IV Induction Agents

Consultant Pharmacist: Anita Y. Chu, BPharm, RPh, PharmD


 


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a Elimination: All the above benzodiazepines are highly protein bound, rely on the liver for initial biotransformation, and are renally cleared. Peak effect, duration, and half-life can vary based on patient characteristics. Consider decreasing dose/frequency in liver or kidney disease. Lorazepam may be preferable for use in renal failure because of inactive metabolites.


Synergistic respiratory depression occurs with concomitant narcotic usage, consider decreasing dose in this situation.
0, none.
+, moderate.
++, severe.


References


Omoigui S. Sota Omoigui’s Anesthesia Drugs Handbook. 3rd ed. Hawthorne, CA: State-of-the-Art Technologies, Incorporated; 1999: 102–105, 183–187, 245–248, 293–299.


Stoelting RK, Hillier SC. Handbook of Pharmacology and Physiology in Anesthetic Practice. Philadelphia, PA: Lippincott Williams & Wilkins; 2005: 133–149.




Opioids


Jack Kan, MD • Lynn Ngai, BS
Consultant Pharmacist: Anita Y. Chu, B.Pharm, R.Ph, Pharm.D


 


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Note: Most opioids will cause respiratory depression.
IV, intravenous; IM, intramuscular; PCA, patient-controlled analgesia; PO, per oral; SC, subcutaneous.


References


Omoigui S. Sota Omoigui’s Anesthesia Drugs Handbook. Hawthorne, CA: State-of-the-Art Technologies, Incorporated; 1999.


Stoelting RK, Hillier SC. Handbook of Pharmacology and Physiology in Anesthetic Practice. Philadelphia, PA: Lippincott Williams & Wilkins; 2005.


Beers MH, Berkow R. The Merck Manual of Diagnosis and Therapy. 17th ed. Philadelphia, PA: John Wiley & Sons; 1999.




Opioid Antagonists


Andrew Wall, MD • Tony Cun, BS
Consultant Pharmacist: Anita Y. Chu, BPharm, RPh, Pharm.D


 


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Used for complete or partial reversal of opioid drug effects, including respiratory depression and management of known or suspected opioid overdose.


aDose every 2 to 3 minutes until desired response (adequate ventilation/alertness). Repeat dosing may be needed depending on type, dose, and timing of the last opioid administered. Titrate to assure adequate ventilation and minimize withdrawal symptoms.


References


Omoigui S. Sota Omoigui’s Anesthesia Drugs Handbook. 3rd ed. Hawthorne, CA: State-of-the-Art Technologies, Incorporated; 1999: 310–316.


Stoelting RK, Hillier SC. Handbook of Pharmacology and Physiology in Anesthetic Practice. Philadelphia, PA: Lippincott Williams & Wilkins; 2005: 81–117.


Baughman VL, et al. Anesthesiology and Critical Care Drug Handbook: Including Select Disease States & Perioperative Management. 9th ed. Hudson: Lexi-Comp, Incorporated; 2009.




NSAIDS


Rohith Piyaratna, MD • Lynn Ngai, BS
Consultant Pharmacist: Anita Y. Chu, B.Pharm, R.Ph, Pharm.D


 


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General NSAID side effects:
May cause fluid retention, kidney or liver failure, antiplatelet aggregation leading to increased risk of bleeding; may cause gastric mucosal damage with ulceration and bleeding. COX-2 specific NSAIDS are believed to cause less damage to gastric mucosa and less antiplatelet effects versus COX-1 agents. However, studies have shown an increased risk for thrombosis, myocardial infarction, and stroke (which led to Rofecoxib being removed from the market in September 2004).


aDo not use in patients with bleeding or platelet problems.


IV, intravenous; IM, intramuscular; PO, per oral.


References


Epocrates® Online


Omoigui S. Sota Omoigui’s Anesthesia Drugs Handbook. Hawthorne, CA: State-of-the-Art Technologies, Incorporated; 1999.


Stoelting RK, Hillier SC. Handbook of Pharmacology and Physiology in Anesthetic Practice. Philadelphia, PA: Lippincott Williams & Wilkins; 2005.


Beers MH, Berkow R. The Merck Manual of Diagnosis and Therapy. 17th ed. Philadelphia, PA: John Wiley & Sons; 1999.




IV Induction Agents


Christopher Tirce, MD • Lynn Ngai, BS
Consultant Pharmacist: Anita Y. Chu, B.Pharm, R.Ph, Pharm.D


 


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IV, intravenous; IM, intramuscular; PO, per oral; PR, per rectum.


References


Omoigui S. Sota Omoigui’s Anesthesia Drugs Handbook. Hawthorne, CA: State-of-the-Art Technologies, Incorporated; 1999.


Stoelting RK, Hillier SC. Handbook of Pharmacology and Physiology in Anesthetic Practice. Philadelphia, PA: Lippincott Williams & Wilkins; 2005.


Beers MH, Berkow R. The Merck Manual of Diagnosis and Therapy. 17th ed. Philadelphia, PA: John Wiley & Sons; 1999.




Inhaled Anesthetics


Shaun Kunnavatana, MD • Tony Cun, BS
Consultant Pharmacist: Anita Y. Chu, BPharm, RPh, PharmD


 


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↑, increase; ↓, decrease; ↓↓, large decrease; BP, blood pressure; CBF, cerebral blood flow; CHF, congestive heart failure; CMRO2, cerebral metabolic rate of oxygen; CO, cardiac output; GFR, glomerular filtration rate; GI, gastrointestinal; HR, heart rate; HTN, hypertension; ICP, intracranial pressure; N/C, no change; PaCO2, arterial CO2 partial pressure; RR, respiratory rate; SVR, systemic vascular resistance; TV, tidal volume; UOP, urine output.


References


Morgan GE, Mikhail MS, Murray MJ. Clinical Anesthesiology. New York, NY: McGraw-Hill Medical Publishing Division; 2005.


Omoigui S. Sota Omoigui’s Anesthesia Drugs Handbook. Hawthorne; CA: State-of-the-Art Technologies, Incorporated; 1999.


Stoelting RK, Hillier SC. Handbook of Pharmacology and Physiology in Anesthetic Practice. Philadelphia, PA: Lippincott Williams & Wilkins; 2005.




Adrenergic Agonists


Jonathan T. Bradley, MD • Lynn Ngai, BS
Consultant Pharmacist: Anita Y. Chu, B.Pharm, R.Ph, Pharm.D


 


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IV, intravenous; IM, intramuscular; SC, subcutaneous; PO, per oral.


References


Omoigui S. Sota Omoigui’s Anesthesia Drugs Handbook. Hawthorne, CA: State-of-the-Art Technologies, Incorporated; 1999.


Beers MH, Berkow R. The Merck Manual of Diagnosis and Therapy. 17th ed. Philadelphia, PA: John Wiley & Sons; 1999.




Adrenergic Antagonists


Christopher Tirce, MD • Lynn Ngai, BS
Consultant Pharmacist: Anita Y. Chu, B.Pharm, R.Ph, Pharm.D


 


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IV, intravenous; PO, per oral.


References


Forssman B, Lindblad CJ, Zbornikova V. Atenolol for migraine prophylaxis. Headache 1983;23(4):188–190.


Frischman W, Cheng-Lai A, Nawarskas J. Current Cardiovascular Drugs. 4th ed. Philadelphia, PA: Current MedicineLLC; 2005.


Johannsson V, Nilsson LR, Widelius T, et al. Atenolol in migraine prophylaxis a double-blind cross-over multicentre study. Headache 1987;27(7): 372–374.


Katzung BG, Masters SB, Trevor A. Basic and Clinical Pharmacology. 11th ed. NewYork: McGraw-Hill Medical; 2009.


Kraus ML, Gottlieb LD, Horwitz RI, et al. Randomized clinical trial of atenolol in patients with alcohol withdrawal syndrome. NEJM 1985;313(15):905-909.


Miller RD, Eriksson LI, Fleisher LA, et al. Miller’s Anesthesia. 7th ed. Philadelphia, PA: Churchill Livingstone; 2009.


Omoigui S. Sota Omoigui’s Anesthesia Drugs Handbook. Hawthorne, CA: State-of-the-Art Technologies, Incorporated; 1999.


Pacak K. Preoperative management of the pheochromocytoma patient. J Clin Endocrinol Metab 2007;92(11):4069–4079.


Stoelting RK, Hillier SC. Handbook of Pharmacology and Physiology in Anesthetic Practice. Philadelphia, PA: Lippincott Williams & Wilkins; 2005.


Beers MH, Berkow R. The Merck Manual of Diagnosis and Therapy. 17th ed. Philadelphia, PA: John Wiley & Sons; 1999.


Wiest D. Esmolol. A review of its therapeutic efficacy and pharmacokinetic characteristics. Clin Pharmacokinet 1995;28(3):190–202.




Corticosteroids


Rohith Piyaratna, MD • Lynn Ngai, BS
Consultant Pharmacist: Anita Y. Chu, B.Pharm, R.Ph, Pharm.D


 


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General corticosteroid side effects:
Osteoporosis, impaired wound healing and increased risk of infection, increased appetite, hypertension, edema, peptic ulcers, euphoria, and psychoses. Systemic corticosteroids used for <7 d, even at high doses, are not likely to cause adverse side effects, nor are inhaled corticosteroids.
IA, intra-articular; ICP, intracranial pressure; IV, intravenous; IM, intramuscular; IT, intratissue; PO, per oral.


References


Omoigui S. Sota Omoigui’s Anesthesia Drugs Handbook. Hawthorne: State-of-the-Art Technologies, Incorporated; 1999.


Stoelting RK, Hillier SC. Handbook of Pharmacology and Physiology in Anesthetic Practice. Philadelphia, PA: Lippincott Williams & Wilkins; 2005.


Beers MH, Berkow R. The Merck Manual of Diagnosis and Therapy. 17th ed. Philadelphia, PA: John Wiley & Sons; 1999.




Antibiotics


Becky Wong, MD • Tony Cun, BS
Consultant Pharmacist: Anita Y. Chu, BPharm, RPh, PharmD


 


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References


Anderson DJ, Sexton DJ. Control measures to prevent surgical site infection. UpToDate. August 18, 2009. Accessed April 20, 2010. http://www.uptodate.com/online/content/topic.do?topicKey=hosp_inf/6955&view=print


Gilbert DN, Moellering RC, Eliopoulos GM, et al. The Sanford Guide to Antimicrobial Therapy. Sanford Guide Ser. Hyde Park, VT: Antimicrobial Therapy, Incorporated; 2009.


Stoelting RK, Hillier SC. Handbook of Pharmacology and Physiology in Anesthetic Practice. Philadelphia, PA: Lippincott Williams & Wilkins; 2005.




Antiemetics


Amy Wang, MD • Lynn Ngai, BS
Consultant Pharmacist: Anita Y. Chu, B.Pharm, R.Ph, Pharm.D


 


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IV, intravenous; IM, intramuscular; PO, per oral; PR, per rectum; SC, subcutaneous.


References


Barash PG. Handbook of Clinical Anesthesia. 6th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2009.


Baughman VL, Julie Golembiewski, Jeffrey P. Gonzales, William Jr. Alvarez, et al. Anesthesiology and Critical Care Drug Handbook. Hudson, OH: Lexi-Comp, Incorporated; 2009.


Omoigui S. Sota Omoigui’s Anesthesia Drugs Handbook. Hawthorne, CA: State-of-the-Art Technologies, Incorporated; Jan. 1999.


Miller RD, Stoelting RK. Basics of Anesthesia. 5 ed. Philadelphia, PA: Churchill Livingstone; 2006.


Beers MH, Berkow R. The Merck Manual of Diagnosis and Therapy. 17th ed. Philadelphia, PA: John Wiley & Sons; 1999.


Stoelting RK, Hillier SC. Handbook of Pharmacology and Physiology in Anesthetic Practice. Philadelphia, PA: Lippincott Williams & Wilkins; 2005.




Hematologics


Jack Kan, MD • Tony Cun, BS
Consultant Pharmacist: Anita Y. Chu, B.Pharm, R.Ph, Pharm.D


 



Disclaimer: Anticoagulant and antiplatelet medications should not be discontinued withoutfi rst taking into account the patient’s clinical situation. Abrupt discontinuation of thesemedications may be life threatening or may lead to serious morbidity.


 


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ACS, acute coronary syndrome; a-fib, atrial fibrillation; CAD, coronary artery disease; COX, cyclooxygenase; CPB, cardiopulmonary bypass; DVT, deep vein thrombosis; HTN, hypertension; INR, international normalized ratio; MI, myocardial infarction; Pt, patient; Pts, patients; PVD, peripheral vascular disease; PCI, percutaneous coronary intervention; PE, pulmonary embolism; qday, daily; VTE, venous thromboembolism; vWD, von Willebrand disease


aAspirin: Half-life elimination: Parent drug: 15–20 min; Salicylates (dose dependent): 3 h at lower doses (300–600 mg), 5–h (after 1 g), 10 h with higher doses.


bvWD type I patients are usually responsive, vWD type II patients may have variable responses, vWD type III patients are usually not responsive. Consult a hematologist to address your individual patient needs.


References


Barash PG, et al. Clinical Anesthesia. Philadelphia, PA: Lippincott Williams & Wilkins; 2009.


Lloyd Jones M, Wight J, Paisley S, et al. Control of bleeding in patients with haemophilia a with inhibitors: a systematic review. Haemophilia 2003;9(4):464–520.


Omoigui S. Sota Omoigui’s Anesthesia Drugs Handbook. Hawthorne: State-of-the-Art Technologies, Incorporated; 1999.


Stoelting RK, Hillier SC. Handbook of Pharmacology and Physiology in Anesthetic Practice. Philadelphia, PA: Lippincott Williams & Wilkins; 2005.



Appendix C: Crisis Management Cognitive Aids


 

How to Use Cognitive Aids in Crisis Management


The use of cognitive aids to manage crises in anesthesia is controversial. The goal of these cognitive aids is to provide a reference for the management of certain clinical conditions and emergency situations.


