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. i 3. Copyright - p. ii 4. Dedication - p. iii 5. Contributors - p. v 6. Preface - p. xi 7. Foreword - p. xiii 8. Table of Contents - p. xv 9. Chapter 1 Evidence-Based Practice Parameters: The Approach of the American Society of Anesthesiologists - p. 1 10. Chapter 2 Is a Preoperative Screening Clinic Cost-Effective? - p. 7 11. Chapter 3 Which Patient Should Have a Preoperative Cardiac Evaluation (Stress Test)? - p. 12 12. Chapter 4 Should Patients With Stable Coronary Artery Disease Undergo Prophylactic Revascularization Before Noncardiac Surgery? - p. 23 13. Chapter 5 Reducing Risk for Perioperative Stroke - p. 30 14. Chapter 6 How Should We Identify Patients at Risk for Postoperative Neurocognitive Disorder? - p. 49 15. Chapter 7 Update on Preprocedure Testing - p. 55 16. Chapter 8 Is Routine Preoperative Pregnancy Testing Necessary? - p. 62 17. Chapter 9 Should Preoperative Brain Natriuretic Peptide (BNP) Be Measured Routinely? - p. 67 18. Chapter 10 How Should We Prepare the Patient With a Pacemaker/Implantable Cardioverter-Defibrillator? - p. 75 19. Chapter 11 What Are the Role and Management of Percutaneous Coronary Intervention for Noncardiac Surgery? - p. 85 20. Chapter 12 Should All Antihypertensive Agents Be Continued Before Surgery? - p. 95 21. Chapter 13 Best Strategy for Perioperative Angiotensin-Converting Enzyme-Inhibitor (ACE-I) and Angiotensin II Receptor Blocker (ARB) Therapy Prior to Noncardiac Surgery - p. 101 22. Chapter 14 How Should Beta-Blockers Be Used Perioperatively? - p. 109 23. Chapter 15 Are Alpha-2 Agonists Effective in Reducing Perioperative Renal Injury? - p. 118 24. Chapter 16 Does the Airway Examination Predict Difficult Airway Management? - p. 126 25. Chapter 17 Do Checklists Improve Emergency Management? - p. 138 26. Chapter 18 Is There an Optimal Timing for Smoking Cessation? - p. 144 27. Chapter 19 Is There a Best Approach for Patients With Difficult Airways: Regional Versus General Anesthesia? - p. 153 28. Chapter 20 Do Inhalational Agents Have Beneficial Effects on Cardiac Ischemia-Reperfusion Injury? - p. 160 29. Chapter 21 Does Anesthetic Choice Affect Surgical and Recovery Times? - p. 168 30. Chapter 22 Aspiration: Understanding the Risks and Optimizing Management - p. 174 31. Chapter 23 Emergency Laparotomy - p. 182 32. Chapter 24 When Are Platelet and Plasma Transfusion Indicated? - p. 193 33. Chapter 25 What Is the Role of Ketaminein Perioperative Management? - p. 204 34. Chapter 26 When Should Perioperative Glucocorticoid Replacement Be Administered? - p. 217 35. Chapter 27 Does the Choice of Fluid Matter in Major Surgery? - p. 226 36. Chapter 28 What Are the Benefits of Different Ventilatory Techniques? - p. 231 37. Chapter 29 What Is the Best Strategy for Prevention of Postoperative Nausea and Vomiting? - p. 241 38. Chapter 30 Is There an Optimal Perioperative Hemoglobin? - p. 248 39. Chapter 31 Does Perioperative Hyperglycemia Increase Risk? Should We Have Aggressive Glucose Control Perioperatively? - p. 254 40. Chapter 32 What Is the Best Means of Preventing Perioperative Renal Injury? - p. 265 41. Chapter 33 Is Nitrous Oxide Associated With Outcome? - p. 273 42. Chapter 34 Should Targeted Temperature Management Be Used Routinely After Intraoperative Cardiac Arrest? - p. 294 43. Chapter 35 Fast-Track Cardiac Anesthesia: A Vital Core of Perioperative Cardiac Surgery Programs - p. 300 44. Chapter 36 Can We Prevent Recall During Anesthesia? - p. 309 45. Chapter 37 Nonsteroidal Antiinflammatory Drugs, Antiplatelet Medications, and Spinal Axis Anesthesia - p. 316 46. Chapter 38 Deep Vein Thrombosis Prophylaxis With Heparin and Heparin-Like Drugs Used in Combination With Neuraxial Anesthesia and Deep Plexus Blocks - p. 328 47. Chapter 39 Is There a Best Analgesic Technique for Hip Surgery? - p. 337 48. Chapter 40 Should Regional