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Book Details
Abstract
With the most authoritative and complete overview of anesthesia theory and practice, the latest edition of Basic Anesthesia, edited by noted anesthesiologist Ronald D. Miller, MD and Manuel C. Pardo, Jr., MD, continues to serve as an excellent primer on the scope and practice of anesthesiology. Widely acknowledged as the foremost introductory text, the new edition—now presented in full color throughout—has been thoroughly updated to reflect new and rapidly changing areas in anesthesia practice including new chapters on awareness under anesthesia, quality and patient safety, orthopedics, and expanded coverage of new ultrasound techniques in regional anesthesiology with detailed illustrated guidance.
- Obtain a clear overview of everything you need to know about the fundamentals of anesthesia, including basic science and emerging clinical topics.
- Efficiently retain and synthesize information more easily thanks to a concise, at-a-glance format with numerous illustrations and tables throughout the book that condense complex concepts, and ‘Questions of the Day’ to assist you in understanding key material presented in each chapter.
- Discover the newest in anesthesiology with rigorously updated chapters and the addition of appropriate new chapters on important emerging topics such as awareness under anesthesia; quality and patient safety; orthopedics; and expanded coverage of new ultrasound techniques in regional anesthesiology.
- Learn from one of the very best. World-renowned anesthesiologist Dr. Ronald D. Miller, along with new co-editor Dr. Manuel Pardo, presents definitive coverage on new and rapidly changing areas in anesthesia practice.
- Grasp vital concepts easily thanks to concise, easy-to-read, masterfully edited chapters and a user-friendly format—now presented in full color throughout.
- Gain a detailed visual understanding on how to perform ultrasound techniques in regional anesthesiology (Peripheral Nerve Blocks) using illustrations and high-quality images.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Basics of Anesthesia | iii | ||
| Copyright | iv | ||
| Contributors | v | ||
| Preface | ix | ||
| Contents | xi | ||
| Section I: Introduction | 1 | ||
| Chapter 1: History of Anesthesia | 3 | ||
| Inhaled Anesthetics | 3 | ||
| Local Anesthetics | 6 | ||
| Neuraxial Block | 6 | ||
| Methods For Delivery Of General Anesthesia | 6 | ||
| Difficult Airway | 7 | ||
| Neuromuscular Blocking Drugs | 7 | ||
| Improved Inhaled And Intravenous Anesthetics | 8 | ||
| Ablation Of The Stress Response | 8 | ||
| Recent Developments | 8 | ||
| Modern Anesthesiology Practice | 9 | ||
| Questions Of The Day | 9 | ||
| References | 10 | ||
| Chapter 2: Scope of Anesthesia Practice | 11 | ||
| Definition Of Anesthesiology As A Speciality | 11 | ||
| Evolution Of Anesthesia As A Multidisciplinary Medical Specialty | 12 | ||
| Perioperative Patient Care | 13 | ||
| Training And Certification In Anesthesiology | 13 | ||
| Other Anesthetic Providers | 14 | ||
| Quality Of Care And Safety In Anesthesia | 15 | ||
| Organizations With Emphasis On Anesthesia Quality And Safety | 15 | ||
| Professional Liability | 16 | ||
| Risks Of Anesthesia | 17 | ||
| Hazards Of Working In The Operating Room | 18 | ||
| Summary And Future Outlook | 18 | ||
| Questions Of The Day | 18 | ||
