This issue of Anesthesiology Clinics, edited by Dr. Michael T. Walsh in collaboration with Consulting Editor Lee Fleisher, is focused on Ambulatory Anesthesia. Topics in this issue include: Preoperative evaluation for ambulatory anesthesia; Obesity and obstructive sleep apnea in the ambulatory patient; Pediatric ambulatory anesthesia challenges; Safety in dental anesthesia for office-based practitioners; Office-based anesthesia; Regional anesthesia for the ambulatory anesthesiologist; Anesthesia for same-day total joint; Enhanced recovery in outpatient surgery; Outcomes in ambulatory anesthesia: Measuring what matters; ASC Medical director issues; NORA: Anesthesia in the GI suite; MACRA/MIPS/APM, etc: Payment issues in ambulatory anesthesia; Emergency response in the ASC; and Quality Improvement in ambulatory anesthesia.

This issue of Anesthesiology Clinics, edited by Drs. Maureen McCunn, Mohammed Iqbal Ahmed, and Catherine M. Kuza is dedicated to Cutting-Edge Trauma and Emergency Care. Topics in this issue include: Recognizing preventable death: the role of survival prediction algorithms; ATLS (R) Update 2019: Adult management and applications to pediatric trauma care; Induction agents in specific trauma situations: RSI versus 'slow sequence intubation': Considerations for cervical spine, massive facial trauma, and tracheal disruption; Hemorrhage control and the anesthesiologist: resuscitative endovascular occlusion (REBOA) and emergency perfusion resuscitation (EPR); TEG/ROTEM as a guide for massive transfusion of patients with life-threatening hemorrhage; The anesthesiologist's response to a multiple casualty-incident: our roles working through Hurricanes Irma and Harvey; When the provider becomes the victim: how to prepare for an active shooter in the trauma center; Non-accidental pediatric injuries, pediatric TBI, and sports concussions; Gender disparities in trauma care: how sex determines treatment, behavior, and the outcome; Pain management in trauma in the age of the opioid crisis; The use of point of care ultrasound (PoCUS) in trauma anesthesia care; Post-intensive care syndrome (PICS) and posttraumatic stress disorder (PTSD) in trauma patients; Enhanced recovery after surgery: Are ERAS principles applicable to adult and geriatric trauma and acute care surgery?; and Future trends in trauma care: lessons from current research and treatment strategies in the military.

This book presents current evidence in an Enhanced Recovery Programme context, and provides a common sense approach to using the array of available analgesia techniques appropriately in major abdominal surgery. Current pain relief options are discussed, many of which have been described only in the last ten years. Topics covered range from the now widespread use of portable ultrasound machines to an appreciation of the value of some older drugs in a new context. Analgesia for Major Abdominal Surgery is aimed at anesthetists, acute pain teams, and acute pain nurses, as well as colorectal, hepatobiliary, urological and gynecological surgeons.

This issue of Anesthesiology Clinics focuses on Practice Management, with topics including: Measuring Clinical Productivity; OR Throughput and Efficiency; Measuring Quality of Individual Anesthesia Clinicians; Challenges in outcome reporting; Reporting Quality; Quality and The Health System; Value Proposition and Anesthesiology; Bundled Payments and the Hidden Costs; Pre-Anesthesia Assessment and Pre-Facilitation Process; Perioperative Surgical Home and the Role of Pain Medicine; Anesthesiology's future with Population Health; Successful Negotiations; and Challenges of merging academic and private-practice cultures.

This book describes the pathophysiological significance of the hemodynamic monitoring parameters available to the clinician and their role in providing reliable and reproducible information on the cardiocirculatory status of a patient in shock. It is explained how measurements of these parameters enable the intensivist to understand the patient's condition and to make more informed treatment decisions in order to optimize the hemodynamic status and improve the prognosis. Full guidance is provided on measurement of intravascular blood pressures, cardiac output, and derived variables. Methods of cardiac output determination based on the classical pulmonary thermodilution, transpulmonary thermodilution, echocardiography, and Doppler techniques are reviewed. Techniques based on calibrated and non-calibrated pulse contour analysis are discussed, with attention to their limitations. Furthermore, the dynamic indices of fluid responsiveness, their clinical applications, and issues related to their use are addressed. Care is also taken to explain the physiological concepts underlying various devices used by anesthesiologists and intensivists.

