SECTION I

INTRODUCTION

1

Evidence-Based Practice Parameters: The American Society of Anesthesiologists Approach   David G. Nickinovich, PhD, Richard T. Connis, PhD, Robert A. Caplan, MD, and James F. Arens, MD

SECTION II

PREOPERATIVE PREPARATION

2

Does Routine Testing Affect Outcome?   L. Reuven Pasternak, MD, MPH, MBA

3

Is a preoperative screening clinic cost effective?   Sheila R. Barnett, MD

4

Who Should Have A Preoperative 12-Lead Electrocardiogram?   Barbara S. Gold, MD

5

Should Preoperative Hemoglobin Always Be Obtained?   Bradly J. Narr, MD

6

What are the Risk Factors for Perioperative Stroke?   Alexander Papangelou, MD and Marek Mirski, MD, PhD

7

Should we delay surgery in the patient with recent cocaine use?   Nabil Elkassabany, MD

8

Should All Anti-Hypertensive Agents Be Continued before Surgery?   John G. T. Augoustides MD, FASE

9

Is there an optimal timing for smoke cessation?   James Y. Findlay, MB, ChB, FRCA

10

Should patients with asthma be given preoperative medications including steroids?   George Pyrgos, M.D., Robert H. Brown, MD, MPH

11

Which patient should have a preoperative cardiac evaluation (stress test)?   Amy L. Miller, MD, PhD, Joshua A. Beckman, MD, MS

12

Should patients with stable coronary artery disease undergo prophylactic revascularization prior to non-cardiac surgery?   Santiago Garcia, MD and Edward O. McFalls, MD, PhD

13

How should we prepare the patient with a pacemaker/ICD?   Mark Rozner, MD

14

When Should Pulmonary Function Tests Be Performed Preoperatively?   Anthony N. Passannante MD, Peter Rock MD, MBA

SECTION III

PREOPERATIVE MANAGEMENT

15

Does the Airway Examination Predict Difficult Intubation?   Satyajeet Ghatge, MD, Carin A. Hagberg, MD

16

Should Regional or General Anesthesia Be Used for Cases in which the Patient Has an Anticipated Difficult Airway?   Seth Akst, MD, MBA and Lynette Mark, MD

17

Is there a best approach to induction of anesthesia in emergent situations?   Richard P. Dutton, MD, MBA

18

Do Inhalational agents have beneficial or harmful effects?   Stefan G. De Hert, MD, PhD

19

Does anesthetic choice effect surgical and recovery times?   Anil Gupta, MD, FRCA, PhD

20

What are the benefits of different ventilatory techniques?   Maurizio Cereda, MD

21

Is There an Optimal Perioperative Hemoglobin?   Jeffrey L. Carson, MD and Barbara Armas, MD

22

When are platelet/plasma transfusions indicated?   Gregory A. Nuttall, MD

23

What drugs decrease postoperative bleeding?   Veena Guru MD, and Stephen E. Fremes MD

24

When Should Perioperative Glucocorticoid Replacement Be Administered?   Diane E. Head, MD, Aaron Joffe, DO, and Douglas B. Coursin, MD

25

Does the Choice of Fluid Matter in Major Surgery?   Anthony M. Roche, MB, ChB, FRCA, Mmed, Catherine M.N. O’Malley MB, BSc, FFARCSI, Elliott Bennett-Guerrero MD

26

What works in a patient with acute respiratory distress syndrome?   Michael G. Fitzsimons, MD, William E. Hurford, MD

27

What Actions can be used to Prevent Peripheral Nerve Injury?   Sanjay M. Bhananker, MBBS, MD, DA, FRCA, Karen B. Domino, MD, MPH

28

What is the Best Means of Preventing Perioperative Renal Injury?   Vivek Moitra, MD, Alan Gaffney, MB BCh, Hugh Playford, MBBS, FANZCA, FFICANZCA, Robert N. Sladen, MBChB, MRCP(UK), FRCP(C), FCCM

29

Are alpha-2 agonists effective in reducing perioperative cardiac complications in non-cardiac surgery?   Douglas C. Shook, MD, John E. Ellis, MD

30

Which are the best techniques for reducing the incidence of postoperative deep vein thrombosis?   Charles Marc Samama, MD, PhD, FCCP

31

What is the optimal perioperative management for latex allergy?   Robert S. Holzman, MD, FAAP

