
Evidence-Based Practice of Anesthesiology
- 4th Edition - March 22, 2022
- Author: Lee A. Fleisher
- Language: English
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 7 7 8 4 6 - 6
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 7 7 8 4 7 - 3
Addressing both routine and complex situations with practical decision-making tools, Evidence-Based Practice of Anesthesiology, 4th Edition, helps anesthesiologists m… Read more

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Request a sales quoteExplores important issues in perioperative management, discussing the available options, examining the relevant research, and presenting practical recommendations.
Features concise, to-the-point chapters with numerous quick-reference tables for fast and effective decision making.
Includes decision trees throughout to provide visual guidance and a logical flow of key decision points.
Contains nine new chapters on how to identify patients at risk for postoperative neurocognitive disorder; the best strategy for perioperative ACE and ARB agents; emergency laparotomy; optimal postoperative analgesia and the opiate naïve patient; the best method for perioperative handoffs; myocardial injury after non-cardiac surgery (MINS); and more.
Helps you master the current best practices you need to know for successful day-to-day practice and oral board review.
Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
- Cover Image
- Title Page
- Copyright
- Dedication
- Contributors
- Preface
- Foreword
- Table of Contents
- Chapter 1 Evidence-Based Practice Parameters: The Approach of the American Society of Anesthesiologists
- Abstract
- Chapter Outline
- INTRODUCTION
- CLINICAL PRACTICE GUIDELINES STANDARDS
- SYSTEMATIC REVIEWS AND GUIDELINES
- CLINICAL QUESTIONS AND PICOTS (POPULATION, INTERVENTIONS, COMPARATORS, OUTCOMES, TIMING, AND SETTING)
- OUTCOMES AND EVIDENCE—IMPORTANCE, PREFERENCES, AND VALUES
- STUDY SELECTION
- DATA EXTRACTION AND MANAGEMENT
- EVIDENCE SYNTHESIS
- DESCRIBING THE BODY OF EVIDENCE
- META-ANALYSIS
- STUDY-LEVEL RISK OF BIAS (CRITICAL APPRAISAL)
- STRENGTH OF EVIDENCE
- SUMMARIZING FINDINGS
- FORMULATING GUIDELINE RECOMMENDATIONS
- REFERENCES
- Chapter 2 Is a Preoperative Screening Clinic Cost-Effective?
- Abstract
- Chapter Outline
- INTRODUCTION
- PREOPERATIVE ASSESSMENT SETTINGS
- CONSULTATIONS
- COLLABORATIVE CARE
- OPERATING ROOM CANCELLATIONS
- AREAS OF UNCERTAINTY
- REFERENCES
- Chapter 3 Which Patient Should Have a Preoperative Cardiac Evaluation (Stress Test)?
- Abstract
- Chapter Outline
- INTRODUCTION
- ASSESSING CARDIAC RISK: OPTIONS/EVALUATION STRATEGIES
- PERIOPERATIVE CARDIAC RISK STRATIFICATION: RISK PREDICTION TOOLS
- PERIOPERATIVE CARDIAC RISK STRATIFICATION: BIOMARKERS
- EVIDENCE THAT SPECIFIC HIGH-RISK CONDITIONS DEMAND PREOPERATIVE ASSESSMENT AND INTERVENTION
- EVIDENCE FOR MODIFICATION OF PERIOPERATIVE RISK: ROLE OF MEDICAL TREATMENT
- UNDERSTANDING THE RISKS AND BENEFITS OF REVASCULARIZATION IN THE PERIOPERATIVE PERIOD
- ASSESSMENT OF ISCHEMIA – WHO NEEDS A STRESS TEST?
- AREAS OF UNCERTAINTY AND FUTURE DIRECTION
- ACKNOWLEDGMENT
- REFERENCES
- Chapter 4 Should Patients With Stable Coronary Artery Disease Undergo Prophylactic Revascularization Before Noncardiac Surgery?
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS
- EVIDENCE
- OTHER INTERVENTIONS
- AREAS OF UNCERTAINTY
- GUIDELINES
- ACKNOWLEDGMENTS
- REFERENCES
- Chapter 5 Reducing Risk for Perioperative Stroke
- Abstract
- Chapter Outline
- INTRODUCTION
- PATHOPHYSIOLOGY
- OPTIONS/THERAPIES
- EVIDENCE
- AREAS OF UNCERTAINTY/CONTROVERSIES
- GUIDELINES
- SUMMARY
- REFERENCES
- Chapter 6 How Should We Identify Patients at Risk for Postoperative Neurocognitive Disorder?
