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Abstract
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A practical reference for the clinical setting, Handbook of Anesthesia, 5th Edition puts key information at your fingertips. It’s an ideal companion to Nurse Anesthesia, providing easy-access coverage of the subjects you look up most frequently, such as common diseases, common procedures, drugs, and protocols. It also includes the most current information related to perioperative management and anesthetic care considerations for a wide variety of surgical procedures. Written by leading CRNA experts John Nagelhout and Karen Plaus, this compact handbook provides the up-to-date clinical and drug information you’ll use in daily practice
- Convenient, quick-reference format is organized into three parts: common diseases, common procedures, and drugs.
- Disease monographs include definition, incidence and prevalence, pathophysiology, laboratory results, clinical manifestations, treatment, anesthetic considerations, and prognosis.
- Monographs of surgical procedures include a brief description, preoperative assessments (including health history, physical assessment, and patient preparation), anesthetic technique, perioperative management, and postoperative implications.
- Drug monographs include generic names, trade names, indications, anesthetic considerations, pharmacokinetics, dosages, and adverse effects.
- Expert CRNA authors provide the current clinical information you’ll use in daily practice.
- UPDATED disease information includes the latest treatment and anesthetic considerations.
- NEW drug information includes interactions and effects of key new drugs with common anesthetic agents.
- NEW surgical procedures include up-to-date information on new minimally invasive and laparoscopic procedures.
- NEW appendices include drug, laboratory, and pediatric tables for easy reference.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front cover | Cover | ||
| Handbook of anesthesia fifth edition | i | ||
| Copyright page | ii | ||
| Preface | iii | ||
| Acknowledgments | iv | ||
| Reviewers | v | ||
| Table of contents | vi | ||
| 1 Common diseases | 1 | ||
| I Cardiovascular system | 1 | ||
| A. Cardiomyopathy | 1 | ||
| Definition | 1 | ||
| Etiology | 1 | ||
| Dilated cardiomyopathy | 1 | ||
| Pathophysiology | 1 | ||
| Treatment | 1 | ||
| Anesthetic considerations | 2 | ||
| Prognosis | 2 | ||
| Restrictive cardiomyopathy | 2 | ||
| Definition | 2 | ||
| Etiology | 2 | ||
| Pathophysiology | 3 | ||
| Treatment | 3 | ||
| Arrhythmogenic right ventricular cardiomyopathy | 3 | ||
| Definition | 3 | ||
| 2 Common Procedures | 238 | ||
| I Cardiovascular system | 238 | ||
| A. Ablation procedures | 238 | ||
| Maze and mini-Maze procedures | 238 | ||
| Pulmonary vein isolation and catheter ablation for persistent atrial fibrillation | 238 | ||
| B. Automatic internal cardioverter defibrillator | 239 | ||
| Definition | 239 | ||
| Indications | 239 | ||
| Anesthetic technique | 239 | ||
| C. Surgery for coronary artery disease | 239 | ||
| Anesthesic technique | 240 | ||
| Anesthetic technique | 242 | ||
| Perfusion principles | 244 | ||
| Prophylaxis and treatment of coagulopathy | 247 | ||
| Pharmacologic approaches to blood pressure control | 248 | ||
| Complications of cardiac bypass | 254 | ||
| Extubation | 257 | ||
| D. Minimally invasive coronary artery bypass techniques | 257 | ||
| Port-access coronary artery bypass grafting | 257 | ||
