Chapter Authors

v

Contributors

vii

Research and Review

ix

Foreword

xi

Preface

xiii

1

The Practice of Anesthesiology

1

SECTION I

ANESTHETIC EQUIPMENT & MONITORS

2

The Operating Room Environment   Charles E. Cowles, MD

9

3

Breathing Systems

29

4

The Anesthesia Machine

43

5

Cardiovascular Monitoring

87

6

Noncardiovascular Monitoring

123

SECTION II

CLINICAL PHARMACOLOGY

7

Pharmacological Principles

143

8

Inhalation Anesthetics

153

9

Intravenous Anesthetics

175

10

Analgesic Agents

189

11

Neuromuscular Blocking Agents

199

12

Cholinesterase Inhibitors & Other Pharmacologic Antagonists to Neuromuscular Blocking Agents

223

13

Anticholinergic Drugs

233

14

Adrenergic Agonists & Antagonists

239

15

Hypotensive Agents

255

16

Local Anesthetics

263

17

Adjuncts to Anesthesia

277

SECTION III

ANESTHETIC MANAGEMENT

18

Preoperative Assessment, Premedication, & Perioperative Documentation

295

19

Airway Management

309

20

Cardiovascular Physiology & Anesthesia

343

21

Anesthesia for Patients with Cardiovascular Disease

375

22

Anesthesia for Cardiovascular Surgery

435

23

Respiratory Physiology & Anesthesia

487

24

Anesthesia for Patients with Respiratory Disease

527

25

Anesthesia for Thoracic Surgery

545

26

Neurophysiology& Anesthesia

575

27

Anesthesia for Neurosurgery

593

28

Anesthesia for Patients with Neurologic & Psychiatric Diseases

613

29

Renal Physiology & Anesthesia

631

30

Anesthesia for Patients with Kidney Disease

653

31

Anesthesia for Genitourinary Surgery

671

32

Hepatic Physiology & Anesthesia   Michael Ramsay, MD, FRCA

691

33

Anesthesia for Patients with Liver Disease   Michael Ramsay, MD, FRCA

707

34

Anesthesia for Patients with Endocrine Disease

727

35

Anesthesia for Patients with Neuromuscular Disease

747

36

Anesthesia for Ophthalmic Surgery

759

37

Anesthesia for Otorhinolaryngologic Surgery

773

38

Anesthesia for Orthopedic Surgery   Edward R. Mariano, MD, MAS

789

39

Anesthesia for Trauma & Emergency Surgery   Brian P. McGlinch, MD

805

40

Maternal & Fetal Physiology & Anesthesia   Michael A. Frolich, MD, MS

825

41

Obstetric Anesthesia   Michael A. Frolich, MD, MS

843

42

Pediatric Anesthesia

877

43

Geriatric Anesthesia

907

44

Ambulatory, Nonoperating Room, & Office-Based Anesthesia

919

SECTION IV

REGIONAL ANESTHESIA & PAIN MANAGEMENT

45

Spinal, Epidural, & Caudal Blocks

937

46

Peripheral Nerve Blocks   Sarah J. Madison, MD and Brian M. Ilfeld, MD, MS

975

47

Chronic Pain Management   Richard W. Rosenquist, MD and Bruce M. Vrooman, MD

1023

48

Perioperative Pain Management & Enhanced Outcomes   Francesco Carli, MD, MPhiland Gabriele Baldini, MD, MSc

1087

SECTION V

PERIOPERATIVE & CRITICAL CARE MEDICINE

49

Management of Patients with Fluid & Electrolyte Disturbances

1107

50

Acid-Base Management

1141

51

Fluid Management & Blood Component Therapy

1161

52

Thermoregulation, Hypothermia, & Malignant Hyperthermia

1183

53

Nutrition in Perioperative & Critical Care

1193

54

Anesthetic Complications

1199

55

Cardiopulmonary Resuscitation   Martin Giesecke, MD and Srikanth Hosur, MB8S, MD

1231

56

Postanesthesia Care

1257

57

Critical Care

1277

58

Safety, Quality, & Performance Improvement

1325

Index

1331