Specific Considerations with Liver Disease
Specific Considerations with Liver Disease Matthew C. Gertsch Wilton C. Levine I. HEPATIC ANATOMY A. Liver Structure 1. The anatomic unit of the liver is lobule. The lobule is composed…
Specific Considerations with Renal Disease
Specific Considerations with Renal Disease Samuel Vanderhoek William Benedetto I. GENERAL CONSIDERATIONS Approximately 5% of the population has renal disease, with a trend toward increasing prevalence with age. Perioperative renal…
Anesthesia and Obesity
Anesthesia and Obesity Brenda A. Bucklin Ana Fernandez-Bustamante Key Points Neck circumference is the single best predictor of problematic intubation in morbidly obese patients. A larger neck circumference is associated…
Specific Considerations with Pulmonary Disease
Specific Considerations with Pulmonary Disease Yiuka Leung Kenneth E. Shepherd I. GENERAL CONSIDERATIONS Postoperative pulmonary complications (POPCs) such as exacerbation of preexisting lung disease, pneumonia, and/or respiratory failure are as…
Anesthesia for Laparoscopic and Robotic Surgeries
Anesthesia for Laparoscopic and Robotic Surgeries Girish P. Joshi Anthony Cunningham Key Points Minimally invasive surgery reduces surgical stress and postoperative pain as well as reduces overall morbidity, thus resulting…
Echocardiography
Echocardiography Albert C. Perrino Jr. Wanda M. Popescu Nikolaos J. Skubas Key Points Understanding the principles of ultrasound and echo cardiographic instrumentation is essential in optimizing image quality. Performing a…
Evaluating the Patient Before Anesthesia
Evaluating the Patient Before Anesthesia Jessie L. Cassada Laurie Shapiro I. OVERVIEW The objectives of the preanesthetic evaluation include establishing rapport, becoming familiar with the patient’s surgical illness and coexisting…
Anesthesia for Thoracic Surgery
Anesthesia for Thoracic Surgery James B. Eisenkraft Edmond Cohen Steven M. Neustein Key Points It is important to determine prior to the onset of anesthesia and surgery whether the patient…
Endocrine Function
Endocrine Function Jeffrey J. Schwartz Shamsuddin Akhtar Stanley H. Rosenbaum Key Points The major risk of anesthesia in the poorly controlled thyrotoxic patient is thyroid storm, which must be aggressively…
Obstetrical Anesthesia
Obstetrical Anesthesia Ferne R. Braveman Barbara M. Scavone Marcelle E. Blessing Cynthia A. Wong Key Points As oxygen consumption increases during pregnancy, the maternal cardiovascular system adapts to meet the…