The use of cognitive aids should not replace individual clinical judgment and may not be applicable to all clinical situations.



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PRACTICAL CLINICAL DRUG DOSING


 

BY KARIM RAFAAT, MD


 


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References


1) Fuhrman BP, Zimmerman JJ, Pediatric Critical Care 3rd edition, Mosby-Elsevier 2006


2) Slonim AD, Pollack MM, Pediatric Critical Care Medicine, Lippincott Williams ans Wilkins, 2006


3) Cote CJ, Lerman J, Todres ID, A Practice of Anesthesia for Infants and Children, Elsevier Health Sciences, 2009


4) Miller RD, Eriksson LI, Fleisher LA, Wiener-Kronish JP, Young WL, Miller’s Anesthesia, Churchill Livingstone/Elsevier, 2009


5) Lacy CF, Armstrong LL, Goldman MP, Lance LL, Lexi-Comp: Drug Information Handbook, 19th edition, Lexi-Comp 2009



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Index


 

A


“a” wave


Abdominal aortic aneurysms (AAA)


    anesthetic considerations


    definition and etiology


    regional anesthesia


    surgical and anesthetic complications


    surgical intervention


Abdominal compartment syndrome (ACS)


Abdominal exam


Abdominal wall defects (AWD)


Abnormal bleeding


Abnormal placentation


Abnormal pseudocholinesterase


ABO compatibility


    cryoprecipitate


    fresh frozen plasma


    packed red blood cells


Accidental needlesticks


Acetaminophen


    adverse effects


    dosing


    mechanism of action


    myringotomy and ventilation tubes


Acetylcholine (ACh)


Acetylcholine receptor (AChR) antibodies


Acetylcholinesterase inhibitors (AChEIs)


AChEIs (see Acetylcholinesterase inhibitors)


Acid–base disturbances


Acidosis


Acoustic injury


Acquired coagulation defects


Acquired immune deficiency syndrome (AIDS), (see also Human immune deficiency virus)


Activated clotting time (ACT)


Activated partial thromboplastin time (APTT)


Active scavenging systems


Acute anemia


Acute bleeding ulcers


Acute bronchospasm


Acute chest syndrome (ACS)


Acute hemolytic reaction


Acute inflammatory demyelinating polyneuropathy (AIDP)


Acute kidney failure


Acute pain management


    ASA Task Force


    clinical management


    medication classes


    pathophysiology and neurobiology


    receptor targets


Acute pancreatitis


Acute postobstructive pulmonary edema


Acute respiratory distress


    medications


    O2 therapy


    respiratory therapy


Acute respiratory distress syndrome (ARDS)


Acute thromboembolism


Addison disease


A-delta nociceptors


Adenoidectomy


Adenosine diphosphate (ADP) inhibitors


Adenotonsillectomy


    analgesic management


    clinical findings


    controlled ventilation


    extubation


    pathophysiology


    patient positioning


    postoperative considerations


    post-tonsillectomy bleeding


    signs/symptoms


    special anesthetic considerations


    spontaneous ventilation


    surgical treatment


    volatile anesthetics


Adjustable pressure limiting (APL)


Adrenal cortex


Adrenal crisis


Adrenal disorders


    adrenal glands


    adrenal insufficiency


    aldosterone production


    cortisol production


    pheochromocytoma


Adrenal insufficiency (AI)


    perioperative management


    primary


    secondary


    signs/symptoms


    supplemental corticosteroid dosing


    symptoms


    tertiary


    treatment


Adrenal medulla


Adrenergic agents


    adverse effects


    agonists


    antagonists


    clinical uses


    mechanism of action


    metabolism


    perioperative β-blockade


    receptor types


    structure/activity relationship


    sympathetic nervous system


Adrenergic agonists


Adrenergic antagonists


Adrenergic receptor


Adrenocorticotropic hormone (ACTH)


Adult cardiac surgery


    cardiac intensive care unit


    cardiopulmonary bypass


        cannula insertions


        catastrophes


        chest closure


        coronary artery spasm


        dysrhythmias


        initiation period


        maintenance


        overview


        patient inspection


        physiology


        post-CPB period


        schematic


        separation


    intraoperative management


        anesthesia maintenance


        induction


        induction medications


        postinduction tasks


        preinduction preparation


    multidisciplinary decision making


    perioperative monitoring


        blood pressure


        CVP


        ECG


        neurologic


        PA catheter placement


        standard ASA monitors


        temperature


        transesophageal echocardiography


        urine output


    preoperative assessment


        central nervous system


        dysrhythmias


        endocrine


        GI/hepatic


        heart failure


        hematologic


        myocardial ischemia/infarction


        pulmonary


        renal


        special considerations


Adult respiratory distress syndrome


Adult-onset diabetes


AFE (see Amniotic fluid embolus)


Aging, pharmacology


    creatinine clearance


    drug dosage


    fentanyl


    midazolam


    propofol


    remifentanil


Agitation


Aintree intubation catheter


Airtraq optical laryngoscope


Airway exchange catheters (AEC)


Airway management


    bag mask ventilation


    cardiac arrest, children


    cognitive aid


    congenital syndromes


    endotracheal tubes


    laryngeal mask airways


    obligate nasal breathers


    single-lung ventilation


    TIVA techniques


Airway scope (AWS)


Airway trauma


Albumin


Alcohol and substance abuse


    amphetamine and derivatives


    cocaine


        mechanism


        metabolism


        physiologic effects


    ethyl alcohol


        chronic effects


        organ systems, effects


    lysergic acid diethylamide and hallucinogens


    marijuana


    opioid


    phencyclidine


Aldosterone


Alfentanil


Allergy


    allergic reaction to local anesthetics


    anaphylactoid (nonimmunologic) reactions


    anaphylaxis treatment


    clinical manifestation


    immune-mediated reactions


    latex allergy


    postevent follow-up


α-adrenergic agonists


α-blockade


Alveolar concentration


Alveolar ventilation


Alveolar-venous partial pressure difference (A-vD)


American Association for the Study of Liver Diseases (AASLD)


American Society of Anesthesiologists (ASA)


Amides


Amniotic fluid embolus (AFE)


    differential diagnosis


    incidence


    initial phase


    pathophysiology


    secondary phase


    treatment


Amphetamine


Ampicillin


Amyotrophic lateral sclerosis (ALS)


Analgesia


    gastroesophageal reflux


    medications


Anaphylactoid/nonimmunologic reactions


Anaphylaxis, (see also Allergy)


    airway and ventilation


    circulatory support


    during general anesthesia


    H2 blocker/corticosteroids


    serum mast cell tryptase


    steroids


    treatment goals


Anatomic deadspace


Anemia


    blood loss


    bone marrow failure


    definition


    hematopoetic input deficiencies


    intraoperative considerations


    laboratory


    oxyhemoglobin dissociation curve


    peripheral RBC destruction


    physical exam


    physiologic changes


    postoperative considerations


    preoperative considerations


    treatment


Anesthesia breathing circuits


    nonrebreathing systems


    rebreathing systems


Anesthesia machine


    breathing system


    four component subsystems


    high-pressure system


    low-pressure system


    preanesthesia machine checkout


    scavenging system


Anesthesia maintenance and intraoperative management


    analgesia


    balanced vs. total IV methods


    hypnosis


    neuromuscular blockade


    physiologic homeostasis maintenance


    practical management


Anesthesia phrases


    French


    Russian


    Spanish


    traditional Chinese


    Vietnamese


Anesthetic agents


    etomidate


    intraoperative awareness


    ketamine


    muscle relaxants


    myasthenia gravis


        AChE inhibitor therapy


        local anesthetics


        narcotics


        nondepolarizing NMBs


        succinylcholine


        volatile anesthetics


    nitrous oxide


    opioids


Anesthetic management


    cleft lip/cleft palate


        intraoperative management


        monitors/lines/positioning


        postoperative management


        preoperative evaluation


    congenital diaphragmatic hernia


        intraoperative management


        monitors/lines


        postoperative management/disposition


        preoperative considerations


    endoscopic procedures


    epiglottitis


        intraoperative management


        monitors/lines


        postoperative management


        preoperative considerations


    foreign body aspiration


        intraoperative complications


        intraoperative management


        monitoring


        postoperative management


        preoperative management


    gastroschisis and omphalocele


        intraoperative management


        monitors/lines


        postoperative management


        preoperative considerations


    general anesthesia


    intussusception


        intraoperative management


        monitors/lines/positioning


        postoperative management/analgesia


        preoperative considerations


    lung volume reduction surgery


    meningomyelocele


        interoperative management


        monitor/lines


        postoperative management/diposition


        preoperative considerations


    MRI and CT


        airway


        complications


        induction


        maintenance


        oral contrast


        premedication


        preoperative evaluation


    myringotomy and ventilation tubes


        disposition


        emergence delirium


        inhalation induction


        intraoperative management


        maintenance and induction


        postoperative pain


        preoperative evaluation


        special anesthetic goals/issues


    one-lung ventilation


    patent ductus arteriosus


    positioning


    regional analgesia


    tracheal resection and reconstruction


    tracheoesophageal fistula


        intraoperative management


        monitors/lines


        preoperative considerations


    video-assisted thoracoscopic surgery


Anesthetic plan


    considerations


    intraoperative plan (see Intraoperative plan)


    postoperative care plan


    preoperative assessment and optimization


Angina pectoris


Angiotensin converting enzyme (ACE) inhibitor therapy


Anhepatic phase


Ankle block


    block evaluation


    contraindications


    equipment


    indications


    landmark-based ankle block


    monitoring


    positioning and preparation


    postoperative management


    risks and complications


    surface anatomy identification


    ultrasound-guided deep peroneal nerve block


    ultrasound-guided sural nerve block


    ultrasound-guided tibial nerve block


Ankle brachial index (ABI)


Ankle surgery


Ankylosing spondylitis


Antecubital veins


Anterior mediastinal mass


    anatomy


    causes


    clinical presentation


    decision making, airway management


    general anesthesia


    hemodynamic physiology


    induction, anesthesia


    intraoperative complications


    postoperative considerations


    preinduction


    preoperative considerations


    supine position


    surgical interventions


Anterior tibial nerve


Antibiotic prophylaxis


    endocarditis


    total hip arthroplasty, coronary artery disease


Antibiotics


Anticholinesterase agents


    adverse effects/toxicity


    anticholinergic medications


    clinical uses and common agents


    mechanism of action


    pharmacology


    reversal of neuromuscular blockade


Anticholinesterases


Anticoagulant medication


    adenosine diphosphate inhibitors


    gycoprotein IIb/IIIa inhibitors


    heparin


    low molecular weight heparin


    thrombolytic medications


    warfarin


Anticoagulated patient


Antidepressants


    monoamine oxidase inhibitors


    serotonin reuptake inhibitors


    tricyclic antidepressants


Antidiuretic hormone (ADH)


Antiemetics


    for adults


    anticholinergic drugs


    antihistamines


    combination therapy


    dopamine (D2) antagonists


    dose and timing of administration


    glucocorticoids


    PONV prevention and treatment


    serotonin receptor antagonists


Antifibrinolytics


Antihypertensives


Antimicrobials


    adverse reactions


    allergic reactions/anaphylaxis


    choice of


    classification


    idiosyncratic reactions


    infective endocarditis prophylaxis


    interaction


    surgical site infection prophylaxis


Antiphospholipid antibody syndrome


Antisialogogue drug


Anuric renal failure


Anxiolytic drug


Aortic arteriotomy


Aortic cross clamping


    abdominal/infraceliac


    thoracic/supraceliac


    unclamping


Aortic cross-clamp


Aortic dissection


Aortic regurgitation (AR)


    diagnostic studies


    emergence


    etiology/natural history


    hemodynamic goals


    induction, anesthesia


    maintenance, anesthesia


    medical management vs. surgical management


    monitoring


    pathophysiology


    physical findings


    preoperative management


    qualitative measures


    quantitative assessment


    regurgitant volume


    severity grading


    signs and symptoms


Aortic stenosis (AS)


    Bernoulli equation


    classification and severity grading


    continuity equation


    emergence


    etiology


    hemodynamic goals


    induction, anesthesia


    maintenance, anesthesia


    monitoring


    natural history


    pathophysiology


    planimetry


    preoperative management


    signs and symptoms


    surgical management


Aortic surgery


    abdominal aortic aneurysms


    aortic cross clamping


    emergency aortic surgery


    endovascular repairs


    open abdominal


    retroperitoneal approach


    thoracic aortic aneurysms


Aortic valve


    anatomy


    aortic regurgitation


    aortic valve stenosis


    ASE/SCA 20 TEE views


    continuous wave Doppler


    evaluation


    planimetry


    pulse wave Doppler


Aortic valve replacement (AVR)


Aortopulmonary window


APGAR scoring system


Apnea


Apnea-hypopnea index (AHI)


Appendicitis


Aprepitant


Aprotinin


APTT (see Activated partial thromboplastin time)


Argatroban


Arrhythmias


    cardiomyopathy


    medications


    ventricular assist devices


Arrhythmogenic right ventricular dysplasia (AVRD)


    epidemiology and pathophysiology


    follow-up


    intraoperative considerations


    postoperative care


    preoperative considerations


    signs and symptoms


    treatment options


Arterial blood pressure (BP)


Arterial lines


Arterial switch procedure


Arthritis


    anesthetic management


        intraoperative considerations


        postoperative considerations


        preoperative considerations


    ankylosing spondylitis


    definition


    osteoarthritis


    rheumatoid


Aspiration


Aspirin


Assessing peak inspiratory pressure


Assist-controlled (ACV) volume-cycled ventilation


Asthma


    anticholinergics


    β2 adrenergic agonists


    corticosteroids


    cromolyn sodium and nedocromil sodium


    differential diagnosis, wheezing


    drugs


    immunomodulators


    incidence


    intraoperative management


    leukotriene-modifying drugs


    magnesium


    methylxanthines


    pathophysiology


    pediatric anesthesiology


    postoperative management


    precipitating factors


    preoperative management


    severity scoring


    status asthmaticus and isoflurane


    symptoms


    ventilatory management


Asystole


Atenolol


Atracurium


Atrial fibrillation


Atrial flutter


Autologous blood donation


Automated implantable cardioverter defibrillator (AICD)


    electromagnetic interference sources


    indications


    magnet functions


    NASPE/BPEG code


    nomenclature system


    stepwise approach, CRMD


Autonomic nervous system (ANS)