| Minimally invasive direct coronary artery bypass | 258 | ||
| Off-pump coronary artery bypass | 258 | ||
| E. Pacemakers | 260 | ||
| Indications | 260 | ||
| Preoperative assessment | 261 | ||
| Perioperative management | 261 | ||
| F. Valvular heart disease | 263 | ||
| Aortic stenosis | 263 | ||
| Aortic regurgitation | 264 | ||
| Mitral stenosis | 264 | ||
| Mitral regurgitation | 264 | ||
| II Gastrointestinal system | 266 | ||
| A. Anal fistulotomy and fistulectomy | 266 | ||
| B. Cholecystectomy | 267 | ||
| C. Colectomy | 268 | ||
| D. Colonoscopy | 269 | ||
| E. Esophageal resection | 270 | ||
| F. Esophagoscopy and gastroscopy | 272 | ||
| G. Gastrectomy | 274 | ||
| H. Gastrostomy | 275 | ||
| I. Hemorrhoidectomy | 276 | ||
| J. Herniorrhaphy | 277 | ||
| K. Laparoscopic appendectomy | 278 | ||
| L. Laparoscopic cholecystectomy | 279 | ||
| M. Liver resection | 280 | ||
| N. Liver transplantation | 282 | ||
| O. Pancreatectomy | 285 | ||
| P. Small bowel resection | 287 | ||
| Q. Splenectomy | 288 | ||
| R. Whipple resection | 289 | ||
| III Genitourinary system | 291 | ||
| A. Cystectomy | 291 | ||
| B. Cystoscopy | 292 | ||
| C. Extracorporeal shock wave lithotripsy | 292 | ||
| D. Laparoscopic nephrectomy | 294 | ||
| E. Laparoscopic urologic surgery | 296 | ||
| F. Penile procedures | 297 | ||
| G. Percutaneous nephrolithotomy | 298 | ||
| H. Radical prostatectomy | 298 | ||
| I. Renal transplant | 300 | ||
| J. Robotic urologic surgery | 306 | ||
| K. Scrotal procedures | 307 | ||
| L. Transurethral resection of the prostate | 308 | ||
| IV Head and neck | 312 | ||
| A. Cleft palate and lip | 312 | ||
| Cleft palate | 312 | ||
| Cleft lip | 312 | ||
| B. Dacryocystorhinostomy | 312 | ||
| C. Dental restoration | 314 | ||
| D. Endoscopy | 315 | ||
| E. Foreign body aspiration | 317 | ||
| F. Intraocular procedures | 318 | ||
| G. Jet ventilation | 320 | ||
| H. Laryngectomy | 321 | ||
| I. Laser surgery | 324 | ||
| J. Le fort procedures | 326 | ||
| K. Maxillofacial trauma | 328 | ||
| L. Myringotomy and tube placement | 329 | ||
| M. Nasal surgery | 330 | ||
| N. Open-eye procedures | 331 | ||
| O. Orbital fractures | 333 | ||
| P. Orthognathic surgery | 334 | ||
| Q. Ptosis surgery | 334 | ||
| R. Radical neck dissection | 335 | ||
| S. Rhytidectomy or facelift | 337 | ||
| T. Sinus and nasal procedures | 339 | ||
| U. Strabismus repair | 340 | ||
| V. Tonsillectomy and adenoidectomy | 341 | ||
| Bleeding tonsil | 343 | ||
| W. Tracheotomy | 344 | ||
| X. Uvulopalatopharyngoplasty | 346 | ||
| V Intrathoracic and extrathoracic | 348 | ||
| A. Breast biopsy | 348 | ||
| B. Bronchoscopy | 349 | ||
| C. Bullae | 351 | ||
| D. Mastectomy | 352 | ||
| E. Mediastinal masses | 353 | ||
| F. Mediastinoscopy | 355 | ||
| G. One-lung ventilation | 356 | ||
| H. Thoracoscopy | 363 | ||
| I. Thoracotomy | 365 | ||
| J. Thymectomy | 367 | ||
| VI Neurologic system | 369 | ||
| A. Arteriovenous malformation neurosurgery | 369 | ||
| B. Awake craniotomy | 369 | ||
| C. Cerebral aneurysm | 370 | ||
| D. Cranioplasty | 376 | ||
| E. Craniotomy | 378 | ||
| F. Electroconvulsive therapy | 382 | ||
| New therapies for major depressive disorders | 386 | ||
| G. Epilepsy surgery | 387 | ||
| H. Posterior fossa procedures | 389 | ||
| I. Stereotactic surgery | 391 | ||
| J. Transsphenoidal tumor resections | 393 | ||
| K. Venous air embolism | 396 | ||
| L. Ventriculoperitoneal shunt | 399 | ||
| VII Neuroskeletal system | 401 | ||