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS/THERAPIES
- FRAIL Scale
- EVIDENCE
- CONTROVERSIES
- AREAS OF UNCERTAINTY
- GUIDELINES
- REFERENCES
- Chapter 7 Update on Preprocedure Testing
- Abstract
- CHAPTER OUTLINE
- INTRODUCTION
- OPTIONS
- EVIDENCE
- CONTROVERSIES/AREAS OF UNCERTAINTY
- GUIDELINES
- REFERENCES
- Chapter 8 Is Routine Preoperative Pregnancy Testing Necessary?
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS
- EVIDENCE
- AREAS OF UNCERTAINTY
- GUIDELINES
- ACKNOWLEDGMENTS
- REFERENCES
- Chapter 9 Should Preoperative Brain Natriuretic Peptide (BNP) Be Measured Routinely?
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS/THERAPIES
- EVIDENCE
- CONTROVERSIES
- AREAS OF UNCERTAINTY
- GUIDELINES
- REFERENCES
- Chapter 10 How Should We Prepare the Patient With a Pacemaker/Implantable Cardioverter-Defibrillator?
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS/THERAPIES
- EVIDENCE
- PACEMAKER AND ICD MECHANICS
- CONTROVERSIES
- AREAS OF UNCERTAINTY
- GUIDELINES
- ACKNOWLEDGMENT
- REFERENCES
- Chapter 11 What Are the Role and Management of Percutaneous Coronary Intervention for Noncardiac Surgery?
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS TO MINIMIZE STENT THROMBOSIS AFTER RECENT PERCUTANEOUS CORONARY INTERVENTION AND NONCARDIAC SURGERY
- EVIDENCE
- EDUCATION AND COLLABORATION
- MANAGEMENT OF PERIOPERATIVE STENT THROMBOSIS
- AREAS OF UNCERTAINTY
- REFERENCES
- Chapter 12 Should All Antihypertensive Agents Be Continued Before Surgery?
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS
- EVIDENCE
- GUIDELINES
- REFERENCES
- Chapter 13 Best Strategy for Perioperative Angiotensin-Converting Enzyme-Inhibitor (ACE-I) and Angiotensin II Receptor Blocker (ARB) Therapy Prior to Noncardiac Surgery
- Abstract
- Chapter Outline
- INTRODUCTION
- MECHANISM OF EFFECT
- PERIOPERATIVE STRATEGIES FOR ACE-I/ARB MANAGEMENT
- EVIDENCE AND CONTROVERSIES
- AREAS OF UNCERTAINTY
- GUIDELINES
- REFERENCES
- Chapter 14 How Should Beta-Blockers Be Used Perioperatively?
- Abstract
- Chapter Outline
- INTRODUCTION
- TREATMENT MODALITIES
- EVIDENCE
- AREAS OF UNCERTAINTY
- SUMMARY OF EVIDENCE
- GUIDELINES
- REFERENCES
- Chapter 15 Are Alpha-2 Agonists Effective in Reducing Perioperative Renal Injury?
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS/THERAPIES
- EVIDENCE
- CONTROVERSIES
- AREAS OF UNCERTAINTY
- GUIDELINES
- REFERENCES
- Chapter 16 Does the Airway Examination Predict Difficult Airway Management?
- Abstract
- Chapter Outline
- INTRODUCTION
- DESCRIPTIONS OF TERMS
- PREDICTION OF THE DIFFICULT AIRWAY: THE PROBLEM
- EVIDENCE
- AREAS OF UNCERTAINTY
- GUIDELINES
- ACKNOWLEDGMENT
- REFERENCES
- Chapter 17 Do Checklists Improve Emergency Management?
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS/THERAPIES
- EVIDENCE
- CONTROVERSIES
- AREAS OF UNCERTAINTY
- GUIDELINES
- REFERENCES
- Chapter 18 Is There an Optimal Timing for Smoking Cessation?
- Abstract
- Chapter Outline
- INTRODUCTION
- RELATIONSHIP BETWEEN SMOKING AND PERIOPERATIVE COMPLICATIONS
- PREOPERATIVE SMOKING CESSATION
- GUIDELINES
- AREAS OF UNCERTAINTY
- REFERENCES
- Chapter 19 Is There a Best Approach for Patients With Difficult Airways: Regional Versus General Anesthesia?
- Abstract
- Chapter Outline
- INTRODUCTION
- RESEARCH
- THE CHOICE BETWEEN REGIONAL AND GENERAL ANESTHESIA
- EVIDENCE
- OBSTETRICS
- CONTROVERSIES
- CONCLUSION
- REFERENCES
- Chapter 20 Do Inhalational Agents Have Beneficial Effects on Cardiac Ischemia-Reperfusion Injury?
