Addressing both routine and complex situations with practical decision-making tools, Evidence-Based Practice of Anesthesiology, 4th Edition, helps anesthesiologists make sound decisions in everyday practice. World-renowned authority, Dr. Lee A. Fleisher, takes an evidence-based approach to a variety of high-impact topics related to effective perioperative patient management: preoperative assessment; monitoring and administration of anesthesia during surgery; postoperative intensive care management; and postoperative pain management. The 4th Edition has been updated from cover to cover, helping you make informed clinical decisions based on reliable, up-to-date guidance in every aspect of patient care.
Explores important issues in perioperative management, discussing the available options, examining the relevant research, and presenting practical recommendations
Features concise, to-the-point chapters with numerous quick-reference tables for fast and effective decision making
Includes decision trees throughout to provide visual guidance and a logical flow of key decision points
Contains nine new chapters on how to identify patients at risk for postoperative neurocognitive disorder; the best strategy for perioperative ACE and ARB agents; emergency laparotomy; optimal postoperative analgesia and the opiate naïve patient; the best method for perioperative handoffs; myocardial injury after non-cardiac surgery (MINS); and more
Helps you master the current best practices you need to know for successful day-to-day practice and oral board review
Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices
1. Evidence-Based Practice Parameters: The Approach of the American Society of Anesthesiologists 2. Is a Preoperative Screening Clinic Cost-Effective? 3. Which Patient Should Have a Preoperative Cardiac Evaluation (Stress Test)? 4. Should Patients With Stable Coronary Artery Disease Undergo Prophylactic Revascularization Before Noncardiac Surgery? 5. Reducing Risk for Perioperative Stroke 6. How Should We Identify Patients at Risk for Postoperative Neurocognitive Disorder? 7. Update on Preprocedure Testing 8. Is Routine Preoperative Pregnancy Testing Necessary? 9. Should Preoperative Brain Natriuretic Peptide (BNP) Be Measured Routinely? 10. How Should We Prepare the Patient With a Pacemaker/Implantable Cardioverter-Defibrillator? 11. What Are the Role and Management of Percutaneous Coronary Intervention for Noncardiac Surgery? 12. Should All Antihypertensive Agents Be Continued Before Surgery? 13. Best Strategy for Perioperative Angiotensin-Converting Enzyme-Inhibitor (ACE-I) and Angiotensin II Receptor Blocker (ARB) Therapy Prior to Noncardiac Surgery 14. How Should Beta-Blockers Be Used Perioperatively? 15. Are Alpha-2 Agonists Effective in Reducing Perioperative Renal Injury? 16. Does the Airway Examination Predict Difficult Airway Management? 17. Do Checklists Improve Emergency Management? 18. Is There an Optimal Timing for Smoking Cessation? 19. Is There a Best Approach for Patients With Difficult Airways: Regional Versus General Anesthesia? 20. Do Inhalational Agents Have Beneficial Effects on Cardiac Ischemia-Reperfusion Injury? 21. Does Anesthetic Choice Affect Surgical and Recovery Times? 22. Aspiration: Understanding the Risks and Optimizing Management 23. Emergency Laparotomy 24. When Are Platelet and Plasma Transfusion Indicated? 25. What Is the Role of Ketamine in Perioperative Management? 26. When Should Perioperative Glucocorticoid Replacement Be Administered? 27. Does the Choice of Fluid Matter in Major Surgery? 28. What Are the Benefits of Different Ventilatory Techniques? 29. What Is the Best Strategy for Prevention of Postoperative Nausea and Vomiting? 30. Is There an Optimal Perioperative Hemoglobin? 31. Does Perioperative Hyperglycemia Increase Risk? 32. What Is the Best Means of Preventing Perioperative Renal Injury? 33. Is Nitrous Oxide Associated With Outcome? 34. Should Targeted Temperature Management Be Used Routinely After Intraoperative Cardiac Arrest? 35. Fast-Track Cardiac Anesthesia: A Vital Core of Perioperative Cardiac Surgery Programs 36. Can We Prevent Recall During Anesthesia? 37. Nonsteroidal Antiinflammatory Drugs, Antiplatelet Medications, and Spinal Axis Anesthesia 38. Deep Vein Thrombosis Prophylaxis With Heparin and Heparin-Like Drugs Used in Combination With Neuraxial Anesthesia and Deep Plexus Blocks 39. Is There a Best Analgesic Technique for Hip Surgery? 40. Should Regional Anesthesia Be Used for Orthopedic Trauma Patients? 41. Is There a Best Technique to Decrease Blood Loss and Transfusion After Coronary Artery Bypass Grafting? 42. Is There a Best Technique in the Patient With Increased Intracranial Pressure? 43. What Works for Brain Protection? 44. Optimal Intraoperative Technique to Prevent Postoperative Delirium 45. What Actions Can Be Used to Prevent Peripheral Nerve Injury? 46. Which Are the Best Techniques for Reducing the Incidence of Postoperative Deep Vein Thrombosis? 47. Does Neurologic Electrophysiologic Monitoring Affect Outcome? 48. Anesthesia for Cesarean Delivery–Regional or General? 49. When Should a Combined Spinal–Epidural Be Used? 50. What Is the Optimal Management of Postdural Puncture Headache? 51. Does Anesthesia Increase the Risk to the Parturient Undergoing Nonobstetric Surgery? 52. Does Labor Analgesia Affect Labor Outcome? 53. When Should Regional Anesthesia Be Used in Pediatric Patients? 54. How Young Is the Youngest Infant for Outpatient Surgery? 55. What Works in a Patient With Acute Respiratory Distress Syndrome? 56. Optimal Discharge Strategy 57. What Drugs Decrease Perioperative Bleeding? 58. What Must I Consider to Safely Anesthetize Someone in the Office Setting? 59. Optimal Postoperative Analgesia for the Opiate-Tolerant Patient 60. Optimal Postoperative Analgesia for the Opiate-Naïve Patient 61. What Is the Best Method for Perioperative Handoffs? 62. Myocardial Injury After Noncardiac Surgery
Lee A. Fleisher, MD, Robert Dunning Drips Professor and Chair of Anesthesiology and Critical Care Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
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