Addressing both routine and complex situations with practical decision-making tools, Evidence-Based Practice of Anesthesiology, 4th Edition, helps anesthesiologists make sound decisions in everyday practice. World-renowned authority, Dr. Lee A. Fleisher, takes an evidence-based approach to a variety of high-impact topics related to effective perioperative patient management: preoperative assessment; monitoring and administration of anesthesia during surgery; postoperative intensive care management; and postoperative pain management. The 4th Edition has been updated from cover to cover, helping you make informed clinical decisions based on reliable, up-to-date guidance in every aspect of patient care.
Explores important issues in perioperative management, discussing the available options, examining the relevant research, and presenting practical recommendations.
Features concise, to-the-point chapters with numerous quick-reference tables for fast and effective decision making.
Includes decision trees throughout to provide visual guidance and a logical flow of key decision points.
Contains nine new chapters on how to identify patients at risk for postoperative neurocognitive disorder; the best strategy for perioperative ACE and ARB agents; emergency laparotomy; optimal postoperative analgesia and the opiate naïve patient; the best method for perioperative handoffs; myocardial injury after non-cardiac surgery (MINS); and more.
Helps you master the current best practices you need to know for successful day-to-day practice and oral board review.
1. Cover image - p. Cover 2. Title page - p. ii 3. Table of Contents - p. iii 4. Evidence-Based Practice of Anesthesiology - p. iii 5. Copyright - p. iii 6. DEDICATION - p. iii 7. Contributors - p. iii 8. Preface - p. iii 9. Foreword - p. iii 10. List of Illustrations - p. iii 11. List of Tables - p. iii 12. Chapter 1: Evidence-Based Practice Parameters: The Approach of the American Society of Anesthesiologists - p. iii 13. Chapter 2: Is a Preoperative Screening Clinic Cost-Effective? - p. iii 14. Chapter 3: Which Patient Should Have a Preoperative Cardiac Evaluation (Stress Test)? - p. iii 15. Chapter 4: Should Patients With Stable Coronary Artery Disease Undergo Prophylactic Revascularization Before Noncardiac Surgery? - p. iii 16. Chapter 5: Reducing Risk for Perioperative Stroke - p. iii 17. Chapter 6: How Should We Identify Patients at Risk for Postoperative Neurocognitive Disorder? - p. iii 18. Chapter 7: Update on Preprocedure Testing - p. iii 19. Chapter 8: Is Routine Preoperative Pregnancy Testing Necessary? - p. iii 20. Chapter 9: Should Preoperative Brain Natriuretic Peptide (BNP) Be Measured Routinely? - p. iii 21. Chapter 10: How Should We Prepare the Patient With a Pacemaker/Implantable Cardioverter-Defibrillator? - p. iii 22. Chapter 11: What Are the Role and Management of Percutaneous Coronary Intervention for Noncardiac Surgery? - p. iii 23. Chapter 12: Should All Antihypertensive Agents Be Continued Before Surgery? - p. iii 24. Chapter 13: Best Strategy for Perioperative Angiotensin-Converting Enzyme-Inhibitor (ACE-I) and Angiotensin II Receptor Blocker (ARB) Therapy Prior to Noncardiac Surgery - p. iii 25. Chapter 14: How Should Beta-Blockers Be Used Perioperatively? - p. iii 26. Chapter 15: Are Alpha-2 Agonists Effective in Reducing Perioperative Renal Injury? - p. iii 27. Chapter 16: Does the Airway Examination Predict Difficult Airway Management? - p. iii 28. Chapter 17: Do Checklists Improve Emergency Management? - p. iii 29. Chapter 18: Is There an Optimal Timing for Smoking Cessation? - p. iii 30. Chapter 19: Is There a Best Approach for Patients With Difficult Airways: Regional Versus General Anesthesia? - p. iii 31. Chapter 20: Do Inhalational Agents Have Beneficial Effects on Cardiac Ischemia-Reperfusion Injury? - p. iii 32. Chapter 21: Does Anesthetic Choice Affect Surgical and Recovery Times? - p. iii 33. Chapter 22: Aspiration: Understanding the Risks and Optimizing Management - p. iii 34. Chapter 23: Emergency Laparotomy - p. iii 35. Chapter 24: When Are Platelet and Plasma Transfusion Indicated? - p. iii 36. Chapter 