
Miller's Anesthesia Review
- 4th Edition - July 29, 2024
- Imprint: Elsevier
- Editors: Lorraine M. Sdrales, Manuel Pardo
- Language: English
- Paperback ISBN:9 7 8 - 0 - 4 4 3 - 1 1 2 8 6 - 7
- eBook ISBN:9 7 8 - 0 - 4 4 3 - 1 1 3 8 2 - 6
Covering all anesthesia topics from basic to advanced, Miller's Anesthesia Review, 4th Edition, is an ideal resource for self-assessment and deepening your understan… Read more

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Request a sales quoteCovering all anesthesia topics from basic to advanced, Miller's Anesthesia Review, 4th Edition, is an ideal resource for self-assessment and deepening your understanding of this ever-expanding and challenging field. Edited by Drs. Lorraine M. Sdrales and Manuel C. Pardo, Jr., this authoritative guide provides high-yield study points in an easy-to-read, bulleted format, along with hundreds of questions, answers, and rationales to help you test your knowledge and identify knowledge gaps for further study. Conveniently cross-referenced to the latest edition of Miller’s Basics of Anesthesia, it covers everything from physiologic and pharmacologic principles through anesthetic machine systems, anesthetic delivery in a variety of settings, and anesthesia administration for a full range of disease states.
- Uses an efficient, bulleted outline format for each chapter, summarizing core content and providing self-test questions and workbook tasks that test your conceptual knowledge and rationale.
- Brings you fully up to date with revised questions throughout, progressing logically from basic to advanced topics.
- Includes selected figures, tables, and clinical pearls boxes to emphasize key concepts.
- Features new chapters that reflect the breadth and scope of the practice of anesthesiology, including Clinician Well-Being, Perioperative Point-of-Care Ultrasound, Environmental Impact of Anesthesia, and Perioperative Medicine.
- Provides up-to-date coverage of hot topics such as anesthesia neurotoxicity, sleep medicine, and more.
- Corresponds to Miller’s Basics of Anesthesia to help you make the most of your study time, learn more efficiently, and pursue further information if needed.
- Ideal for anesthesia providers of all levels, from new learners to more experienced practitioners.
- An eBook version is included with purchase. The eBook includes interactive multiple-choice questions, and allows you to access all of the text, figures, and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.
Anesthesiology residents and fellows
- Cover image
- Title page
- Table of Contents
- Copyright
- Contributors
- Preface
- 1. Scope of anesthesia practice
- Introduction
- Anesthesiology as a multidisciplinary specialty
- Perioperative patient care
- Anesthesia workforce
- Training and certification in anesthesiology
- Quality and safety
- Value-based care
- Future of anesthesia care
- Questions
- Introduction
- Perioperative patient care
- Anesthesia workforce
- Training and certification in anesthesiology
- Value-based care
- Answers
- Introduction
- Perioperative patient care
- Anesthesia workforce
- Training and certification in anesthesiology
- Value-based care
- 2. Learning anesthesia
- Introduction
- Competencies, milestones, and entrustable professional activities
- Structured approach to anesthesia care
- Learning strategies
- Questions
- Competencies, milestones, and entrustable professional activities
- Structured approach to anesthesia care
- Learning strategies
- Answers
- Competencies, milestones, and entrustable professional activities
- Structured approach to anesthesia care
- Learning strategies
- 3. Clinician well-being
- Introduction
- Defining terms
- Why well-being is important
- Factors affecting clinician well-being
- Mental health
- Interventions to improve well-being
- Questions
- Defining terms
- Why well-being is important
- Factors affecting clinician well-being
- Mental health
- Interventions to improve well-being
- Answers
- Introduction
- Why well-being is important
- Factors affecting clinician well-being
- Mental health
- Interventions to improve well-being
- 4. Basic pharmacologic principles
- Introduction
- Pharmacokinetic principles
- Pharmacodynamic principles
- Special populations
- Questions
- Pharmacokinetic principles
- Pharmacodynamic principles
- Special populations
- Answers
- Pharmacokinetic principles
