgment
  - Blood Component Therapy
  - Blood Typing and Cross-Matching
  - Coagulation Studies
  - Complications of Blood Transfusion Therapy
  - Conservation and Salvage Techniques
  - Perioperative Coagulopathy
  - Pharmacologic Therapy
  - Plasma Substitutes
  - Special Considerations
  - Suggested Readings
  - The Decision to Transfuse
- 9. Safety in Anesthesia
  - General Safety Strategies
  - Overview of Safety in Anesthesia
  - Quality Assurance and Safety Improvement Programs
  - Standards for Safe Anesthesia Care
  - Suggested Readings
  - Types of Errors
Part III. Perioperative Issues
Appendices
Front Matter
- Preface

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