Anesthesiologists Manual of Surgical Procedures, 5e is your top-to-bottom guide to anesthetic technique, containing everything you need to know for effective perioperative management of patients. With so many moving variables before, during, and after surgery, it's crucial to understand the best practices for successful anesthetic care. This instructive text accounts for each variable immaculately, presenting all anesthetic considerations in a clear, templated format, detailing each treatment option then refining and summarizing all courses of action in easy-to-read tables. If you're an anesthesiologist, anesthesia resident, or CRNA, this new Fifth Edition will guide you through all operative scenarios and ensure the highest standards of anesthetic practice.

Features:
Full color illustrations and photographs
Each procedure covered from both the surgeon and anesthesiologist's perspectives
Summary tables distill each procedure for easy review
Electronic version includes links to procedures
Now with the print edition, enjoy the bundled interactive eBook edition, offering tablet, smartphone, or online access to:
Complete content with enhanced navigation
A powerful search that pulls results from content in the book, your notes, and even the web
Cross-linked pages, references, and more for easy navigation
Highlighting tool for easier reference of key content throughout the text
Ability to take and share notes with friends and colleagues
Quick reference tabbing to save your favorite content for future use

Table Of Contents
1.0 NEUROSURGERY
1.1 Intracranial Neurosurgery
Surgeons: Gary K. Steinberg, Robert L. Dodd, Sayed A. Karim, Lawrence M. Shuer, Steven D. Chang
Anesthesiologist: Richard A. Jaffe
Craniotomy for intracranial aneurysms
Craniotomy for cerebral embolectomy
Craniotomy for intracranial vascular malformations
Craniotomy for extracranial-intracranial revascularization (EC-IC bypass)
Craniotomy for tumor
Considerations for awake craniotomy
Craniotomy for skull tumor
Craniotomy for trauma
Microvascular decompression of cranial nerve
Bifrontal craniotomy for csf leak
Transoral or transnasal approach to the cervicomedullary junction and odontoid
Transsphenoidal resection of pituitary tumor
Ventricular shunt procedures
Craniocervical decompression (Chiari malformation)
Stereotactic neurosurgery

1.2 Functional Neurosurgery
Surgeons: Jaimie M. Henderson, Paul R. Gigante, Lawrence M. Shuer
Anesthesiologist: Richard A. Jaffe
Functional neurosurgery introduction: the surgical treatment of pain, movement disorders, and epilepsy
Stereotactic procedures: deep brain stimulation, pallidotomy, and thalamotomy
Surgical analgesics: spinal cord stimulation, intrathecal pumps, and cortical stimulation
Vagus nerve stimulation
Epilepsy surgery
Surgery for spasticity
Percutaneous procedures for trigeminal neuralgia

1.3 Spinal Neurosurgery
Surgeons: Stephen I. Ryu, Lawrence M. Shuer
Anesthesiologists: Adam P. Brown, C. Philip Larson, Jr.
Anterior fusion/fixation of the upper cervical (C1-C2) spine
Posterior fusion/fixation of the upper cervical spine
Anterior fusion/fixation of the mid and lower cervical spine
Posterior fusion/fixation of the mid and lower cervical spine
Anterior cervicothoracic spine surgery
Anesthetic considerations for cervical neurosurgical procedures
Anterior thoracic spine surgery
Posterior thoracic spine surgery
Anterior lumbar/lumbosacral spine surgery
Posterior lumbar spine surgery
Posterior lumbar fusion and instrumentation
Combined anterior and posterior instrumentation of the thoracic and lumbar spine
Anesthetic considerations for thoracolumbar neurosurgical procedures

1.4 Carotid Endarterectomy
Surgeons: Gary K. Steinberg, Robert L. Dodd
Anesthesiologist: Richard A. Jaffe
Carotid endarterectomy

2.0 OPHTHALMIC SURGERY
Surgeons: Natalia F. Callaway, Darius M. Moshfeghi
Anesthesiologist: Richard A. Jaffe
Cataract extraction with intraocular lens insertion
Corneal transplant
Trabeculectomy
Ectropion repair
Entropion repair
Ptosis repair
Eyelid reconstruction
Pterygium excision
Repair of ruptured or lacerated globe
Dacryocystorhinostomy (DCR)
Enucleation
Orbitotomy anterior and lateral
Retinal surgery