Awake fiber optic intubation (FOI)


    anesthesia application, airway


    considerations for


    glossopharyngeal nerve (CN IX) block


    indications


    lingual branch block


    oxygenation and suction


    patients positioning


    premedication


    sedation drugs


    superior laryngeal nerve block


    transtracheal nerve block


Awake intubation


Axillary block


    contraindications


    electrical nerve stimulator


    equipment


    evaluation


    indications


    monitoring


    perivascular axillary block


    positioning and preparation


    postoperative management


    risks and complications


    surface anatomy


    transarterial axillary block


    ultrasound-guided axillary block


B


Backward-upward-rightward pressure (BURP)


Bacterial contamination, blood products


BAEP (see Brainstem auditory evoked potentials)


Bag-valve-mask (BVM)


Bailey maneuver


Balloon valvotomy


Baralyme


Becker muscular dystrophy


Benzodiazapines


    adverse effects


    clinical uses


    mechanism of action


    special considerations


    toxicity


Berman endoscopic oral airway


β-adrenergic agonists


β-blockade


β-blocker


Bilateral tympanostomy tubes (BTTs)


Bilevel positive airway pressure (BiPAP)


Bipolar disorder


BIS-guided anesthetic care


Bisoprolol


Bispectral index (BIS) monitor


Blalock-Taussig shunt (BTS)


Bleeding disorders (see also Coagulopathy)


    coagulation cascade


    dilutional coagulopathy


    drugs


    increased peripheral platelet destruction


    platelet dysfunction


    sequestration


    Von Willebrand disease


Block failure


Blood component therapy


    cryoprecipitate


    fresh frozen plasma


    packed red blood cells


    platelets


    pretransfusion testing


    transfusion, complications


Blood exposure


Blood product replacement


    difficult cross-match


    intraoperative cell salvage


    Jehovah’s Witness


    management strategy


    normovolemia


        hemodilution


        maintenance


    patient refusal


    pharmacologic alternative


Blood volume and fluid compartments


Blood–brain barrier (BBB)


Blue bloaters


Board certification


    practice experience pathway


    testamur


    training program pathway


Body mass index (BMI)


Bone cement implication syndrome


Bony contact


Bovie safety


Brachial plexus


Bradycardia


    NMB drugs


    opioids


    spinal anesthesia


Brain circuit


Brain death


    clinical presentation


    diagnosis


    organ donation


Brainstem auditory evoked potentials (BAEP)


Brainstem dysfunction


Breath holding/apnea


Breathing circuit


Breathing system


Bronchial blocker (BB)


Bronchoscopy


Bronchospasm


Bupivacaine


Burn injuries


    anesthetic considerations


    electrical burn patients


    pathophysiology


    postoperative concerns


    scalds


    thermal burns, classification of


    treatment


    wound care


C


C nociceptors


“c” wave


Caffeine withdrawal


Caffeine-halothane muscle biopsy test (see Malignant hyperthermia (MH))


Calcitonin


Calcium


    hypercalcemia


    hypocalcemia


Calcium channels blockers


Cancer debulking procedures


Cannot ventilate–cannot intubate (CVCI)


Cannulation sites


    antecubital veins


    external jugular vein


    femoral vein


    internal jugular vein


    subclavian vein


Capnogram


Capnography


    abnormal capnogram interpretation


    clinical uses


    CO2 measurement techniques


    definition


    mainstream capnometers


    normal capnogram


    sidestream capnometers


Capnometry


Carbocaine


Carbon monoxide


Carcinoid syndrome


Carcinoid tumors


    carcinoid syndrome


    pathophysiology


    perioperative considerations


Cardiac arrhythmias


    abnormal rhythms


    AV block


    laparoscopic surgery


    normal EKG


    supraventricular dysrhythmias


    ventricular dysrhythmias


Cardiac catheterization laboratory


    cardioversion


    coronary angiography


    radiofrequency ablations


Cardiac complications


    dysrhythmias


    hypertension


    hypotension


Cardiac disease


    complete heart block


    congenital heart disease


    ischemic heart disease


    peripartum cardiomyopathy


    principles


    valvular heart disease


Cardiac dysfunction


Cardiac dysrhythmias


Cardiac exam


Cardiac index (CI)


Cardiac output (CO)


    inhaled anesthetic agents


    valvular heart disease


Cardiac surgery


Cardiomyopathy


    epidemiology and pathophysiology


    follow-up


    intraoperative considerations


    postoperative care


    preoperative considerations


    signs and symptoms


    treatment options


Cardiopulmonary bypass (CPB)


    anesthetic maintenance


    cannula insertions


    catastrophes


    initiation period


        heparinization


        surgical factors


    maintenance


    overview


    patient inspection


    physiology


    post-CPB


        chest closure


        coronary artery spasm


        dysrhythmias


        hemodynamic stability


    schematic


    separation


Cardiovascular system


    dexmedetomidine


    etomidate


    inhaled anesthetic agents


    ketamine


    premature infant


    propofol


    thiopental


Cardioversion


    anesthetic considerations


    indications


    technique


Carvedilol


Cauda equina syndrome


Caudal epidural anesthesia


    anesthetic considerations


    continuous epidural catheter


    contraindications


    drug selection


    epidural adjuncts


    equipment


    evaluation


    indications


    postoperative management


    risks and complications


    techniques


Cavernous sinus


Cefazolin


Cefotetan


Cefoxitin


Ceftriaxone


Cefuroxime


Celecoxib


Central apnea


Central demyelinating diseases


    clinical presentation


    induction, anesthesia


    maintenance/emergence, anesthesia


    post-operative considerations


    pre-operative considerations


    treatment


Central nervous system (CNS)


    adult cardiac surgery


    dexmedetomidine


    etomidate


    ketamine


    premature infant


    propofol


    thiopental


Central supply system, of medical gas pipelines


Central venous access


Central venous catheterization


Central venous pressure (CVP)


    cannulation sites


    complications


    coronary artery disease


    indications


    interpretation


    intravascular volume


    mechanics


    ScVO2


    technique


Cephalosporins, crossreactivity


Cerebellar and basal ganglia diseases


    anesthetic management


    clinical presentation


Cerebral autoregulation


Cerebral blood flow (CBF)


    intracranial physiology


    neurologic effects


Cerebral edema


Cerebral metabolic rate of oxygen (CMRO2)


Cerebral palsy (CP)


    clinical findings


    emergence


    intraoperative management


    maintenance


    monitors/lines/positioning


    pathophysiology


    postoperative management/disposition


    preoperative considerations


    signs/symptoms


    special anesthetic considerations


    treatment


Cerebral perfusion pressure (CPP)


Cerebrovascular accident (CVA)


Cervical spine trauma


Cesarean delivery


Channeled technique


Chemistry panel


Chiari II malformation


Child–Turcotte–Pugh (CTP) score


Chloroprocaine


Choanal atresia


Cholinergic crisis


Chronic anemia


Chronic hypoxemia


Chronic kidney disease


Chronic low back pain


    intraoperative concerns


    opioid tolerance


    perioperative pain management strategy


    postoperative pain management


    postoperative pain plan


    preoperative concerns


    preoperative instructions


    special considerations


Chronic obstructive pulmonary disease (COPD)


    anesthetic concerns


    clinical features


    epidemiology


    intraoperative considerations


    pathophysiology


    physical examination


    postoperative considerations


    preoperative considerations


    prognosis


    pulmonary function tests


    risk factors


Chronic pancreatitis


Chronic steroid


Chronic ulcer disease


Chylothorax


Cigarette smoking


Ciprofloxacin


Circle of Willis


Circle system


    classical


    closed


    CO2 absorber


    components


    function


    history


    low flow usage in


    types


    unidirectional valves


Circulating blood volume (CBV)


Cisatracurium


Citanest


Clean contaminated wounds


Clean surgical wounds


Cleft lip/cleft palate


    anesthetic management


        intraoperative management


        monitors/lines/positioning


        postoperative management


        preoperative evaluation


    surgical treatment


Clindamycin


Clonidine


Clopidigrel


Clot lysis index


Coagulation defects


Coagulopathy


    anesthetics


        intraoperative management


        postoperative management


        preoperative


    definition


    evaluation and treatment


        family history


        laboratory testing


        medical diseases


        medication history


        personal history


        physical examination


    pathophysiology


        abnormal/deceased platelet production


        acquired coagulation factor defects


        bleeding disorders


        congenital coagulation factor defects


        dilutional coagulation


        increased peripheral platelet destruction


        platelet dysfunction


        platelet function, abnormalities of


        sequestration


Cocaine


    mechanism


    organ systems, effects


        central nervous system


        CV system


        intraoperative considerations


        postoperative considerations


        preoperative considerations


    physiologic effects


Codeine


Colloids


    benefits of


    protein and nonprotein colloids


    rational use of


    resuscitation


    vs. crystalloids


Color flow Doppler


Color-coded cylinders


Combined spinal-epidural (CSE) technique


    complications


    failures with


    indications


    needle-through-needle technique


Combitube


    advantages


    placement of


    provides rescue ventilation


Complete blood count (CBC)


Computed tomography (CT)


    airway


    complications


    induction


    maintenance


    oral contrast


    premedication


    preoperative evaluation


    safety considerations


Computer-assisted robotic surgery


Concentration effect


Congenital cardiac defects


Congenital diaphragmatic hernia (CDH)


    anesthetic management


        intraoperative management


        monitors/lines


        postoperative management/disposition


        preoperative considerations


    clinical findings


    pathophysiology


    signs/symptoms


    surgical treatment


Congenital heart disease (CHD)


    anesthesia, risks of


    aorta coarctation


    left-to-right shunting lesions


    lesions and anesthetic concerns


    pediatric anesthesiology


    preoperative evaluation


    right-to-left shunting lesions


    special anesthetic considerations


Congenital heart lesions


Congestive heart failure (CHF)


Conn syndrome


Contaminated wounds


Continuous goal-directed fluid management


Continuous peripheral nerve block (CPNB)


    contraindications


    equipment


    hybrid technique


    indications


    infusion management


    monitoring


    patient education


    positioning and preparation


    risks and complication


    stimulating technique


    surface anatomy identification


    ultrasound-guided technique


Continuous positive airway pressure (CPAP)


Continuous wave Doppler (CWD)


Continuous/axial flow devices


Controlled ventilation


    Bain system (co-axial Mapleson D)


    Mapleson A–Magill circuit


    Mapleson D system


Coracoid approach


Corneal abrasion


Cornerstone therapy


    neuraxial techniques


    opioids


    peripheral nerve blocks


Coronary angiography


    anesthetic considerations


    indications


    technique


Coronary artery bypass grafting (CABG)


    central nervous system


    indications


Coronary artery disease (CAD)


    induction and maintenance


    intraoperative management


    postoperative ischemia


    postoperative management


    preoperative evaluation


        history


        physical exam


Cortical blindness


Corticosteroids


Corticotropin-releasing factor (CRF)


Cranial nerve dysfunction


Creatinine clearance


Cricothyroidotomy


Critical limb ischemia (CLI)


Crohn’s disease


Crystalloids


    additional forms


    characteristics


    intravascular volume replacement with


    rational use of


    resuscitation


Cuff trauma


Cushing syndrome


Cystectomy


Cystic fibrosis


    clinical findings


    intraoperative management


    monitoring/lines


    postoperative management/disposition


    preoperative evaluation


    signs/symptoms


Cystoscopy


Cytochrome P-450 3A and 2D6


D


3D echocardiography


Damus-Kaye-Stansel (DKS)


Dantrolene


Dead space ventilation


Deep-vein thrombosis (DVT)


    anticoagulation


    diagnosis


    pathophysiology


    prevalence


    prophylaxis


    risk factors


    supportive care


    treatment objective


Delayed emergence


Delayed hemolytic reaction


Delirium


Delta receptors


Dementia and cognitive decline, (see also Cerebellar and basal ganglia diseases)


Dental injury


Depolarizing muscle relaxants


    abnormal pseudocholinesterase


    bradycardia


    hyperkalemia


    increased intracranial pressure


    increased intragastric pressure


    malignant hyperthermia


    myalgias


Depth of anesthesia (DOA)


    BIS


    measurement errors and artifacts


    M-entropy module


    mid-latency auditory evoked potential


    narcotrend index monitor


    SNAP II


Dermatologic disorders


    intrahepatic cholestasis


    pruritic urticarial papules and pregnancy plaques


Desflurane


Desmopressin (DDAVP)


Dexamethasone


Dexmedetomidine


Dextrans


Dextrose (D5)


Diabetes insipidus (DI)


Diabetes mellitus (DM)


    classification


    definition


    diabetic ketoacidosis


    DKA, treatment of


    epidemiology


    hyperosmolar, hyperglycemic nonketotic coma


    long term complications


    pediatric anesthesiology


    perioperative insulin management


    perioperative patients


Diabetic ketoacidosis (DKA)


    hyperosmolar, hyperglycemic nonketotic coma


    signs and symptoms of


    treatment of


3,4-Diaminopyridine (3,4 DAP)


Diastolic dysfunction


Diastolic function


    atrial contraction


    color M-mode flow propagation velocity


    diastasis


    hemodynamic measurements


    impaired relaxation


    isovolumic relaxation time


    mitral Doppler inflow velocity


    principle


    pseudonormal


    pulmonary vein flow


    rapid filling phase


    restrictive


    tissue Doppler velocity measurement


Diazepam


DIC (see Disseminated intravascular coagulation)


