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Provides in-depth, yet succinct clinical synopses of all topic areas found on the ABA/ASA exam, with the perfect amount of information to ensure exam success.
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Contains five new chapters: Principles of Preoperative Evaluation; Anesthesia for Patients who are Lactating; Peripheral Nerve Blocks of the Anterior Trunk; Sustainability in Anesthesiology and the Operating Room; and Anesthesia During a Pandemic.
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Covers the core knowledge needed to succeed in today’s anesthesiology practice, including awake craniotomy, non-OR anesthesia (NORA), neuromodulation, using arterial pressure waveform to derive cardiac output, enhanced recovery (ERAS) pathways, chemical dependency in anesthesia personnel, lung transplantation, anesthesia for robotic surgery, and more.
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Includes boxes, tables, charts, and graphs throughout to provide visual guidance and summarize critical information.
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Features concise chapters for efficient review and effective recall, making this an ideal study tool for certification, recertification, or as a refresher for anesthesiology practice.
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An eBook version is included with purchase. The eBook 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.
Table of Contents
Section 1 Operating Room, Equipment and Monitoring
1. Medical Gas Supply
2. Electricity in the Operating Room
3. Operating Room Fires
4. Vaporizers
5. Carbon-Dioxide Absorption
6. Carbon-Dioxide Retention and Capnography
7. Tracheal Tubes
8. Complications of Tracheal Intubation
9. Disconnect Monitors
10. Pulse Oximetry
11. Hemodynamic Monitoring
12. Monitoring Integrity of the Neuromuscular Junction
13. Evoked Potential Monitoring and Electromyography
Section 2: Physiology
14. Oxygen Transport
15. Blood Gas Temperature Correction
16. Central Regulation of Ventilation
17. Physiologic Effects of Hypercarbia and Hyopcarbia
18. Factors Affecting Pulmonary Compliance and Airway Resistance
19. Pulmonary Ventilation and Perfusion
20. Pulmonary Function Test Interpretation
21. Chronic Obstructive Pulmonary Disease and Restrictive Lung Disease
22. Measurement and Implications of the Q's/Q't
23. Cardiac Cycle: Control and Synchronicity
24. Physiologic Determinants of Cardiac Output
25. Myocardial Oxygen Supply and Demand
26. Tachyarrhythmias
27. Bradyarrhythmias
28. The Autonomic Nervous System
29. The Parasysmpathetic Nervous System: Anatomy and Receptor Pharmacology
30. Factors Affecting Cerebral Blood Flow
31. Physiology of Neuromuscular Transmission
32. Renal Physiology
33. Renal Function Tests
34. Acid-Base Status
35. Electrolyte Abnormalities: Potassium, Sodium, Calcium and Magnesium
36. Hepatic Physiology and Preoperative Evaluation
37. Mechanisms of Hepatic Drug Metabolism and Excretion
Section 3: Anatomy
38. Anatomy of the Larynx
39. Coronary Circulation and the Myocardial Conduction System
40. Transesophageal Echocardiography: Anatomic Considerations
41. Cerebral Circulation
42. Spinal Cord Anatomy and Blood Supply
43. Brachial Plexus Anatomy
Section 4: Pharmacology
44. Molecular and Cellular Mechanisms of Anesthesia
45. Factors Affecting Anesthetic Gas Uptake
46. Minimum Alveolar Concentration
47. The Effect of Intracardiac Shunts on Inhalation Induction
48. Inhalation Anesthetic Agents
49. Nitrous Oxide
50. Cardiovascular Effects of the Inhalation Agents
51. Central Nervous System Effects of the Inhalation Agents
52. Renal Effects of the Inhalation Agents
53. Hepatic Effects of the Inhalation Agents
54. Propofol
55. Etomidate
56. Ketamine
57. Opioid Pharmacology
58. Succinylcholine Side Effects
59. Nondepolarizing Neuromuscular-Blocking Agents
60. Nonrelaxant Side Effects of Neuromuscular-Blocking Agents
61. Anticholinesterases and the Reversal of Neuromuscular-Blocking Agents
62. Sugammadex
63. The Pharmacology of Atropine, Scopolamine and Glycopyrrolate
64. Benzodiazepines
65. Dexmedetomidline
66. Inotropes
67. Vasopressors
68. Vasodilators
69. Nitroglycerin
70. Beta-adrenergic Receptor-Blocking Agents
71. Calcium Channel Blockers
72. Renin-Angiotensin-Aldosterone-Receptor Inhibition
73. Bronchodilators
74. Sodium Bicarbonate
75. Monoamine Oxidase Inhibitors
76. Nonsteroidal Antiinflammatory Drugs