| Acknowledgment | 18 | ||
| References | 18 | ||
| Chapter 3: Approach to Learning Anesthesia | 20 | ||
| Competencies | 20 | ||
| Structured Approach To Anesthesia Care\t | 20 | ||
| Questions Of The Day | 24 | ||
| References | 25 | ||
| Chapter 4: Medical Informatics | 26 | ||
| Purpose Of Medical Informatics | 26 | ||
| Computers In Medicine | 27 | ||
| Electronic Medical Record | 29 | ||
| Evidence-Based Medicine | 29 | ||
| Decision Support | 31 | ||
| Conclusion | 32 | ||
| Questions Of The Day | 32 | ||
| References | 32 | ||
| Section II: Pharmacology and Physiology | 33 | ||
| Chapter 5: Basic Pharmacologic Principles | 35 | ||
| Pharmacokinetics | 35 | ||
| Pharmacodynamics | 44 | ||
| Questions of the Day | 47 | ||
| Acknowledgment | 47 | ||
| References | 48 | ||
| Chapter 6: Clinical Cardiac and Pulmonary Physiology | 50 | ||
| Hemodynamics | 50 | ||
| Cardiac Reflexes | 53 | ||
| Coronary Blood Flow | 54 | ||
| Pulmonary Circulation | 54 | ||
| Pulmonary Gas Exchange | 56 | ||
| Pulmonary Mechanics | 61 | ||
| Control Of Breathing | 62 | ||
| Integration Of The Heart And Lungs | 64 | ||
| Questions of the Day | 65 | ||
| References | 65 | ||
| Chapter 7: Autonomic Nervous System | 66 | ||
| Anatomy Of The Autonomic Nervous System | 66 | ||
| Adrenergic Pharmacology | 70 | ||
| Selective α-Adrenergic Receptor Agonists | 73 | ||
| β2-Adrenergic Receptor Agonists | 74 | ||
| α-Adrenergic Receptor Antagonists | 74 | ||
| β-Adrenergic Antagonists | 74 | ||
| Cholinergic Pharmacology | 75 | ||
| Questions of the Day | 76 | ||
| Acknowledgment | 76 | ||
| References | 77 | ||
| Chapter 8: Inhaled Anesthetics | 78 | ||
| History | 78 | ||
| The First Inhaled Anesthetics | 78 | ||
| Inhaled Anesthetics Between 1920 And 1940 | 79 | ||
| Fluorine Chemistry And Modern Inhaled Anesthetics | 80 | ||
| Mechanism Of Action | 81 | ||
| Physical Properties | 82 | ||
| Relative Potency Of Inhaled Anesthetics | 83 | ||
| Pharmacokinetics Of Inhaled Anesthetics | 84 | ||
| Effects On Organ Systems | 90 | ||
| Questions of the Day | 96 | ||
| Acknowledgment | 97 | ||
| References | 97 | ||
| Chapter 9: Intravenous Anesthetics | 99 | ||
| Propofol | 99 | ||
| Fospropofol | 102 | ||
| Barbiturates | 103 | ||
| Benzodiazepines | 106 | ||
| Ketamine | 109 | ||
| Etomidate | 111 | ||
| Dexmedetomidine | 112 | ||
| Questions of the Day | 113 | ||
| References | 113 | ||
| Chapter 10: Opioids | 115 | ||
| Basic Pharmacology | 115 | ||
| Clinical Pharmacology | 118 | ||
| Clinical Application | 126 | ||
| Emerging Developments | 127 | ||
| Questions of the Day | 127 | ||
| Acknowledgment | 127 | ||
| References | 127 | ||
| Chapter 11: Local Anesthetics | 130 | ||
| History | 130 | ||
| Mechanisms Of Action And Factors Affecting Block | 131 | ||
| Pharmacokinetics | 136 | ||
| Adverse Effects | 136 | ||
| Specific Local Anesthetics | 138 | ||
| Future Local Anesthetics | 141 | ||
| Questions of the Day | 141 | ||
| References | 141 | ||
| Chapter 12: Neuromuscular Blocking Drugs | 143 | ||
| Clinical Uses | 144 | ||
| Neuromuscular Junction | 144 | ||
| Structure-Activity Relationships | 146 | ||
| Depolarizing Neuromuscular Blocking Drugs | 148 | ||
| Nondepolarizing Neuromuscular Blocking Drugs | 151 | ||
| Long-Acting Nondepolarizing Neuromuscular Blocking Drugs | 152 | ||
| Intermediate-Acting Nondepolarizing Neuromuscular Blocking Drugs | 153 | ||