- Pharmacodynamic principles
- Special populations
- 5. Clinical cardiac and pulmonary physiology
- Hemodynamics
- Cardiac reflexes
- Coronary blood flow
- Pulmonary circulation
- Pulmonary gas exchange
- Pulmonary mechanics
- Control of breathing
- Integration of the heart and lungs
- Questions
- Hemodynamics
- Cardiac reflexes
- Coronary blood flow
- Pulmonary circulation
- Pulmonary gas exchange
- Pulmonary mechanics
- Control of breathing
- Answers
- Hemodynamics
- Cardiac reflexes
- Coronary blood flow
- Pulmonary circulation
- Pulmonary gas exchange
- Pulmonary mechanics
- Control of breathing
- 6. Autonomic nervous system
- Anatomy of the autonomic nervous system
- Adrenergic pharmacology
- Selective α-adrenergic receptor agonists
- β2-Adrenergic receptor agonists
- α-Adrenergic receptor antagonists
- β-Adrenergic antagonists
- Cholinergic pharmacology
- Questions
- Answers
- 7. Inhaled anesthetics
- History
- Chemical and physical properties
- Uptake and distribution in the body
- Minimum alveolar concentration (MAC)
- Mechanisms
- Organ system effects
- Unique issues with nitrous oxide
- Toxicity and adverse events
- Metabolism, elimination, and recovery
- Environmental considerations
- Questions
- Chemical and physical properties
- Uptake and distribution in the body
- Minimum alveolar concentration (MAC)
- Mechanisms
- Organ system effects
- Unique issues with nitrous oxide
- Toxicity and adverse events
- Metabolism, elimination, and recovery
- Environmental considerations
- Answers
- Chemical and physical properties
- Uptake and distribution in the body
- Minimum alveolar concentration (MAC)
- Mechanisms
- Organ system effects
- Unique issues with nitrous oxide
- Toxicity and adverse events
- Metabolism, elimination, and recovery
- Environmental considerations
- 8. Intravenous anesthetics
- Why intravenous anesthetics?
- GABAA receptor agonism
- Propofol
- Barbiturates
- Benzodiazepines
- Ketamine
- Etomidate
- Dexmedetomidine
- Questions
- Why intravenous anesthetics?
- GABAA receptor agonism
- Propofol
- Barbiturates
- Benzodiazepines
- Ketamine
- Etomidate
- Dexmedetomidine
- Answers
- Why intravenous anesthetics?
- GABAA receptor agonism
- Propofol
- Barbiturates
- Benzodiazepines
- Ketamine
- Etomidate
- Dexmedetomidine
- 9. Opioids
- Basic pharmacology
- Clinical pharmacology
- Clinical application
- Emerging developments
- Questions
- Basic pharmacology
- Clinical pharmacology
- Clinical application
- Answers
- Basic pharmacology
- Clinical pharmacology
- Clinical application
- 10. Local anesthetics
- History
- Nerve conduction
- Local anesthetic actions on sodium channels
- Differential local anesthetic blockade
- Spread of local anesthesia after injection
- Pharmacokinetics
- Adverse effects
- Specific local anesthetics
- When local anesthesia fails
- Future local anesthetics and conclusions
- Questions
- History
- Nerve conduction
- Local anesthetic actions on sodium channels
- Spread of local anesthesia after injection
- Pharmacokinetics
- Adverse effects
- Specific local anesthetics
- Future local anesthetics and conclusions
- Answers
- History
- Nerve conduction
- Local anesthetic actions on sodium channels
- Spread of local anesthesia after injection
- Pharmacokinetics
- Adverse effects
- Specific local anesthetics
- Future local anesthetics and conclusions
- 11. Neuromuscular blocking and reversal agents
- Introduction
- The neuromuscular junction
- Structure–activity relationships
- Depolarizing neuromuscular blocking agents: Succinylcholine
- Nondepolarizing neuromuscular blocking agents
- Monitoring the effects of nondepolarizing neuromuscular blocking agents
- Antagonism of residual neuromuscular block
- Questions
- The neuromuscular junction
- Structure–activity relationships
- Depolarizing neuromuscular blocking agents: Succinylcholine
- Nondepolarizing neuromuscular blocking agents
- Monitoring the effects of nondepolarizing neuromuscular blocking agents
- Antagonism of residual neuromuscular block
- Answers
- The neuromuscular junction
- Structure-activity relationships
- Depolarizing neuromuscular blocking agents: Succinylcholine
- Nondepolarizing neuromuscular blocking agents
- Monitoring the effects of nondepolarizing neuromuscular blocking agents
- Antagonism of residual neuromuscular block
- 12. Anesthetic neurotoxicity
- Introduction
- Anesthetic drugs as a cause for neurodegeneration and long-term neurocognitive deficits