Anesthesia Be Used for Orthopedic Trauma Patients? - p. 342 49. Chapter 41 Is There a Best Technique to Decrease Blood Loss and Transfusion After Coronary Artery Bypass Grafting? - p. 352 50. Chapter 42 Is There a Best Technique in the Patient With Increased Intracranial Pressure? - p. 364 51. Chapter 43 What Works for Brain Protection? - p. 371 52. Chapter 44 Optimal Intraoperative Technique to Prevent Postoperative Delirium - p. 380 53. Chapter 45 What Actions Can Be Used to Prevent Peripheral Nerve Injury? - p. 394 54. Chapter 46 Which Are the Best Techniques for Reducing the Incidence of Postoperative Deep Vein Thrombosis? - p. 407 55. Chapter 47 Does Neurologic Electrophysiologic Monitoring Affect Outcome? - p. 417 56. Chapter 48 Anesthesia for Cesarean Delivery—Regional or General? - p. 430 57. Chapter 49 When Should a Combined Spinal–Epidural Be Used? - p. 436 58. Chapter 50 What Is the Optimal Management of Postdural Puncture Headache? - p. 441 59. Chapter 51 Does Anesthesia Increase the Risk to the Parturient Undergoing Nonobstetric Surgery? - p. 447 60. Chapter 52 Does Labor Analgesia Affect Labor Outcome? - p. 455 61. Chapter 53 When Should Regional Anesthesia Be Used in Pediatric Patients? - p. 466 62. Chapter 54 How Young Is the Youngest Infant for Outpatient Surgery? - p. 478 63. Chapter 55 What Works in a Patient With Acute Respiratory Distress Syndrome? - p. 484 64. Chapter 56 Optimal Discharge Strategy - p. 496 65. Chapter 57 What Drugs Decrease Perioperative Bleeding? - p. 506 66. Chapter 58 What Must I Consider to Safely Anesthetize Someone in the Office Setting? - p. 519 67. Chapter 59 Optimal Postoperative Analgesia for the Opiate-Tolerant Patient - p. 527 68. Chapter 60 Optimal Postoperative Analgesia for the Opiate-Naïve Patient - p. 533 69. Chapter 61 What Is the Best Method for Perioperative Handoffs? - p. 542 70. Chapter 62 Myocardial Injury After Noncardiac Surgery - p. 549 71. Index - p. 558
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. i 3. Copyright - p. ii 4. Dedication - p. iii 5. Contributors - p. v 6. Preface - p. xi 7. Foreword - p. xiii 8. Table of Contents - p. xv 9. Chapter 1 Evidence-Based Practice Parameters: The Approach of the American Society of Anesthesiologists - p. 1 10. Chapter 2 Is a Preoperative Screening Clinic Cost-Effective? - p. 7 11. Chapter 3 Which Patient Should Have a Preoperative Cardiac Evaluation (Stress Test)? - p. 12 12. Chapter 4 Should Patients With Stable Coronary Artery Disease Undergo Prophylactic Revascularization Before Noncardiac Surgery? - p. 23 13. Chapter 5 Reducing Risk for Perioperative Stroke - p. 30 14. Chapter 6 How Should We Identify Patients at Risk for Postoperative Neurocognitive Disorder? - p. 49 15. Chapter 7 Update on Preprocedure Testing - p. 55 16. Chapter 8 Is Routine Preoperative Pregnancy Testing Necessary? - p. 62 17. Chapter 9 Should Preoperative Brain Natriuretic Peptide (BNP) Be Measured Routinely? - p. 67 18. Chapter 10 How Should We Prepare the Patient With a Pacemaker/Implantable Cardioverter-Defibrillator? - p. 75 19. Chapter 11 What Are the Role and Management of Percutaneous Coronary Intervention for Noncardiac Surgery? - p. 85 20. Chapter 12 Should All Antihypertensive Agents Be Continued Before Surgery? - p. 95 21. Chapter 13 Best Strategy for Perioperative Angiotensin-Converting Enzyme-Inhibitor (ACE-I) and Angiotensin II Receptor Blocker (ARB) Therapy Prior to Noncardiac Surgery - p. 101 22. Chapter 14 How Should Beta-Blockers Be Used Perioperatively? - p. 109 23. Chapter 15 Are Alpha-2 Agonists Effective in Reducing Perioperative Renal Injury? - p. 118 24. Chapter 16 Does the Airway Examination Predict Difficult Airway Management? - p. 126 25. Chapter 17 Do Checklists Improve Emergency Management? - p. 138 26. Chapter 18 Is There an Optimal Timing for Smoking Cessation? - p. 144 27. Chapter 19 Is There a Best Approach