| Short-Acting Nondepolarizing Neuromuscular Blocking Drugs | 154 | ||
| Monitoring The Effects Of Nondepolarizing Neuromuscular Blocking Drugs | 154 | ||
| Antagonism Of Nondepolarizing Neuromuscular Blocking Drugs | 158 | ||
| Adverse Outcomes From Inadequate Antagonism Of Neuromuscular Blockade | 158 | ||
| Summary | 160 | ||
| Questions of the Day | 160 | ||
| References | 160 | ||
| Section III: Preoperative Preparation And Intraoperative Management | 163 | ||
| Chapter 13: Preoperative Evaluation and Medication | 165 | ||
| Overview | 165 | ||
| Consultations | 176 | ||
| Testing | 176 | ||
| Medications | 178 | ||
| Fasting | 184 | ||
| Formulation Of Anesthestic Plan, Assessment Of Risk, And Informed Consent | 185 | ||
| Conclusion | 185 | ||
| Questions of the Day | 186 | ||
| Acknowledgment | 186 | ||
| References | 186 | ||
| Appendix A: Basic Standards For Preanesthesia Care | 189 | ||
| Chapter 14: Choice of Anesthetic Technique | 190 | ||
| Anesthetic Technique | 190 | ||
| Preparation for Anesthesia | 195 | ||
| Pharmacoeconomics | 196 | ||
| Questions of the Day | 196 | ||
| Acknowledgment | 196 | ||
| References | 196 | ||
| Chapter 15: Anesthesia Delivery Systems | 198 | ||
| Anesthesia Workstation | 198 | ||
| Vaporizers | 202 | ||
| Anesthetic Breathing Systems | 204 | ||
| Anesthesia Machine Ventilators | 209 | ||
| Pollution Of The Atmosphere With Anesthetic Gases | 211 | ||
| Elimination Of Carbon Dioxide | 212 | ||
| Checking Anesthesia Machine And Circle System Function | 214 | ||
| Questions of the Day | 216 | ||
| Acknowledgment | 216 | ||
| References | 217 | ||
| Chapter 16: Airway Management | 219 | ||
| Anatomy And Physiology Of The Upper Airway | 220 | ||
| Airway Assessment | 220 | ||
| Airway Management Techniques | 227 | ||
| Flexible Fiberoptic Laryngoscopy | 234 | ||
| Rigid Fiberoptic Laryngoscopes/Videolaryngoscopes | 235 | ||
| Retrograde Tracheal Intubation | 237 | ||
| Blind Nasotracheal Intubation | 237 | ||
| Supraglottic Airway Devices | 237 | ||
| Transtracheal Techniques | 241 | ||
| Tracheal Extubation | 241 | ||
| Airway Management In Infants And Children | 243 | ||
| Questions of the Day | 250 | ||
| References | 250 | ||
| Chapter 17: Spinal and Epidural Anesthesia | 252 | ||
| Comparison Of Spinal And Epidural Anesthesia | 253 | ||
| Anatomy | 253 | ||
| Preoperative Preparation | 262 | ||
| Spinal Anesthesia | 263 | ||
| Epidural Anesthesia | 273 | ||
| Combined Spinal-Epidural Anesthesia | 280 | ||
| Combined Epidural-General Anesthesia | 281 | ||
| Questions of the Day | 281 | ||
| References | 282 | ||
| Chapter 18: Peripheral Nerve Blocks | 284 | ||
| Preparation For Nerve Blocks | 284 | ||
| Specific Block Techniques | 285 | ||
| Peripheral Nerve Catheters | 287 | ||
| Cervical Plexus Block | 287 | ||
| Brachial Plexus Anatomy | 287 | ||
| Distal Nerve Blocks Of The Upper Extremity-Forearm Block | 292 | ||
| Blocks Of The Lower Extremity | 293 | ||
| Intravenous Regional Anesthesia | 297 | ||
| Questions of the Day | 298 | ||
| Acknowledgment | 298 | ||
| References | 299 | ||
| Chapter 19: Patient Positioning and Associated Risks | 300 | ||
| Cardiovascular Concerns | 300 | ||
| Pulmonary Concerns | 301 | ||
| Specific Positions | 302 | ||
| Peripheral Nerve Injury | 310 | ||
| Perioperative Eye Injury And Visual Loss | 314 | ||
| Evaluation And Treatment Of Perioperative Neuropathies | 315 | ||
