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Book Details
Abstract
Each year, Advances in Anesthesia brings you up-to-date with the latest knowledge from the preeminent practitioners in your field. A distinguished editorial board identifies current areas of major progress and controversy and invites specialists from around the world to contribute original articles on these topics.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| ADVANCES IN Anesthesia\r | i | ||
| Volumes 1 Through 29 (OUT OF PRINT) | iii | ||
| Volume 30 | iii | ||
| Volume 31 | iii | ||
| Volume 32 | iv | ||
| Copyright\r | vi | ||
| Editors\r | vii | ||
| Editor-in-Chief | vii | ||
| Associate Editors | vii | ||
| CONTRIBUTORS | ix | ||
| CONTENTS\r | xiii | ||
| Associate Editors | xiii | ||
| An Evidence-Based Update on Obstetric Anesthesia | xiii | ||
| Anesthesia and Imaging for Advanced Circulatory Support | xiii | ||
| The Current and Future Role of Regional Anesthesia in Enhanced Recovery After Surgery Programs for Abdominal Surgery | xiv | ||
| Assessment and Management of Obstructive Sleep Apnea for Ambulatory Surgery | xiv | ||
| Analgesic Techniques for Total Knee Arthroplasty | xv | ||
| Potential and Pitfalls for Big Data in Health Research | xv | ||
| Malignant Hyperthermia: An Update | xvi | ||
| Current Practical Applications of Ultrasonography in Surgical Anesthesia | xvi | ||
| Maintenance of Certification in Anesthesiology Part 4: Improvement in Medical Practice: Is It of Value and Where Do I Begin? | xvii | ||
| The Prescription Opioid Abuse Crisis in America: Current Prescribing Patterns, Impact on Public Health, and the Role of the Anesthesiologist | xvii | ||
| Perioperative Checklists and Handoffs: Implementation and Practice | xvii | ||
| Preface: Welcome to Advances in Anesthesia, 2015\r | xix | ||
| An Evidence-Based Update on Obstetric Anesthesia | 1 | ||
| INTRODUCTION | 1 | ||
| GUIDELINES AND POLICIES ON LABOR AND DELIVERY | 2 | ||
| Laboratory testing | 2 | ||
| Prevention of infection | 2 | ||
| Timing of postpartum tubal ligation surgery | 3 | ||
| Timing of antibiotics for cesarean delivery | 3 | ||
| ANALGESIA FOR LABOR | 4 | ||
| Informed consent | 4 | ||
| Combined spinal–epidural versus conventional epidural analgesia | 4 | ||
| Loss of resistance to air versus saline | 5 | ||
| Timing of epidural placement and progress of labor | 5 | ||
| Association of epidural analgesia with adverse outcomes | 6 | ||
| ANESTHESIA FOR CESAREAN DELIVERY | 8 | ||
| Choice of vasopressor to treat hypotension | 8 | ||
| Fluid management to prevent hypotension | 8 | ||
| Spinal anesthesia and severe preeclampsia | 9 | ||
| General anesthesia in the obstetric patient | 9 | ||
| MANAGEMENT OF COMPLICATIONS | 10 | ||
| Management of accidental dural puncture and headache | 10 | ||
| Use of recombinant factor VIIa in obstetric hemorrhage | 11 | ||
| Postpartum hemorrhage owing to amniotic fluid embolism syndrome | 11 | ||
| SUMMARY | 12 | ||
| References | 12 | ||
| Anesthesia and Imaging for Advanced Circulatory Support | 17 | ||
| INTRODUCTION | 17 | ||
| LONG-TERM SUPPORT | 18 | ||
| Background and goals of therapy | 18 | ||
