28 Patient Positioning and Potential Injuries
Sedated or anesthetized patients should be placed in positions that are comfortable while they are awake. Padding provided by any number of different materials (e.g., gel or foam pads, blankets)…
54 Postanesthesia Recovery
The postoperative planning begins with the preoperative evaluation and formation of an intraoperative anesthetic plan. The type of anesthetic (i.e., inhalation technique, total intravenous anesthetic, sedation, local, regional) influences the…
43 Anesthesia for Laparoscopic and Robotic Surgeries
Minimally invasive surgery reduces surgical stress and postoperative pain as well as reduces overall morbidity, thus resulting in rapid recovery, earlier ambulation, shorter hospital stay, and rapid return to daily…
36 Anesthesia for Neurosurgery
Anatomically, blood flow to the normal brain is supplied by the two carotid arteries and vertebral arteries. Collateral circulation is provided via the Circle of Willis. Physiologically, blood flow to…
19 Opioids
Opioids produce analgesia as well as serious side effects. All physicians who prescribe opioids for relief of acute or chronic pain need to know how to use these drugs safely….
47 Anesthesia for Otolaryngologic Surgery
The restricted spaces in the airway require an understanding and cooperative relationship between surgeon and anesthesiologist, and the use of specially adapted equipment suitable to these cramped areas. Despite only…
57 Chronic Pain Management
A delta and C fibers, under normal conditions, transmit nociceptive (pain) information to the spinal cord from their free nerve endings in the periphery. In chronic pain conditions, the A…
53 Emergency Preparedness for and Disaster Management of Casualties from Natural Disasters and Chemical, Biologic, Radiologic, Nuclear, and High-Yield Explosive (CBRNE) Events
There are certain principles that are common to all such events, independent of their etiology, and as a group anesthesiologists are as well prepared if not better prepared to assist…
49 The Renal System and Anesthesia for Urologic Surgery
Renal filtration and reabsorption are susceptible to alterations by surgical illness and anesthesia. Autoregulation of renal blood flow (RBF) is effective over a wide range of mean arterial pressures (50…
12 Allergic Response
Anesthesiologists routinely manage patients during their perioperative medical care where they are exposed to multiple agents that can produce an allergic response including drugs (antibiotics, anesthetic agents, neuromuscular blocking agents…