| Anesthesia Outside The Operating Room | 315 | ||
| Conclusion | 316 | ||
| Questions of the Day | 316 | ||
| References | 316 | ||
| Chapter 20: Anesthetic Monitoring | 319 | ||
| Electrocardiography | 320 | ||
| Arterial Blood Pressure Cuff Monitoring | 321 | ||
| Central Venous Pressure Monitoring | 324 | ||
| Pulmonary Artery Catheter Measurements | 324 | ||
| Echocardiography | 325 | ||
| Pulse Oximetry | 327 | ||
| Evoked Potentials | 327 | ||
| Capnography | 328 | ||
| Brain Electrical Activity Monitoring | 329 | ||
| Temperature Monitoring | 330 | ||
| Inhaled Anesthetic Monitoring | 330 | ||
| Questions of the Day | 331 | ||
| References | 331 | ||
| Appendix B: Standards For Basic Anesthetic Monitoring | 332 | ||
| Standard I | 332 | ||
| Standard II | 332 | ||
| Oxygenation | 332 | ||
| Ventilation | 333 | ||
| Circulation | 333 | ||
| Body Temperature | 333 | ||
| Chapter 21: Acid-Base Balance and Blood Gas Analysis | 334 | ||
| Definitions | 334 | ||
| Regulation Of The Hydrogen Ion Concentration | 335 | ||
| Measurement Of Arterial Blood Gases | 337 | ||
| Differential Diagnosis Of Acid-Base Disturbances | 339 | ||
| Other Information Provided By Blood Gases And pH | 343 | ||
| Questions of the Day | 347 | ||
| Acknowledgment | 347 | ||
| References | 347 | ||
| Chapter 22: Hemostasis | 348 | ||
| Coagulation | 349 | ||
| Common Laboratory Tests Of Hemostasis | 351 | ||
| Disorders Associated With Altered Hemostasis During Surgery | 352 | ||
| Disorders Favoring Thrombosis | 356 | ||
| Anticoagulants, Thrombolytics, And Antiplatelet Drugs | 357 | ||
| An Approach To Patients Who Are Anticoagulated | 359 | ||
| An Approach To Patients Receiving Antiplatelet Therapy | 360 | ||
| Neuraxial Interventions In Patients Being Treated With Anticoagulant Drugs | 361 | ||
| An Intraoperative Approach To Uncontrolled Bleeding | 361 | ||
| Questions of the Day | 363 | ||
| Acknowledgment | 363 | ||
| References | 363 | ||
| Chapter 23: Fluid Management | 364 | ||
| Overview Of Fluid And Electrolyte Physiology | 364 | ||
| Perioperative Fluid Balance | 365 | ||
| Fluid Replacement Solutions | 365 | ||
| Perioperative Fluid Strategies | 368 | ||
| Questions of the Day | 371 | ||
| Acknowledgment | 371 | ||
| References | 371 | ||
| Chapter 24: Blood Therapy | 372 | ||
| Blood Therapy Procedures | 372 | ||
| Decision To Transfuse | 373 | ||
| Blood Components | 374 | ||
| Complications Of Blood Therapy | 376 | ||
| Autologous Blood Transfusions | 378 | ||
| Conclusions And Future Directions | 379 | ||
| Questions of the Day | 379 | ||
| References | 379 | ||
| Section IV: Special Anesthetic Considerations | 381 | ||
| Chapter 25: Cardiovascular Disease | 383 | ||
| Coronary Artery Disease | 384 | ||
| Valvular Heart Disease | 393 | ||
| Disturbances Of Cardiac Conduction And Rhythm | 397 | ||
| Artificial Cardiac Pacemakers | 399 | ||
| Essential Hypertension | 400 | ||
| Congestive Heart Failure | 402 | ||
| Hypertrophic Cardiomyopathy | 403 | ||
| Pulmonary Hypertension And Cor Pulmonale | 404 | ||
| Cardiac Tamponade | 404 | ||
| Aneurysms Of The Aorta | 405 | ||
| Cardiopulmonary Bypass | 406 | ||
| Questions of the Day | 415 | ||
| References | 415 | ||
| Chapter 26: Congenital Heart Disease | 418 | ||
| Fundamental Pathophysiology In Congenital Heart Disease | 418 | ||
| Perioperative Management | 421 | ||
