INTRODUCTION Print Section Listen Adverse physiologic changes in obese patients (Table 20–1) present multiple challenges in the operating room, including intravenous line placement, airway management, positioning, surgical exposure, and blood…

INTRODUCTION Print Section Listen An interesting case report published in 2002 perhaps best sets the stage for understanding what anesthesiologists face when caring for a patient who suffers from severe…

INTRODUCTION Print Section Listen In the past several decades, there has been a dramatic increase in the percentage of the world’s population that is elderly, defined as people 65 years…

INTRODUCTION Print Section Listen Is it possible that particulars of perioperative anesthetic management (eg, using epidural local anesthetics during general anesthesia) might influence long-term recurrence risk after cancer surgery? Not…

INTRODUCTION Print Section Listen Heart failure is increasingly being recognized as a growing health problem worldwide. It is estimated that the lifetime risk of developing heart failure is approximately 20%…

INTRODUCTION Print Section Listen A common misconception of dosing anesthetics in pediatric patients is that children are miniature adults. Although there are substantial physiologic changes with early development and maturation…

OVERVIEW Print Section Listen Kidneys perform a number of essential physiologic functions, including water management, electrolyte homeostasis, acid–base balance, and several neurohumoral and hormonal functions. Anesthesiologists are often called upon…

INTRODUCTION Print Section Listen For anesthesiologists, a working knowledge of antiepileptic mechanisms of action is helpful when caring for patients with known or suspected seizure disorders. This chapter provides a…

INTRODUCTION Print Section Listen Anticoagulants are widely used in the perioperative period. The anesthesia consultant must have an understanding of their pharmacology and the implications of their use in a…