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One of the anesthesiologist’s greatest challenges is managing high-risk patients with acute or severe conditions. This issue brings the anesthesiologist up to date on the most important and latest approaches to management of the sickest of patients. Topics covered include managing the patient with sepsis or septic shock; anesthetic considerations for patients in respiratory failure; anesthetic concerns in patients presenting with renal failure; perioperative management of patients with liver failure; management of acute coronary syndrome in the OR; intraoperative concerns in patients presenting with sever aortic stenosis, aortic insufficiency, mitral regurgitation, or mitral stenosis; intraoperative management of patients with cardiac tamponade; anesthetic concerns in trauma victims requiring operative intervention; patients presenting with acute toxin indigestion; anesthetic concerns in patients with known neurologic insufficiency; management of endocrine insufficiency in the OR; and management of patients with mediastinal mass or tracheal stenosis.
This issue of Anesthesiology Clinics focuses on Preoperative Evaluation.Topics will include: Preoperative Clinics, Consultations,Informed Consent/Shared Decision Making, Preoperative Labs,Evaluation of Major Organ Systems, Special Considerations, and Innovative treatment/preparation programs
This issue of Anesthesiology Clinics focuses on Anesthesia Out of the Operating Room. Editors Mark Weiss and Wendy Gross have assembled an expert team of authors on topics such as: A Changing Landscape: Demands of Integrated Care Delivery: Interventional Medicine and Anesthesiology: Engineering Challenges and Interdisciplinary Teamwork; Organizational Infrastructure: Attaining and Teaching Clinical Excellence. Improvement across specialties by implementing an “Institute mentality in the clinical arena; Quality: Who’s rules apply?; Electronic Health Records; Monitoring; Interventional Radiology (NOT RADIATION): (Safety/Tumor Ablation/Adult radiology/ equipment); Approaches to Vascular Disease; Cath Lab: Structural Heart Disease, Devices and TAVR; EP Lab; Cardioversions and TEEs; Upper GI EGD and new procedures; Colonoscopy and new procedures anesthesiologist and GI person; Endoscopic Surgery, repair of surgical procedures, bariatric procedures; Interventional Pulmonology; Pediatrics; Market Evaluation; Finances, Bundled Payments and ACOs; Competitive Strategy or Joint Venture Finance: potential threats and likely future scenarios.
Now for the first time, a new diagnosis and treatment guide with even more focus on the most commonly encountered disorders than ever before. All major internal medicine diseases and disorders are covered in this new succinct evidence-based guide to treatment and diagnosis in internal medicine. Organized by body system, and focused on critical cor
Ambulatory anesthesia is used for surgical procedures where the patient does not need to stay overnight in the hospital. The same anesthetics that are used in the operating room setting are used in the ambulatory setting, including general, regional and local anesthetics. Sedation anesthetics are also given in the ambulatory setting. This issue will cover best practices and procedures for perioperative care, regional anesthesia, pediatric anesthesia, administering office anesthesia, and more.
In this issue of Anesthesiology Clinics, guest editor Dr. Shamsuddin Akhtar brings his considerable expertise to the topic of Geriatric Anesthesia. Top experts in the field cover key topics such as cardiovascular changes in the elderly; perioperative pulmonary complications in the elderly; frailty, sarcopenia, aging, and perioperative outcomes; perioperative delirium; and more. - Contains 18 relevant, practice-oriented topics including central nervous system changes in the elderly: new Insights; data science and geriatric anesthesia research: opportunity and challenges; aging, COVID, and perioperative care; balancing efficiency, empathy, safety, and quality; pain management in the elderly; and more. - Provides in-depth clinical reviews on geriatric anesthesia, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
This issue of Anesthesiology Clinics, edited by Dr. Karsten Bartels and Dr. Stefan Dieleman in collaboration with Consulting Editor Dr. Lee Fleisher, focuses on Cardiothoracic Anesthesia and Critical Care. Topics in this issue include: Anesthetic Management for Endovascular Repair of the Thoracic Aorta; Ethical Considerations for Mechanical Support; Modulating Perioperative Ventricular Excitability; Echocardiography Education for Anesthesia Trainees; Mitochondrial Dysfunction After Cardiac Surgery; New Approaches to Perioperative Right Ventricular Assessment; New Techniques for Optimization of Donor Lungs/Hearts; Recent Developments in Catheter-Based Cardiac Procedures; Heart Failure in Adults with Congential Heart Disease; Optimizing Perioperative Blood and Coagulation Management During Cardiac Surgery; Advances in the Prevention of AKI Following Cardiac Surgery; Clinical Trials That Should be Done in Cardiac Anesthesia; and Cardiac Surgery and the Blood-Brain Barrier.