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS/THERAPIES
- EVIDENCE
- CONTROVERSIES AND AREAS OF UNCERTAINTY
- GUIDELINES
- SUMMARY
- REFERENCES
- Chapter 21 Does Anesthetic Choice Affect Surgical and Recovery Times?
- Abstract
- Chapter Outline
- INTRODUCTION
- TRADITIONAL MEASUREMENTS OF OUTCOMES
- PATHOPHYSIOLOGIC BASIS FOR ERAS
- PERIOPERATIVE ERAS ELEMENTS
- ERAS MEASUREMENTS OF OUTCOMES
- AREAS OF UNCERTAINTY
- SUMMARY
- REFERENCES
- Chapter 22 Aspiration: Understanding the Risks and Optimizing Management
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS
- EVIDENCE
- CONTROVERSIES
- AREAS OF UNCERTAINTY
- GUIDELINES
- REFERENCES
- Chapter 23 Emergency Laparotomy
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS/THERAPIES
- EVIDENCE
- CONTROVERSIES
- AREAS OF UNCERTAINTY
- GUIDELINES
- REFERENCES
- Chapter 24 When Are Platelet and Plasma Transfusion Indicated?
- Abstract
- Chapter Outline
- INTRODUCTION
- PLATELET TRANSFUSION
- PLASMA TRANSFUSION
- REFERENCES
- Chapter 25 What Is the Role of Ketaminein Perioperative Management?
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS/THERAPIES
- EVIDENCE
- CONTROVERSIES
- AREAS OF UNCERTAINTY
- GUIDELINES
- REFERENCES
- Chapter 26 When Should Perioperative Glucocorticoid Replacement Be Administered?
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS
- EVIDENCE
- AREAS OF UNCERTAINTY
- GUIDELINES
- CONCLUSION
- REFERENCES
- Chapter 27 Does the Choice of Fluid Matter in Major Surgery?
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS AND EVIDENCE
- AREAS OF UNCERTAINTY
- REFERENCES
- Chapter 28 What Are the Benefits of Different Ventilatory Techniques?
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS: DESCRIPTIONS OF VENTILATORY MODES
- EVIDENCE
- AREAS OF UNCERTAINTY
- GUIDELINES
- REFERENCES
- Chapter 29 What Is the Best Strategy for Prevention of Postoperative Nausea and Vomiting?
- Abstract
- Chapter Outline
- INTRODUCTION
- THERAPIES
- EVIDENCE
- AREAS OF UNCERTAINTY
- GUIDELINES
- REFERENCES
- Chapter 30 Is There an Optimal Perioperative Hemoglobin?
- Abstract
- Chapter Outline
- OPTIONS/THERAPIES
- EVIDENCE
- AREAS OF UNCERTAINTY
- GUIDELINES
- REFERENCES
- Chapter 31 Does Perioperative Hyperglycemia Increase Risk? Should We Have Aggressive Glucose Control Perioperatively?
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS
- EVIDENCE
- AREAS OF UNCERTAINTY
- GUIDELINES
- REFERENCES
- Chapter 32 What Is the Best Means of Preventing Perioperative Renal Injury?
- Abstract
- Chapter Outline
- INTRODUCTION
- PATHOGENESIS
- PREVENTION STRATEGIES
- CONTROVERSIES AND AREAS OF UNCERTAINTY
- GUIDELINES
- REFERENCES
- Chapter 33 Is Nitrous Oxide Associated With Outcome?
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS/THERAPIES
- EVIDENCE
- COST
- ENVIRONMENTAL EFFECTS
- OCCUPATIONAL EXPOSURE
- CONTROVERSIES
- AREAS OF UNCERTAINTIES
- GUIDELINES
- REFERENCES
- Chapter 34 Should Targeted Temperature Management Be Used Routinely After Intraoperative Cardiac Arrest?
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS/THERAPIES
- EVIDENCE
- CONTROVERSIES/AREAS OF UNCERTAINTY
- GUIDELINES
- REFERENCES
- Chapter 35 Fast-Track Cardiac Anesthesia: A Vital Core of Perioperative Cardiac Surgery Programs
- INTRODUCTION
- AREAS OF UNCERTAINTY
- GUIDELINES
- REFERENCES
- Chapter 36 Can We Prevent Recall During Anesthesia?
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS
- EVIDENCE
- AREAS OF UNCERTAINTY
- GUIDELINES
- FUTURE DIRECTIONS
- SUMMARY
- REFERENCES
- Chapter 37 Nonsteroidal Antiinflammatory Drugs, Antiplatelet Medications, and Spinal Axis Anesthesia
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS
- WHAT IS THE EVIDENCE?
