Evidence-Based Practice of Anesthesiology: Expert Consult - Online and Print / Edition 3

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Make informed clinical decisions with reliable, up-to-date guidance from Evidence-Based Practice of Anesthesia, 3rd Edition! Leading authority Lee A. Fleisher, MD expertly explores the full range of important issues in perioperative management, discussing the available options, examining the relevant research, and presenting practical recommendations.

  • Make sound, evidence-based decisions on every aspect of patient care: preoperative assessment, monitoring and administration of anesthesia during surgery, postoperative intensive care management, and postoperative pain management.
  • Master the current best practices you need to know for day-to-day practice and oral board review.
  • Access the entire text and images online, fully searchable, at www.expertconsult.com.
  • Confidently navigate the latest issues thanks to new chapters on optimal airway management in GI endoscopy, the role of Ketamine for perioperative management, fast-track surgery, and hypothermia after intraoperative cardiac arrest, plus many other vital updates.
  • Efficiently translate evidence into practice with numerous quick-reference tables and short, well-organized chapters that promote fast and effective decision making.
  • Get practical decision-making tools you can use in both routine care and complicated or special situations.

Your purchase entitles you to access the web site until the next edition is published, or until the current edition is no longer offered for sale by Elsevier, whichever occurs first. If the next edition is published less than one year after your purchase, you will be entitled to online access for one year from your date of purchase. Elsevier reserves the right to offer a suitable replacement product (such as a downloadable or CD-ROM-based electronic version) should access to the web site be discontinued.

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Editorial Reviews

Doody's Review Service
Reviewer: Tariq M. Malik, MD (University of Chicago Pritzker School of Medicine)
Description: This is an update of a compendium of expert recommendations and guidelines on a host of clinical issues that confront anesthesiologists on a daily basis. It is an attempt to provide clear guidelines when conflicting evidence clouds the picture. The previous edition was published in 2009.
Purpose: The purpose is to help guide anesthesiologists in making evidence-based clinical decisions. It also discusses instances where the evidence is not so clear-cut, helping physicians make informed decisions.
Audience: The book is meant for anyone who practices anesthesia, regardless of background. General anesthesiologists will find it much more helpful than specialty anesthesiologists.
Features: The first section explains the process the American Society of Anesthesiologists (ASA) uses to formulate guidelines and recommendations. The section on preoperative issues evaluates 13 different topics from the simple and frustrating, such as routine pregnancy testing, to the technical, such as pacemaker/defibrillator testing. The intraoperative care section tries to answer all sorts of questions anesthesiologists confront daily, from airway issues, fluid management, and different anesthetic techniques to strategies to minimize blood loss, postoperative nausea and vomiting, and major perioperative complications. Another section addresses controversies in regional anesthesia, such as its role in the ambulatory setting, anticoagulation vs. regional anesthesia, and the role of ultrasound. In the last few sections, the focus turns to specialty anesthesia and discussion of different intellectually controversial topics, like the role of thoracic epidural in cardiac bypass surgery, general vs. regional anesthesia for cesarean section, and the value of preemptive analgesia. All the topics the book covers are relevant and practical, and they have no black-and-white answers based on current knowledge. In that sense, the book goes one step further than any other book. By presenting data, the book exposes the limitations of our current understanding and lays the foundation for future studies. Chapter titles pose questions, and the chapters are concise, systematically discussing epidemiology and different options, providing evidence for each one and shedding light on areas of uncertainty. Towards the end, the book tabulates available guidelines by relevant societies. The best part is the author's perspective on how to address the controversial issue. I am not sure I would fully follow the steps these authors propose, but I would certainly ponder them should the situation arise. Every chapter is well referenced, with ready access to the reference online when using the online version of the book.
Assessment: This is an extremely useful book to have on hand to consult on a daily basis. Its recommendations are concise and practical. After reading it, you will feel quite updated on the current thinking in anesthesiology.
From the Publisher

"Every chapter is well referenced, with ready access to the reference online when using the online version of the book.

This is an extremely useful book to have on hand to consult on a daily basis.

Its recommendations are concise and practical. After reading it, you will feel quite updated on the current thinking in anesthesiology." - Tariq M. Malik, MD(University of Chicago Pritzker School of Medicine) Doody 5 stars

"A landmark for anesthesiology." - Anesthesiology

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Product Details

  • ISBN-13: 9781455727681
  • Publisher: Elsevier Health Sciences
  • Publication date: 2/27/2013
  • Edition description: New Edition
  • Edition number: 3
  • Pages: 612
  • Sales rank: 1,033,230
  • Product dimensions: 8.40 (w) x 10.80 (h) x 0.80 (d)

Table of Contents

Section I. Introduction

1: Evidence-Based Practice Parameters: The American Society of Anesthesiologists

Section II. Preoperative Preparation

2: Update on Preprocedure Testing

3: Is a Preoperative Screening Clinic Cost-Effective?

4: Who Should Have a Preoperative 12-Lead Electrocardiogram?

5: Is Routine Preoperative Pregnancy Testing Necessary?

6: What Are the Risk Factors for Perioperative Stroke?

7: Should We Delay Surgery in the Patient with Recent Cocaine Use?

8: Should All Antihypertensive Agents Be Continued before Surgery?

9: Is There an Optimal Timing for Smoking Cessation?

10: Which Patient Should Have a Preoperative Cardiac Evaluation (Stress Test)?

