Description: This comprehensive guide to gastrointestinal anesthesia is a one stop reference for all one needs to know about GI anesthesia.
Purpose: The purpose is to provide up-to-date information to anesthesiologists to improve perioperative care. Anesthesia is not confined to just intraoperative management of patients. To improve perioperative outcome, patients need to receive optimum pre-, intra- and postoperative care. The book stresses all of these points
Audience: It is intended for practicing anesthesiologists, but anesthesia residents can also make full use of this book.
Features: The book covers all aspects of anesthesia for surgery of the whole GI tract, from the esophagus to the rectum in a region-by-region fashion. The initial few chapters deal with the physiology of the GI tract, surgical considerations for upper and lower GI surgeries, and risk assessment of patients. The chapter on reducing postoperative morbidities has extremely useful information. A subsequent series of chapters deals with anesthetic considerations for surgery in different sections of the GI tract. Separate chapters deal with special situations like laparoscopic surgery, colorectal surgery in the elderly, and anesthesia for emergency bowel surgery. The chapters on pheochromocytoma resection and carcinoid syndrome are very comprehensive. The role of different anesthetic strategies that may affect outcome are thoroughly discussed in the last section of the book. A chapter covers optimizing control of pain and control of nausea and vomiting after surgery. The discussion of proper placement of an epidural and troubleshooting is worth mentioning. In general, the book covers all aspects of perioperative care in detail. However, there is no mention of inflammatory bowel disease as a separate entity except in passing remarks. I would have liked to see a full chapter on this disease since these patients represent a significant proportion of those having colorectal surgeries.
Assessment: The book is very well written and it provides an important framework for thinking about anesthesia for bowel surgery. It reinforces the concept of anesthesia as a field of perioperative medicine. It presents all the information necessary for anesthesiologists to adopt those strategies that would help them not only provide safe intraoperative care of patients, but would also improve postoperative outcome.