- Clinical evidence for neurotoxicity
- Intraoperative course and neurocognitive outcomes
- Conclusions
- Questions
- Introduction
- Anesthetic drugs as a cause for neurodegeneration and long-term neurocognitive deficits
- Clinical evidence for neurotoxicity
- Intraoperative course and neurocognitive outcomes
- Answers
- Introduction
- Anesthetic drugs as a cause for neurodegeneration and long-term neurocognitive deficits
- Clinical evidence for neurotoxicity
- Intraoperative course and neurocognitive outcomes
- 13. Preoperative evaluation
- Introduction
- History and physical examination
- Preoperative evaluation of common coexisting diseases
- Preoperative testing
- Risk assessment
- Medication management
- NPO guidelines
- Informed consent for anesthesia
- Preoperative evaluation clinics
- Questions
- History and physical examination
- Preoperative evaluation of common coexisting diseases
- Preoperative testing
- NPO guidelines
- Informed consent for anesthesia
- Preoperative evaluation clinics
- Answers
- History and physical examination
- Preoperative evaluation of common coexisting diseases
- Preoperative testing
- NPO guidelines
- Informed consent for anesthesia
- Preoperative evaluation clinics
- 14. Choice of anesthetic technique
- Introduction
- Types of anesthesia
- Choosing an appropriate anesthetic technique
- Practical aspects of anesthesia choice
- Questions
- Types of anesthesia
- Choosing an appropriate anesthetic technique
- Practical aspects of anesthesia choice
- Answers
- Types of anesthesia
- Choosing an appropriate anesthetic technique
- Practical aspects of anesthesia choice
- 15. Anesthesia delivery systems
- The anesthesia workstation
- Functional anatomy of the anesthesia workstation
- Anesthetic breathing circuits
- Anesthesia ventilators
- Scavenging systems
- Checking your anesthesia workstation
- Questions
- Functional anatomy of the anesthesia workstation
- Anesthetic breathing circuits
- Anesthesia ventilators
- Scavenging systems
- Checking your anesthesia workstation
- Answers
- Functional anatomy of the anesthesia workstation
- Anesthetic breathing circuits
- Anesthesia ventilators
- Scavenging systems
- Checking your anesthesia workstation
- 16. Airway management
- Anatomy and physiology of the upper airway
- Airway assessment
- Airway management techniques
- Invasive airway access
- Complications
- Airway management in infants and children
- Questions
- Anatomy and physiology of the upper airway
- Airway assessment
- Airway management techniques
- Invasive airway access
- Complications
- Airway management in infants and children
- Answers
- Anatomy and physiology of the upper airway
- Airway assessment
- Airway management techniques
- Invasive airway access
- Complications
- Airway management in infants and children
- 17. Spinal, epidural, and caudal anesthesia
- Principles
- Practice
- Evidence
- Anatomy
- Mechanism of action
- Physiologic effects
- Indications
- Contraindications
- Spinal anesthesia
- Epidural anesthesia
- Combined spinal-epidural anesthesia (CSE)
- Caudal anesthesia
- Complications
- Questions
- Anatomy
- Mechanism of action and physiology
- Indications and contraindications
- Spinal anesthesia
- Epidural anesthesia
- Combined spinal-epidural anesthesia
- Caudal anesthesia
- Complications
- Answers
- Anatomy
- Mechanism of action and physiology
- Indications and contraindications
- Spinal anesthesia
- Epidural anesthesia
- Combined spinal-epidural anesthesia
- Caudal anesthesia
- Complications
- 18. Peripheral nerve blocks
- Introduction
- Ultrasound basics
- Cervical plexus block
- Upper extremity blocks
- Lower extremity blocks
- Chest and abdomen blocks
- Intravenous regional anesthesia (bier block)
- Questions
- Introduction
- Ultrasound basics
- Upper extremity blocks
- Lower extremity blocks
- Chest and abdomen blocks
- Intravenous regional anesthesia
- Answers
- Introduction
- Ultrasound basics
- Upper extremity blocks
- Lower extremity blocks
- Chest and abdomen blocks
- Intravenous regional anesthesia
- 19. Patient positioning and associated risks
- Introduction
- Physiologic aspects of positioning
- General positioning principles
- Positioning for robotic-assisted surgery
- Pressure injuries
- Bite injuries
- Peripheral nerve injuries
- Evaluation and treatment of perioperative neuropathies
- Perioperative eye injury and visual loss