Difficult airway


    ASA algorithm for


    awake vs. asleep


    cricothyroidotomy


    definition


    difficult tracheal intubation


    face mask ventilation


    incidence of


    introducer stylets


    prediction


    supraglottic airway device


    video laryngoscopic technique


Difficult mask ventilation (DMV)


Difficult tracheal intubation


    descriptions


    direct laryngoscopy


    emergency pathway


    neuromuscular blockade


    nonemergency pathway


Diffuse esophageal spasm


Diffusion defects


Diffusion hypoxia


Dilated cardiomyopathy (DCM)


    epidemiology and pathophysiology


    follow-up


    intraoperative considerations


    postoperative care


    preoperative considerations


    signs and symptoms


    treatment options


Dilutional coagulopathy


Direct laryngoscopy (DL)


    complications


    positioning


    principle of


Directed donor blood donation


Dirty-infected wounds


Disseminated intravascular coagulation (DIC)


Distal upper extremity peripheral nerve blocks


    contraindications


    equipment


    evaluation


    indications


    landmark-based elbow block technique


    landmark-based wrist block technique


    monitoring


    positioning and preparation


    postoperative management


    risks and complications


    surface anatomy


    ultrasound-guided forearm block techniques


Diverticulitis


Diverticulosis


DM (see Diabetes mellitus)


Dobutamine


Donor risk index


Dopamine


Double outlet right ventricle


Double switch procedure


Double-lumen tube (DLT)


    advantages


    design


    history


    indication of right


    larger DLT, advantages of


    left-DLT selection, guidelines


    placement of


    position conformation of


    risk factors, airway rupture


    selection of


Down syndrome (DS)


    cleft lip/cleft palate


    clinical findings


    emergence


    epidemiology


    intraoperative management


    preoperative considerations


    postoperative management


    premedication


    signs/symptoms


    surgical interventions


Droperidol


Drug absorption


Drug addiction


Drug administration


Drug distribution


Drug elimination


Drug eluting coronary artery stents


Drug–drug interactions (DDI)


Duchenne muscular dystrophy (DMD)


Dural puncture


Dysarthria


Dyslipidemia


Dysphagia


Dysrhythmias


    bradycardia


    tachycardia


Dystrophic epidermolysis bullosa


E


Ear, nose, and throat (ENT)


    acute upper airway obstruction


    anesthetic emergence considerations


    difficult airway management


    emergent surgical airway


    general principles


    otologic and neurotologic surgery


    panendoscopy


    postoperative considerations


    preoperative assessment


    sinus/maxillofacial/nasal surgery


    surgical considerations


    tracheostomy


Ebstein anomaly


Echothiophate


Eclampsia


Edrophonium


EEG (see Electroencephalography)


Eisenmenger syndrome


Elective intervention


Electrical operating room safety


    bovie safety


    electrical current running


    ground fault circuit interrupters


    line isolation monitor


    macroshock


    microshock


Electrocardiogram (ECG)


Electroconvulsive therapy


    contraindications


    description and procedure


    hemodynamic effects


    indications and mechanism


    induction


    intraoperative considerations


    muscle relaxants


    nondepolarizing muscle relaxants


    physiologic responses


    postoperative concerns


    preoperative evaluation


    respiratory management


Electroencephalography (EEG)


Electrolyte abnormalities


Electrolyte disturbances


    calcium


    phosphate


    potassium


    sodium


Electromyography (EMG)


Electronic alarm devices


Electronic rhythm management device (see Automated implantable cardioverter defibrillator (AICD); Pacemakers)


ELISA test


Emergence and postoperative issues


    complications


    deep extubation


    extubation criteria


    postoperative complications


    preparation


    signs and stages


Emergency craniotomy


Emery-Dreifuss muscular dystrophy


EMG (see Electromyography)


Endobronchial intubation


Endocardial cushion defect


Endocarditis


    congenital heart disease and native valve tissue


    high-risk patients


    high-risk procedures


    nondental and invasive gastrointestinal/genitourinary procedures


    recommended therapeutic options


    vaginal and cesarean delivery


    valve disease


Endocarditis repair


Endocrine disease, gestational diabetes mellitus


    adrenal conditions


    definition


    epidemiology


    intrapartum management


    pathophysiology


    pituitary disease


    pregnancy outcomes


    thyroid disease


    type I diabetes mellitus


    type II diabetes mellitus


Endocrine surgery


End-organ damage


Endoscopy suite


Endotracheal intubation


    anatomy of


    complications


    direct laryngoscopy, principle of


    equipment for


    indications


    nasotracheal technique


    orotracheal technique


    positioning


    preoperative assessment


    video laryngoscopy


Endotracheal tubes (ETT)


    blindly inserted over FOB


    components of


    insertion of


    placement of


    placement of, video laryngoscopes


    positioning of


    types


    various sizes


Endovascular repairs


    anesthetic considerations


    anesthetic technique


    aortic aneurysm


    complications


End-stage pulmonary disease


End-stage renal disease (ESRD)


End-tidal CO2 (ETCO2)


Enoxaparin


Ephedrine


Epidermolysis bullosa (EB)


    clinical findings


    intraop management


    monitors/lines/positioning


    pathophysiology


    peripheral IV placement


    positioning


    postoperative management


    preoperative considerations


    signs/symptoms


    surgical treatment


Epidural abscess


Epidural analgesia


Epidural anesthesia


    advantages


    disadvantages


    epidural space, anatomy


    equipment


    indications and contraindications


    pharmacology


    risks and complications


    technique


    troubleshooting


Epidural blood patch (EBP)


    contraindications


    effectiveness


    epidural catheter


    informed consent


    meticulous sterile technique


Epidural hematoma


Epiglottitis


    anesthetic management


        intraoperative management


        monitors/lines


        postoperative management


        preoperative considerations


    clinical findings


    diagnosis


    pathophysiology


    signs/symptoms


Epilepsy


    anesthetic management


        intracranial resection, seizure focus


        non-epilepsy surgery


        status epilepticus


    clinical presentation


    pro- and anti-convulsant effects, anesthetic drugs


Epinephrine


    caudal epidural anesthesia


    medications, neonatal resuscitation


Eptifibatide


Eschmann stylet


Esmolol


Esophageal bleeding


Esophageal diseases


Esophageal intubation


Essential hypertension


    anesthetic considerations


    cerebral autoregulation


    classification


    definition


    end-organ damage


    induction, anesthesia


    intraoperative hemodynamic management


    monitoring


    perioperative considerations


    postoperative management


    preoperative evaluation


    risk factors


    treatment and management


    uncontrolled


Esthers


Ethyl alcohol (EtOH)


    cardiovascular system


    central nervous system


    fluid and electrolyte abnormalities


    gastrointestinal and hepatobiliary systems


    hematopoiesis


    intravenous anesthetics


    muscle relaxants


    nutritional deficiencies


    respiratory system


    sympathomimetic medications


    volatile anesthetics


    withdrawal states


Etomidate


    cardiovascular system


    central nervous system


    clinical use


    endocrine system


    mechanism of action


    pharmacokinetics


ETT (see Endotracheal tubes)


Ex-premature infant


External jugular vein


Extra corporeal membrane oxygenation (ECMO)


Extracardiac Fontan


Extracorporeal shock wave lithotripsy (ESWL)


Extremity and skin exam


Extubation criteria


Eye injury


Eye surgery


    anesthesia


    anticholinergic medications


    intraocular gas expansion


    IOP


    ocular physiology


    oculocardiac reflex


    ophthalmic medications


    regional and local techniques


F


Face mask ventilation


    anatomic abnormalities


    risk factors, DMV and IMV


Fail-safe system


Fast tracking


Fat embolus syndrome


FEIBA


Femoral nerve


Femoral nerve block


    block evaluation


    contraindications


    equipment


    fascia iliaca block technique


    indications


    monitoring


    positioning and preparation


    postoperative management


    risks and complications


    stimulating technique


    surface anatomy identification


    ultrasound guided femoral nerve block


Femoral vein


Fentanyl


    myringotomy and ventilation tubes


    pain medication


Fetal bradycardia


Fetal circulation


    pulmonary vascular resistance


    systemic vascular resistance


Fiberoptic bronchoscope (FOB)


Fiberoptic intubation (FOI)


    awake


    conduit for


    contraindications


    difficulties and troubleshooting


    fiberoptic scope


    indications


    preparation for


    technique


Fick equation


Flaccid paralysis


Flexible bronchoscopy


Flexible LMA


Fludrocortisone


Fluid compartments


Fluid management (see Perioperative fluid management)


Fluid requirements


    classical calculation


    fixed and dynamic variables


    Parkland formula


Fluid restrictive therapy


Flumazenil


Fluoromethyl-2–2-difluoro-1-trifluoromethyl vinyl ether


Fluoroscopy, PA determination


FOI (see Fiberoptic intubation)


Follicle stimulating hormone (FSH)


Fontan procedure


Foot surgery


Foreign body aspiration


    anesthetic management


        intraoperative complications


        intraoperative management


        monitoring


        postoperative management


        preoperative management


    clinical findings


    diagnosis


    pathophysiology


    signs/symptoms


    treatment


Fractional area change (FAC)


Fractional oximetry


Fractional shortening (FS)


Fresh frozen plasma (FFP)


Fresh gas flow (FGF)


Fresh gas inlet (FGI)


Functional oximetry


Functional residual capacity (FRC)


G


Gag reflex


Gamma-aminobutyric acid (GABA) receptor


Gap acidosis


Gas flow


    from anesthesia machine


    checkout for


Gas(es), medical gas pipeline systems


Gastric content, aspiration of


Gastroenteric system


Gastroesophageal reflux (GERD)


    clinical findings


    intraoperative management


        emergence


        induction


        maintenance


    monitors/lines/positioning


    pathophysiology


    postoperative management


    preoperative considerations


    signs/symptoms


    surgical technique


Gastroesophageal reflux disease


Gastrointestinal (GI) surgery


    blood loss


    chemotherapy drugs


    exploratory laparotomy


    extubation


    fluid replacement


    hernia repair


    ICU care


    monitoring


    respiratory complications


    thoracic epidermal


    Whipple procedure


Gastrointestinal system


    carcinoid tumors


    diffuse esophageal spasm


    diverticular and appendiceal disease


    esophageal bleeding


    esophageal diseases


    inflammatory bowel disease


    pancreatic disease


    pediatric anesthesiology


    peptic ulcer disease


    Zollinger-Ellison syndrome


Gastroschisis


    anesthetic management


        intraoperative management


        monitors/lines


        postoperative management


        preoperative considerations


    pathophysiology/embryology


    signs/symptoms/clinical findings


    surgical treatment


GDM. (see Gestational diabetes mellitus)


Gelatins


General anesthesia (GA)


    cesarean delivery


    intravenous GA


        modified RSI


        rapid sequence induction


        standard induction


    premedications prior to


    standard induction


Gentamycin


Geriatric patient


    adult-onset diabetes


    alcohol intake


    coronary artery disease


    coronary stent


    gastroesophageal reflux disease


    medications


    pain


    perioperative assessment


    pharmacology (see Aging, see pharmacology)


    previous CABG


    prostate biopsy


    smoking


Gestational diabetes mellitus (GDM)


    adrenal conditions


    definition


    diabetes mellitus


    epidemiology


    hyperthyroidism


    hypothyroidism


    intrapartum management


    pathophysiology


    pituitary disease


    pregnancy outcomes


    treatment


Glasgow Coma Scale


Glidescope video laryngoscope (GVL)


Global exam


Glomerular filtration rate (GFR)


Glossopharyngeal nerve block


Glucocorticoids


    adverse effects/toxicity


    mechanism of action


    physiologic effects


    preparation


    regulation


Glycopyrrolate


Graves disease


Ground fault circuit interrupters (GFCI)


Guedel system


Guillian-Barre syndrome (GBS), (see also Peripheral demyelinating diseases)


Gum elastic bougie (GEB)


Gycoprotein IIb/IIIa inhibitors


Gynecologic surgery


H


Haemophilus influenza type B (Hib)


Haloperidol


Halothane


Hanger yoke assembly


Hashimoto thyroiditis


Head-elevated laryngoscopy position (HELP)


Heart failure (HF)


    definition


    evaluation


    incidence


    normal ejection fraction


    reduced ejection fraction


    risk factors


    symptoms


Heart failure with normal ejection fraction (HFNEF)


    anesthetic implications


    medical management


    medication recommendations


    pathophysiology


    postoperative


    symptoms and signs


Heart failure with reduced ejection fraction (HFREF)


    anesthetic implications


    cardiac resynchronization therapy


    implantable cardioverter-defibrillator (ICD)


    inhalational anesthetics


    invasive monitoring


    medical management


Heart rate (HR), inhaled anesthetics


Heliox


Hematologic agents


    anticoagulant medications (see Anticoagulant medication)


    procoagulant medication (see Procoagulant medication)


Hematologic diseases


    acute thromboembolism


    diagnosis


    disseminated intravascular coagulation


    HELLP syndrome


    idiopathic thrombocytopenia


    inherited and acquired thrombophilias


    sickle cell anemia


    thrombocytopenia


    thromboembolic disease treatment


    thrombotic thrombocytopenia purpura-hemolytic uremic syndrome


    Von Willebrand disease


Hematologic system


    pediatric anesthesiology


    premature infant


Hematologics


Hematoma formation


Hematomas


Hemodynamic instability


Hemoglobin (Hb)


Hemoglobinopathies


    methemoglobinemia


    sulfhemoglobinemia


    thalassemia


Hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome


Hemophilia A


Hemorrhage


Hemorrhage/massive transfusion


Hemothorax


Heparin


Heparinization


Hepatic effects, inhaled anesthetic agents


Hepatitis B virus (HBV)


Hepatitis C virus (HCV)