3.0 OTOLARYNGOLOGY - HEAD AND NECK SURGERY
Surgeons: Michael J. Kaplan, Edward J. Damrose, Nikolas H. Blevins, Robert K. Jackler, Peter H. Hwang, Sarmela T. Sunder, Sam P. Most, Willard E. Fee, Jr., Robert W. Riley, Nelson B. Powell, Donald M. Sesso
Anesthesiologists: Vladimir Nekhendzy, Brett L. Miller, Michael W. Champeau
Introduction surgeon's perspective
Introduction anesthesiologist's perspective
Anesthetic management
Laryngoscopy/bronchoscopy/esophagoscopy
Tracheotomy/tracheostomy and cricothyroidotomy
Intubation for epiglottitis
Zenker's diverticulectomy (open approach)
Laryngeal framework surgery (thyroplasty, arytenoid adduction, injection laryngoplasty)
Tracheal and cricotracheal resection
Laryngectomy: partial and total
Tonsillectomy and/or adenoidectomy
Glossectomy
Maxillectomy and orbit exenteration
Composite resection with marginal or segmental mandibulectomy (and neck dissection)
Neck dissection
Lymph node biopsy
Parotidectomy: superficial, total, or radical
Submandibular gland excision
Endoscopic sinus surgery
External sinus surgery
Nasal surgery (rhinoplasty, septoplasty, septorhinoplasty)
Facial plastic surgery
Otology and neurotology
Neurotological skull base surgery
Reconstructive surgery for sleep-disordered breathing

4.0 DENTAL SURGERY
Surgeon: Stephen A. Schendel
Anesthesiologist: Richard A. Jaffe
Temporomandibular joint arthroscopy/arthrotomy
Oral surgery
Restorative dentistry

5.0 THORACIC SURGERY
Surgeons: Robert E. Merritt, Walter B. Cannon
Anesthesiologists: Vivek Kulkarni, Jay B. Brodsky
Introduction surgeon's perspective
Lobectomy, pneumonectomy
Wedge resection of lung lesion
Chest-wall resection
Repair of pectus excavatum or carinatum
Thoracoplasty
Drainage of empyema
Tracheal resection
Excision of mediastinal tumor
Mediastinoscopy
Endobronchial ultrasound-guided transbronchial needle aspiration
Bronchoscopy flexible and rigid
Airway laser surgery
Video-assisted thoracoscopy surgery (VATS)
Thymectomy
Excision of blebs or bullae
Lung-volume reduction surgery
Bronchopulmonary lavage
Lung transplant

6.0 CARDIOVASCULAR SURGERY
6.1 Cardiac Surgery
Surgeon: R. Scott Mitchell
Anesthesiologists: Linda E. Foppiano, Lawrence C. Siegel, Daryl Oakes
Cardiopulmonary bypass
Coronary artery bypass graft surgery
Left ventricular aneurysmectomy
Aortic valve replacement
Mitral valve repair or replacement
Tricuspid valve repair
Septal myectomy/myotomy
Pacemaker insertion
Pericardiectomy

6.2 Minimally Invasive Cardiac Surgery
Surgeons: James I. Fann, Clayton Kaiser
Anesthesiologist: Lawrence C. Siegel
Off-pump and minimally invasive coronary artery bypass grafting
Port-access coronary revascularization
Limited thoracotomy and port-access approaches to valve surgery
Transcatheter valve replacement procedures

6.3 Vascular Surgery
Surgeons: James I. Fann, R. Scott Mitchell, Clayton Kaiser, Stephen T. Kee, Michael D. Dake
Anesthesiologist: Pieter J. A. van der Starre
Carotid endarterectomy (vascular)
Repair of thoracic aortic aneurysms
Endovascular stent-grafting of aortic aneurysms
Repair of acute aortic dissections
Repair of aneurysms of the thoracoabdominal aorta
Surgery of the abdominal aorta
Infrainguinal arterial bypass
Arterial embolectomy
Lumbar sympathectomy
Venous surgery thrombectomy or vein excision
Surgery for portal hypertension
Arteriovenous access for hemodialysis
Permanent vascular access
Venous surgery vein stripping and perforator ligation
Varicose vein stripping and ablation

