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…
ANESTHESIA
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…
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….
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…
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…
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…
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…
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%,…
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,…
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….