25: What Is the Role of Ketaminein Perioperative Management? - p. iii 37. Chapter 26: When Should Perioperative Glucocorticoid Replacement Be Administered? - p. iii 38. Chapter 27: Does the Choice of Fluid Matter in Major Surgery? - p. iii 39. Chapter 28: What Are the Benefits of Different Ventilatory Techniques? - p. iii 40. Chapter 29: What Is the Best Strategy for Prevention of Postoperative Nausea and Vomiting? - p. iii 41. Chapter 30: Is There an Optimal Perioperative Hemoglobin? - p. iii 42. Chapter 31: Does Perioperative Hyperglycemia Increase Risk? Should We Have Aggressive Glucose Control Perioperatively? - p. iii 43. Chapter 32: What Is the Best Means of Preventing Perioperative Renal Injury? - p. iii 44. Chapter 33: Is Nitrous Oxide Associated With Outcome? - p. iii 45. Chapter 34: Should Targeted Temperature Management Be Used Routinely After Intraoperative Cardiac Arrest? - p. iii 46. Chapter 35: Fast-Track Cardiac Anesthesia: A Vital Core of Perioperative Cardiac Surgery Programs - p. iii 47. Chapter 36: Can We Prevent Recall During Anesthesia? - p. iii 48. Chapter 37: Nonsteroidal Antiinflammatory Drugs, Antiplatelet Medications, and Spinal Axis Anesthesia - p. iii 49. Chapter 38: Deep Vein Thrombosis Prophylaxis With Heparin and Heparin-Like Drugs Used in Combination With Neuraxial Anesthesia and Deep Plexus Blocks - p. iii 50. Chapter 39: Is There a Best Analgesic Technique for Hip Surgery? - p. iii 51. Chapter 40: Should Regional Anesthesia Be Used for Orthopedic Trauma Patients? - p. iii 52. Chapter 41: Is There a Best Technique to Decrease Blood Loss and Transfusion After Coronary Artery Bypass Grafting? - p. iii 53. Chapter 42: Is There a Best Technique in the Patient With Increased Intracranial Pressure? - p. iii 54. Chapter 43: What Works for Brain Protection? - p. iii 55. Chapter 44: Optimal Intraoperative Technique to Prevent Postoperative Delirium - p. iii 56. Chapter 45: What Actions Can Be Used to Prevent Peripheral Nerve Injury? - p. iii 57. Chapter 46: Which Are the Best Techniques for Reducing the Incidence of Postoperative Deep Vein Thrombosis? - p. iii 58. Chapter 47: Does Neurologic Electrophysiologic Monitoring Affect Outcome? - p. iii 59. Chapter 48: Anesthesia for Cesarean Delivery—Regional or General? - p. iii 60. Chapter 49: When Should a Combined Spinal–Epidural Be Used? - p. iii 61. Chapter 50: What Is the Optimal Management of Postdural Puncture Headache? - p. iii 62. Chapter 51: Does Anesthesia Increase the Risk to the Parturient Undergoing Nonobstetric Surgery? - p. iii 63. Chapter 52: Does Labor Analgesia Affect Labor Outcome? - p. iii 64. Chapter 53: When Should Regional Anesthesia Be Used in Pediatric Patients? - p. iii 65. Chapter 54: How Young Is the Youngest Infant for Outpatient Surgery? - p. iii 66. Chapter 55: What Works in a Patient With Acute Respiratory Distress Syndrome? - p. iii 67. Chapter 56: Optimal Discharge Strategy - p. iii 68. Chapter 57: What Drugs Decrease Perioperative Bleeding? - p. iii 69. Chapter 58: What Must I Consider to Safely Anesthetize Someone in the Office Setting? - p. iii 70. Chapter 59: Optimal Postoperative Analgesia for the Opiate-Tolerant Patient - p. iii 71. Chapter 60: Optimal Postoperative Analgesia for the Opiate-Naïve Patient - p. iii 72. Chapter 61: What Is the Best Method for Perioperative Handoffs? - p. iii 73. Chapter 62: Myocardial Injury After Noncardiac Surgery - p. iii 74. Index - p. iii
Addressing both routine and complex situations with practical decision-making tools, Evidence-Based Practice of Anesthesiology, 4th Edition, helps anesthesiologists make sound decisions in everyday practice. World-renowned authority, Dr. Lee A. Fleisher, takes an evidence-based approach to a variety of high-impact topics related to effective perioperative patient management: preoperative assessment; monitoring and administration of anesthesia during surgery; postoperative intensive care management; and postoperative pain management. The 4th Edition has been updated from cover to cover, helping you make informed clinical decisions based on reliable, up-to-date guidance in every aspect of patient care.