77. Antiemetics
Section 5: Colloids and Blood Products
78. Albumin, Hetastarch and Pentastarch
79. Type, Screen, and Crossmatch of Red Blood Cells
80. Red Blood Cell and Platelet Transfusion
81. Massive Transfusion
82. Hemolytic Transfusion Reactions
83. Nonhemolytic Transfusion Reactions
84. Blood Product Conservation
Section 6: Preoperative and Postoperative
85. Preoperative Evaluation of the Patient with Cardiac Disease for Noncardiac Operations
86. Tobacco Use in Surgical Patients
87. Obstructive Sleep Apnea
88. Postoperative Nausea and Vomiting
89. Acute and Chronic Alcoholism and Anesthesia
90. Latex Allergy
91. The Evaluation and Management of Prolonged Emergence from Anesthesia
92. Delirium in the Postanesthesia Care Unit
Section 7A: Specialty Anesthesia: Regional Anesthesia
93. Local Anesthetic Agents: Mechanism of Action and Pharmacology
94. Toxicity of Local Anesthetic Agents
95. Regional Analgesia Adjuvants, Liposomal Bupivacaine
96. Multimodal Analgesia
97. Needle Blocks of the Eye
98. Spinal Anesthesia
99. Epidural Anesthesia
100. Combined Spinal-Epidural Blockade
101. Neuraxial Anesthesia and Anticoagulation
102. Upper Extremity Peripheral Nerve Blocks
103. Paravertebral Blocks and Truncal Blocks
104. Lower Extremity Peripheral Nerve Blocks
105. Peripheral Nerve Blocks at the Ankle
106. Tranexamic Acid Use in Orthopedic Surgery
107. Basic of U/S Guided Regional Anesthesia
Section 7B. Specialty Anesthesia: Neuroanesthesia
108. Cerebral Protection
109. Increased Intracranial Pressure
110. Functional Neurosurgery
111. Anesthesia for Awake Intracranial Surgery
112. Management of Cerebral Aneurysms
113. Anesthesia for Hypophysectomy
114. Anesthesia for the Sitting Position
115. Physiology and Treatment of Venous Air Embolism
116. Perioperative Implications of Caring for Patients with Epilepsy
117. Effects of common anesthetic agents on electroencephalograms
118. Anesthesia for Carotid Endarterectomy
119. Management of Acute Spinal Cord Injury
120. Major Reconstructive Spine Procedures: Anesthesia Considerations
Section 7C: Specialty Anesthesia: Cardiac
121. Detection and Treatment of Perioperative Acute Coronary Syndromes
122. Heart Failure: Classification, Compensation and Treatment
123. Rt Heart Failure, Tricuspid and Pulmonary Valve Pathology
124. Management of End-Stage Cardiomyopathy: Transplant Vs. Ventricular Assist Device
125. Coronary Stents
126. Cardiopulmonary Bypass
127. Off-Pump Coronary Artery Bypass and Minimally Invasive Direct Coronary Artery Bypass
128. Evaluation of the Coagulation System
129. Anticoagulation and Reversal for Cardiopulmonary Bypass
130. Aortic Stenosis
131. Mitral Regurgitation
132. Percutaneous Approaches to Valvular Disease: Transcatheter Aortic Valve Replacement (TAVR) and Transcatheter Mitral Valve Repair (TMVR)
133. Pacemakers
134. Automatic Internal Cardiac Defibrillators
135. Intraaortic Balloon Pump
136. Extracorporeal Membrane Oxygenation
137. Cardiovascular Opioids
Section 7D: Specialty Anesthesia: Thoracic
138. Intraoperative Wheezing: Etiology and Treatment
139. Anesthesia for Bronchoscopy
140. Double-Lumen Tracheal Tubes
141. One-Lung Ventilation and Methods of Improving Oxygenation
142. Bronchopleural Fistula
143. High-Frequency Ventilation: Physics, Physiology and Clinical Application Concept of High-Frequency Ventilators
144. Thoracotomy Pain Management
Section 8: Multispecialty Anesthesia: General Urologic ENT
145. Thermoregulation and Perioperative Hypothermia
146. The Anesthesiologist's Role in the Prevention of Surgical Site Infections
147. Anesthesia in the Patient with Extreme Obesity
148. Anesthetic Considerations for Weight Loss Surgery
149. Anesthetic Management of the Patient Undergoing Transurethral Resection of the Prostate
150. Extracorporeal Shock Wave Lithotripsy
151. Anesthesia for Laryngeal Surgery
152. Management of the Difficult Airway
153. Enhanced Recovery Pathways (ERAS)
Section 9: Anesthesia for Unique Situations
154. Monitored Anesthesia Care
155. Anesthesia for Patients Undergoing MRI Studies
156. Anesthesia for Patients Undergoing Electroconvulsive Therapy
157. Anesthesia for Patients with Myasthenia Gravis or Myasthenic Syndrome
158. Anesthesia for Endoscopic Procedures
159. Non-OR Anesthesia (Endo, Neuroradiology, Cath Lab)
160. Neurointerventional Radiology
161. Anesthesia for Patients with Diabetes Mellitus
162. Anesthesia for Patients with Thyrotoxicosis and Thyroid Storm