- THERAPIES AND EVIDENCE
- GUIDELINES FOR SPINAL AXIS ANESTHESIA WITH ASPIRIN AND NONSTEROIDAL ANTIINFLAMMATORY DRUGS
- APD Inhibitors: Thienopyridines
- ASRA Recommendations for Clopidogrel
- ASRA Recommendations for Prasugrel
- APD Inhibitors: Nonthienopyridines
- ASRA Recommendations for Ticagrelor
- ASRA Recommendations for Cangrelor
- ASRA Recommendations for Platelet Glycoprotein IIb/IIIa Antagonists
- ASRA Recommendations for Dipyridamole
- ASRA Recommendations for Cilostazol
- CONTROVERSIES
- REFERENCES
- Chapter 38 Deep Vein Thrombosis Prophylaxis With Heparin and Heparin-Like Drugs Used in Combination With Neuraxial Anesthesia and Deep Plexus Blocks
- Abstract
- Chapter Outline
- INTRODUCTION
- REFERENCES
- Chapter 39 Is There a Best Analgesic Technique for Hip Surgery?
- Abstract
- Chapter Outline
- INTRODUCTION
- EVIDENCE AND CONTROVERSIES
- GUIDELINES
- REFERENCES
- Chapter 40 Should Regional Anesthesia Be Used for Orthopedic Trauma Patients?
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS
- EVIDENCE
- AREAS OF CONTROVERSY
- GUIDELINES
- REFERENCES
- Chapter 41 Is There a Best Technique to Decrease Blood Loss and Transfusion After Coronary Artery Bypass Grafting?
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS TO DECREASE BLOOD LOSS AND TRANSFUSION AFTER CORONARY ARTERY BYPASS GRAFTING
- EVIDENCE
- AREAS OF UNCERTAINTY
- REFERENCES
- Chapter 42 Is There a Best Technique in the Patient With Increased Intracranial Pressure?
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS
- EVIDENCE/CONTROVERSIES/AREAS OF UNCERTAINTY/GUIDELINES
- REFERENCES
- Chapter 43 What Works for Brain Protection?
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS
- EVIDENCE
- AREAS OF UNCERTAINTY
- GUIDELINES
- REFERENCES
- Chapter 44 Optimal Intraoperative Technique to Prevent Postoperative Delirium
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS
- EVIDENCE
- CONTROVERSIES
- AREAS OF UNCERTAINTY
- GUIDELINES
- REFERENCES
- Chapter 45 What Actions Can Be Used to Prevent Peripheral Nerve Injury?
- Abstract
- Chapter Outline
- INTRODUCTION
- THERAPIES/OPTIONS AVAILABLE TO REDUCE PERIPHERAL NEUROPATHY
- EVIDENCE
- UPPER EXTREMITY NEUROPATHIES
- LOWER EXTREMITY NEUROPATHIES
- NERVE DAMAGE AFTER PERIPHERAL NERVE BLOCK
- AREAS OF UNCERTAINTY
- GUIDELINES
- REFERENCES
- Chapter 46 Which Are the Best Techniques for Reducing the Incidence of Postoperative Deep Vein Thrombosis?
- Abstract
- Chapter Outline
- INTRODUCTION
- PATHOPHYSIOLOGY AND RISK
- OPTIONS
- EVIDENCE
- INTERPRETATION OF DATA AND CONTROVERSIES
- REVERSAL OF DOACS
- GUIDELINES
- REFERENCES
- Chapter 47 Does Neurologic Electrophysiologic Monitoring Affect Outcome?
- Abstract
- Chapter Outline
- INTRODUCTION
- MODALITIES OF MONITORING AND MAPPING
- EVIDENCE
- CONTROVERSIES AND AREAS OF UNCERTAINTY
- GUIDELINES
- REFERENCES
- Chapter 48 Anesthesia for Cesarean Delivery—Regional or General?
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS/THERAPIES
- EVIDENCE
- AREAS OF UNCERTAINTY
- GUIDELINES
- REFERENCES
- Chapter 49 When Should a Combined Spinal–Epidural Be Used?
- Chapter Outline
- INTRODUCTION
- OPTIONS/THERAPIES
- CONTRAINDICATIONS
- EVIDENCE FAVORING THE USE OF COMBINED SPINAL–EPIDURAL TECHNIQUE
- CONTROVERSIES
- GUIDELINES
- REFERENCES
- Chapter 50 What Is the Optimal Management of Postdural Puncture Headache?