Explores important issues in perioperative management, discussing the available options, examining the relevant research, and presenting practical recommendations.
Features concise, to-the-point chapters with numerous quick-reference tables for fast and effective decision making.
Includes decision trees throughout to provide visual guidance and a logical flow of key decision points.
Contains nine new chapters on how to identify patients at risk for postoperative neurocognitive disorder; the best strategy for perioperative ACE and ARB agents; emergency laparotomy; optimal postoperative analgesia and the opiate naïve patient; the best method for perioperative handoffs; myocardial injury after non-cardiac surgery (MINS); and more.
Helps you master the current best practices you need to know for successful day-to-day practice and oral board review.
1. Cover image - p. Cover 2. Title page - p. ii 3. Table of Contents - p. iii 4. Evidence-Based Practice of Anesthesiology - p. iii 5. Copyright - p. iii 6. DEDICATION - p. iii 7. Contributors - p. iii 8. Preface - p. iii 9. Foreword - p. iii 10. List of Illustrations - p. iii 11. List of Tables - p. iii 12. Chapter 1: Evidence-Based Practice Parameters: The Approach of the American Society of Anesthesiologists - p. iii 13. Chapter 2: Is a Preoperative Screening Clinic Cost-Effective? - p. iii 14. Chapter 3: Which Patient Should Have a Preoperative Cardiac Evaluation (Stress Test)? - p. iii 15. Chapter 4: Should Patients With Stable Coronary Artery Disease Undergo Prophylactic Revascularization Before Noncardiac Surgery? - p. iii 16. Chapter 5: Reducing Risk for Perioperative Stroke - p. iii 17. Chapter 6: How Should We Identify Patients at Risk for Postoperative Neurocognitive Disorder? - p. iii 18. Chapter 7: Update on Preprocedure Testing - p. iii 19. Chapter 8: Is Routine Preoperative Pregnancy Testing Necessary? - p. iii 20. Chapter 9: Should Preoperative Brain Natriuretic Peptide (BNP) Be Measured Routinely? - p. iii 21. Chapter 10: How Should We Prepare the Patient With a Pacemaker/Implantable Cardioverter-Defibrillator? - p. iii 22. Chapter 11: What Are the Role and Management of Percutaneous Coronary Intervention for Noncardiac Surgery? - p. iii 23. Chapter 12: Should All Antihypertensive Agents Be Continued Before Surgery? - p. iii 24. Chapter 13: Best Strategy for Perioperative Angiotensin-Converting Enzyme-Inhibitor (ACE-I) and Angiotensin II Receptor Blocker (ARB) Therapy Prior to Noncardiac Surgery - p. iii 25. Chapter 14: How Should Beta-Blockers Be Used Perioperatively? - p. iii 26. Chapter 15: Are Alpha-2 Agonists Effective in Reducing Perioperative Renal Injury? - p. iii 27. Chapter 16: Does the Airway Examination Predict Difficult Airway Management? - p. iii 28. Chapter 17: Do Checklists Improve Emergency Management? - p. iii 29. Chapter 18: Is There an Optimal Timing for Smoking Cessation? - p. iii 30. Chapter 19: Is There a Best Approach for Patients With Difficult Airways: Regional Versus General Anesthesia? - p. iii 31. Chapter 20: Do Inhalational Agents Have Beneficial Effects on Cardiac Ischemia-Reperfusion Injury? - p. iii 32. Chapter 21: Does Anesthetic Choice Affect Surgical and Recovery Times? - p. iii 33. Chapter 22: Aspiration: Understanding the Risks and Optimizing Management - p. iii 34. Chapter 23: Emergency Laparotomy - p. iii 35. Chapter 24: When Are Platelet and Plasma Transfusion Indicated? - p. iii 36. Chapter 