The clinical practice of anesthesia has undergone many advances in the past few years, making this the perfect time for a new state-of-the-art anesthesia textbook for practitioners and trainees. The goal of this book is to provide a modern, clinically focused textbook giving rapid access to comprehensive, succinct knowledge from experts in the field. All clinical topics of relevance to anesthesiology are organized into 29 sections consisting of more than 180 chapters. The print version contains 166 chapters that cover all of the essential clinical topics, while an additional 17 chapters on subjects of interest to the more advanced practitioner can be freely accessed at www.cambridge.org/vacanti. Newer techniques such as ultrasound nerve blocks, robotic surgery and transesophageal echocardiography are included, and numerous illustrations and tables assist the reader in rapidly assimilating key information. This authoritative text is edited by distinguished Harvard Medical School faculty, with contributors from many of the leading academic anesthesiology departments in the United States and an introduction from Dr S. R. Mallampati. This book is your essential companion when preparing for board review and recertification exams and in your daily clinical practice.
This is the second edition of the 2014 bestselling medical-legal novel. Dr. Nico Antone, an anesthesiologist at Stanford University, is married to Alexandra, a high-powered real estate agent obsessed with money. Their son, Johnny, an 11th-grader with immense potential, struggles to get the grades he'll need to attend an Ivy League college. After a screaming match with Alexandra, Nico moves himself and Johnny from Palo Alto, California, to his frozen childhood home of Hibbing, Minnesota. The move helps Johnny improve his grades and thus seem more attractive to universities, but Nico loves the freedom from his wife. Hibbing also happens to be the hometown of music icon Bob Dylan. Joining the hospital staff, Nico runs afoul of a psychotic nurse anesthetist who calls himself Bobby Dylan, who plays Dylan songs twice a week in a bar called Heaven's Door, and who believes he is the real Bob Dylan. As Nico and Johnny settle in at Hibbing, their lives turn around, until the soulless Alexandra dies, which accelerates the downfall of Dr. Antone, who is accused of her murder. The medical realism and subsequent courtroom realism and big university atmosphere versus small Minnesota town make this novel ring true. The author's medical expertise is central to the plot, and the author's career as a medical expert witness brings sizzling energy to the concluding courtroom scenes.
One major by-product of the aging baby-boom generation has been a surging interest in cosmetic surgery. Out-patient cosmetic surgery clinics have sprouted up in droves all over the U.S., and the number of cosmetic procedures performed in 2005 increased by over 95% from the previous year. Although procedures like facelifts and abdominoplasties (the 'tummy-tuck') are considered minimally invasive, the anesthetic protocols and regimens here are often overly complex and unnecessarily toxic. Major complications involving anesthesia in this (and any other) surgical milieu can range from severe post-operative nausea and vomiting (PONV) to neuromuscular spasticity to mortality. The mortality spectrum of things may be rare, but there have been many cases in which perfectly healthy cosmetic surgery patients require emergency intervention due to a severe complication involving anesthesia. In recent years, many new anesthetic protocols have been developed to reduce the incidence of PONV and other complications, while ensuring that effective pain management and level of 'un-awareness' during surgery is always maintained.