Hepatobiliary surgery


    blood loss


    cholecystectomy


    extubation


    fluid replacement


    ICU care


    liver biopsy


    liver resection


    monitoring


    respiratory complications


    thoracic epidermal


Hepatorenal


Hetastarch


HHNC (see Hyperosmolar, see hyperglycemic nonketotic coma)


High-pressure system


    gas sources


    oxygen flush valve


    oxygen pressure failure devices


    pneumatic and electronic alarm device


Histamine-mediated degranulation


Human immune deficiency virus (HIV)


    clinical manifestations


    diagnosis


    intraoperative management


    needlestick injury


    pathophysiology


    postoperative management


    preoperative management


    transmission


    treatment


Hybrid technique


Hydrocephalus


Hydrocortisone


Hydrogen ion


Hydromorphone


Hydroxyethyl starch


Hypercalcemia


Hypercarbia


Hyperglycemia


Hyperkalemia


Hypermagnesemia


Hyperosmolar, hyperglycemic nonketotic coma (HHNC)


Hyperparathyroidism


    anesthetic management, patients


    disorders


    surgical treatment


Hypertension


    analgesia


    anesthesia


    antihypertensives


    classifications


    intraoperative


    postoperative


    pre-bypass


    preoperative


    steroids


Hyperthermia


Hyperthyroidism


    causes


    etiology


    Graves disease


    intraoperative treatment


    preoperative anesthesia evaluation


    prevalence


    signs and symptoms


    thyroid storm


    treatment


Hypertrophic cardiomyopathy (HCM)


    epidemiology and pathophysiology


    follow-up


    intraoperative considerations


    postoperative care


    preoperative considerations


    signs and symptoms


    treatment options


Hypertrophic pyloric stenosis


    clinical findings


    diagnosis


    emergence


    intraoperative management


    maintenance


    monitors/lines


    pathophysiology


    postoperative management


    preoperative considerations


    signs/symptoms


    special anesthetic considerations


    surgical treatment


Hypervolemia


Hypnosis


Hypocalcemia


Hypoglycemia


Hypotension


    decreased cardiac output


    hypovolemia


    impaired venous return


    prebypass


    spinal anesthesia


    vasodilation


Hypothermia


Hypothyroidism


    etiology


    intraoperative treatment


    postoperative treatment


    preoperative anesthesia evaluation


    prevalence


    primary hypothyroidism


    secondary hypothyroidism


    signs and symptoms


    treatment


Hypoventilation


Hypovolemia


Hypoxemia


    airway resistance


    alveolar hypoventilation


    O2 diffusion


    physiological dead space


    reduced PiO2


    ventricular assist devices


    V/Q mismatch


    work of breathing


Hypoxia


I


Iatrogenic AI


Ibuprofen


IDDM (see Insulin-dependent diabetes mellitus)


Ideal body weight (IBW)


Idiopathic thrombocytopenia


Idiosyncratic reactions


Immune-mediated reactions


Immunosuppression, steroids


Impossible mask ventilation (IMV)


Inadequate postoperative analgesia


Indomethacin


Infective endocarditis (IE) prophylaxis


Inflammatory bowel disease


Inflammatory neurologic disease


    clinical manifestation


    induction, anesthesia


    maintenance/emergence, anesthesia


    neurologic Lyme disease


    post-operative considerations


    pre-operative considerations


    treatment


Inflatable cuff


Informed consent


Infraclavicular block


    contraindications


    coracoid approach


    equipment


    evaluation


    indications


    monitoring


    multiple-injection technique


    positioning and preparation


    postoperative management


    risks and complications


    surface anatomy


    ultrasound-guided infraclavicular block


Inhalational anesthesia


Inhaled anesthetic agents


    in clinical use


    minimal alveolar concentration, 314t


    pharmacodynamics


    pharmacokinetics


Inhaled anesthetics


Inhaled beta-2 agonists


Inhaled NO


Inherited and acquired thrombophilias


Insulin-dependent diabetes mellitus (IDDM)


Intensive care unit (ICU)


    anesthesia monitoring


    anesthetic considerations


    indications


    technique


Intermittent mandatory ventilation (IMV)


Internal jugular (IJ) vein


International normalized ratio (INR)


Interscalene block


    contraindications


    equipment


    evaluation


    identification


    indications


    monitoring


    needle position


    positioning and preparation


    postoperative management


    risks and complications


    superficial needle placement


    ultrasound-guided interscalene block


Intra-arterial blood pressure monitoring


Intracranial and neurovascular procedures


    carotid endarterectomy


        indications


        intraoperative anesthetic considerations


        postoperative considerations


        potential complications


        preoperative considerations


        surgical procedure


    craniotomy


        brain biopsy


        chiari malformation


        DBS electrode placement


        endoscopic procedures


        epidural hematoma evacuation


        hemifacial spasm


        intracerebral abscess/empyema


        ommaya reservoir


        pituitary tumor


        seizure focus


        stereotactic radiosurgery


        subdural hematoma evacuation


        traumatic brain injury


        trigeminal neuralgia


        tumors


        vascular lesions


        ventriculoperitoneal shunt


    neuroanesthesia considerations


        emergence


        intraoperative considerations


        postoperative care


        potential complications


        preoperative assessment and planning


    neuroendovascular procedures


    physiology


        blood-brain barrier


        cerebral edema


        cerebral metabolism of oxygen


        CPP and CBF


        intracranial pressure


Intracranial hypertension (ICH), (see also Intracranial pressure (ICP))


Intracranial pressure (ICP)


    cerebrospinal fluid


    CSF leak


    diagnosis


    general principles


    and ICH


    medical treatment


    monitoring


    postoperative care


    surgical treatment


Intraocular pressure (IOP)


    anesthetics


    PONV


Intraoperative awareness


    detecting episodes


    incidence


    risk factors


    symptoms


Intraoperative cell salvage


Intraoperative hemodynamic management


Intraoperative plan


    airway instrumentation


    inhalational induction


    intravenous access


    mask ventilation


    MSMAIDS algorithm


    neuromuscular blocking agent administration


    patient monitors, selection of


    preoxygenation


Intrathoracic robot-assisted surgery


Intravenous (IV) access


Intravenous (IV) induction agents


    dexmedetomidine


    etomidate


    ketamine


    propofol


    thiopental


Intraventricular hemorrhage (IVH)


Intubating laryngeal mask (ILMA)


Intubation (see Endotracheal intubation; Nasotracheal intubation; Orotracheal intubation)


Intussusception


    anesthetic management


        intraoperative management


        monitors/lines/positioning


        postoperative management/analgesia


        preoperative considerations


    clinical findings


    pathophysiology


    signs/symptoms


    treatment


Invasive positive-pressure ventilation (IPPV)


    indications


    modes


Ischemic heart disease (IHD)


    clinical syndromes


        angina pectoris


        ischemic cardiomyopathy


        SCD


        subendocardial


        transmural


    coronary artery disease


        induction and maintenance


        intraoperative management


        postoperative ischemia


        postoperative management


        preoperative evaluation


    epidemiology


        modifiable risk factors


        nonmodifiable risk factors


    essential hypertension


    medical therapy


    myocardial infarction


        complications


        severity or extent


    pathophysiology


        atherosclerosis


        atherosclerotic plaque changes


        myocardial O2 supply/demand


    reperfusion


Ischemic optic neuropathy


Ischemic vascular disease


    clinical presentation


    non-CEA surgery


        emergence/postoperative management


        intraoperative management


        preoperative considerations


    treatment


Isoflurane


Isoproterenol


Isovolumic relaxation time (IVRT)


J


Jackson-Rees circuit


Junctional epidermolysis bullosa


Junctional rhythm


K


Kappa receptors


Ketamine


    adenotonsillectomy


    adverse effects


    cardiovascular system


    caudal epidural anesthesia


    central nervous system


    clinical use


    dosing


    mechanism of action


    myringotomy and ventilation tubes


    pharmacokinetics


    respiratory system


Ketorolac


Kidney disease


    acute kidney failure


    anesthetic considerations


        intraoperative considerations


        postoperative consideration


        preoperative considerations


    chronic kidney disease


    epidemiology


    nomenclature update


    pathophysiology


Kidney transplantation


    intraoperative considerations


    postoperative considerations


    preoperative considerations


Klippel-Feil syndrome


Knee arthroscopy


Knee surgery


Kyphoplasty


L


Labetalol


Labor analgesia


Lack coaxial system


Lactated Ringers (LR)


Lambert-Beer law


Lambert-Eaton myasthenic syndrome (LEMS)


Laminectomy


Laparoscopic cholecystectomy with pulmonary hypertension


    anesthetic management


    anesthetic technique


    diagnosis and evaluation


    patient history


    patient preparation


    perioperative hypotension treatment


    perioperative monitoring


    physiologic considerations and goals


    postoperative management


    surgical risks and benefits


Laparoscopic gastric bypass surgery


Laparoscopic surgery


    advantages and disadvantages


    anesthetic techniques


    CO2 subcutaneous emphysema


    complications


    endobronchial intubation


    gas (CO2) embolism


    hemodynamic effects


    indications and techniques


    pathophysiologic effects


    patient monitoring


    pneumoperitoneum


    pneumothorax


    postoperative recovery


    urologic surgery


    ventilatory effects


Large a waves


Large v waves


Laryngeal injury


Laryngeal mask


Laryngeal mask airways (LMA)


    advantage


    airway emergencies


    airway rescue device


    completion


    complications


    contraindications


    definition


    disadvantage


    emergence and removal of


    failures of


    function


    insertion


    insertion of


    intubation


    patient positioning


    pediatric anesthesiology


    preparation


    troubleshooting


    types


    ventilation


Laryngoscopes


    blades


    Cormack and Lehane views


    GlideScope


Laser surgery


    airway fire


    airway management


    endotracheal intubation


    indications


    intermittent apnea


    jet insufflations


    manual ventilation


    safety precautions


    venturi technique


Lateral position


Lateral tunnel fontan


Latex allergy


Left atrial pressure (LAP) overload


Left ventricle systolic function


    ejection fraction


    fractional area change


    LV SAX area measurement


    LVEDV/LVESV


    M-mode and fractional shortening


    regional wall motion abnormality


    SV, CO, cardiac index


    TEE image planes


Left ventricular end diastolic volume


Left ventricular end-diastolic pressure (LVEDP)


Left ventricular outflow tract (LVOT)


    long axis view


    pulse wave Doppler


Left-sided DLT insertion


LEMS (see Lambert-Eaton myasthenic syndrome)


Levotransposition of the great arteries (L-GTA)


Lidocaine


Line isolation monitor (LIM)


Lingual branch block


Liposuction


Lithotomy


Liver and biliary tract disease


    acute parenchymal liver disease


    bile metabolism


    carbohydrate metabolism


    cholestatic liver disease


    chronic parenchymal liver disease


    circulation


    drug metabolism


    endocrine functions


    erythopoesis


    hepatic cirrhosis


    immune function


    intraoperative considerations


    lipid metabolism


    macroscopic anatomy


    microscopic anatomy


    perioperative risk assessment


    physiologic derangements


        cardiovascular


        central nervous system


        gastrointestinal


        hematologic dysfunction


        metabolic abnormalities


        pulmonary


        renal dysfunction


    postoperative considerations


    preoperative considerations


    protein synthesis and degradation


Liver failure


Liver transplantation


    intraoperative considerations


    postoperative management


    preoperative checklist


    preoperative considerations


    preoperative evaluation


Local anesthetic toxicity


Local anesthetics


    adverse effects/toxicity


    clinical uses


    mechanism of action


    pharmacokinetics


    structure/activity relationships


    types


Lorazepam


Loss-of-resistance technique


Low amplitude states


Low molecular weight heparin (LMWH)


Lower extremity


    ankle block (see Ankle block)


    femoral nerve block (see Femoral nerve block)


    foot and ankle surgery


    hip fracture


    injury


    innervation


        lumbar plexus nerves


        sacral plexus nerves


    knee surgery


    lumbar plexus (psoas compartment) block (see Lumbar plexus (psoas compartment) block)


    popliteal fossa sciatic nerve block (see Popliteal fossa sciatic nerve block)


    proximal sciatic nerve blocks (see Proximal sciatic nerve blocks)


    total hip arthroplasty


Low-pressure system


    flow control valves


    flow meter of


    gas flow rate


    oxygen flow rate


    vaporizers


Lumbar epidural placement


Lumbar plexus (psoas compartment) block


    body mass index


    contraindications


    equipment


    evaluation


    indications


    monitoring


    positioning and preparation


    postoperative management


    risks and complications


    surface anatomy


    ultrasound-guided LPB


Lumbar plexus nerves


Lung expansion techniques


Lung volume reduction surgery (LVRS)


    intraoperative anesthetic management


    postoperative management


Lyme disease, (see also Inflammatory neurologic disease)


M


Mac vs. Miller blade, uses of


Macintosh blade


Macroshock


Magill circuit, Mapleson A


Magill forceps


Magnesium therapy


Magnetic resonance imaging (MRI)


    airway


    complications


    induction


    maintenance


    oral contrast


    premedication


    preoperative evaluation


    safety considerations


Mainstream capnometers


Maintenance of surgical anesthesia


    analgesia


    balanced vs. total IV methods


    hypnosis


    neuromuscular blockade


Malar hypoplasia


Malignant hyperthermia (MH)


    anesthetic care


    definition


    pathophysiology


    signs and symptoms


    treatment


        follow-up


        initial treatment and resuscitation


        postoperative care


Mallampati classification scheme


Malleable stylet


Mandibular and pharyngeal hypoplasia


Manual inline immobilization (MILI)


Mapleson circuits


    advantages and disadvantages


    brain system (Co-axial Mapleson D)


    fresh gas flow


    Lack system (Coaxial Mapleson A)


    Mapleson A–Magill circuit


    Mapleson B and C systems


    Mapleson D system


    Mapleson E and F systems


Marcaine


Marijuana


Mask ventilation


Masseter muscle spasm (MMS)


