The volume of elderly patients requiring anesthesia and surgery is growing rapidly. Thirty-five percent of surgeries are performed on patients older than 65 years, and in general, these patients have higher morbidity and mortality rates after anesthesia compared with their younger counterparts. One of the major challenges of treating elderly patients is the heterogeneity of the geriatric population-and the need to individualize care for each patient to provide the best outcome.

Airway management is the medical process of ensuring there is an open pathway between a patient's lungs and the outside world, as well as reducing the risk of aspiration. Airway management is a primary consideration in cardiopulmonary resuscitation, anesthesia, emergency medicine, intensive care medicine and first aid. Difficult airway (defined as more than three attempts, or taking longer than 10 minutes) is the major factor in anesthesia morbidity.

Because anesthesia and surgery affect every system in the body, there are many different forms of anesthesia. This issue will cover the risks to recovery of 6 major specialty areas in abdominal surgery, as well as major open and laparoscopic abdominal surgery.

New edition of a successful book of concise notes on clinical aspects of the examination for the Fellowship of the Royal College of Anaethetists. It has been fully updated to reflect changes in the examination syllabus. This will be an ideal revision guide for trainee anaesthetists sitting the FRCA and similar examinations. Concise notes for the clinical part of the FRCA Appendix covers the up to date syllabus for the examination Incudes appropriate guidelines and reports from the Association of Anaesthetists Each section ends with list of further reading

This quick reference guide, with its easy-to-use format, can be used as a revision tool for professional examinations as well as a tutorial aid for lecturers. It will, therefore, be an essential purchase for trainees and specialists in anaesthesia, intensive care and emergency medicine as well as providing continuing medical education for established senior staff. * Illustrative case scenarios to emphasize the safe, modern approach to a wide variety of problems in the field of paediatric anaesthesia and intensive care * Topics reflecting the scope of current practice with questions and answers * Key references for further reading

Complications in Neuroanesthesia focuses on complications that may arise related to neuroanesthesia practice and discusses its various causes. Each complication is written as a separate chapter, and the pathophysiology and mechanisms of each complication, as well as measures for diagnosis, treatment and prevention are discussed. Towards the end of the book, several case scenarios are provided to the readers that challenge readers to diagnose the possible complication for each case. Chapters include brain and spinal cord problems, cardiovascular and hematological problems, and nerve and muscle problems. Written in a standard format, Complications in Neuroanesthesia provides quick and easy access to understanding problems in neuroanesthesia. It provides insight into all possible complications occurring during perioperative management of neurosurgical and neurologic patients. It is useful for trainees, clinicians, and researchers in the fields of neurosurgery, neurocritical care, and neurology by providing an understanding of preventable mishaps that may occur in neurosurgical or neurologic patients.

Neurosurgical procedures are becoming more common and are taking place in the operating room and in interventional suites. Procedures that used to be performed only at major academic institutions are also being done in small community hospitals, and anesthesiologists in private practice are being asked to care for these patients. In many cases, treatment options are controversial or rapidly evolving. Close cooperation between the anesthesiologist and neurosurgeon is essential to achieve optimal outcomes and early recognition of any adverse events so appropriate therapy can be implemented. Fundamentals of Neuroanesthesia is a comprehensive guide to neuroanesthesia that discusses neurophysiology, neuroanatomy, and neurosurgical procedures and offers practical approaches and solutions to administering neuroanesthesia and providing perioperative care for neurosurgical patients. Chapters emphasize clinical management of neurosurgical problems that may be encountered in community practice as well as major academic medical centers. Highlighted key points, figures, algorithms, and management procedures supplement the text. This book is a must-have volume for general anesthesiologists, anesthesiology fellows, and subspecialists.

Advances in Anesthesia reviews the year's most important questions in anesthesiology. A distinguished editorial board identifies key areas of major progress and controversy and invites preeminent specialists to contribute original articles devoted to these topics. These insightful overviews in anesthesiology bring concepts to a clinical level and explore their everyday impact on patient care. Provides in-depth, clinical reviews in anesthesiology, providing actionable insights for clinical practice. Presents the latest information in the field under the leadership of an experienced editorial team; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews.