for Patients With Difficult Airways: Regional Versus General Anesthesia? - p. 153 28. Chapter 20 Do Inhalational Agents Have Beneficial Effects on Cardiac Ischemia-Reperfusion Injury? - p. 160 29. Chapter 21 Does Anesthetic Choice Affect Surgical and Recovery Times? - p. 168 30. Chapter 22 Aspiration: Understanding the Risks and Optimizing Management - p. 174 31. Chapter 23 Emergency Laparotomy - p. 182 32. Chapter 24 When Are Platelet and Plasma Transfusion Indicated? - p. 193 33. Chapter 25 What Is the Role of Ketaminein Perioperative Management? - p. 204 34. Chapter 26 When Should Perioperative Glucocorticoid Replacement Be Administered? - p. 217 35. Chapter 27 Does the Choice of Fluid Matter in Major Surgery? - p. 226 36. Chapter 28 What Are the Benefits of Different Ventilatory Techniques? - p. 231 37. Chapter 29 What Is the Best Strategy for Prevention of Postoperative Nausea and Vomiting? - p. 241 38. Chapter 30 Is There an Optimal Perioperative Hemoglobin? - p. 248 39. Chapter 31 Does Perioperative Hyperglycemia Increase Risk? Should We Have Aggressive Glucose Control Perioperatively? - p. 254 40. Chapter 32 What Is the Best Means of Preventing Perioperative Renal Injury? - p. 265 41. Chapter 33 Is Nitrous Oxide Associated With Outcome? - p. 273 42. Chapter 34 Should Targeted Temperature Management Be Used Routinely After Intraoperative Cardiac Arrest? - p. 294 43. Chapter 35 Fast-Track Cardiac Anesthesia: A Vital Core of Perioperative Cardiac Surgery Programs - p. 300 44. Chapter 36 Can We Prevent Recall During Anesthesia? - p. 309 45. Chapter 37 Nonsteroidal Antiinflammatory Drugs, Antiplatelet Medications, and Spinal Axis Anesthesia - p. 316 46. Chapter 38 Deep Vein Thrombosis Prophylaxis With Heparin and Heparin-Like Drugs Used in Combination With Neuraxial Anesthesia and Deep Plexus Blocks - p. 328 47. Chapter 39 Is There a Best Analgesic Technique for Hip Surgery? - p. 337 48. Chapter 40 Should Regional Anesthesia Be Used for Orthopedic Trauma Patients? - p. 342 49. Chapter 41 Is There a Best Technique to Decrease Blood Loss and Transfusion After Coronary Artery Bypass Grafting? - p. 352 50. Chapter 42 Is There a Best Technique in the Patient With Increased Intracranial Pressure? - p. 364 51. Chapter 43 What Works for Brain Protection? - p. 371 52. Chapter 44 Optimal Intraoperative Technique to Prevent Postoperative Delirium - p. 380 53. Chapter 45 What Actions Can Be Used to Prevent Peripheral Nerve Injury? - p. 394 54. Chapter 46 Which Are the Best Techniques for Reducing the Incidence of Postoperative Deep Vein Thrombosis? - p. 407 55. Chapter 47 Does Neurologic Electrophysiologic Monitoring Affect Outcome? - p. 417 56. Chapter 48 Anesthesia for Cesarean Delivery—Regional or General? - p. 430 57. Chapter 49 When Should a Combined Spinal–Epidural Be Used? - p. 436 58. Chapter 50 What Is the Optimal Management of Postdural Puncture Headache? - p. 441 59. Chapter 51 Does Anesthesia Increase the Risk to the Parturient Undergoing Nonobstetric Surgery? - p. 447 60. Chapter 52 Does Labor Analgesia Affect Labor Outcome? - p. 455 61. Chapter 53 When Should Regional Anesthesia Be Used in Pediatric Patients? - p. 466 62. Chapter 54 How Young Is the Youngest Infant for Outpatient Surgery? - p. 478 63. Chapter 55 What Works in a Patient With Acute Respiratory Distress Syndrome? - p. 484 64. Chapter 56 Optimal Discharge Strategy - p. 496 65. Chapter 57 What Drugs Decrease Perioperative Bleeding? - p. 506 66. Chapter 58 What Must I Consider to Safely Anesthetize Someone in the Office Setting? - p. 519 67. Chapter 59 Optimal Postoperative Analgesia for the Opiate-Tolerant Patient - p. 527 68. Chapter 60 Optimal Postoperative Analgesia for the Opiate-Naïve Patient - p. 533 69. Chapter 61 What Is the Best Method for Perioperative Handoffs? - p. 542 70. Chapter 62 Myocardial Injury After Noncardiac Surgery - p. 549 71. Index - p. 558
