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Evidence-Based Practice of Anesthesiology, 3rd Edition

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Evidence-Based Practice of Anesthesiology, 3rd Edition

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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.

      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: Nonste

      Lee A Fleisher, MD, FACC, Robert Dunning Dripps Professor and Chair, Department of Anesthesiology and Critical Care, Professor of Medicine, Perelman School of Medicine, Senior Fellow, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania

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