| Left ventricular assist devices | 19 | ||
| Preimplantation concerns for left ventricular assist devices | 21 | ||
| Postimplantation concerns for left ventricular assist devices | 21 | ||
| Right and biventricular support | 26 | ||
| TEMPORARY MECHANICAL CIRCULATORY SUPPORT | 28 | ||
| Indications and device types | 28 | ||
| Microaxial flow pumps | 28 | ||
| Centrifugal pumps | 29 | ||
| EXTRACORPOREAL MEMBRANE OXYGENATION | 30 | ||
| Extracorporeal membrane oxygenation as mechanical circulatory support | 30 | ||
| Extracorporeal membrane oxygenation cannulation in the operating room | 31 | ||
| The venoarterial extracorporeal membrane oxygenation circuit | 32 | ||
| SUMMARY | 34 | ||
| References | 34 | ||
| The Current and Future Role of Regional Anesthesia in Enhanced Recovery After Surgery Programs for Abdominal Surgery | 39 | ||
| Key points | 39 | ||
| INTRODUCTION | 39 | ||
| THE ENHANCED ROLE OF REGIONAL ANESTHESIA | 40 | ||
| QUALITY IMPROVEMENT AND ENHANCED RECOVERY AFTER SURGERY? | 41 | ||
| IS INTEGRATION OF REGIONAL ANESTHESIA AND ANALGESIA IN THE ENHANCED RECOVERY AFTER SURGERY PROGRAM IMPROVING OUTCOME? | 42 | ||
| IDENTIFYING RELEVANT OUTCOMES BEYOND ANALGESIA | 42 | ||
| REGIONAL ANESTHESIA TECHNIQUES FOR ABDOMINAL SURGERY | 43 | ||
| Thoracic epidural analgesia | 43 | ||
| Analgesia | 39 | ||
| Laparotomy | 43 | ||
| Laparoscopy | 44 | ||
| Nonanalgesic outcomes | 45 | ||
| Thoracic epidural analgesia: in which patients? | 46 | ||
| Intrathecal analgesia | 46 | ||
| Analgesia | 46 | ||
| Laparotomy | 46 | ||
| Laparoscopy | 46 | ||
| Nonanalgesic outcomes | 47 | ||
| Intrathecal analgesia: in which patients? | 47 | ||
| Intravenous lidocaine | 47 | ||
| Analgesia | 47 | ||
| Laparotomy | 48 | ||
| Laparoscopy | 48 | ||
| Nonanalgesic outcome | 48 | ||
| Intravenous lidocaine: in which patients? | 48 | ||
| Abdominal truncal blocks: transversus abdominis plane block and rectus sheath block | 48 | ||
| Analgesia | 48 | ||
| Laparotomy | 49 | ||
| Laparoscopy | 50 | ||
| Nonanalgesic outcomes | 50 | ||
| Transversus abdominis plane block: in which patients? | 50 | ||
| Continuous wound infusion of local anesthetic | 50 | ||
| Analgesia | 50 | ||
| Laparotomy | 50 | ||
| Assessment and Management of Obstructive Sleep Apnea for Ambulatory Surgery | 61 | ||
| INTRODUCTION | 61 | ||
| DEFINITIONS AND PREVALENCE | 62 | ||
| PATHOPHYSIOLOGY | 62 | ||
| CLINICAL MANIFESTATIONS | 63 | ||
| DIAGNOSIS | 63 | ||
| TREATMENT | 64 | ||
| ANESTHETIC CONSIDERATIONS | 67 | ||
| Preoperative considerations | 67 | ||
| Preoperative evaluation | 61 | ||
| Airway evaluation | 69 | ||
| Intraoperative considerations | 70 | ||
| Local/regional or neuraxial anesthesia | 70 | ||
| Monitored anesthesia care or sedation | 70 | ||
| General anesthesia | 71 | ||
| Postoperative considerations | 72 | ||
| SUMMARY | 74 | ||
| References | 74 | ||
| Analgesic Techniques for Total Knee Arthroplasty | 77 | ||
| INTRODUCTION | 77 | ||
| FEMORAL NERVE BLOCK | 78 | ||
| Anatomy | 78 | ||
| Technical description of ultrasound-guided femoral nerve block | 78 | ||
| Evidence review | 79 | ||
| Evidence summary | 80 | ||
| ADDUCTOR CANAL BLOCK | 80 | ||