Massive transfusion and resuscitation


    blood product replacement


    causes


    complications


    definition


    management goals


    mobilization


    protocol


Mean arterial pressure (MAP)


Mechanical heart valves


Mechanical ventilation


    contraindications


    indications


    medications


    modes


    sedation


    ventilator settings


Meconium aspiration syndrome (MAS)


Median nerve block


Median/midline approach


Mediastinoscopy


Medullary paralysis


Meningitis


Meningomyelocele


    anesthetic management


        interoperative management


        monitor/lines


        postoperative management/diposition


        preoperative considerations


    clinical findings


    pathophysiology


    signs/symptoms


    surgical treatment


M-entropy module


MEP (see Motor evoked potentials)


Meperidine


Mepivacaine


Metabolic acidosis


Methadone


Methemoglobinemia


Methohexital


Methylegonavine


Metoclopramide


Metoprolol


Metronidazole


Microdiscectomy


Microshock


Midazolam


Mid-latency auditory evoked potential (MLAEP)


Midline approach, spinal anesthesia


Migraine


Miller blade


Mineralocorticoids


Minimal alveolar concentration (MAC)


Minimally invasive neuroendoscopic surgery


Mitral regurgitation (MR)


    anesthetic implications


    etiology


    induction and maintenance, anesthesia


    medical management vs. surgical management


    monitoring, anesthesia


    natural history


    pathophysiology


    postoperative management


    preoperative considerations


    severity grading


    signs and symptoms


Mitral stenosis (MS)


    anesthetic considerations


    anesthetic implications


    etiology


    intrapartum management goals


    medical management vs. surgical management


    natural history


    pathophysiology


    pregnancy considerations


    severity grading


    signs and symptoms


    treatment


Mitral valve


    20 standard TEE views


    anatomy


    evaluation


    mitral valve regurgitation


    mitral valve stenosis


    nomenclature


Mivacurium


Mixed central venous oxygen saturation (ScVO2)


MMS (see Masseter muscle spasm)


Model for end-stage liver disease (MELD)


Modified Brooke formula


Monitored anesthesia care (MAC)


Monoamine oxidase inhibitors (MAOIs)


Morphine


Morphine-6-glucuronide


Motor evoked potentials (MEP)


Motor system diseases


    amyotrophic lateral sclerosis


    clinical presentation


    Duchenne muscular dystrophy


    induction, anesthesia


    maintenance and emergence, anesthesia


    muscle channelopathy


    post-operative considerations


    preoperative considerations


Mu receptors


Multiple aortopulmonary collateral arteries (MAPCAs)


Multiple endocrine neoplasia syndrome (MEN)


Multiple expired gas analysis


Multiple sclerosis (MS), (see also Central demyelinating diseases)


Murphy eye


Muscle channelopathy


Muscle specific kinase (MuSK)


Muscular dystrophy


    anesthetic implications


    pathophysiology


    signs and symptoms


Musculoskeletal exam


Musculoskeletal HA


MuSK (see Muscle specific kinase)


Mustard procedure


Myalgias, NMB drug


Myasthenia gravis (MG)


    anesthetic agents


    anesthetic emergence


    anesthetic plan


    clinical presentation and diagnosis


    differential diagnosis


    induction and intubation methods


    MGFA clinical classification


    myasthenic crisis


    pathophysiology


    peripheral nerve stimulator


    postoperative considerations


    pregnancy


    preoperative evaluation


    treatment


    types


Myasthenia Gravis Foundation of America (MGFA)


Myocardial contractility, inhaled anesthetics


Myocardial infarction (MI)


    arrhythmias


    infarct extension


    mural thrombus


    myocardial rupture


    papillary muscle dysfunction


    pericarditis


    right ventricular infarction


    severity or extent


    subendocardial


    transmural


    ventricular aneurysm


Myocardial ischemia


    aortic regurgitation


    aortic stenosis


    pulmonary hypertension


Myocardial oxygen balance, valvular heart disease


Myocardial oxygen supply and demand


Myocardial perfusion


Myotonic dystrophy


Myringotomy and ventilation tubes


    anesthetic management


        disposition


        emergence delirium


        inhalation induction


        intraoperative management


        maintenance and induction


        postoperative pain


        preoperative evaluation


        special anesthetic goals/issues


    indication


    signs and symptoms


    surgical treatment


Myxedema coma (MXC)


N


Nalaxone


Naloxone


Naltrexone


Naproxen


Narcotics


Narcotrend Index Monitor


Naropin


Nasotracheal intubation


    contraindications


    indications


NASPE/BPEG generic code


    defibrillator


    pacemaker


National Board of Echocardiography (NBE)


NBE (see National Board of Echocardiography)


Needlestick injury


    communication


    mechanisms of injury


    pathophysiology


    prevention


    safety devices


    sharps management


    treatment and management


    universal precautions


    vaccination


Needle-through-needle technique


Neohepatic phase


Neonatal resuscitation


    cognitive aid


    considerations and equipment


    epinephrine


    initial assessment


    maternal opioid administration


    meconium


    nalaxone


    NRP algorithm


    risk factors


    treatment


Neonatal Resuscitation Program (NRP) algorithm


Neostigmine


Nephrectomy


Nephroureterectomy


Nerve disease


    anesthetic risk


    brain death (see Brain death)


    central demyelinating diseases (see Central demyelinating diseases)


    cerebellar and basal ganglia diseases (see Cerebellar and basal ganglia diseases)


    inflammatory neurologic disease (see Inflammatory neurologic disease)


    motor system diseases (see Motor system diseases)


    peripheral demyelinating diseases (see Peripheral demyelinating diseases)


Nerve stimulation technique


Nesacaine


Neuraxial anesthesia


Neuroanesthesia


    emergence


    intraoperative considerations


        cerebral protection


        fluid and electrolyte management


        high venous pressures


        ICP management


        ICP/CSF drain


        induction and maintenance


        monitoring


    postoperative care


    potential complications


        bleeding


        diabetes insipidus


        eye injury


        neurogenic pulmonary edema


        syndrome of inappropriate ADH


        vasospasm


        venous air embolus


    preoperative assessment and planning


Neuroborreliosis


Neurologic diseases


    multiple sclerosis


    paraplegia


    seizure disorders


Neurologic effect, inhaled anesthesia


Neurological exam


Neuromuscular blocking (NMB)


    adverse effects/toxicity


    agents


    clinical uses


    drug interactions


    mechanism of action


    metabolism


    monitoring


    reversal of blockade


Neuromuscular effects


Neuromuscular junction (NMJ)


Neuromuscular transmission, physiology of


Neuropathy task force consensus


    documentation


    equipments


    lower extremity positioning


    perioperative assessment


    postoperative assessment


    protective padding


    upper extremity positioning


Neurophysiologic monitoring


    anesthetic management strategies


    evoked potentials


    techniques


Neuroradiology


    anesthetic considerations


    indications


    technique


Neurosurgery, steroids


New York Heart Association Classification of Cardiovascular Disease


Nicardipine


NIDDM (see Non-insulin-dependent diabetes mellitus)


Nifedipine


Nissen fundoplication


Nitroglycerin


Nitrous oxide


Nitrous oxide cylinder pressure regulator


Nondepolarizing muscle relaxants


Non-gap acidosis


Non-insulin-dependent diabetes mellitus (NIDDM)


Noninvasive positive-pressure ventilation (NPPV)


    advantage and disadvantages


    history


    indications


    modes


Noninvasive ventilation (NIV)


    bilevel positive airway pressure


    continuous positive airway pressure


    criteria


Non-narcotic analgesics


Nonprotein colloids


Nonreassuring fetal heart rate tracing


    categories


    fetal status determination


    pathophysiology


    risk factors and prevention


    treatment and management


Nonsteroidal anti-inflammatory drugs (NSAIDs)


    acetaminophen


    adverse effects


    adverse effects/toxicity


    celecoxib


    clinical uses


    COX-2 inhibitors


    ketorolac


    mechanism of action


    pharmacokinetics


    structure/activity relationships


Norepinephrine


Normal saline (NS)


Normeperidine


Normosol


Normovolemia


    hemodilution


    maintenance


Normovolemic hemodilution


Norwood procedure


Novocain


NSAIDs (see Nonsteroidal anti-inflammatory drugs)


O


O2 therapy


Obesity


    arterial HTN


    body mass index


    diabetes mellitus


    epidemiology


    gastroesophageal reflux disease


    ideal body weight


    obstructive sleep apnea


    osteoarthritis


    perioperative approach


        anesthetic emergence


        intraoperative management


        preoperative considerations


        regional anesthesia


    physiologic changes


    postoperative pain management


    thromboembolic disease


Obesity hypoventilation syndrome


Obstetrical anesthesia


    cervical cerclage


    cesarean delivery


    common obstetrical nomenclature


    emergent hysterectomy


    general anesthesia


    instrumented vaginal delivery


    nonpharmacologic methods


    physiologic changes


    postpartum tubal ligation


    regional anesthesia


    systemic pain medications


Obstetrical emergencies


    abnormal placentation


    nonreassuring fetal heart rate tracing


    operative vaginal delivery


    shoulder dystocia


    umbilical cord prolapse


    uterine inversion


    vaginal birth after cesarean section/uterine rupture


Obstructive apnea


Obstructive sleep apnea (OSA)


    diagnosis


    discharge criteria


    intraoperative management


    pathophysiology


    postoperative management


    preoperative management


    prevalence


Obturator nerve


Occupational exposure, volatile anesthetics


Oculocardiac reflex (OCR)


Office-based anesthesia


Oliguria


Omphalocele


    anesthetic management


        intraoperative management


        monitors/lines


        postoperative management


        preoperative considerations


    pathophysiology/embryology


    signs/symptoms/clinical findings


    surgical treatment


Ondansetron


One-lung ventilation


Operating room (OR)


    ASA guidelines


    blood exposure


    cardiac catheterization laboratory


    computed tomography


    difficult-to-sedate patients


    electrical OR safety


    endoscopy suite


    fall hazards


    high-risk patient


    intensive care unit


    magnetic resonance imaging


    movement disorders


    neuroradiology


    postoperative care


    procedures


    transport


    volatile anesthetics, occupational exposure


Operative vaginal delivery


Opiates


Opioids


    abuse


    adenotonsillectomy


    adverse effects/toxicity


    agonist/antagonists


    antagonists


    caudal epidural anesthesia


    clinical uses


    drug interactions


    inhalational agents


    mechanism of action


    neuraxial administration


    parenteral administration


    structure/activity relationships


    transdermal/transmucosal administration


Orchiectomy


Organophosphate poisoning


Orotracheal intubation


Orthopedic surgery


    bone cement implication syndrome


    comorbid conditions


    fat embolus syndrome


    lower extremity surgery


    optimize surgical exposure


    peripheral nerve injury


    postoperative analgesia


    postoperative considerations


    prevent stretch/compression nerve injuries


    regional anesthesia


    surgical anesthesia


    thromboembolic events


    tourniquets


    upper extremity surgery


Osteoarthritis (OA)


    anesthetic considerations


    pathophysiology and characteristics


Outpatient anesthesia


    office-based anesthesia


    perioperative emergencies and transfer


    postanesthetic recovery and discharge


    risk evaluation


    unanticipated inpatient admission


Ovassapian endoscopic oral airway


Oxidative stress


Oximetric PAC


Oxycodone


Oxygen


    delivery to tissue


    flush valve


    pressure failure devices


Oxygen analyzer


Oxygen cylinder pressure regulator


Oxygen failure


Oxygenation


Oxymetazoline


Oxytocin


P


Pacemakers


    electromagnetic interference sources


    indications


    magnet functions


    NASPE/BPEG code


    nomenclature system


    stepwise approach, CRMD


Packed red blood cells (PRBCs)


Padded arm boards


Pain management, pediatric anesthesiology


    narcotics


    non-narcotic analgesics


    regional anesthesia


Pancreatic disease


Pancuronium


Paramedian approach


Parathyroid glands


    anatomy/normal function


    disorders of


    hypercalcemia


    primary hyperparathyroidism


Parathyroid hormone (PTH)


Paravertebral blocks


    block evaluation


    contraindications


    equipment


    indications


    landmark-based PVB technique


    monitoring


    positioning and preparation


    postoperative management


    risks and complications


    surface anatomy identification


    ultrasound-guided PVB technique


Paresthesia


Paresthesia-seeking technique


Parkland formula


Passive scavenging systems


Patent ductus arteriosus (PDA)


    clinical findings


    intraoperative management


    monitors/lines


    pathophysiology


    postoperative management


    preoperative evaluation


    signs/symptoms


    treatment


PCWP (see Pulmonary capillary wedge pressure)


Peak airway pressure


Pediatric anesthesia


    airway exchange catheters


    hematology


    maximum allowable blood loss


    propofol determination


    routine airway management


    single-lung ventilation


    vascular access


    vital signs and weight


Pediatric anesthesiology


    airway management


    asthma


    cardiovascular


    congenital heart disease


    deep extubation


    dermatology


    emergence agitation


    ethical and legal considerations


    ex-premature infant


    gastrointestinal


    hematology


    hepatorenal


    inhalational induction


    narcotics


    non-narcotic analgesics


    postoperative nausea and vomiting


    preoperative labs


    regional anesthesia


    respiratory


    separation anxiety


    skeletal muscle relaxation


    stridor


    upper respiratory infection


    vascular access


Pediatric cardiac arrest


    bag-valve-mask


    breathing


    chest compressions


    defibrillation


    endotracheal intubation


    etiology of


Pediatric difficult airway


    anticipated difficult airway


    choanal atresia


    epiglottis


    evaluation


    failed airway


    guidelines


    larynx position


    malar hypoplasia


    mandibular and pharyngeal hypoplasia


    oxygenation


    special techniques/situations


    subglottic area


    tongue


    Treacher-Collins Syndrome


    unanticipated difficult airway


    vocal cords


Pediatric dosing


Pediatric pharmacology


Pediatric resuscitation


Pediatric robot-assisted surgery


Penicillin (PCN)


    allergy to


    crossreactivity


Pentax AWS blade


Peptic ulcer disease (PUD)


    chronic ulcer disease


    pathophysiology


Percutaneous balloon valvotomy (PBV)