| Postoperative Care | 429 | ||
| Questions of the Day | 429 | ||
| Acknowledgment | 429 | ||
| References | 429 | ||
| Chapter 27: Chronic Pulmonary Disease | 430 | ||
| Asthma | 431 | ||
| Chronic Obstructive Pulmonary Disease | 433 | ||
| Pulmonary Hypertension | 434 | ||
| Obstructive Sleep Apnea | 435 | ||
| Anesthesia For Lung Resection | 436 | ||
| Gas Exchange During One-Lung Ventilation | 442 | ||
| Conclusion Of Surgery | 446 | ||
| Postoperative Pulmonary Complications | 446 | ||
| Mediastinoscopy | 446 | ||
| Questions of the Day | 446 | ||
| Acknowledgment | 446 | ||
| References | 446 | ||
| Chapter 28: Renal, Liver, and Biliary Tract Disease | 448 | ||
| Renal Disease | 448 | ||
| Liver Disease | 455 | ||
| Diseases Of The Biliary Tract | 460 | ||
| Questions of the Day | 461 | ||
| Acknowledgment | 461 | ||
| References | 461 | ||
| Chapter 29: Nutritional and Gastrointestinal Disease | 463 | ||
| Nutritional Disorders | 463 | ||
| Gastrointestinal Disease | 465 | ||
| Endocrine Disorders | 467 | ||
| Questions of the Day | 473 | ||
| Acknowledgment | 473 | ||
| References | 473 | ||
| Chapter 30: Central Nervous System Disease | 476 | ||
| Neuroanatomy | 476 | ||
| Neurophysiology | 477 | ||
| Intracranial Pressure | 478 | ||
| Neuroprotection | 479 | ||
| Neurophysiologic Monitoring | 480 | ||
| Anesthesia For Neurosurgery | 480 | ||
| Common Clinical Cases | 483 | ||
| Questions of the Day | 485 | ||
| Acknowledgment | 485 | ||
| References | 485 | ||
| Chapter 31: Ophthalmology and Otolaryngology | 486 | ||
| Ophthalmology | 486 | ||
| Otolaryngology | 492 | ||
| Questions of the Day | 497 | ||
| References | 497 | ||
| Chapter 32: Anesthesia for Orthopedic Surgery | 499 | ||
| Rheumatologic Disorders | 499 | ||
| Spine Surgery | 503 | ||
| Surgery In The Sitting Position | 507 | ||
| Fractured Hip | 508 | ||
| Total Joint Replacement | 509 | ||
| Questions of the Day | 511 | ||
| References | 512 | ||
| Chapter 33: Obstetrics | 514 | ||
| Physiologic Changes In Pregnant Women | 515 | ||
| Physiology Of The Uteroplacental Circulation | 519 | ||
| Stages Of Labor | 520 | ||
| Anatomy Of Labor Pain | 520 | ||
| Methods Of Labor Analgesia | 521 | ||
| Neuraxial Techniques | 523 | ||
| Contraindications To Neuraxial Anesthesia | 526 | ||
| Complications Of Regional Anesthesia | 526 | ||
| Other Nerve Blocks For Labor | 527 | ||
| Inhaled Analgesia For Vaginal Delivery | 527 | ||
| Anesthesia For Cesarean Delivery | 528 | ||
| Abnormal Presentations And Multiple Births | 531 | ||
| Hypertensive Disorders Of Pregnancy | 532 | ||
| Hemorrhage In Pregnant Women | 534 | ||
| Amniotic Fluid Embolism | 536 | ||
| Anesthesia For Nonobstetric Surgery During Pregnancy | 536 | ||
| Diagnosis And Management Of Fetal Distress | 538 | ||
| Evaluation Of The Neonate And Neonatal Resuscitation | 539 | ||
| Questions of the Day | 543 | ||
| References | 543 | ||
| Chapter 34: Pediatrics | 546 | ||
| Developmental Physiology | 547 | ||
| Pharmacologic Differences | 550 | ||
| Fluids And Electrolytes | 552 | ||
| Transfusion Therapy | 553 | ||
| Pediatric Airway | 554 | ||
| Anesthetic Considerations | 555 | ||
| Medical And Surgical Diseases Affecting The Neonate | 559 | ||
| Special Anesthetic Considerations | 565 | ||
| Questions of the Day | 566 | ||
| Acknowledgments | 566 | ||
| References | 566 | ||
| Chapter 35: Elderly Patients | 568 | ||