- Abstract
- Chapter Outline
- INTRODUCTION
- PATHOPHYSIOLOGY
- OPTIONS
- EVIDENCE
- AREAS OF UNCERTAINTY
- GUIDELINES
- REFERENCES
- Chapter 51 Does Anesthesia Increase the Risk to the Parturient Undergoing Nonobstetric Surgery?
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS
- EVIDENCE
- CONCLUSION
- AREAS OF UNCERTAINTY
- GUIDELINES
- REFERENCES
- Chapter 52 Does Labor Analgesia Affect Labor Outcome?
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS
- EVIDENCE
- CONTROVERSIES
- GUIDELINES
- REFERENCES
- Chapter 53 When Should Regional Anesthesia Be Used in Pediatric Patients?
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS
- EVIDENCE
- ULTRASOUND GUIDANCE
- ROLE OF REGIONAL ANESTHESIA TECHNIQUE BY ANATOMIC REGION
- AREAS OF UNCERTAINTY
- GUIDELINES
- REFERENCES
- Chapter 54 How Young Is the Youngest Infant for Outpatient Surgery?
- Abstract
- INTRODUCTION
- PATHOPHYSIOLOGY
- EVIDENCE
- CONTROVERSIES
- GUIDELINES
- REFERENCES
- Chapter 55 What Works in a Patient With Acute Respiratory Distress Syndrome?
- Abstract
- Chapter Outline
- INTRODUCTION
- TREATMENT
- CURRENT THERAPIES
- CONCLUSION
- REFERENCES
- Chapter 56 Optimal Discharge Strategy
- Abstract
- Chapter Outline
- INTRODUCTION
- PHASES OF POSTANESTHETIC CARE
- OPTIONS: DISCHARGE CRITERIA
- PERIOPERATIVE ASSESSMENT AND MONITORING
- TREATMENT DURING EMERGENCE AND RECOVERY
- PROTOCOL FOR DISCHARGE
- CONSIDERATIONS FOR PATIENTS WITH OBSTRUCTIVE SLEEP APNEA
- EVIDENCE
- DISCHARGE CRITERIA AFTER REGIONAL ANESTHESIA
- AREAS OF UNCERTAINTY
- GUIDELINES
- REFERENCES
- Chapter 57 What Drugs Decrease Perioperative Bleeding?
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS
- EVIDENCE
- GUIDELINES
- CONTROVERSIES AND UNCERTAINTIES
- REFERENCES
- Chapter 58 What Must I Consider to Safely Anesthetize Someone in the Office Setting?
- Abstract
- Chapter Outline
- INTRODUCTION
- COMPONENTS OF OFFICE SAFETY
- EVIDENCE
- AREAS OF UNCERTAINTY
- EARLY RECOVERY AFTER ANESTHESIA AND NONOPIOID PAIN CONTROL
- MALIGNANT HYPERTHERMIA
- TOTAL INTRAVENOUS ANESTHESIA
- VIDEO LARYNGOSCOPY
- GUIDELINES
- REFERENCES
- Chapter 59 Optimal Postoperative Analgesia for the Opiate-Tolerant Patient
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS
- EVIDENCE
- AREAS OF UNCERTAINTY
- GUIDELINES
- REFERENCES
- Chapter 60 Optimal Postoperative Analgesia for the Opiate-Naïve Patient
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS
- EVIDENCE
- AREAS OF UNCERTAINTY
- GUIDELINES
- REFERENCES
- Chapter 61 What Is the Best Method for Perioperative Handoffs?
- Abstract
- Chapter Outline
- INTRODUCTION
- OPTIONS/THERAPIES
- EVIDENCE
- CONTROVERSIES
- AREAS OF UNCERTAINTY
- RECOMMENDATIONS
- REFERENCES
- Chapter 62 Myocardial Injury After Noncardiac Surgery
- Abstract
- Chapter Outline
- DEFINITIONS
- PATHOPHYSIOLOGY
- TROPONIN MONITORING
- EVIDENCE REGARDING TROPONIN ELEVATION
- EVIDENCE REGARDING PREDICTORS OF PERIOPERATIVE MYOCARDIAL INJURY
- ROLE OF PERIOPERATIVE HYPOTENSION AND TACHYCARDIA
- SCREENING
- CARDIAC BIOMARKERS
- MANAGEMENT
- AREAS OF UNCERTAINTY
- GUIDELINES
- REFERENCES
- Index
- No. of pages: 612
- Language: English
- Edition: 4
- Published: March 22, 2022
- Imprint: Elsevier
- Paperback ISBN: 9780323778466
- eBook ISBN: 9780323778473
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