The current practice of medicine is largely moving toward applying an evidence-based approach. Evidence-based medicine is the integration of best research evidence using systematic reviews of the medical literature and then translating it into practice by selecting treatment options for specific cases based on the best research. Clinicians rely on the availability of evidence and accordingly take decisions to provide best treatment to their patients. Clinical management of neurologically compromised patients is challenging and varied; for this reason, treating physicians including neuroanesthesiologists are always in search of best available evidence for patient management and care. Essentials of Evidence-Based Practice of Neuroanesthesia and Neurocritical Care highlights the various controversies that exist in the practice of neuroanesthesia and provides conclusive evidence-based solutions. This comprehensive resource succinctly discusses evidence-based practice of neuroanesthesia based on systematic reviews in clinical neuroscience research. Topics include neurophysiology: ICP or CPP thresholds; neuropharmacology: intravenous or inhalational anesthetics; and neuromonitoring: ICP monitoring. Evidence-based practice is now an integral part of neuroscience, and this book will help residents and trainees gain knowledge to apply it to their practice. Endorsements/Reviews: "Evidence based practice is facilitating changes at a rapid pace in neuroanesthesia and neurocritical care practice. Its practice is exceedingly crucial in neuroanesthesia and neurocritical care considering the criticality of the neurologically sick patients, which leaves little or no room for error for an acceptable outcome in them. Patient management in Neuroanesthesia and neurocritical care has many contentious issues because of rapidly evolving changes in their management which require treatment guided by the latest available evidence in literature. Dr. Hemanshu Prabhakar is a strong proponent of evidence based practice for the management of neurologically ill patients both for surgical procedures and their management in neurointensive care unit. Undoubtedly, this book will be of enormous benefits to the students as well as teachers of neuroanesthesia and neurocritical care sub-specialties." -- Parmod Bithal, Editor-In-Chief, Journal of Neuroanaesthesiology and Critical Care (JNACC)

Elsevier now offers a series of derivative works based on the acclaimed Meylers Side Effect of Drugs, 15th Edition. These individual volumes are grouped by specialty to benefit the practicing physician or health care clinician.

A safe and efficient anesthesia practice requires appropriate drug knowledge. Catastrophes under anesthesia have focused attention on the interaction between drugs, including prescribed and non-prescribed medications, including interactions with vitamins, herbal preparations, traditional remedies, and food supplements.

This book summarizes the adverse effects of a large range of drugs used in anesthesia. The material is drawn from the 15th edition of the internationally renowned encyclopedia, Meyler s Side Effects of Drugs, and the latest volumes in the companion series, Side Effects of Drugs Annuals.

This volume is critical for any health professional involved in the administration of anesthesia.

Elsevier now offers a series of derivative works based on the acclaimed Meylers Side Effect of Drugs, 15th Edition. These individual volumes are grouped by specialty to benefit the practicing physician or health care clinician.

A safe and efficient anesthesia practice requires appropriate drug knowledge. Catastrophes under anesthesia have focused attention on the interaction between drugs, including prescribed and non-prescribed medications, including interactions with vitamins, herbal preparations, traditional remedies, and food supplements.

This book summarizes the adverse effects of a large range of drugs used in anesthesia. The material is drawn from the 15th edition of the internationally renowned encyclopedia, Meyler s Side Effects of Drugs, and the latest volumes in the companion series, Side Effects of Drugs Annuals.

This volume is critical for any health professional involved in the administration of anesthesia.

Surpasses the Physician s Desk Reference (c) by including clinical case studies and independent expert analysis

Complete index of drug names

Most complete cross referencing of drug-drug interactions available

The book is divided into three separate sections:

General Anesthetics A general introduction to their adverse effects, followed by monographs on individual inhalational and intravenous anesthetics.

Local Anesthetics A general introduction to their adverse effects including the adverse effects of different routes of administration, followed by monographs on individual local anesthetics.