- Anesthesia outside the operating room
- Questions
- Physiologic aspects of positioning
- General positioning principles
- Positioning for robotic-assisted surgery
- Pressure injuries
- Bite injuries
- Peripheral nerve injuries
- Evaluation and treatment of perioperative neuropathies
- Perioperative eye injury and visual loss
- Answers
- Physiologic aspects of positioning
- General positioning principles
- Positioning for robotic-assisted surgery
- Pressure injuries
- Bite injuries
- Peripheral nerve injuries
- Evaluation and treatment of perioperative neuropathies
- Perioperative eye injury and visual loss
- 20. Anesthetic monitoring
- Introduction
- Respiratory system
- Circulatory system
- Central nervous system
- Peripheral nervous system
- Temperature
- Magnetic resonance imaging and adverse conditions
- Multifunctional displays and decision support
- Questions
- Introduction
- Respiratory system
- Circulatory system
- Central nervous system
- Peripheral nervous system
- Temperature
- Answers
- Introduction
- Respiratory system
- Circulatory system
- Central nervous system
- Peripheral nervous system
- Temperature
- 21. Point-of-care ultrasound
- Introduction
- Review of ultrasound physics
- Ultrasound transducers
- Preparing for the examination
- Basic cardiac ultrasound
- Pulmonary ultrasound
- Abdominal ultrasound
- Conclusion and future directions
- Questions
- Review of ultrasound physics
- Basic cardiac ultrasound
- Pulmonary ultrasound
- Abdominal ultrasound
- Answers
- Ultrasound physics
- Basic cardiac ultrasound
- Pulmonary ultrasound
- Abdominal ultrasound
- 22. Acid-base balance and blood gas analysis
- Definitions
- Regulation of the hydrogen ion concentration
- Analysis of arterial blood gases
- Differential diagnosis of acid-base disturbances
- Other information provided by analysis of ABG and pH
- Questions
- Introduction
- Analysis of arterial blood gases
- Differential diagnosis of acid-base disturbances
- Other information provided by analysis of ABG and pH
- Answers
- 23. Hemostasis
- Introduction
- Normal hemostasis
- Bleeding disorders
- Prothrombotic states
- Laboratory evaluation of hemostasis
- Antithrombotic and procoagulant drugs
- Perioperative management of antithrombotic therapy
- Questions
- Normal hemostasis
- Bleeding disorders
- Prothrombotic states
- Laboratory evaluation of hemostasis
- Antithrombotic and procoagulant drugs
- Perioperative management of antithrombotic therapy
- Answers
- Normal hemostasis
- Bleeding disorders
- Prothrombotic states
- Laboratory evaluation of hemostasis
- Antithrombotic and procoagulant drugs
- Perioperative management of antithrombotic therapy
- 24. Fluid management
- Introduction
- Physiology of fluid balance
- Fluid replacement solutions
- Hemodynamic monitoring for fluid responsiveness
- Perioperative fluid strategies for optimal volume status
- Questions
- Physiology of fluid balance
- Fluid replacement solutions
- Hemodynamic monitoring for fluid responsiveness
- Perioperative fluid strategies for optimal volume status
- Answers
- Physiology of fluid balance
- Fluid replacement solutions
- Hemodynamic monitoring for fluid responsiveness
- Perioperative fluid strategies for optimal volume status
- 25. Blood therapy
- Introduction
- Blood banking essentials
- Blood components
- Patient blood management and the decision to transfuse red blood cells
- Complications of blood therapy
- Autologous blood transfusions
- Questions
- Blood banking essentials
- Blood components
- Patient blood management and the decision to transfuse red blood cells
- Complications of blood therapy
- Autologous blood transfusions
- Answers
- Blood banking essentials
- Blood components
- Patient blood management and the decision to transfuse red blood cells
- Complications of blood therapy
- Autologous blood transfusions
- 26. Cardiovascular disease
- Introduction
- Coronary artery disease
- Valvular heart disease
- Disturbances of cardiac conduction and rhythm
- Heart failure
- Hypertrophic cardiomyopathy
- Pulmonary hypertension
- Cardiac tamponade
- Aneurysms of the aorta
- Cardiopulmonary bypass
- Questions
- Coronary artery disease
- Valvular heart disease
- Disturbances of cardiac conduction and rhythm
- Heart failure
- Hypertrophic cardiomyopathy
- Pulmonary hypertension
- Cardiac tamponade
- Aneurysms of the aorta
- Cardiopulmonary bypass