| Anatomy | 80 | ||
| Technical description of ultrasound-guided adductor canal block | 81 | ||
| Evidence review | 81 | ||
| Evidence summary | 83 | ||
| SCIATIC NERVE BLOCK | 83 | ||
| Anatomy | 83 | ||
| Technical description of ultrasound guided sciatic nerve blocks | 84 | ||
| Subgluteal approach | 77 | ||
| Anterior approach | 84 | ||
| Evidence review | 85 | ||
| Evidence summary | 86 | ||
| LOCAL INFILTRATION ANALGESIA | 86 | ||
| Procedure | 86 | ||
| Evidence review | 87 | ||
| Evidence summary | 88 | ||
| LIPOSOMAL BUPIVACAINE | 88 | ||
| Evidence review | 89 | ||
| Evidence summary | 89 | ||
| SUMMARY OF EVIDENCE FOR ANALGESIC TECHNIQUES FOLLOWING TOTAL KNEE ARTHROPLASTY | 90 | ||
| Femoral nerve block versus adductor canal block | 90 | ||
| Addition of sciatic nerve block to femoral nerve block | 90 | ||
| Efficacy of local infiltration analgesia | 90 | ||
| Role of liposomal bupivacaine | 91 | ||
| References | 91 | ||
| Potential and Pitfalls for Big Data in Health Research | 97 | ||
| INTRODUCTION | 97 | ||
| BIG DATA, SECONDARY DATA SOURCES, AND THE IMPORTANCE OF ASCERTAINMENT | 98 | ||
| ADVANTAGES OF EXISTING DATA | 98 | ||
| WHAT CANNOT BE FOUND IN FOUND DATA | 98 | ||
| DETERMINING CAUSALITY AND THE ROLE OF THE COUNTERFACTUAL | 99 | ||
| WHY RANDOMIZED TRIALS SHOULD WORK | 100 | ||
| WHEN RANDOMIZED TRIALS COME UP SHORT: AN OPPORTUNITY FOR BIG DATA | 100 | ||
| NAVIGATING MEASUREMENT ERROR AND CAUSALITY | 102 | ||
| CONFOUNDING | 103 | ||
| COMMON METHODS TO ADDRESS CONFOUNDING | 104 | ||
| Multivariable analysis | 105 | ||
| Propensity score methods | 107 | ||
| Lingering problem of unmeasured variables: instrumental variables as a solution | 108 | ||
| The importance of confirmatory analyses | 108 | ||
| VALIDITY VERSUS UTILITY: UNIQUE CHALLENGES WITH BIG DATA RESEARCH | 109 | ||
| SUMMARY | 110 | ||
| References | 110 | ||
| Malignant Hyperthermia | 113 | ||
| Key points | 113 | ||
| INTRODUCTION | 113 | ||
| EPIDEMIOLOGY | 114 | ||
| MECHANISM | 114 | ||
| RISKS OF MALIGNANT HYPERTHERMIA SUSCEPTIBILITY WITHOUT EXPOSURE TO ANESTHETIC TRIGGERS | 115 | ||
| DIAGNOSIS | 116 | ||
| RECOGNITION | 118 | ||
| TREATMENT | 120 | ||
| PREPARATION FOR ELECTIVE ANESTHESIA | 124 | ||
| SUMMARY | 126 | ||
| References | 126 | ||
| Current Practical Applications of Ultrasonography in Surgical Anesthesia | 129 | ||
| Key points | 129 | ||
| INTRODUCTION: NATURE OF THE PROBLEM | 129 | ||
| VASCULAR ACCESS | 130 | ||
| HINTS FOR SAFER CENTRAL VENOUS ACCESS | 130 | ||
| HINTS FOR FACILITATING PROCUREMENT OF VASCULAR VIEWS WITH ULTRASONOGRAPHY | 130 | ||
| SPECIFIC ULTRASONOGRAPHY ANATOMY CONSIDERATIONS | 131 | ||
| INTRODUCTORY CONCEPTS OF FOCUSED TRANSTHORACIC ECHOCARDIOGRAPHY | 132 | ||
| Basic scanning movements with the transducer | 132 | ||
| Position of the patient and the operator | 133 | ||
| Orientation | 133 | ||
| Control and settings | 133 | ||
| CARDIAC ULTRASONOGRAPHY: SONOANATOMY | 133 | ||
| LUNG ULTRASONOGRAPHY: SONOANATOMY | 137 | ||
| Step 1: technique and identification of normal and abnormal signs/patterns in focused lung ultrasonography with the linear ... | 137 | ||
| Technique | 129 | ||