Percutaneous coronary intervention (PCI)


Perineural infusion regimens


Perioperative fluid management


    acute respiratory distress syndrome


    anuric renal failure


    body fluid compartments


    burns


    cerebral edema


    congestive heart failure


    continuous goal-directed fluid management


    fluid types (see Colloids; Crystalloids)


    intracranial neurosurgical patients


    intraoperative fluid requirements


    laparoscopic gastric bypass surgery


    liposuction


    liver failure


    lung resection


    massive trauma


    neonates


    preeclampsia


Perioperative insulin management


    blood glucose


    continuous IV insulin infusion protocol


    hyperglycemia and hypoglycemia


    oral diabetes medications


    pharmacologic properties


Perioperative steroid supplementation


Perioperative transesophageal echocardiography (PTEeXAM)


Peripartum cardiomyopathy


Peripheral demyelinating diseases


    acute inflammatory demyelinating polyneuropathy


    clinical presentation


    induction, anesthesia


    maintenance/emergence, anesthesia


    post-operative considerations


    pre-operative considerations


Peripheral intravenous insertion


Peripheral nerve block (PNB)


    adjuncts


    benefits of


    coagulopathy


    contraindications


    local anesthetics


    nerve anatomy


    nerve stimulation techniques


    paresthesia-seeking technique


    risks of


    ultrasound-guided technique


Peripheral nerve injury


Peripheral neuropathy


Peripheral vascular disease (PVD)


    anesthetic goals


    aortic arteriotomy


    cardiac intervention


    epidemiology


    fluid management


    general anesthesia


    interventional/surgical treatment


    medical therapy


    monitoring


    neuraxial anesthesia/analgesia


    pathophysiology


    postoperative care


    preoperative considerations


    regional techniques


    revascularization


    signs and symptoms


    surgical intervention planning


    temperature control


Permissive hypercapnea


Peroneal nerve


Perphenazine


Persistent neuromuscular blockade


Persistent neuropathy


Pethick test


Pharmacogenetics


Pharmacokinetics


    benzodiazapines


    dexmedetomidine


    etomidate


    inhaled anesthetic agents


    ketamine


    local anesthetics


    nonsteroidal anti-inflammatory drugs


    ondansetron


    propofol


    steroids


    thiopental


Pharmacology


    CPNB, perineural infusion


    drug absorption


    drug administration


    drug distribution


    drug elimination


    drug–drug interactions


    epidural anesthesia


        block duration determinates


        block spread determinates


    pediatric pharmacology


    pharmacogenetics


    pharmacokinetic and pharmacodynamic principles


    PONV


        corticosteroids


        D2 antagonists


        H2 antagonists


        M1 antagonist


        NK1 antagonist


        serotonin (5HT3) receptor


    transport across membranes


Phencyclidine


Phenoxybenzamine


Phenylephrine


Phenylephrine spray


Phosphate


    hyperphosphatemia


    hypophosphatemia


Photoplethysmography


Physiologic deadspace


Physiologic homeostasis


    endocrine


    hemodynamic parameters


    neurologic


    renal


    respiratory


    temperature


Physostigmine


Pierre Robin sequence


Pin Index Safety System


Pink puffers


Pipeline failure


Piperacillin/tazobactam


Pituitary disease


Pituitary disorders


    anatomy


    anesthesiologists


    hypersecretory


    hyposecretory


    physiology


    surgery and anesthetic considerations


Placental abnormalities


Plain angioplasty


Platelet disorders


Platelets


Pneumatic alarm devices


Pneumocephalus


Pneumoperitoneum


Pneumothorax


Polocaine


Polycythemia vera (PV)


Polyuria


Pontocaine


Popliteal fossa sciatic nerve block


    contraindications


    equipment


    evaluation


    indications


    monitoring


    positioning and preparation


    postoperative management


    risks and complications


    stimulating technique


    surface anatomy


    ultrasound-guided popliteal sciatic nerve block


Positioning complications


    eye injury


    lower extremity injuries


    neuropathy task force consensus


    peripheral neuropathy


    upper extremity injuries


Positive end-expiratory pressure (PEEP)


Positive pressure ventilation


Post anesthesia care unit (PACU)


    admission and monitoring


    ASA standards


    cardiac complications


    discharge criteria


    neurological problems


    phases


    postoperative nausea/vomiting


    postoperative pain


    renal issues


    respiratory complications


    staffing models


Postdural puncture headache (PDPH)


    conservative treatment


    differential diagnosis


    epidural blood patch (see Epidural blood patch)


    headache incidence


    intrathecal catheter


    natural course


    pathophysiology


    patient evaluation


    spinal anesthesia


    symptoms


Postganglionic fibers


Post-op ventilation


    acute respiratory distress


    extubation criteria


    general considerations


    noninvasive ventilation


    surgery specific considerations


Postoperative blindness


Postoperative nausea and vomiting (PONV)


    antiemetics


    laparoscopic surgery


    molecular mechanism


    postanesthetic recovery and discharge


    prevalence and risk stratification


    risk factors


    treatment and prevention


Postpartum hemorrhage (PPH)


    coagulation defects


    definition


    placental abnormalities


    retained product conception


    risk factors


    uterine atony


    uterine inversion


Postpneumonectomy pulmonary edema (PPE)


Post-tonsillectomy bleeding


Potassium


    hyperkalemia


    hypokalemia


Potts shunt


Power failure


Preanesthesia assessment


    airway complications


    airway examination


    anesthesia complications


    ASA


        physical status classification


        recommendations


    basic standards, ASA


    cardiac disease


    chest radiograph


    electrocardiogram


    laboratory assessments


    patient medical history


    physical examination


    pulmonary aspiration prevention


    pulmonary disease


    surgical complications


Preanesthesia machine checkout


Preanhepatic phase


    blood loss


    blood products


    coagulation


    electrolyte management


    induction and maintenance


    infectious concerns


    intravenous therapy


    monitoring


    normothermia maintenance


Pre-bypass hypertension


Pre-bypass hypotension


Prednisone


Preeclampsia


    complications


    risks


Preganglionic fibers


Pregnancy


    coexisting disease


        cardiac disease


        definition


        dermatologic disorders


        endocrine disease


        epidemiology


        hematologic diseases


        neurologic diseases


        obesity


        posttransplant patients


        pulmonary disease


    hypertension


        analgesia


        anesthesia


        antihypertensives


        classifications


        intraoperative


        postoperative


        preoperative


    nonobstetric surgery


    physiologic changes


Premature infant


    airways


    anesthetic management


    cardiovascular system


    central nervous system


    fluid, electrolytes, and nutrition


    gastroenteric system


    hematologic system


    preanesthetic evaluation


    respiratory system


    temperature regulation


Preoperative assessment


    general anesthesia


    history and physical examination


    local anesthesia


    monitored anesthesia care


    neuraxial anesthesia


    peripheral nerve block


Preoxygenation


Pressure gradients (PG)


Pressure half-time (PHT)


Pressure overload


    aortic regurgitation


    aortic stenosis


Pressure support ventilation (PSV)


Pressure-control ventilation


Pressure-cycled ventilation (PCV)


Prilocaine


Primary adrenal insufficiency


Procaine


Processed EEG and awareness monitoring


    depth of anesthesia monitor


    detecting, prevention for


    intraoperative awareness


    postoperative outcomes


Prochlorperazine


Procoagulant medication


    antifibrinolytics


    desmopressin (DDAVP)


    protamine


    recombinant factor VIIa


Promethazine


Prone position


Propofol


    antiemetic properties


    cardiovascular system


    central nervous system


    clinical use


    inhalational agents


    mechanism of action


    pharmacokinetics


    respiratory system


Propoxyphene


Propranolol


ProSeal LMA


Prostaglandin F


Prosthetic valves


    anticoagulation


    bioprothetic


    high-risk patients


    low-risk patients


    mechanical


    recommended prophylactic anticoagulation


Protamine


Protein colloids


Prothrombin time (PT)


Proximal isovelocity surface area (PISA) technique


Proximal sciatic nerve blocks


    classic transgluteal technique


    contraindications


    equipment


    evaluation


    indications


    infragluteal parabiceps (subgluteal) technique


    monitoring


    positioning and preparation


    postoperative management


    risks and complications


    surface anatomy


    ultrasound-guided subgluteal technique


Pseudohypoparathyroidism


Psychiatric diseases


    bipolar disorder


    depression


        behavioral therapy


        pharmacotherapy


    electroconvulsive therapy


        contraindications


        description and procedure


        hemodynamic effects


        indications and mechanism


        induction


        intraoperative considerations


        muscle relaxants


        nondepolarizing muscle relaxants


        physiologic responses


        postoperative concerns


        preoperative evaluation


        respiratory management


    schizophrenia


PT (see Prothrombin time)


PTEeXAM (see Perioperative transesophageal echocardiography)


Pulmonary artery banding


Pulmonary artery (PA) catheter


    cardiac output


    catheter placement


    complications


    contraindications


    evidence


    hemodynamic parameter


    indications


    PCWP


    SVO2


    technical considerations


    waveform interpretation


Pulmonary artery catheters (PAC)


Pulmonary capillary wedge pressure (PCWP)


Pulmonary disease


Pulmonary embolism (PE)


    anticoagulation


    diagnosis


    fibrinolysis with tissue plasminogen activator


    inferior vena cava


    pathophysiology


    prevalence


    prophylaxis


    risk factors


    treatment objectives


Pulmonary exam


Pulmonary function changes, spinal anesthesia


Pulmonary function testing


Pulmonary hypertension (PH) (see also Laparoscopic cholecystectomy with pulmonary hypertension)


    anesthetic type


    classification


    definitions


    etiology


    fluid management


    hemodynamic management


    induction, anesthesia


    maintenance, anesthesia


    monitoring


    pathophysiology


    patient evaluation


    postoperative management


    preoperative evaluation


    sedation


    surgical and anesthetic risks


    symptoms


    ventilator management


Pulmonary regurgitation (PR)


    etiology


    management considerations


    pathophysiology


Pulmonary stenosis


    clinical symptoms


    etiology


    management considerations


    pathophysiology


Pulmonary toileting


Pulmonary vascular resistance (PVR)


Pulsatile devices


Pulse oximetry


    accuracy


    dyshemoglobinemias


    Lambert-Beer law


    limitations


    types


    working principle


Pulse wave Doppler


Pulseless electrical activity


PVR (see Pulmonary vascular resistance)


Pyridostigmine


Q


Quantitative echocardiography


    diastolic function


    Doppler measurements of PGs


    LV systolic function


    myocardial function


R


Radial artery catheterization


Radial nerve block


Radical prostatectomy


    access and anesthetic technique


    complications


    indications


    positioning and monitoring


    preoperative considerations


Radiofrequency ablations


    anesthetic considerations


    indications


    technique


Rapid sequence induction (RSI)


Rashkind procedure


Rastelli procedure


Reactive airway disease (see Asthma)


Recombinant factor VIIa (RFVIIa)


Recombinant human erythropoietin


Red blood cell (RBC)


Red-man syndrome


Regional analgesia


Regional anesthesia (RA)


    anticoagulated patient


    cesarean delivery


    orthopedic surgery


    pediatric anesthesiology


Regional wall motion abnormality (RWMA)


Remifentanil


Remifentanil infusion


Renal effects, inhaled anesthetic agents


Reserve E cylinders


Reservoir breathing bag (RBB)


Respiratory complications


    airway obstruction


    hypoventilation/hypercarbia


    hypoxemia


Respiratory depression


Respiratory distress syndrome


Respiratory failure


Respiratory rehabilitation


Respiratory system


    inhaled anesthetic agents


    ketamine


    propofol


    thiopental


Restrictive cardiomyopathy (RCM)


    epidemiology and pathophysiology


    follow-up


    intraoperative considerations


    postoperative care


    preoperative considerations


    signs and symptoms


    treatment options


Restrictive lung disease


    causes of


    definition


    intraoperative considerations


    pathophysiology


    postoperative considerations


    preoperative considerations


Retained placenta


    anesthetic considerations


    pathophysiology


    risk factors


    treatment/management


Retinal artery/vein occlusion


Retinopathy of prematurity (ROP)


Retroperitoneal lymph node dissection


Reverse transcriptase


Rheumatoid arthritis (RA)


    anesthetic considerations


    associated organ system involvement


        cardiovascular


        hematologic


        hepatic


        musculoskeletal (joint involvement)


        renal


        respiratory


    pathophysiology and characteristics


    treatment


Rigid bronchoscopy


Robotic surgery


    contraindications


    indication


    intraoperative access, patient


    patient positioning


    patient preparation and monitoring


    potential complications


    surgical system


Rocuronium


Ropivacaine


Rule of Nines


    children


    TBSA


S


Sacral plexus nerves


Saline versus albumin fluid evaluation (SAFE) trial


Saphenous nerve


Scavenging system


Schizophrenia


Sciatic nerve


Scopolamine


Second gas effect


Sedation


Seldinger technique


Selective serotonin reuptake inhibitors


Senning procedure


Sensory dermatomes


Sensory loss


Sensory/motor neuropathy


Separation anxiety


Septic shock


    intraoperative management


    medications


    past medical history


    patient history


    physical examination


    postoperative management


    preoperative evaluation and preparation


        central venous cannulation


        central venous pressure measurement


        epinephrine and phenylephrine


        etiology


        hemodynamic dysfunction


        hemodynamic instability management algorithm


        inotropes and vasopressors


        intravascular volume


        Otto Frank pressure-volume loop diagram


        physiologic response of the heart


        Starling ventricular function curves


        vascular dilation


Serotonin receptor antagonists


Sevoflurane


Shivering


Shoulder dystocia


Shunt procedures


Sickle cell anemia


Sickle cell disease (SCD)


    diagnosis


    etiology


    hemoglobin


    pathophysiology


    perioperative considerations


    physiologic changes


    prevalence


    signs and symptoms


Sidestream capnometers


Simpson’s method


Single-lung ventilation


Sleep


Smoking cessation


    COPD


    restrictive lung disease


SNAP II


Sniffing position


Soda lyme


Sodium


    hypernatremia


    hyponatremia


Sodium nitroprusside


Somatosensory evoked potentials (SSEP)