- Answers
- Coronary artery disease
- Valvular heart disease
- Disturbances of cardiac conduction and rhythm
- Heart failure
- Hypertrophic cardiomyopathy
- Pulmonary hypertension
- Cardiac tamponade
- Aneurysms of the aorta
- Cardiopulmonary bypass
- 27. Chronic pulmonary disease
- Introduction
- Asthma
- Chronic obstructive pulmonary disease
- Interstitial lung disease
- Cystic fibrosis
- Obstructive sleep apnea
- Pulmonary hypertension
- Anesthesia for lung resection
- Mediastinoscopy
- Mediastinal masses
- Questions
- Introduction
- Asthma
- Chronic obstructive pulmonary disease
- Interstitial lung disease
- Obstructive sleep apnea
- Pulmonary hypertension
- Anesthesia for lung resection
- Options for lung isolation
- Mediastinoscopy
- Mediastinal masses
- Answers
- Introduction
- Chronic obstructive pulmonary disease
- Interstitial lung disease
- Obstructive sleep apnea
- Pulmonary hypertension
- Anesthesia for lung resection
- Options for lung isolation
- Mediastinoscopy
- Mediastinal masses
- 28. Renal, liver, and biliary tract disease
- Renal disease
- Liver disease
- Diseases of the biliary tract
- Questions
- Renal disease
- Liver disease
- Diseases of the biliary tract
- Answers
- Renal disease
- Liver disease
- Diseases of the biliary tract
- 29. Nutritional, gastrointestinal, and endocrine disease
- Nutritional disorders
- Gastrointestinal disorders
- Endocrine disorders
- Questions
- Nutritional disorders
- Gastrointestinal disorders
- Endocrine disorders
- Answers
- Nutritional disorders
- Gastrointestinal disorders
- Endocrine disorders
- 30. Central nervous system disease
- Neuroanatomy
- Neurophysiology
- Intracranial pressure and brain relaxation
- Neuroprotection
- Neurophysiologic monitoring
- Anesthesia for neurosurgery
- Common clinical cases
- Questions
- Neuroanatomy
- Neurophysiology
- Intracranial pressure and brain relaxation
- Anesthesia for neurosurgery
- Common clinical cases
- Answers
- Neuroanatomy
- Neurophysiology
- Intracranial pressure and brain relaxation
- Anesthesia for neurosurgery
- Common clinical cases
- 31. Ophthalmology and otolaryngology
- Ophthalmology
- Otolaryngology
- Questions
- Answers
- 32. Orthopedic surgery
- Rheumatologic disorders
- Spine surgery
- Surgery in the sitting position
- Fractured hip
- Total joint replacement
- Questions
- Rheumatologic disorders
- Spine surgery
- Surgery in the sitting position
- Fractured hip
- Total joint replacement
- Answers
- Rheumatologic disorders
- Spine surgery
- Surgery in the sitting position
- Fractured hip
- Total joint replacement
- 33. Obstetrics
- Physiologic changes in pregnant women
- Physiology of the uteroplacental circulation
- Stages of labor
- Anatomy of labor pain
- Methods of labor analgesia
- Neuraxial techniques
- Contraindications of neuraxial anesthesia
- Complications of neuraxial anesthesia
- Anesthesia for cesarean delivery
- Abnormal presentations and multiple births
- Hypertensive disorders of pregnancy
- Hemorrhage in pregnant women
- Amniotic fluid embolism
- Anesthesia for nonobstetric surgery during pregnancy
- Diagnosis and management of fetal distress
- Evaluation of the neonate and neonatal resuscitation
- Questions
- Physiologic changes in pregnant women
- Physiology of the uteroplacental circulation
- Stages of labor
- Anatomy of labor pain
- Methods of labor analgesia
- Neuraxial techniques
- Contraindications of neuraxial anesthesia
- Complications of neuraxial anesthesia
- Anesthesia for cesarean delivery
- Abnormal presentations and multiple births
- Hypertensive disorders of pregnancy
- Hemorrhage in pregnant women
- Amniotic fluid embolism
- Anesthesia for nonobstetric surgery during pregnancy
- Diagnosis and management of fetal distress
- Evaluation of the neonate and neonatal resuscitation
- Answers
- Physiologic changes in pregnant women
- Physiology of the uteroplacental circulation
- Stages of labor
- Anatomy of labor pain
- Methods of labor analgesia
- Neuraxial techniques
- Contraindications of neuraxial anesthesia
- Complications of neuraxial anesthesia
- Anesthesia for cesarean delivery
- Abnormal presentations and multiple births
- Hypertensive disorders of pregnancy
- Hemorrhage in pregnant women
- Amniotic fluid embolism
- Anesthesia for nonobstetric surgery during pregnancy
- Diagnosis and management of fetal distress
- Evaluation of the neonate and neonatal resuscitation
