Table of Contents

• Free Topics
  • [beta]-Adrenergic antagonists
  • Abdominal Aortic Repair
  • About
  • Acetaminophen
  • Adult Resuscitation
  • Anatomy and Physiology
  • Anesthesia for Ophthalmic Surgery
  • Anesthesia for Otorhinolaryngologic Procedures
  • Anticoagulation and Neuraxial Blockade
  • Body Temperature Changes
  • Calculator - MELD Score
  • Calculator - Modified Child-Pugh Score
  • Commonly Used Drugs
  • Complications of Blood Transfusion Therapy
  • Day of Surgery Premedication
  • Flowchart - American Society of Anesthesiologists (ASA) difficult Airway Algorithm
  • Flowchart - Stepwise Approach to Perioperative Cardiac Assessment for CAD from the Latest ACC/AHA Guidelines
  • General Assessment
  • Hemodynamic and Cardiovascular Complications
  • Hyperthermia
  • Induction
  • Laboratory Studies
  • Major Burn Injuries
  • Neonatal Resuscitation
  • Neuromuscular Blockade
  • Patient Discussion
  • Pediatric Resuscitation
  • Perioperative Coagulopathy
  • Pharmacotherapy
  • Preanesthetic Considerations
  • Preoperative Assessment and Management
  • Preoperative Cardiovascular Evaluation for Noncardiac Surgery
  • Preoperative Medical Optimization
  • Principles of Pain Management
  • Pulmonary Resection
  • Regional Anesthesia of the Lower Extremity
  • Spinal Anesthesia
  • Treatment of Acute Pain in the Perioperative Setting
  • Vasodilators
• Part I. Evaluating the Patient Before Anesthesia
  • 1. Evaluating the Patient Before Anesthesia
    • Anesthetic Assessment and Plan
    • Day of Surgery Premedication
    • Delaying Surgical Procedures
    • Ethical Considerations in Patient Care
    • History
    • Informed Consent
    • Introduction
    • Laboratory Studies
    • Patient Discussion
    • Preoperative Medical Optimization
    • Review of Systems
    • Suggested Readings
    • The Physical Examination
  • 2. Basics of Echocardiography
    • Conclusion
    • Echocardiographic Assessment
    • Hemodynamic Measurements and Fluid Responsiveness
    • Introduction
    • Suggested Readings
    • Transesophageal Image Acquisition
    • Transthoracic Image Acquisition
  • 3. Specific Considerations With Cardiac Disease
    • Cardiac Implantable Electronic Devices: Pacemakers and Implantable Cardioverter-Defibrillators
    • Cardiac Transplant Patient
    • Congenital Heart Disease
    • Congestive Heart Failure
    • Coronary Anatomy
    • General Considerations
    • Hypertrophic Cardiomyopathy
    • Ischemic Heart Disease
    • Preanesthetic Considerations
    • Preoperative Cardiovascular Evaluation for Noncardiac Surgery
    • Suggested Readings
    • Valvular Heart Disease
  • 4. Specific Considerations With Pulmonary Disease
    • Acute Respiratory Distress Syndrome
    • Asthma
    • Chronic Obstructive Pulmonary Disease
    • Obesity
    • Overview
    • Pulmonary Function
    • Suggested Readings
  • 5. Specific Considerations With Renal Disease
    • Anesthetic Management
    • Future Considerations for Identification of Patients at Risk of Perioperative AKI
    • General Considerations
    • Pharmacology and Renal Failure
    • Pharmacology and the Kidney
    • Physiology
    • Renal Failure
    • Suggested Readings
  • 6. Specific Considerations With Liver Disease
    • Anesthesia in Patients With Liver Disease
    • Hepatic Anatomy
    • Hepatic Function
    • Liver Disease
    • Metabolism of Anesthetics
    • Postoperative Liver Dysfunction
    • Suggested Readings
    • Surgical Risk in Patients With Liver Disease
  • 7. Specific Considerations With Endocrine Disease
    • Adrenal Cortical Disease
    • Adrenal Medullary Disease
    • Calcium Metabolism and Parathyroid Disease
    • Carcinoid
    • Diabetes Mellitus
    • Hypoglycemia
    • Pituitary Disease
    • Suggested Readings
    • Thyroid Disease
  • 8. Infectious Diseases and Infection Control in Anesthesia
    • Immunocompromised Patients
    • Infection Control in the OR
    • Introduction
    • Occupational Exposure to Infectious Disease
    • Pathogenic Organisms of Anesthetic Concern
    • Perioperative Antibiotics
    • Suggested Readings
• 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
  • 37. The Post-anesthesia Care Unit
    • Admission to the PACU
    • Body Temperature Changes
    • Considerations for Pediatric Recovery
    • Criteria for Discharge
    • Critical Care in the Post-anesthesia Recovery Unit
    • Effects of Anesthetics and Sedatives
    • Enhanced Recovery After Surgery
    • General Complications
    • General Considerations
    • Hemodynamic and Cardiovascular Complications
    • Monitoring
    • Neurologic Complications
    • Postoperative Nausea and Vomiting
    • Principles of Pain Management
    • Recovery From Regional and Neuraxial Anesthesia
    • Renal Complications
    • Respiratory and Airway Complications
    • Suggested Readings
  • 38. Pain Management
    • Complementary and Alternative Medicine in Pain Management
    • Definition and Terminology
    • Suggested Readings
    • Treatment of Acute Pain in the Perioperative Setting
  • 39. Adult, Pediatric, and Newborn Resuscitation
    • Adult Resuscitation
    • Cardiac Arrest
    • Neonatal Resuscitation
    • Overview
    • Pediatric Resuscitation
    • Suggested Readings
  • 40. Vascular Access
    • Applied Vascular Anatomy
    • Common Issues and Troubleshooting
    • Overview
    • Principles of Image-Guided Vascular Access
    • Suggested Readings
    • Vascular Access Devices
• Appendices
  • I. Drugs With Narrow Therapeutic Ranges and Potential for Harm
  • II. Commonly Used Drugs
  • III. Common Intravenous Antibiotics
• Front Matter
  • Preface