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…
44 Anesthesia and Obesity
Neck circumference is the single best predictor of problematic intubation in morbidly obese patients. A larger neck circumference is associated with male sex, higher Mallampati score, grade 3 laryngoscopic views,…
50 Anesthesia for Orthopedic Surgery
Orthopedic surgery is well suited to neuraxial and peripheral regional anesthetic techniques. Improved surgical outcomes have increased their popularity. The frequency of neurologic injuries following scoliosis correction is approximately 1%,…
45 The Liver: Surgery and Anesthesia
The liver is the largest internal organ, accounting for 2% of the total body mass of adults. It receives 25% of the cardiac output via a dual afferent blood supply….
55 Critical Care Medicine
Simple and inexpensive interventions in the ICU, such as the utilization of checklists and strict attention to aseptic technique during central venous catheterization, can result in substantial improvements in patient…
30 Ambulatory Anesthesia
Procedures appropriate for ambulatory surgery are those associated with postoperative care that is easily managed at home and with low rates of postoperative complications that require intensive physician or nursing…
41 Neonatal Anesthesia
Understanding the physiologic changes that occur during the transition from fetal to neonatal life is crucial to the anesthetic management of the neonate. The circulatory, pulmonary, hepatic, and renal systems…