- 34. Pediatrics
- Introduction
- Developmental physiology
- Pharmacologic differences
- Fluid and electrolytes
- Transfusion therapy
- Pediatric airway
- Anesthetic considerations
- Medical and surgical diseases affecting the neonate
- Congenital heart disease
- Special anesthetic considerations
- Questions
- Developmental physiology
- Pharmacologic differences
- Fluids and electrolytes
- Transfusion therapy
- Pediatric airway
- Anesthetic considerations
- Medical and surgical diseases affecting the neonate
- Congenital heart disease
- Special anesthetic considerations
- Answers
- Developmental physiology
- Pharmacologic differences
- Fluids and electrolytes
- Transfusion therapy
- Pediatric airway
- Anesthetic considerations
- Medical and surgical diseases affecting the neonate
- Congenital heart disease
- Special anesthetic considerations
- 35. Geriatrics
- Introduction
- The physiologic changes of aging
- Pharmacologic considerations
- Preoperative assessment and risk management
- Intraoperative considerations
- Postoperative management
- Chronic pain in the elderly
- Perioperative neurocognitive disorders
- Summary
- Questions
- The physiologic changes of aging
- Pharmacologic considerations
- Preoperative assessment and risk management
- Intraoperative considerations
- Postoperative management
- Perioperative neurocognitive disorders
- Answers
- The physiologic changes of aging
- Pharmacologic considerations
- Preoperative assessment and risk management
- Intraoperative considerations
- Postoperative management
- Perioperative neurocognitive disorders
- 36. Organ transplantation
- Introduction
- Considerations for organ transplantation
- Kidney transplantation
- Liver transplantation
- Heart transplantation
- Lung transplantation
- Pancreas transplantation
- Conclusion
- Questions
- Considerations for organ transplantation
- Kidney transplantation
- Liver transplantation
- Heart transplantation
- Lung transplantation
- Pancreas transplantation
- Answers
- Considerations for organ transplantation
- Kidney transplantation
- Liver transplantation
- Heart transplantation
- Lung transplantation
- Pancreas transplantation
- 37. Outpatient anesthesia
- Introduction
- Patient selection
- Surgeries and procedures
- Preoperative evaluation
- Anesthetic techniques
- Postoperative care
- Quality improvement
- Advances and new trends in outpatient anesthesia
- Conclusion
- Questions
- Introduction
- Patient selection
- Surgeries and procedures
- Preoperative evaluation
- Anesthetic techniques
- Postoperative care
- Quality improvement
- Advances and new trends in outpatient anesthesia
- Answers
- Introduction
- Patient selection
- Surgeries and procedures
- Preoperative evaluation
- Anesthetic techniques
- Postoperative care
- Quality improvement
- Advances and new trends in outpatient anesthesia
- 38. Anesthesia for procedures in nonoperating room locations
- Introduction
- Characteristics of NORA locations
- Safety and concerns in radiology suites
- Magnetic resonance imaging
- Anesthesia for noninvasive imaging procedures
- Interventional radiology
- Endoscopy and endoscopic retrograde cholangiopancreatography
- Catheter-based cardiology procedures
- Electroconvulsive therapy
- Questions
- Characteristics of NORA locations
- Safety and concerns in radiology suites
- Magnetic resonance imaging
- Anesthesia for noninvasive imaging procedures
- Interventional radiology
- Endoscopy and endoscopic retrograde cholangiopancreatography
- Catheter-based cardiology procedures
- Electroconvulsive therapy (ECT)
- Answers
- Characteristics of NORA locations
- Safety and concerns in radiology suites
- Magnetic resonance imaging
- Anesthesia for noninvasive imaging procedures
- Interventional radiology
- Endoscopy and endoscopic retrograde cholangiopancreatography
- Catheter-based cardiology procedures
- Electroconvulsive therapy (ECT)
- 39. Postanesthesia recovery
- Introduction
- Admission to the postanesthesia care unit
- Early postoperative physiologic changes
- Upper airway obstruction
- Differential diagnosis of arterial hypoxemia in the PACU
- Pulmonary edema in the PACU
- Monitoring and treatment of hypoxemia
- Hemodynamic instability
- Renal dysfunction
- Postoperative hypothermia and shivering
- Postoperative nausea and vomiting
- Delirium
- Delayed awakening
- Discharge criteria
- Postanesthesia scoring systems
- Questions