This issue of Anesthesiology Clinics focuses on Quality Improvement and Implementation Science, with topics including: Applying implementation science principles to perioperative care; Emergency checklists in perioperative care; Human factors applied to perioperative process improvement; Handoffs in perioperative care; Use of simulation in performance improvement; Developing capacity to do improvement science work; Developing multicenter registries to advance quality science; Rethinking clinical workflow; data-driven quality improvement; and Scaling quality improvement at the health system level.

This issue of Anesthesiology Clinics focuses on Transplantation. Editors Aman Mahajan and Christopher Wray have assembled an expert team of authors on topics such as: Immunology and Pharmacology of Transplantation; Infectious Diseases and Malignancies in Transplantation; Anesthesia Management of the Organ Donor; Transfusion Medicine and Coagulation Management in Organ Transplantation; Pediatric Transplantation; Anesthesia for Kidney and Pancreas Transplantation; Anesthesia for Heart Transplantation; Anesthesia for Lung Transplantation; Anesthesia for Liver Transplantation; Anesthesia for Small Bowel and Multivisceral Transplantation; Anesthesia for hand and face transplantation; Anesthesia considerations in Transplant recipients for Non-transplant surgery.

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.

This issue of Anesthesiology Clinics covers Medically Complex Patients. Topics: The Anesthesia Patient with Concomitant Cardiac and Pulmonary Disease; Anesthesia for the Patient with Concomitant Hepatic and Renal Impairment; Anesthesia for Patients with Concomitant Cardiac and Hematologic Disorders; Surgical Critical Care for the Trauma Patient with Cardiac Disease; Surgical Critical Care for the Patient with Sepsis and Multiple Organ Dysfunction; Anesthesia for Patients with Concomitant Cardiac and Renal Dysfunction; Anesthesia for Medically Complex Patients with Anemia; and more!

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.

This comprehensive textbook, covering all aspects of the perioperative management of patients undergoing organ transplantation, serves as the standard reference for clinicians who care for transplant patients on a day-to-day basis as well as those who encounter organ transplantation only occasionally in their clinical practice. Anesthesia and Perioperative Care for Organ Transplantation covers transplantation of the heart, lung, liver, pancreas, and kidney, as well as multivisceral and composite tissue graft transplantations. For each kind of transplantation, the full spectrum of perioperative considerations is addressed: preoperative preparation, intraoperative anesthesia management, surgical techniques, and postoperative care. Each chapter contains evidence-based recommendations, relevant society guidelines, management algorithms, and institutional protocols as tables, flow diagrams, and figures. Photographs demonstrating surgical techniques, anesthesia procedures, and perfusion management are included. Anesthesia and Perioperative Care for Organ Transplantation is for anesthesiologists and critical care physicians; transplantation surgeons; nurse anesthetists; ICU nurses; and trainees.

The aim of this book is to provide a concise and understandable review of the physics, mathematics, statistics, physiology and pharmacology of anaesthesia. A revised edition of a book originally titled Anaesthetic Data Interpretation, the new title better reflects the contents of the book. There are several additional chapters relevant to the Primary FRCA examination. New topics covered include the ventilatory response to oxygen and carbon dioxide, which is now a core knowledge requirement, new concepts in cardiovascular physiology, receptor types and the molecular actions of anaesthetics. Some of the revisions reflect advances in technology; for example, the uses of the capnograph and the oxygen analyser have advanced considerably in recent years. Basic Science for Anaesthetists is a concise and informative text which will be invaluable for trainee anaesthetists, and an aid to teaching for the trainers.

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

Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. Understand the anesthetic management challenges of the obstetric patient with this complete primer and reviewObstetric Anesthesia is a clear, concise, and practical manual covering the basics of obstetric anesthesiology and the principles of basic management at the point of care. This essential introductory text covers the fundamental topics in an efficient and highly clinical manner. Numerous tables, bulleted lists, and text boxes highlight key issues such as common co-existing diseases and conditions that may affect anesthetic management. Obstetric Anesthesia features thirty chapters grouped into six logical sections: Pregnancy Providing Anesthesia Anesthetic Complications Obstetric Complications Common Co-Morbidities During Pregnancy Trauma During Pregnancy Enriched by contributions from practicing obstetrical anesthesiologists and renowned instructors, Obstetric Anesthesia includes the most up-to-date practice guidelines. It is a valuable clinical refresher and an outstanding board review.