| Why Geriatric Anesthesiology Is Important | 568 | ||
| Morbidity And Mortality Rates | 569 | ||
| Medications To Avoid In The Geriatric Population | 569 | ||
| Age-Related Physiologic Changes | 570 | ||
| Perioperative Care In The Elderly | 572 | ||
| Postoperative Care | 576 | ||
| Reduction Of Perioperative Risk | 577 | ||
| Summary | 577 | ||
| Questions of the Day | 577 | ||
| Acknowledgments | 578 | ||
| References | 578 | ||
| Chapter 36: Organ Transplantation | 580 | ||
| Considerations For Organ Transplantation | 580 | ||
| Kidney Transplantation | 581 | ||
| Liver Transplantation | 582 | ||
| Heart Transplantation | 585 | ||
| Lung Transplantation | 586 | ||
| Pancreas Transplantation | 586 | ||
| Conclusions | 587 | ||
| Questions of the Day | 587 | ||
| Acknowledgments | 587 | ||
| References | 587 | ||
| Chapter 37: Outpatient Anesthesia | 588 | ||
| Patient Goals And Expectations | 589 | ||
| Four Key Focus Points For Success In Outpatient Anesthesia | 589 | ||
| Clinical Issues | 590 | ||
| Techniques Of Anesthesia For Outpatient Surgery | 591 | ||
| Some Topics Of Importance In Outpatient Anesthesia | 593 | ||
| Postoperative Issues | 598 | ||
| Unique Roles Of The Anesthesiologist And Medical Director | 598 | ||
| Conclusion | 599 | ||
| Questions of the Day | 599 | ||
| Acknowledgments | 599 | ||
| References | 600 | ||
| Appendix C: Guidelines For Case And Patient Selection | 606 | ||
| Appendix D: An Allocation Of Medications To Anesthesia Controlled Devices, Emergency Boxes, And Anesthesia Carts | 607 | ||
| Appendix E: An Outcomes Management Program | 608 | ||
| Appendix F: Some Policies And Procedures | 612 | ||
| Chapter 38: Procedures Performed Outside the Operating Room | 617 | ||
| Characteristics of Remote Locations | 618 | ||
| Radiation Safety | 619 | ||
| Allergic Reactions | 619 | ||
| Noninvasive X-Ray Procedures | 620 | ||
| Computed Tomography | 620 | ||
| Magnetic Resonance Imaging | 621 | ||
| Invasive X-Ray Procedures | 622 | ||
| Radiation Therapy | 623 | ||
| Electroconvulsive Therapy | 624 | ||
| Cardiac Catheterization-Angiography, Intervention, Electrophysiology | 626 | ||
| Cardioversion | 626 | ||
| Extracorporeal Shock Wave Lithotripsy | 627 | ||
| Dental Surgery | 628 | ||
| Questions Of The Day | 628 | ||
| References | 628 | ||
| Section V: Recovery Period | 629 | ||
| Chapter 39: Postanesthesia Recovery | 631 | ||
| Admission To The Postanesthesia Care Unit | 632 | ||
| Early Postoperative Physiologic Disorders | 632 | ||
| Upper Airway Obstruction | 632 | ||
| Hypoxemia In The Pacu | 635 | ||
| Pulmonary Edema In The Pacu | 637 | ||
| Oxygen Supplementation | 637 | ||
| Hemodynamic Instability | 638 | ||
| Delirium | 641 | ||
| Renal Dysfunction | 642 | ||
| Body Temperature And Shivering | 643 | ||
| Postoperative Nausea And Vomiting | 643 | ||
| Delayed Awakening | 644 | ||
| Discharge Criteria | 644 | ||
| Questions Of The Day | 646 | ||
| References | 646 | ||
| Appendix G: Standards For Post Anesthesia Care Committee Of Origin: Standards And Practice Parameters | 648 | ||
| Standard I | 648 | ||
| Standard II | 648 | ||
| Standard III | 648 | ||
| Standard IV | 648 | ||
| Standard V | 649 | ||
| Chapter 40: Perioperative Pain Management | 650 | ||
| Common Terminology | 651 | ||
| Neurophysiology Of Pain | 652 | ||
| Analgesic Delivery Systems | 654 | ||
| Systemic Therapy | 655 | ||