- Admission to the postanesthesia care unit
- Early postoperative physiologic changes
- Upper airway obstruction
- Differential diagnosis of arterial hypoxemia in the PACU
- Pulmonary edema in the PACU
- Monitoring and treatment of hypoxemia
- Hemodynamic instability
- Renal dysfunction
- Postoperative hypothermia and shivering
- Postoperative nausea and vomiting
- Delirium
- Delayed awakening
- Discharge criteria
- Postanesthesia scoring systems
- Answers
- Admission to the postanesthesia care unit
- Early postoperative physiologic changes
- Upper airway obstruction
- Differential diagnosis of arterial hypoxemia in the PACU
- Pulmonary edema in the PACU
- Monitoring and treatment of hypoxemia
- Hemodynamic instability
- Renal dysfunction
- Postoperative hypothermia and shivering
- Postoperative nausea and vomiting
- Delirium
- Delayed awakening
- Discharge criteria
- Postanesthesia scoring systems
- 40. Perioperative pain management
- Introduction
- Common terminology
- Neurobiology of pain
- Analgesic delivery systems
- Systemic therapy
- Neuraxial analgesia
- Surgical site (incision) infiltration
- Intraarticular administration
- Paravertebral blocks
- Peripheral nerve block
- Regional analgesia
- Transversus abdominis plane block
- Questions
- Common terminology
- Neurobiology of pain
- Analgesic delivery systems
- Systemic therapy
- Neuraxial analgesia
- Surgical site infiltration
- Intraarticular administration
- Peripheral nerve block
- Regional analgesia
- Transversus abdominis plane block
- Answers
- Common terminology
- Neurobiology of pain
- Analgesic delivery systems
- Systemic therapy
- Neuraxial analgesia
- Surgical site infiltration
- Intraarticular administration
- Peripheral nerve block
- Regional analgesia
- Transversus abdominis plane block
- 41. Critical care medicine
- Intensive care unit definitions, interprofessional care, and physician staffing
- Organ failure and support
- A-F bundle
- Questions
- ICU definitions, interprofessional care, and physician staffing
- Organ failure and support
- A-F bundle
- Answers
- ICU definitions, interprofessional care, and physician staffing
- Organ failure and support
- A-F bundle
- 42. Perioperative medicine
- Introduction
- The perioperative medicine consultant
- Improving perioperative outcomes and operationalizing perioperative medicine
- Value-added preoperative screening and testing
- Medical management of the most common comorbidities
- Psychological state: Assessment and interventions
- Cognitive screening and interventions
- Health literacy and shared decision making
- Other opportunities to improve perioperative outcomes
- Future directions in perioperative medicine: Social determinants of health
- Questions
- Improving perioperative outcomes and operationalizing perioperative medicine
- Value-added preoperative screening and testing
- Medical management of the most common comorbidities
- Psychological state: Assessment and interventions
- Cognitive screening and interventions
- Health literacy and shared decision making
- Answers
- Improving perioperative outcomes and operationalizing perioperative medicine
- Value-added preoperative screening and testing
- Medical management of the most common comorbidities
- Psychological state: Assessment and interventions
- Cognitive screening and interventions
- Health literacy and shared decision making
- 43. Trauma
- Introduction
- Initial management
- Intraoperative management
- Special considerations
- Questions
- Introduction
- Initial management
- Intraoperative management
- Special considerations
- Answers
- Introduction
- Initial management
- Intraoperative management
- Special groups
- 44. Chronic pain management
- Introduction
- Chronic pain foundations
- Painful conditions: Spine
- Painful conditions: Neuropathic pain
- Painful conditions: Chronic postsurgical pain
- Pain conditions: Additional generators
- Psychological treatment pillar: Catastrophizing
- Physical medicine treatment pillar
- Pharmacologic treatment pillar
- Procedural treatment pillar
- Neuromodulation: Advanced interventional pain medicine
- Summary
- Questions
- Chronic pain foundations
- Painful conditions: Spine
- Painful conditions: Neuropathic pain
- Psychological treatment pillar: Catastrophizing
- Pharmacologic treatment pillar
- Procedural treatment pillar
- Neuromodulation: Advanced interventional pain medicine
- Answers