In light of evolving techniques and strategies for increasingly complex orthopedic procedures, this accessible guide to patient management outlines the considerations involved in selecting the most suitable anesthetic for both common and complex clinical scenarios. Chapters cover a multitude of clinical presentations and procedures, ranging from orthopedic trauma to total joint replacement, outpatient hand procedures and regional anesthetic placement in patients with pre-existing conditions. Each chapter discusses and evaluates multiple approaches, accompanied by a review of the current literature. Abundant case scenarios of patients undergoing orthopedic surgical or regional anesthesia provide a handy framework for specialists and consultants, as well as an invaluable guide for trainees in anesthesia, regional anesthesia and emergency medicine.

Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. Sharpen your clinical decision-making skills with this concise handbook of anesthesia care for childrenWritten by the pediatric anesthesia faculty at Columbia University Medical Center, Handbook of Pediatric Anesthesia is a succinct guide to the practice of clinical anesthesia in neonates, infants, children, and adolescents. Each of the 89 chapters is devoted to a specific illness or disorder and is presented in a consistent, easy-access design. Every chapter includes a case description, perioperative considerations, anesthetic management, postoperative considerations, controversies, and surgical concerns for the illness discussed. Covering the entire breadth of the specialty, Handbook of Pediatric Anesthesia is an outstanding introductory text and an essential review for pediatric anesthesia board certification and recertification. It is especially valuable to residents and trainees as well as practicing anesthesiologists who do not manage pediatric cases on a regular basis. The book concludes with detailed appendices, including a Pediatric Critical Event Checklist and a Pediatric Drug Guide.

A concise overview of the core principles of pharmacology that are essential to the practice of anesthesia

Presented in full color, and enhanced by more than 100 tables and 175 full-color illustrations, "Clinical Pharmacology for Anesthesiology" incorporates the latest research to characterize drug behavior at the point of care and offers a concise summary of what anesthesia care providers must know about the drugs they use in everyday practice.

"Clinical Pharmacology for Anesthesiology" utilizes a highly visual approach that translate complex mathematical expressions of drug performance into clear presentations designed to assist the practicing anesthesia care provider. Where appropriate and supported by published models, computer simulations are used throughout the book to illustrate drug concentrations, predictions of selected drug effects, and interactions between various classes of anesthetic drugs that result from various dosing regimens.

Features Applies clinical pharmacology principles to patient care, focusing on how anesthetic drugs interact with one another in regards to analgesia, sedation, and hypnosis. Delivers a concise overview of anesthetics and other drugs (diuretics, aniemtics, antiseizure medications, etc.) used in the perioperative environment Describes how patient covariates, such as body weight, blood loss, and age influence drug behavior Incorporates the use of computer simulations to visually present drug concentration and effects for selected anesthetic techniques in premedication, induction, maintenance, emergence, and sedation Includes simulations of sample anesthetic techniques for various challenging surgical procedures

Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. AN ENGAGINGLY WRITTEN EXPLANATION OF THE ESSENTIAL EQUIPMENT USED IN ANESTHESIOLOGYThe goal of Anesthesia Equipment Simplified is to provide the technical background necessary to ensure the safe and effective use of the basic equipment used by the anesthetist. Written in an enjoyable, conversational style, this unique text makes technical details easy to understand and remember. Emphasizing clinical utility rather than academic discussion, Anesthesia Equipment Simplified clarifies every important aspect of anesthesia machines, monitoring equipment, and other key technologies in anesthesia practice and also includes detailed advice on how to troubleshoot and prevent malfunctions. You will find valuable chapters on: All components of the anesthesia machine Breathing systems Hemodynamic monitoring equipment Noncardiovascular monitoring equipment Anesthesia equipment for magnetic resonance imaging Electricity and electrical safety in the operating room New developments No other text so interestingly, clearly, and expertly demystifies the basic equipment used by the anesthesiologist like Anesthesiology Equipment Simplified. It will also serve as a valuable review for the anesthesia board and in-training examinationsas it offers comprehensive coverage of all the basic equipment topics that appear on those exams.

The I-Gel supraglottic airway is a diposable, latex-free device for airway management during anaesthesia. The design of this device is significantly different from the previously used devices, notably laryngeal mask airways. Its bowl is made of a soft, non-inflatable thermoplastic elastomer, anatomically preformed to mirror the perilaryngeal structure. The I-Gel contains an additional epiglottis rest, which helps to prevent the epiglottis from down-folding or obstructing the laryngeal inlet. The device also includes a gastric channel, allowing drainage of air and gastric contents or passage of a gastric tube. This book provides a brief history of airway management and the classification of supraglottic airway devices; the mechanisms and forces contributing to their seal, and highlights the main differences between the devices. Also discussed is the process of I-Gel development including an initial mannequin and cadaver studies, with a description of the I-Gel's use in clinical practice, indications and description of its use in the operating room, and use of the I-Gel in different surgical subspecialities including laparoscopic procedures.

Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. A PRACTICAL QUICK-REFERENCE GUIDE TO CLINICAL ANESTHESIOLOGY--PERFECT FOR THE OR AND ICUThis carry-anywhere handbook is concise yet comprehensive, adeptly coveringthe wide range of topics encountered in the practice of anesthesiology. It is the perfect learning tool for trainees and an outstanding reference for experienced anesthesiologists. Presented in full color, The Anesthesia Guide utilizes numerous illustrations, diagrams, tables, and algorithms to impart must-know information on how specific cases should be managed. Coverage includes drug dosages, monitoring, complications, and clinical pearls. An international team of contributors ensures coverage of topics from a global perspective. The Anesthesia Guide is divided into thirteencolor-coded sections for ease of reference: Preoperative Coexisting Disease Monitoring General Anesthesia Specific Procedures Cardiovascular and Thoracic Neuro Regional Acute Pain Pediatrics Obstetrics Critical Care Rapid Reference (includes important formulae, commonlyused phrases in anesthesiology, BLS, ACLS, PALS, and management of malignant hyperthermia)

Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. Maximize your anesthesiology exam score!This powerful, results-oriented study guide delivers everything you need to improve your knowledge, confidence, and recall. Featuring a rigorous quick-hit Q&A format consisting of short clinical questions with briefanswers, this is truly your most effective weapon when preparing for the anesthesiology in-service and board exams. The unique question and single-answer format of Anesthesiology Board Review eliminates theguesswork associated with traditional multiple-choice Q&A reviews and reinforces only the answers you need to know on exam day. With content following the anesthesiology board exam blueprint, emphasis is placed on distilling key facts and clinical pearls essential for exam success. Thishigh-yield review is the perfect complement to larger texts and delivers an intense, streamlined review in the days and weeks before the exam. 3,500+ rapid-fire questions covering more than 95 percent of the key words from 2006 to 2011 NEW questions throughout the book with thoroughly updated chapters NEW chapter organization aligns with exam blueprint to streamline studying Great review for ITE, the Anesthesiology Boards, and MOCA GET THE HIGHEST SCORE POSSIBLE WITH: BULL'S-EYE HITS on anesthesiology exam topics--the meaningful and the frequently tested TOOLS TO IMPRINT YOUR MEMORY such as pearls, mnemonics, visual imagery, and other tested learning aids RAPID-FIRE Q&A PRESENTATION that maximizes your study time NO CONFUSING WRONG ANSWERS to clutter your memory

Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. What every resident and practicing anesthesiologist needs to know about thoracic anesthesia-in one concise handbook Thoracic Anesthesia is the definitive introduction for anesthesiologists in training and the must-have reference for anesthesiologists who do not practice thoracic anesthesia exclusively. Here, you'll find a current, detailed review of the basic, need-to-know concepts of thoracic anesthesia, along with clear, practical suggestions for handling commonly encountered scenarios. Written by top specialists in the field, the book is filled with high-yield insights into such pivotal topics as respiratory physiology, pulmonary pharmacology, imaging, one-lung ventilation, and postoperative care. FEATURES The ultimate thoracic anesthesia primer, designed for residents and experienced anesthesiologists/nurse anesthetists who must meet the growing demand for skilled practitioners in the thoracic operating room Comprehensive, yet concise presentation and compact format make the text a perfect at-a-glance reference in the OR Acknowledged experts in each topic area review key concepts that clarify a given condition-and summarize the best management strategies for delivering safe and effective perioperative care to thoracic surgical patients Focus on the major principles of thoracic anesthesia covers chest physiology, mechanisms of pain, biology of chest malignancies, and lung separation techniques Chapter on practice improvement and patient safety highlights the delivery of modern, high-quality perioperative thoracic care through a multi-disciplinary, team approach Top-to-bottom coverage of the latest thoracic anesthesia techniques and procedures: Preoperative risk stratification, Closed thorax procedures, Lung resections for cancer and benign chest tumors, Extrapleural pneumonectomy, Pericardial window procedures, Esophageal cancer operations, Bronchopleural fistula, Lung transplantation, Thoracic trauma management Special chapter on anesthesia for pediatric thoracic surgery presents the most current clinical perspectives that help you achieve positive outcomes even in the most challenging pediatric cases Section on postoperative management of thoracic surgical patients thoroughly reviews routine postoperative care as well as how to handle respiratory, renal, and cardiovascular complications, and both acute and chronic post thoracotomy pain