| A. Anterior cervical diskectomy or fusion | 401 | ||
| B. Lumbar laminectomy or fusion | 402 | ||
| C. Spinal cord injuries | 404 | ||
| D. Thoracic and lumbar spinal instrumentation and fusion | 408 | ||
| VIII Obstetrics and gynecology | 412 | ||
| A. Assisted reproductive technologies | 412 | ||
| B. Cesarean section | 414 | ||
| C. Dilatation and curettage | 419 | ||
| D. Gynecologic laparoscopy | 420 | ||
| E. Hysterectomy: vaginal or total abdominal | 420 | ||
| F. Loop electrosurgical excision procedure | 421 | ||
| G. Pelvic exenteration | 422 | ||
| H. Vaginal delivery | 423 | ||
| I. Obstetric complications | 424 | ||
| J. Anesthesia for the pregnant patient undergoing a nonobstetric procedure | 444 | ||
| IX Orthopedics and podiatry | 449 | ||
| A. Arthroscopy | 449 | ||
| B. Foot and ankle surgery | 452 | ||
| C. Forearm and hand surgery | 453 | ||
| D. Hip arthroplasty | 454 | ||
| E. Hip pinning (open reduction and internal fixation) | 457 | ||
| F. Knee (total knee replacement) arthroplasty | 459 | ||
| G. Pelvic reconstruction | 461 | ||
| H. Upper extremity arthroplasty | 464 | ||
| X Other procedures | 467 | ||
| A. Burns | 467 | ||
| B. Trauma | 477 | ||
| XI Pediatrics | 484 | ||
| A. Anatomy and physiology | 484 | ||
| B. Pediatric pharmacologic considerations | 487 | ||
| Inhalation agents | 489 | ||
| Intravenous anesthetics | 491 | ||
| Neuromuscular relaxants | 494 | ||
| Nondepolarizing neuromuscular blocking agents | 495 | ||
| C. Pediatric anesthesia equipment | 497 | ||
| D. Perioperative care | 501 | ||
| Pediatric Preoperative Preparation | 501 | ||
| E. Pediatric airway management | 509 | ||
| F. Pediatric intravenous fluid and blood therapy | 514 | ||
| G. Pediatric regional anesthesia | 518 | ||
| H. Genitourinary procedures | 519 | ||
| I. Hernia repair | 520 | ||
| J. Myringotomy | 521 | ||
| K. Tonsillectomy and adenoidectomy | 522 | ||
| XII Neonatal anesthetic considerations | 525 | ||
| A. Preoperative assessment | 525 | ||
| B. Regional anesthesia in neonates | 532 | ||
| C. Anesthetic considerations for selected cases | 534 | ||
| Pyloric stenosis | 534 | ||
| Inguinal hernia | 535 | ||
| Congenital diaphragmatic hernia | 536 | ||
| Omphalocele and gastroschisis | 537 | ||
| Tracheoesophageal fistula and esophageal atresia | 538 | ||
| Malrotation and midgut volvulus | 541 | ||
| Necrotizing enterocolitis | 541 | ||
| Imperforate anus | 542 | ||
| Other intestinal obstructive lesions | 543 | ||
| Neurosurgical procedures | 543 | ||
| XIII Anesthesia for therapeutic and diagnostic procedures | 546 | ||
| A. Brachytherapy | 546 | ||
| B. Computed tomography | 547 | ||
| C. Gastroenterologic procedures: Colonoscopy, esophagogastroduodenoscopy, and endoscopic retrograde cholangiopancreatography | 548 | ||
| D. Interventional radiology, radiotherapy, stereotactic radiosurgery, and interventional neuroradiology | 551 | ||
| E. Magnetic resonance imaging | 553 | ||
| F. Pediatric anesthesia for therapeutic and diagnostic procedures | 556 | ||
| Radiation therapy | 556 | ||
| Diagnostic urology: voiding cystourethrogram | 557 | ||
| Dimercaptosuccinic acid imaging | 557 | ||
| G. Positron emission tomography scan | 558 | ||
| H. Transjugular intrahepatic portosystemic shunt | 558 | ||
| I. Additional information | 559 | ||
| Remote anesthetic monitoring using telecommunications technology | 563 | ||
| XIV Vascular surgery | 564 | ||
| A. Abdominal aortic aneurysm | 564 | ||