25: What Is the Role of Ketaminein Perioperative Management? - p. iii 37. Chapter 26: When Should Perioperative Glucocorticoid Replacement Be Administered? - p. iii 38. Chapter 27: Does the Choice of Fluid Matter in Major Surgery? - p. iii 39. Chapter 28: What Are the Benefits of Different Ventilatory Techniques? - p. iii 40. Chapter 29: What Is the Best Strategy for Prevention of Postoperative Nausea and Vomiting? - p. iii 41. Chapter 30: Is There an Optimal Perioperative Hemoglobin? - p. iii 42. Chapter 31: Does Perioperative Hyperglycemia Increase Risk? Should We Have Aggressive Glucose Control Perioperatively? - p. iii 43. Chapter 32: What Is the Best Means of Preventing Perioperative Renal Injury? - p. iii 44. Chapter 33: Is Nitrous Oxide Associated With Outcome? - p. iii 45. Chapter 34: Should Targeted Temperature Management Be Used Routinely After Intraoperative Cardiac Arrest? - p. iii 46. Chapter 35: Fast-Track Cardiac Anesthesia: A Vital Core of Perioperative Cardiac Surgery Programs - p. iii 47. Chapter 36: Can We Prevent Recall During Anesthesia? - p. iii 48. Chapter 37: Nonsteroidal Antiinflammatory Drugs, Antiplatelet Medications, and Spinal Axis Anesthesia - p. iii 49. Chapter 38: Deep Vein Thrombosis Prophylaxis With Heparin and Heparin-Like Drugs Used in Combination With Neuraxial Anesthesia and Deep Plexus Blocks - p. iii 50. Chapter 39: Is There a Best Analgesic Technique for Hip Surgery? - p. iii 51. Chapter 40: Should Regional Anesthesia Be Used for Orthopedic Trauma Patients? - p. iii 52. Chapter 41: Is There a Best Technique to Decrease Blood Loss and Transfusion After Coronary Artery Bypass Grafting? - p. iii 53. Chapter 42: Is There a Best Technique in the Patient With Increased Intracranial Pressure? - p. iii 54. Chapter 43: What Works for Brain Protection? - p. iii 55. Chapter 44: Optimal Intraoperative Technique to Prevent Postoperative Delirium - p. iii 56. Chapter 45: What Actions Can Be Used to Prevent Peripheral Nerve Injury? - p. iii 57. Chapter 46: Which Are the Best Techniques for Reducing the Incidence of Postoperative Deep Vein Thrombosis? - p. iii 58. Chapter 47: Does Neurologic Electrophysiologic Monitoring Affect Outcome? - p. iii 59. Chapter 48: Anesthesia for Cesarean Delivery—Regional or General? - p. iii 60. Chapter 49: When Should a Combined Spinal–Epidural Be Used? - p. iii 61. Chapter 50: What Is the Optimal Management of Postdural Puncture Headache? - p. iii 62. Chapter 51: Does Anesthesia Increase the Risk to the Parturient Undergoing Nonobstetric Surgery? - p. iii 63. Chapter 52: Does Labor Analgesia Affect Labor Outcome? - p. iii 64. Chapter 53: When Should Regional Anesthesia Be Used in Pediatric Patients? - p. iii 65. Chapter 54: How Young Is the Youngest Infant for Outpatient Surgery? - p. iii 66. Chapter 55: What Works in a Patient With Acute Respiratory Distress Syndrome? - p. iii 67. Chapter 56: Optimal Discharge Strategy - p. iii 68. Chapter 57: What Drugs Decrease Perioperative Bleeding? - p. iii 69. Chapter 58: What Must I Consider to Safely Anesthetize Someone in the Office Setting? - p. iii 70. Chapter 59: Optimal Postoperative Analgesia for the Opiate-Tolerant Patient - p. iii 71. Chapter 60: Optimal Postoperative Analgesia for the Opiate-Naïve Patient - p. iii 72. Chapter 61: What Is the Best Method for Perioperative Handoffs? - p. iii 73. Chapter 62: Myocardial Injury After Noncardiac Surgery - p. iii 74. Index - p. iii