Neuromuscular Blocking Agents and Muscle Relaxants - A general introduction to their adverse effects, followed by monographs on individual agents.

Drug names have usually been designated by their recommended or proposed International Non-proprietary Names (rINN or pINN); when those are not available, clinical names have been used. In some cases, brand names have been used."

Most of the developments in perioperative medicine the 20th century were focused on the establishment of standard monitors, biomarkers, and outcomes measures for the cardiovascular and respiratory systems, with marked improvements in perioperative safety. The fields of anesthesiology and perioperative medicine have now shifted to the consideration of the nervous system. Complications such as delirium, cognitive decline, anesthetic neurotoxicity, stroke and other devastating nervous system events are only now developing significant scientific and clinical attention. Yet there has been no single reference to serve as a guide for the clinician or the investigator in this area. Neurologic Outcomes of Surgery and Anesthesia fills this gap in perioperative medicine literature and provides a concise yet thorough overview of adverse outcomes involving the brain, spine, and peripheral nerves. Rather than being organized by type of operation, each chapter in this invaluable resource is devoted to a specific adverse outcome. Every outcome is reviewed in an easy-to-follow format that includes an introduction to the clinical problem, a section on incidence, prevalence, and outcomes, an assessment of risk factors, discussions of preventive strategies, treatment, and current recommendations, a conclusion, and references.

In collaboration with Consulting Editor, Dr. Lucky Jain, Drs. Hamrick and Ing have put together a comprehensive issue that provides current information of anesthesia, sedation, and pain control in the NICU and for mothers. Clinical review articles are devoted to the following topics: Anesthesia neurotoxicity in the developing brain: Basic studies; Anesthesia neurotoxicity: Update on clinical studies; Neurologic Injury after neonatal cardiac surgery; Effect of repetitive pain on developing brain and physiology of nociception; Sedation/pain control in the NICU; Assessment of Pain in the Newborn; Non-pharmacologic Approaches to Pain Management; Epidurals/spinals for newborn surgery; Neonatal airway management; Effects of maternal anesthesia on perinatal hemodynamics and neonatal acidemia; Maternal anesthesia for urgent c-section; Fetal anesthesia; Neonatal abstinence syndrome (Neonatal Opioid Withdrawal Syndrome); and Opioid crisis in the US: Maternal management. Readers will come away with the information they need to provide better care to the neonate and mothers and improve outcomes.

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.

Advances in Anesthesia highlights the year's significant medical advances, providing one source to review the essential information updates for the Anesthesiologist in that year. The distinguished editorial board, led by Dr. Thomas McLoughlin, includes Drs. Richard Dutton, Laurence Torsher, and Francis Salinas. The board has assembled a first-rate volume for 2018, with topics including care of the severely injured orthopedic patient, patient satisfaction, emergency preparedness and mass casualty considerations, anticoagulant reversal agents, perioperative blood pressure management, postoperative management of nausea and vomiting, anesthesia for noncardiac surgery in patients with implanted LVAD, neurocognitive impact of anesthesia in children, modalities and techniques for labor epidural analgesia and anesthesia, PECS and Serratus Plane Blocks, Transversus Abdominus Plane (TAP) Blocks, cardiac dysrhythmias, right heart failure and pulmonary hypertension, and risks of "non-rate based harms."

This book describes in fascinating detail the history of the use of anesthesia in childbirth and in so doing offers a unique perspective on the interaction between medical science and social values. Dr. Donald Caton traces the responses of physicians and their patients to the pain of childbirth from the popularization of anesthesia to the natural childbirth movement and beyond. He finds that physicians discovered what could be done to manage pain, and patients decided what would be done. Dr. Caton discusses how nineteenth-century physicians began to think and act like scientists; how people learned to reject the belief that pain and suffering are inevitable components of life; and how a later generation came to think that pain may have important functions for the individual and society. Finally he shows the extent to which cultural and social values have influenced "scientific" medical decisions.