| Abdominal aortic reconstruction | 565 | ||
| Juxtarenal and suprarenal aortic aneurysms | 574 | ||
| Ruptured abdominal aortic aneurysm | 574 | ||
| B. Aortobifemoral bypass grafting | 575 | ||
| C. Carotid endarterectomy | 576 | ||
| Carotid artery stenting | 583 | ||
| D. Endovascular aortic aneurysm repair | 585 | ||
| E. Peripheral vascular procedures | 586 | ||
| F. Portosystemic shunts | 590 | ||
| G. Thoracic aortic aneurysm | 591 | ||
| Aortic dissection | 592 | ||
| Descending thoracic and thoracoabdominal aneurysms | 593 | ||
| XV Complications | 597 | ||
| A. Adverse cognitive impairment | 597 | ||
| B. Eye injury | 600 | ||
| C. Operating room fire | 602 | ||
| D. Stroke (brain attack) | 605 | ||
| 3 Drugs | 606 | ||
| Acetaminophen (ofirmev) | 606 | ||
| Adenosine (adenocard) | 606 | ||
| Albuterol sulfate (proventil, ventolin) | 607 | ||
| Alfentanil hcl (alfenta) | 607 | ||
| Alprostadil, pge1 (prostin vr) | 608 | ||
| Aminocaproic acid (amicar) | 609 | ||
| Aminophylline (theodur, others) | 610 | ||
| Amiodarone (cordarone) | 611 | ||
| Amrinone lactate (inocor) | 612 | ||
| Aprepitant (emend) | 612 | ||
| Atracurium (tracrium) | 613 | ||
| Atropine sulfate | 614 | ||
| Bumetanide | 615 | ||
| Bupivacaine hcl (marcaine, sensorcaine) | 616 | ||
| Chloroprocaine hcl (nesacaine) | 616 | ||
| Cimetidine (tagamet) | 617 | ||
| Cleviprex (clevidipine) | 618 | ||
| Clonidine (catapres, dixarit); epidural clonidine (catapres, duraclon) | 619 | ||
| Cocaine hcl (cocaine) | 620 | ||
| Codeine | 621 | ||
| Cyclosporine (sandimmune, others) | 621 | ||
| Dantrolene sodium (dantrium) | 622 | ||
| Desflurane (suprane) | 623 | ||
| Desmopressin (ddavp) | 624 | ||
| Dexamethasone (decadron) | 624 | ||
| Dexmedetomidine (precedex) | 625 | ||
| Diazepam (valium) | 626 | ||
| Digoxin (lanoxin) | 627 | ||
| Diltiazem (cardizem) | 628 | ||
| Diphenhydramine (benadryl) | 629 | ||
| Dobutamine hcl (dobutrex) | 630 | ||
| Dolasetron (anzemet) | 630 | ||
| Dopamine hcl (intropin) | 631 | ||
| Edrophonium chloride (tensilon) | 631 | ||
| Emla (mixture of lidocaine and prilocaine) | 632 | ||
| Enalaprilat (vasotec IV) | 634 | ||
| Enoxaparin (lovenox, low-molecular-weight heparin) | 634 | ||
| Ephedrine sulfate | 635 | ||
| Epinephrine hcl (adrenaline chloride) | 635 | ||
| Esmolol (brevibloc) | 636 | ||
| Ethacrynic acid (edecrin) | 637 | ||
| Etomidate (amidate) | 637 | ||
| Famotidine (pepcid) | 638 | ||
| Fenoldopam (corlopam) | 639 | ||
| Fentanyl (sublimaze, duragesic, oralet) | 639 | ||
| Flumazenil (romazicon) | 640 | ||
| Fospropofol (lusedra) | 641 | ||
| Furosemide (lasix) | 641 | ||
| Glucagon | 642 | ||
| Glycopyrrolate (robinul) | 643 | ||
| Granisetron (kytril) | 644 | ||
| Heparin | 644 | ||
| Hetastarch (hespan) | 646 | ||
| Hyaluronidase (vitrase and others) | 647 | ||
| Hydralazine (apresoline) | 647 | ||
| Hydrocortisone sodium succinate (a-hydrocort, solu-cortef) | 648 | ||
| Ibuprofen (caldolor) | 649 | ||
| Ibutilide fumarate (corvert) | 650 | ||
| Insulin regular (rapid-acting) (humulin r, novolin r, regular iletin II) | 651 | ||
| Ipratropium bromide (atrovent) | 652 | ||
| Isoflurane (forane) | 653 | ||
| Isoproterenol hcl (isuprel) | 653 | ||
| Ketamine hcl (ketalar) | 654 | ||
| Ketorolac tromethamine (toradol) | 655 | ||
| Labetalol (normodyne, trandate) | 657 | ||
| Lansoprazole (prevacid) | 657 | ||
| Levobupivacaine (chirocaine) | 658 | ||
| Lidocaine hcl (xylocaine, xylocaine jelly, xylocaine viscous oral solution) | 658 | ||