32

Are there special techniques in obese patients?   David M. Eckmann, MD, PhD

33

What is the Best Strategy to Prevent PONV?   Ashraf S. Habib, MBBCh, MSc, FRCA, Tong J. Gan, MBBS, FRCA, FFACS(I)

34

How can we prevent postoperative cognitive dysfunction?   Terri G. Monk, MD, MS, Catherine C. Price, PhD

35

Can We Prevent Recall During Anesthesia?   T. Andrew Bowdle MD, PhD

36

What is the best technique in the patient with an open globe and full stomach?   Kathryn E. McGoldrick, MD

37

What criteria should be used for discharge after outpatient surgery?   Vinod Chinnappa MBBS, MD, FCARCSI, Frances Chung. FRCPC

38

What Must I Consider in Order to Safely Anesthetize Someone in the Office Setting?   Laurence M. Hausman, MD, Meg A. Rosenblatt, MD

39

Should propofol be given by non-anesthesia providers?   Beverly K. Philip, MD, McCallum R. Hoyt, MD, MBA

40

Is there an optimal management strategy?   Neal H. Cohen, MD, MPH, MS

SECTION IV

REGIONAL ANESTHESIA

41

Nonsteroidal Anti-inflammatory Drugs, Antiplatelet Medications and Spinal Axis Anesthesia   Lynn M. Broadman, MD, Edmund H. Jooste, MBChB

42

The Best Approaches to Prophylaxis Against DVT Formation When Using a Combination of Neuraxial Anesthesia and One of the Heparins   Lynn M. Broadman, MD

43

Is regional anesthesia appropriate for outpatient surgery?   Michael F. Mulroy, MD and Wyndam Strodtbeck, MD

44

Is Regional Anesthesia Superior to General Anesthesia for Hip Surgery?   Michael K. Urban, MD, PhD

45

Does Intraoperative Regional Anesthesia Decrease Perioperative Blood Loss?   Jeffrey M. Richman, MD, James F. Weller, MD, Christopher L. Wu, MD

46

What is the optimal management of the post-lumbar puncture headache?   David L. Wlody, MD

47

Should ultrasound guidance be used for peripheral neural blockade?   Michael Aziz, MD

SECTION V

MONITORING

48

Does a pulmonary artery catheter influence outcome in noncardiac surgery?   Glenn S. Murphy, MD and Jeffery S. Vender, MD

49

What is the best method of diagnosing perioperative myocardial infarction?   Martin J. London, MD

50

Does Neurological Electrophysiologic Monitoring Effect Outcome?   Michael L. McGarvey MD, Steven R. Messé, MD

SECTION VI

CARDIOVASCULAR ANESTHESIA

51

Is regional superior to general anesthesia for infrainguinal revascularization?   R.Yan McRae, MD, Grace L. Chien, MD

52

Evidence Based Practice for Fast Track Cardiac Anesthesia - Is it Safe?   Daniel Bainbridge MD, FRCPC, Davy Cheng MD, MSc, FRCPC, FCAHS

53

Is There a Best Technique to Decrease Blood Loss and Transfusion after Coronary Artery Bypass Grafting?   John G. T. Augoustides, MD, FASE

54

Should thoracic epidural/spinal analgesia be used for CABG?   Mark A. Chaney, MD

SECTION VII

NEUROSURGICAL ANESTHESIA

55

What works for brain protection?   Izumi Harukuni, MD, Stephen T. Robinson, MD

SECTION VIII

OBSTETRIC ANESTHESIA

56

Anesthesia for Cesarean Delivery Regional or General?   Yaakov Beilin, MD

57

Does labor analgesia affect labor outcome?   Scott Segal, MD

SECTION IX

PEDIATRIC ANESTHESIA

58

How young is the youngest infant for outpatient surgery?   Lucinda L. Everett, MD

59

Should a child with a respiratory tract infection undergo elective surgery?   Christopher T. McKee, DO, Lynne G. Maxwell, MD, R. Blaine Easley, MD

SECTION X

PAIN MANAGEMENT

60

Optimal Postoperative Analgesia   Michael A. Ashburn, MD, MPH, Jane C Ballantyne MD FRCA

61

Is preemptive analgesia clinically effective?   Allan Gottschalk, M.D., Ph.D., E. Andrew Ochroch, MD