163. Anesthesia for Patients with Rheumatoid Arthritis
164. Anesthesia for Patients with Carcinoid Tumors
165. Anesthesia for Patients with Hepatocellular Disease
166. Anesthesia for the Patient Undergoing Liver Transplantation
167. Autonomic Dysreflexia
Section 10: Obstetric Anesthesia
168. Maternal Physiologic Changes in Pregnancy
169. Fetal Monitoring
170. Analgesia for Labor
171. Opioid Dependence and the Parturient
172. Preterm Labor: Tocolytics and Anesthetic Management
173. Hypertensive Disorders During Pregnancy and Related Syndromes
174. Anesthesia for Cesarean Section
175. Non-Obstetric Surgery in Pregnancy
176. Anesthesia for Fetal Surgery
177. Anesthesia for External Cephalic Version
178. Peripartum Hemorrhage
179. Anesthesia for Tubal Ligation
180. Maternal Diabetes: Neonatal Effects
Section 11: Pediatric Anesthesia
181. Impact of Anesthesia on Neural Development
182. Anesthetic Risks Associated with Prematurity
183. Meconium Aspiration and Meconium Aspiration Syndrome
184. Risks of General Anesthesia and Sedation Drugs in a Pediatric Patient
185. Neonatal Cardiovascular Physiology
186. Differences Between the Infant and Adult Airway
187. Fluid Management in Infants
188. Neuromuscle-Blocking Agents in Infants
189. Congenital Diaphragmatic Hernia
190. Congenital Pediatric Airway Problems
191. Congenital Heart Disease: Congestive Heart Failure
192. Other Neonatal Emergencies: Tracheo-Esophageal Fistula, Omphalocele
193. Neonatal Resuscitation
194. Pyloric Stenosis
195. Pediatric Breathing Circuits
196. Croup Versus Epiglottis
197. Sickle-Cell Anemia: Anesthetic Implications
198. Anesthesia for Patients with Trisomy 21 (Down Syndrome)
199. Pediatric Neuromuscular Disorders
200. Anesthesia for Patients with Myotonic Dystrophy
201. Regional Anesthesia and Pain Relief in Children
Section 12: Pain Medicine
202. Preemptive Analgesia and Postoperative Pain: The Transition from an Acute to A Chronic State
203. Perioperative Management of the Opioid Tolerant Patient
204. Patient-Controlled Analgesia
205. Neuraxial Opioids
206. Complex Regional Pain Syndrome
207. Postoperative Headache
208. Treatment of Cancer Related Pain
209. Postherpetic Neuralgia
210. Epidural Steroid Injection for Low Back Pain
211. Stellate Ganglion Block
212. Lumbar Sympathetic Blockade
213. Celiac Plexus Block
214. Spinal Cord Stimulation
Section 13: Critical Care Medicine
215. Hyperbaric Oxygen Therapy
216. Perioperative Glucose Control
217. Acute Lung Injury and Acute Respiratory Distress Syndrome
218. Pulmonary Hypertension
219. Management of Stroke
220. Acute Renal Failure
221. Systemic Inflammatory Response
222. Anesthesia for burn-injured patients
Section 14: Risk Management
223. Medical Ethics
224. Medicolegal Principles: Informed Consent
225. Medicolegal Principles: Medical Negligence
226. The ASA Closed Claims Project
227. Depth of Anesthesia
228. Patient Safety and Quality Management
229. Perioperative Pulmonary Aspiration
230. Eye and Dental Complications
231. Intraoperative Patient Positioning and Positioning Complications
232. Malignant Hyperthermia
233. Anaphylactic and Anaphylactoid Reactions
234. Central Line Safety
Section 15: Practice Management
235. ASA Practice Parameters
236. Value Based Payment Models
237. Perioperative Surgical Home
238. Licensure, Credentialing and Privileging
239. Board Certification, Recertification and Lifelong Learning
240. Professional Liability Insurance
241. Anesthesia Information Management Systems
242. Medical Coding and Payment Systems
243. Chemical Dependency in Anesthesia Personnel
Authors
Terence L. Trentman Professor and Chair, Department of Anesthesiology and Perioperative Medicine, Mayo Clinic Arizona. Terrence Trentman is the Chair of Anesthesiology at Mayo Clinic in Scottsdale and Professor of Anesthesiology at Mayo College of Medicine. Brantley D. Gaitan Assistant Professor of Anesthesiology. Bhargavi Gali Consultant & Assistant Professor of Anesthesiology. Rebecca L. Johnson Consultant & Assistant Professor of Anesthesiology, Department of Anesthesiology & Perioperative Medicine. Jeffrey T. Mueller Consultant & Assistant Professor of Anesthesiology, Department of Anesthesiology & Perioperative Medicine, Mayo Clinic Arizona. J. Ross Renew Department of Anesthesiology and Perioperative MedicineMayo Clinic College of Medicine. Toby N. Weingarten Consultant & Professor of Anesthesiology, Department of Anesthesiology and Perioperative Medicine. MD