11: Should Patients with Stable Coronary Artery Disease Undergo Prophylactic Revascularization Before Noncardiac Surgery?

12: What are the Role and Management of Percutaneous Coronary Intervention for Noncardiac Surgery?

13: How Should We Prepare the Patient with a Pacemaker/Implantable Cardioverter-Defibrillator?

14: When Should Pulmonary Function Tests Be Performed Preoperatively?

Section III. Perioperative Management

15: Does the Airway Examination Predict Difficult Intubation?

16: Is there a Best Approach for Patients with Difficult Airways: Regional Versus General Anesthesia?

17: What is the Optimal Airway Management in Patients Undergoing Gastrointestinal Endoscopy?

18: Is There a Best Approach to Induction of Anesthesia in Emergent Situations?

19: Do Inhalational Agents Have Beneficial or Harmful Effects on Ischemia-Reperfusion Injury?

20: Does Anesthetic Choice Affect Surgical and Recovery Times?

21: What Are the Benefits of Different Ventilatory Techniques?

22: Is There an Optimal Perioperative Hemoglobin?

23: When Are Platelets and Plasma Transfusions Indicated?

24: What Drugs Decrease Postoperative Bleeding?

25: Does Perioperative Hyperglycemia Increase Risk? Should We Have Aggressive Glucose Control Perioperatively?

26: When and Why Should Perioperative Glucocorticoid Replacement Be Administered?

27: Does the Choice of Fluid Matter in Major Surgery?

28: What Works in a Patient with Acute Respiratory Distress Syndrome?

29: What Actions Can Be Used to Prevent Peripheral Nerve Injury?

30: What Is the Best Means of Preventing Perioperative Renal Injury?

31: Does Nitrous Oxide Affect Outcome?

32: Are Alpha-2 Agonists Effective in Reducing Perioperative Cardiac Complications in Noncardiac Surgery?

33: What is the Role of Ketamine for Perioperative Management?

34: Should Hypothermia be used Routinely After Intraoperative Cardiac Arrest?

35: Which Are the Best Techniques for Reducing the Incidence of Postoperative Deep Vein Thrombosis?

36: Are There Special Techniques in Obese Patients?

37: Is There an Ideal Approach to the Patient Susceptible to Malignant Hyperthermia?

38: What Is the Best Strategy for Prevention of Postoperative Nausea and Vomiting?

39: How Should Beta-blockers be used Perioperatively?

40: How Can We Prevent Postoperative Cognitive Dysfunction?

41: Do Intensive Care Specialists Improve Patient Outcomes?

42: Fast-Track Cardiac Anesthesia What Works Best for Safety and Efficacy?

43: Can We Prevent Recall During Anesthesia?

44: Are Patients with Sleep Apnea Appropriate for Ambulatory Surgery?

45: What Criteria Should Be Used for Discharge after Outpatient Surgery?

46: What Must I Consider in Order to Safely Anesthetize Someone in the Office Setting?

47: Is Propofol Safe if Given by Nonanesthesia Providers?

48: Aspiration: Is There an Optimal Management Strategy?

Section IV. Regional Anesthesia

49: Nonsteroidal Antiinflammatory Drugs, Antiplatelet Medications, and Spinal Axis Anesthesia

50: DVT Prophylaxis with Heparin and Heparin-like Drugs (UH, LMWH, Fondaparinux, and Rivaroxaban) Used in Combination with Neuraxial Anesthesia and Deep Plexus Blocks

51: Is Regional Anesthesia Appropriate for Outpatient Surgery?

52: What is the Best Technique for Hip Surgery?

53: Does Intraoperative Regional Anesthesia Decrease Perioperative Blood Loss?

54: What Is the Optimal Management of Postdural Puncture Headache?

55: Should Ultrasound Guidance Be Used for Peripheral Nerve Blockade?

56: Should Regional Anesthesia be Used for Orthopedic Trauma Patients?

Section V. Monitoring

57: What Is the Best Method of Diagnosing Perioperative Myocardial Infarction?

58: Does Neurologic Electrophysiologic Monitoring Affect Outcome?

Section VI. Cardiovascular Anesthesia

59: Is Regional Superior to General Anesthesia for Infrainguinal Revascularization?

60: Is There a Best Technique to Decrease Blood Loss and Transfusion after Coronary Artery Bypass Grafting?

61: Should Thoracic Epidural/Spinal Analgesia Be Used for Coronary Artery Bypass Grafting?

Section VII. Neurosurgical Anesthesia

62: Is There a Best Technique in the Patient with Increased Intracranial Pressure?

63: What Works for Brain Protection?

Section VIII. Obstetric Anesthesia

64: Anesthesia for Cesarean Delivery: Regional or General?

65: When Should a Combined Spinal-Epidural Be Used?

66: Does Labor Analgesia Affect Labor Outcome?

67: Does Anesthesia Increase the Risk to the Parturient Undergoing Nonobstetric Surgery?

Section IX. Pediatric Anesthesia

68: How Young Is the Youngest Infant for Outpatient Surgery?

69: Should a Child with a Respiratory Tract Infection Undergo Elective Surgery?

70: When Should Regional Anesthesia be Used in Pediatric Patients?

Section X. Pain Management

71: Optimal Postoperative Analgesia

72: Is Pre-emptive Analgesia Clinically Effective?

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