| The 5 Ls approach of lung ultrasound in the perioperative period | 139 | ||
| Lung sliding | 139 | ||
| Lung point | 139 | ||
| Lung pulse | 140 | ||
| A lines | 140 | ||
| B lines | 142 | ||
| Step 2: technique and identification of normal and abnormal signs/patterns in focused lung ultrasonography with phased arra ... | 142 | ||
| Limitations | 143 | ||
| ULTRASONOGRAPHY-DRIVEN APPROACH TO SURGICAL PATIENTS IN SHOCK | 143 | ||
| ULTRASONOGRAPHY-DRIVEN APPROACH TO SURGICAL PATIENTS IN ACUTE RESPIRATORY DISTRESS | 144 | ||
| Optimizing echocardiography images | 144 | ||
| Parasternal long-axis | 144 | ||
| Parasternal short-axis (midpapillary view) | 145 | ||
| Apical | 145 | ||
| Subcostal | 148 | ||
| MISCELLANEOUS APPLICATIONS OF ULTRASONOGRAPHY TO HIGH-RISK SURGICAL PATIENTS | 148 | ||
| Gastric ultrasonography | 148 | ||
| Technique | 148 | ||
| Limitations | 149 | ||
| Airway ultrasonography | 149 | ||
| Prediction of difficult direct laryngoscopy in surgical anesthesia | 149 | ||
| Technique | 150 | ||
| Limitations | 150 | ||
| Identification of the cricothyroid membrane | 150 | ||
| Technique | 151 | ||
| Limitations | 152 | ||
| Optic nerve ultrasonography | 152 | ||
| Technique | 152 | ||
| Limitations | 153 | ||
| LIMITATIONS OF PERIANESTHESIA ULTRASONOGRAPHY | 153 | ||
| SUMMARY | 153 | ||
| References | 153 | ||
| Maintenance of Certification in Anesthesiology Part 4: Improvement in Medical Practice | 157 | ||
| INTRODUCTION | 157 | ||
| MAINTENANCE OF CERTIFICATION, MAINTENANCE OF CERTIFICATION IN ANESTHESIOLOGY, AND THE AMERICAN BOARD OF ANESTHESIOLOGY | 158 | ||
| OBJECTIVES, COMPONENTS, AND STEPS FOR COMPLETION OF MAINTENANCE OF CERTIFICATION IN ANESTHESIOLOGY PART 4 | 160 | ||
| PRACTICAL EXAMPLES | 162 | ||
| VALUE OF MAINTENANCE OF CERTIFICATION IN ANESTHESIOLOGY PART 4 | 165 | ||
| FUTURE DIRECTIONS | 170 | ||
| SUMMARY | 171 | ||
| References | 171 | ||
| The Prescription Opioid Abuse Crisis in America | 175 | ||
| INTRODUCTION: NATURE OF THE PROBLEM | 175 | ||
| TREATMENT OF PAIN WITH OPIOIDS | 177 | ||
| Perioperative outcomes in the opioid-exposed patient | 180 | ||
| RISK FACTORS FOR BEING PLACED ON AN OPIOID | 181 | ||
| CURRENT PRESCRIBING PATTERNS | 183 | ||
| LONG-TERM OPIOID USE | 184 | ||
| SURGERY | 186 | ||
| SUMMARY | 187 | ||
| References | 187 | ||
| Perioperative Checklists and Handoffs | 191 | ||
| Key points | 191 | ||
| INTRODUCTION | 191 | ||
| TYPES OF CHECKLISTS | 192 | ||
| CHECKLISTS IN PERIOPERATIVE MEDICINE | 194 | ||
| PREINDUCTION CHECKLISTS | 196 | ||
| THE WORLD HEALTH ORGANIZATION SURGICAL SAFETY CHECKLIST: A CASE STUDY IN DEVELOPMENT OF AN EFFECTIVE CHECKLIST | 197 | ||
| COGNITIVE AIDS FOR USE DURING OPERATING ROOM EMERGENCIES | 199 | ||
| HANDOFFS | 200 | ||
| Intraoperative handoff | 203 | ||
| Postoperative handoff | 207 | ||
| IMPLEMENTATION OF CHECKLISTS INTO PRACTICE | 210 | ||
| The implementation process | 210 | ||
| The implementation team | 211 | ||
| Leadership engagement | 211 | ||
| Staff engagement | 211 | ||
| Education and training | 212 | ||
| BARRIERS | 212 | ||
| LIMITATIONS OF CHECKLISTS | 213 | ||
| SUMMARY | 213 | ||
| References | 214 |