- Chronic pain foundations
- Painful conditions: Spine
- Painful conditions: Neuropathic pain
- Psychological treatment pillar: Catastrophizing
- Pharmacologic treatment pillar
- Procedural treatment pillar
- Neuromodulation: Advanced interventional pain medicine
- 45. Cardiopulmonary resuscitation
- Introduction
- Evidence based
- Principles of management
- Questions
- Basic life support
- Adult advanced cardiac life support
- Pediatric advanced life support
- Postresuscitation care and neuroprognostication
- Special perioperative considerations
- Answers
- Basic life support
- Adult advanced cardiac life support
- Pediatric advanced life support
- Postresuscitation/care and neuroprognostication
- Special perioperative considerations
- 46. Quality and patient safety
- Introduction
- Definitions: Quality versus safety
- Specific approaches to anesthesia safety
- From safety to quality: Making anesthesia both safer and better
- Tools for improving local outcomes
- Questions
- Definitions: Quality versus safety
- Specific approaches to anesthesia safety
- From safety to quality: Making anesthesia both safer and better
- Tools for improving local outcomes
- Answers
- Definitions: Quality versus safety
- Specific approaches to anesthesia safety
- From safety to quality: Making anesthesia both safer and better
- Tools for improving local outcomes
- 47. Palliative care
- Introduction
- What do palliative care teams do?
- Palliative care and pain
- Challenges in the palliative care patient
- Perioperative management of the palliative care patient
- Questions
- Introduction
- What do palliative care teams do?
- Palliative care and pain
- Challenges in the palliative care patient
- Perioperative management of the palliative care patient
- Answers
- Introduction
- What do palliative care teams do?
- Palliative care and pain
- Challenges in the palliative care patient
- Perioperative management of the palliative care patient
- 48. Sleep medicine and anesthesia
- Introduction
- Basic sleep physiology
- General anesthesia
- Other arousal states
- Sleep and anesthesia states
- Functional neuroanatomy of sleep and arousal pathways
- Sleep-disordered breathing or sleep-related breathing disorders
- Obstructive sleep apnea
- Questions
- Basic sleep physiology
- General anesthesia
- Sleep and anesthesia states
- Functional neuroanatomy of sleep and arousal pathways
- Sleep-disordered breathing or sleep-related breathing disorders
- Obstructive sleep apnea
- Answers
- Basic sleep physiology
- General anesthesia
- Sleep and anesthesia states
- Functional neuroanatomy of sleep and arousal pathways
- Sleep-disordered breathing or sleep-related breathing disorders
- Obstructive sleep apnea
- 49. Anesthesia and environmental health
- Health, healthcare, and climate change
- Environmental impact of anesthesia gases
- Occupational hazards of inhaled anesthetics
- Low-flow anesthesia
- Closed-circuit anesthesia
- CO2 absorbents
- Waste anesthetic gas scavenging systems
- Environmental impact of propofol
- Drug waste
- Environmental impact of operating room practices
- Summary
- Questions
- Health, healthcare, and climate change
- Environmental impact of anesthesia gases
- Occupational hazards of inhaled anesthetics
- Low-flow anesthesia
- Closed-circuit anesthesia
- CO2 absorbents
- Waste anesthetic gas scavenging systems
- Environmental impact of propofol
- Drug waste
- Environmental impact of operating room practices
- Answers
- Health, healthcare, and climate change
- Environmental impact of anesthesia gases
- Occupational hazards of inhaled anesthetics
- Low-flow anesthesia
- Closed-circuit anesthesia
- CO2 absorbents
- Waste anesthetic gas scavenging systems
- Environmental impact of propofol
- Drug waste
- Environmental impact of operating room practices
- Index
- Edition: 4
- Published: July 29, 2024
- Imprint: Elsevier
- No. of pages: 600
- Language: English
- Paperback ISBN: 9780443112867
- eBook ISBN: 9780443113826
LS
Lorraine M. Sdrales
Lorraine M Sdrales, MD, Associate Professor and Vice Chair, Department of Anesthesiology, Cedars-Sinai Medical Center, Los Angeles, CA
Affiliations and expertise
Associate Professor and Vice Chair; Department of Anesthesiology; Cedars-Sinai Medical Center; Los Angeles, CAMP
Manuel Pardo
Affiliations and expertise
Professor of Anesthesia, University of California, San Francisco, San Francisco, California