Spina bifida cystica


Spina bifida occulta


Spinal anesthesia


    contraindications


    equipment


    indications


    local anesthesia


    pharmacology


    risks and complications


    spinal cord, anatomy


    technique


Spinal dysraphism


Spinal fusion


Spinal needle insertion technique


Spine surgery


    anatomy


        cervical spine


        intervertebral discs


        lumbar spine


        spinal cord


        spinal nerves


        thoracic spine


        33 vertebrae


    pathology


        ankylosing spondylitis


        osteoarthritis


        rheumatoid arthritis


        spinal cord compression


        spinal cord transection


    perioperative approach


        intraoperative considerations


        postoperative considerations


        preoperative considerations


    procedures


Spirometry


Spontaneous ventilation


    Bain system (co-axial Mapleson D)


    Mapleson A–Magill circuit


    Mapleson D system


    Mapleson E and F system


SSEP (see Somatosensory evoked potentials)


Standard ASA monitors


    arterial blood pressure


    carbon dioxide


    ECG


    multiple expired gas analysis


    oxygen analyzer


    pulse oximetry


    standard I


    standard II


    temperature


Starling curves


Steering technique


Stenting


Steroids


    adrenal insufficiency, (see also Adrenal insufficiency)


    adverse effects/toxicity


    classification


    clinical uses, anesthesiology


    mechanism of action


    pharmacokinetics


    physiologic effects


    regulation


Stevens-Johnson syndrome


STOP-BANG screening tool


Strict sterile technique


Stylet


    Eschmann


    introducer


    Malleable


Subarachnoid hematoma


Subclavian vein


Subdural hematoma


Subendocardial infarction


Succinylcholine


Sudden cardiac death (SCD)


Sufentanil


Sulfhemoglobinemia


Sulfur hexafluoride (SF6)


Superior laryngeal nerve block


Superior vena cava (SVC)


Supine position


Supraclavicular block


    contraindications


    equipment


    evaluation


    indications


    monitoring


    plumb-bob technique


    positioning and preparation


    postoperative management


    risks and complications


    surface anatomy


    ultrasound-guided supraclavicular block


Supraglottic airway device (see also Laryngeal mask airways (LMA))


    advantages


    combitube


    flexible FOI, LMA-Classic


    intubating LMA


    limitations


    LMA, contraindications


    LMA-ProSeal and LMA-Supreme


Supraventricular dysrhythmias


    atrial fibrillation


    atrial flutter


    junctional rhythm


    supraventricular tachycardia


Supraventricular tachycardia


Supreme LMA


Surgical anesthesia


Surgical patient positioning


    complications


    factors affecting


    guidelines


    lateral


    lithotomy


    prone


    proper positioning


    supine


Surgical site infection (SSI) prophylaxis


Swan-Ganz catheter


Symptomatic bradycardia


Synthetic steroids


Systemic failure


Systemic hypotension


Systemic lupus erythematosus (SLE)


    anesthetics


        intraoperative


        postoperative


        preoperative


    definition


    drug-induced SLE


    epidemiology


    organ involvement


    pathophysiology


    treatment


Systemic vascular resistance (SVR)


T


Tachycardia


Tamponade


TBSA (see Total body surface area)


TEG (see Thromboelastogram)


Temporomandibular joints (TMJ)


Tension pneumothorax


Tertiary AI


Tetany


Tetracaine


Tetralogy of fallot (TOF)


Thalassemia


Thionamides


Thiopental


    cardiovascular system


    central nervous system


    clinical use


    mechanism of action


    pharmacokinetics


    respiratory system


Thoracic anesthesia


    anesthetic management


    endoscopic procedures


    general anesthesia


    hypoxemia


    lung volume reduction surgery


    lung volumes and capacities


    one-lung ventilation


    positioning


    postoperative management


    preoperative assessment and management


    pulmonary ventilation and perfusion


    regional analgesia


    tracheal resection and reconstruction


    video-assisted thoracic surgery


Thoracic aortic aneurysms


    airway management


    anterograde cerebral perfusion


    circulatory arrest


    coagulopathy


    Crawford classification


    definition and etiology


    fluid management


    induction, anesthesia


    intraoperative considerations


    partial bypass/left heart bypass


    preoperative considerations


    renal protection


    spinal cord protection/neurologic protection


    surgical and anesthetic complications


    surgical considerations


    surgical intervention


Thoracic injury


    blunt cardiac


    cardiac tamponade


    dysrhythmias


    myocardial ischemia


Thoracic robotic surgery


Thoracic surgery


Three-axes theory


Thrombin time (TT)


Thrombocytopenia


Thromboelastogram (TEG)


    clot formation


    maximum amplitude (MA)


    normal and abnormal


Thromboelastography


Thromboembolic disease


Thrombolytic medications


Thrombosis


    myocardial infarction


    pulmonary embolus


Thrombotic thrombocytopenia purpura-hemolytic uremic syndrome (TTP-HUS)


Thrombus formation


Thymectomy


Thyroid disease


    complications


    hyperthyroidism


        causes


        etiology


        Graves disease


        intraoperative treatment


        preoperative anesthesia evaluation


        prevalence


        signs and symptoms


        thyroid storm


        treatment


    hypothyroidism


        etiology


        intraoperative treatment


        postoperative treatment


        preoperative anesthesia evaluation


        prevalence


        primary hypothyroidism


        secondary hypothyroidism


        signs and symptoms


        treatment


    myxedema coma


    T3 and T4


    TSH and TRH


Thyroid stimulating hormone (TSH)


Thyroid storm (TS)


    catecholamine secretion


    mortality rates


    symptoms


    treatment and resuscitation


Thyrotropin


Thyrotropin-releasing hormone (TRH)


Thyroxine (T4)


Tidal volume


Timolol


Tissue Doppler


TMJ (see Temporomandibular joints)


Tonsillectomy


Total body surface area (TBSA)


Total body water (TBW)


Total hip arthroplasty


    coronary artery disease


        anesthesia selection


        antibiotic prophylaxis


        general anesthesia management


        intraoperative management


        myocardial oxygen supply and demand


        patient history


        patient monitoring


        postoperative management


        preoperative assessment and management


    lower extremity surgery


Total intravenous anesthetic (TIVA)


Total iron binding capacity (TIBC)


Total knee arthoplasty


Total spinal anesthesia


Toxicity


    anticholinesterase agents


    benzodiazapines


    glucocorticoids


    local anesthetics


    neuromuscular blocking drugs


    opioids


Toxins


Tracheoesophageal fistula (TEF)


    anesthetic management


        intraoperative management


        monitors/lines


        preoperative considerations


    clinical findings


    monitors/lines


    pathophysiology/anatomy


    postoperative management


    signs/symptoms


    surgical treatment


Train of four (TOF) stimulation


Tramadol


    mechanism of action


    metabolism


Tranexemic acid (TA)


Transdermal scopolamine


Transesophageal echocardiography (TEE)


    adult cardiac surgery


    aortic valve


        anatomy


        aortic regurgitation


        aortic valve stenosis


        ASE/SCA 20 TEE views


    ASE/SCA 20 view exam


    contraindications


    coronary artery disease


    credentialing


    equipment


    general indications


    ICU patient, management


    intracardiac masses and embolic assessment


    mitral valve


        20 standard TEE views


        anatomy


        evaluation


        mitral valve regurgitation


        mitral valve stenosis


        nomenclature


    normal values


    quantitative echocardiography (see Quantitative echocardiography)


    risks and complications


    surgical intervention, cardiac complications


Transfusion


    acute hemolytic reaction


    delayed hemolytic reaction


    human error


    infectious risks


    reactions


    transfusion related acute lung injury


Transfusion related acute lung injury (TRALI)


Transient neurologic symptoms (TNS)


Transmural infarction


Transplant surgery, steroids


Transthoracic echocardiography (TTE)


Transtracheal nerve block


Transurethral resection of the prostate (TURP)


    anesthetic techniques


    complications


    indications


    monitoring


    positioning


    TURP syndrome


Transversus abdominis plane blocks


    block evaluation


    contraindications


    equipment


    indications


    landmark-based TAP block


    monitoring


    positioning and preparation


    postoperative management


    risks and complications


    surface anatomy identification


    ultrasound-guided TAP block


Trauma


    airway management


    anesthetic agents


    brain injury


    damage control


    fluid resuscitation


    induction agents


    initial assessment


    intraoperative awareness


    ketamine


    monitoring


    muscle relaxants


    nitrous oxide


    opioids


    spinal cord injury


    thoracic injury


Treacher Collins syndrome


Trendelenburg position


Tricuspid atresia


Tricuspid regurgitation (TR)


Tricuspid stenosis (TS)


Tricyclic antidepressants (TCAs)


Triiodothyronine (T3)


Tris-hydroxymethyl aminomethane (THAM)


Truncal blocks


    paravertebral blocks (see Paravertebral blocks)


    transversus abdominis plane blocks (see Transversus abdominis plane blocks)


Truncus arteriosus


TT (see Thrombin time)


TTE (see Transthoracic echocardiography)


Tumescent technique


Two-dimensional (2D) TEE probe


U


Ulcerative colitis


Ulnar nerve


Ulnar nerve block


Ultrasound equipment


Ultrasound-guided ankle block


Ultrasound-guided axillary block


Ultrasound-guided distal upper extremity


Ultrasound-guided femoral nerve block


Ultrasound-guided infraclavicular block


Ultrasound-guided interscalene block


Ultrasound-guided paravertebral blocks technique


Ultrasound-guided popliteal fossa sciatic nerve block


Ultrasound-guided posterior lumbar plexus block


Ultrasound-guided subgluteal sciatic block


Ultrasound-guided supraclavicular block


Ultrasound-guided TAP block


Ultrasound-guided technique, CPNB


Ultrasound waves


Umbilical cord prolapse


Unilateral epidural anesthesia


Unique LMA


Upper airway


Upper extremity


    anesthetic considerations


    axillary block (see Axillary block)


    distal upper extremity peripheral nerve blocks (see Distal upper extremity peripheral nerve blocks)


    hand and elbow surgery


    infraclavicular block (see Infraclavicular block)


    injury


    innervation


    interscalene block (see Interscalene block)


    regional anesthetic techniques


    shoulder surgery


    supraclavicular block (see Supraclavicular block)


Upper respiratory infection (URI)


Urologic surgery


    cystectomy


    cystoscopy


    extracorporeal shock wave lithotripsy


    laparoscopic surgery


    nephrectomy


    nephroureterectomy


    orchiectomy


    radical prostatectomy


    retroperitoneal lymph node dissection


    transurethral resection of the prostate


Uterine atony


Uterine inversion


Uterine laceration


Uterine rupture


V


V4 lead, myocardial ischemia detection


“v” wave


Vaginal birth after cesarean section (VBAC)


Valvular heart disease


    antibiotic prophylaxis, endocarditis


    aortic regurgitation


    aortic stenosis


    mechanical heart valves


    mitral regurgitation


    mitral stenosis


    patient care principles


    prosthetic valves


    pulmonary valve disease


    tricuspid valve disease


Valvular repair


Vancomycin


Vaporizers


Variable-bypass vaporizers


Vasoactive drugs


Vasodilators


Vaso-occlusive crises (VOC)


Vasopressin


Vecuronium


Venous air embolus


Venous sinus thrombosis


Ventilation, laryngeal mask airway


Ventilation/perfusion (V/Q) mismatching


Ventilator management


Ventilator settings


    fraction of inspired oxygen


    inspiratory to expiratory ratio


    peak airway pressure


    plateau pressures


    positive end-expiratory pressure


    respiratory rate


    tidal volume


Ventilatory failure


    anatomic causes


    gas exchange abnormalities


    muscular causes


    neurologic causes


    pleura disorders


Ventilatory management


Ventricular assist devices (VADs)


    ACLS


    anesthetic plan


    arrhythmias


    bleeding


    coordination


    device failure


    device management


    hemodynamic instability


    histology


    hypoxemia


    intraoperative complications


    long-term support


    monitoring, anesthesia


    parts


    perioperative approach


    postoperative considerations


    preoperative checklist


    short-term support


Ventricular dysrhythmia


    premature ventricular contraction


    Torsades de pointes


    ventricular fibrillation


    ventricular tachycardia


Ventricular fibrillation


Ventricular tachycardia


Video laryngoscopes (VLs)


    description


    ETT placement


    steering vs. channeled


    types


    uses of


Video-assisted thoracoscopic surgery (VATS)


Vigilance


Viral transmission, blood transfusion


Volatile anesthetics


Volume overload


    aortic regurgitation


    mitral regurgitation


Volume-cycled ventilation (VCV)


    assist-controlled


    assisted


    controlled


    intermittent mechanical ventilation


    volume control


Von Willebrand disease (VWD)


W


Warfarin


Water disturbances


    hypervolemia


    hypovolemia


    total body water


Water, electrolyte, and acid/base disturbances


    arrhythmias


    calcium


    enzymatic function


    gap acidosis


    hemodynamic changes


    hypervolemia


    hypovolemia


    incidence/prevalence


    metabolic acidosis


    non-gap acidosis


    phosphate


    potassium


    sodium


    total body water


    work of breathing


Waterston shunt


Waveform analysis


Waveform interpretation, PA catheter


Whipple procedure


Williams endoscopic oral airway


Wire crichothyroidotomy


X


“x” descent


Xylocaine


Y


“y” descent


Z


Zollinger–Ellison (ZE) syndrome


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Dec 2, 2016 | Posted by in ANESTHESIA | Comments Off on IV Induction Agents

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