| Lorazepam (ativan) | 659 | ||
| Magnesium sulfate | 660 | ||
| Mannitol (osmitrol) | 661 | ||
| Meperidine hcl (demerol) | 662 | ||
| Mepivacaine hcl (carbocaine, polocaine) | 663 | ||
| Methadone hcl (dolophine hcl) | 663 | ||
| Methylene blue (urolene blue) | 664 | ||
| Methylergonovine (methergine) | 665 | ||
| Metoclopramide (reglan) | 665 | ||
| Midazolam (versed) | 666 | ||
| Milrinone (primacor) | 667 | ||
| Morphine sulfate (astramorph, duramorph, morphine, ms contin) | 668 | ||
| Nalmefene hcl (revex) | 668 | ||
| Naloxone hcl (narcan) | 670 | ||
| Naltrexone hcl (revia, trexan) | 670 | ||
| Neostigmine methylsulfate (prostigmin) | 671 | ||
| Nesiritide (natrecor) | 672 | ||
| Nicardipine (cardene) | 673 | ||
| Nifedipine (adalat, procardia) | 673 | ||
| Nitroglycerin (nitro-bid, nitro-dur, nitrogard, nitrostat, nitrol, tridil, nitrocine, transderm-nitro, nitroglyn, nitrodisc) | 674 | ||
| Nitroprusside sodium (nipride, nitropress) | 675 | ||
| Nitrous oxide (n₂o) | 675 | ||
| Nizatidine (axid) | 676 | ||
| Norepinephrine bitartrate (levophed) | 677 | ||
| Omeprazole (prilosec) | 677 | ||
| Ondansetron hcl (zofran) | 678 | ||
| Oxytocin (pitocin) | 679 | ||
| Palonesetron (aloxi) | 679 | ||
| Pancuronium (pavulon) | 680 | ||
| Phentolamine (regitine) | 680 | ||
| Phenylephrine (neo-synephrine) | 681 | ||
| Phenytoin (dilantin) | 682 | ||
| Physostigmine salicylate (antilirium) | 683 | ||
| Prilocaine hcl (citanest) | 684 | ||
| Procainamide (procan sr, pronestyl) | 684 | ||
| Procaine hcl (novocain) | 685 | ||
| Prochlorperazine maleate (compazine) | 686 | ||
| Promethazine hcl (phenergan, pentazine, phenazine, prothazine) | 686 | ||
| Propofol (diprivan; generic formulations also available) | 687 | ||
| Propranolol (inderal, others) | 688 | ||
| Protamine sulfate | 689 | ||
| Pyridostigmine bromide (mestinon) | 690 | ||
| Ranitidine (zantac) | 691 | ||
| Remifentanil (ultiva) | 691 | ||
| Rocuronium (zemuron) | 692 | ||
| Ropivacaine hcl (naropin) | 693 | ||
| Salmeterol xinafoate (serevent) | 694 | ||
| Scopolamine (transderm scōp) | 694 | ||
| Sevoflurane (ultane) | 695 | ||
| Sodium citrate (bicitra) | 696 | ||
| Somatostatin (zecnil) | 697 | ||
| Sotalol hydrochloride (betapace, sotagard) | 698 | ||
| Succinylcholine (anectine, quelicin, others) | 698 | ||
| Sufentanil citrate (sufenta) | 699 | ||
| Terbutaline sulfate (brethine, brethaire, bricanyl) | 700 | ||
| Tetracaine hcl (pontocaine) | 701 | ||
| Torsemide (demadex) | 702 | ||
| Trimethaphan (arfonad) | 702 | ||
| Vancomycin (vancocin) | 703 | ||
| Vasopressin (pitressin) | 704 | ||
| Vecuronium (norcuron) | 705 | ||
| Verapamil (isoptin, calan, others) | 706 | ||
| Vitamin k, phytonadione (aquamephyton, mephyton) | 706 | ||
| Warfarin (coumadin) | 707 | ||
| 1 Antibiotics | 709 | ||
| 2 Antithrombotic drugs | 714 | ||
| 3 Corticosteroid replacement | 719 | ||
| 4 Diabetic drugs | 720 | ||
| 5 Hematology | 723 | ||
| 6 Immunosuppressive drugs | 725 | ||
| 7 Pediatric considerations | 728 | ||
| 8 Preoperative laboratory tests | 731 | ||
| 9 Pulmonary function test values | 733 | ||
| Index | 734 | ||
| A | 734 | ||
| B | 740 | ||
| C | 742 | ||
| D | 749 | ||
| E | 752 | ||
| F | 754 | ||
| G | 755 | ||
| H | 757 | ||
| I | 761 | ||
| J | 763 | ||
| K | 763 | ||
| L | 764 | ||
| M | 767 | ||
| N | 771 | ||
| O | 773 | ||
| P | 775 | ||
| Q | 783 | ||
| R | 783 | ||
| S | 785 | ||
| T | 789 | ||
| U | 792 | ||
| V | 793 | ||
| W | 794 | ||
| X | 795 | ||
| Z | 795 |