| Neuraxial Analgesia | 657 | ||
| Intra-Articular Administration | 659 | ||
| Intrapleural Regional Analgesia | 659 | ||
| Paravertebral Blocks | 659 | ||
| Peripheral Nerve Block | 659 | ||
| Regional Analgesia | 659 | ||
| Transversus Abdominis Plane Block | 660 | ||
| Questions of the Day | 660 | ||
| Acknowledgments | 660 | ||
| References | 660 | ||
| Section VI: Consultant Anesthetic Practice | 663 | ||
| Chapter 41: Critical Care Medicine | 665 | ||
| Mechanical Ventilation | 666 | ||
| Noninvasive Positive-Pressure Ventilation | 668 | ||
| Acute Respiratory Distress Syndrome | 669 | ||
| Sedation And Analgesia In The Intensive Care Unit | 669 | ||
| Shock | 673 | ||
| Acute Renal Failure | 676 | ||
| Delirium | 677 | ||
| Nutritional Support | 677 | ||
| Rapid Response Teams | 678 | ||
| Intensive Insulin Therapy | 678 | ||
| End-Of-Life Issues | 678 | ||
| Questions of the Day | 679 | ||
| Acknowledgments | 679 | ||
| References | 679 | ||
| Chapter 42: Trauma, Bioterrorism, and Natural Disasters | 681 | ||
| Basic Principles Of Trauma Care | 681 | ||
| Acute Management Of Trauma Patients | 682 | ||
| Emergency Surgery For Trauma | 685 | ||
| Mass Casualty Disasters | 687 | ||
| Nuclear Exposure | 690 | ||
| Chemical And Biologic Terrorism | 690 | ||
| Bioterrorism Agents | 691 | ||
| Chemical Terrorism Agents | 695 | ||
| Infectious Disease Disasters | 696 | ||
| Questions of the Day | 696 | ||
| Acknowledgments | 697 | ||
| References | 697 | ||
| Chapter 43: Chronic Pain Management | 698 | ||
| Classification Of Chronic Pain | 698 | ||
| Multidisciplinary Pain Management | 699 | ||
| Common Pain Syndromes | 699 | ||
| Pharmacologic Management Of Chronic Pain | 703 | ||
| Interventional Pain Therapies | 705 | ||
| Summary | 713 | ||
| Questions of the Day | 713 | ||
| Acknowledgments | 713 | ||
| References | 713 | ||
| Chapter 44: Cardiopulmonary Resuscitation | 715 | ||
| Basic Life Support | 715 | ||
| Adult Advanced Cardiovascular Life Support: Algorithms | 718 | ||
| Adult Advanced Cardiovascular Life Support: Drug Therapy | 723 | ||
| Pediatric Advanced Life Support | 724 | ||
| Postresuscitation Care | 725 | ||
| Special Perioperative Considerations | 727 | ||
| Questions Of The Day | 728 | ||
| References | 728 | ||
| Chapter 45: Operating Room Management | 729 | ||
| Anesthesiology Staffing | 730 | ||
| Operating Room Efficiency | 731 | ||
| Questions of the Day | 735 | ||
| Acknowledgments | 736 | ||
| References | 736 | ||
| Chapter 46: Awareness Under Anesthesia | 737 | ||
| Incidence | 737 | ||
| Etiology And Risk Factors For Intraoperative Awareness | 738 | ||
| Psychological Sequelae | 739 | ||
| Prevention Of Awareness | 739 | ||
| The Asa's Practice Advisory On Intraoperative Awareness And Brain Function Monitors | 741 | ||
| Medicolegal Sequelae Of Awareness | 742 | ||
| Summary | 743 | ||
| Questions of the Day | 744 | ||
| References | 744 | ||
| Chapter 47: Quality of Care and Patient Safety | 746 | ||
| Anesthesiology And Patient Safety | 747 | ||
| Patient Safety, Medical Error, Adverse And Sentinel Events | 748 | ||
| The Joint Commission National Patient Safety Initiative | 749 | ||
| Surgical Care Improvement Project | 751 | ||
| Never Events | 752 | ||
| Operating Room Efficiency | 753 | ||
| Patient And Staff Satisfaction | 753 | ||
| Questions of the Day | 753 | ||
| References | 753 | ||
| Index | 755 |