6.4 Heart/Lung Transplantation
Surgeons: Hari R. Mallidi, Bruce A. Reitz
Anesthesiologists: Daryl Oakes, Linda E. Foppiano
Surgery for heart transplantation
Surgery for lung and heart/lung transplantation

7.0 GENERAL SURGERY
7.1 Esophageal Surgery
Surgeons: Richard I. Whyte, Jeffrey A. Norton
Anesthesiologist: Vivek Kulkarni
Esophagostomy
Esophageal diverticulectomy
Management of esophageal perforation
Esophagomyotomy
Esophagogastric fundoplasty
Esophagectomy

7.2 Stomach Surgery
Surgeons: Dan Eisenberg, Myriam J. Curet, Sherry M. Wren, Maureen M. Tedesco
Anesthesiologists: Kevin A. Malott, Jay B. Brodsky, Jerry Ingrande
Gastric resections
Gastric or duodenal perforation
Operations for peptic ulcer disease
Open operations for morbid obesity
Gastrostomy placement

7.3 Intestinal Surgery
Surgeons: Jeffrey A. Norton, Harry A. Oberhelman
Anesthesiologist: Kevin A. Malott
Duodenotomy
Open appendectomy
Excision of Meckel's diverticulum
Enterostomy
Continent ileostomy pouch (Kock)
Small-bowel resection with anastomosis
Enterolysis
Closure of enteric fistulae

7.4 Colorectal Surgery
Surgeons: Andrew A. Shelton, Carlos E. Pineda, Mark Lane Welton
Anesthesiologists: Clifford A. Schmiesing, Alimorad G. Djalali
Enhanced recovery after surgery (ERAS)
Laparoscopic colorectal surgery
Total proctocolectomy
Segmental (partial) colectomy
Stoma closure or peristomal hernia repair
Operations for rectal prolapse
Rectal surgery
Anorectal surgery
Surgery for anal fistulas
Hemorrhoidectomy/stapled hemorrhoidopexy
Operations for fecal incontinence

7.5 Hepatic Surgery
Surgeons: Samuel K. S. So, Harry A. Oberhelman
Anesthesiologist: Hendrikus J. M. Lemmens
Hepatic resection
Hepatorrhaphy

7.6 Biliary Tract Surgery
Surgeon: C. Andrew Bonham
Anesthesiologist: Hendrikus J. M. Lemmens
Open cholecystectomy and common bile duct exploration
Biliary drainage procedures
Excision of bile duct tumor
Choledochal cyst excision or anastomosis
Anesthetic considerations for biliary tract surgery

7.7 Laparoscopic General Surgery
Surgeons: Myriam J. Curet, Sherry M. Wren, Maureen M. Tedesco
Anesthesiologists: Ruth M. Fanning, Clifford A. Schmiesing, Jay B. Brodsky, Jerry Ingrande, Brendan Carvalho
Laparoscopic repair of perforated peptic ulcer
Laparoscopic esophageal fundoplication
Laparoscopic Heller myotomy antireflux procedure
Laparoscopic cholecystectomy, common duct exploration
Laparoscopic splenectomy
Laparoscopic adrenalectomy
Laparoscopic bowel resection
Laparoscopic appendectomy
Laparoscopic inguinal hernia repair
Laparoscopic bariatric surgery
Anesthesia for laparoscopy in pregnancy

7.8 Pancreatic Surgery
Surgeon: Jeffrey A. Norton
Anesthesiologist: Martin S. Angst
Operative drainage for pancreatitis
Drainage of pancreatic pseudocyst
Longitudinal pancreaticojejunostomy
Pancreatectomy
Whipple resection

7.9 Peritoneal Surgery
Surgeons: Jeffrey A. Norton, Harry A. Oberhelman
Anesthesiologist: Martin S. Angst
Exploratory or staging laparotomy
Splenectomy
Excision of intraabdominal, retroperitoneal tumors
Drainage of subphrenic abscess
Inguinal herniorrhaphy
Femoral herniorrhaphy
Repair of incisional hernia
Repair of abdominal dehiscence

7.10 Breast Surgery
Surgeons: Irene L. Wapnir, Stefanie S. Jeffrey
Anesthesiologist: Clifford A. Schmiesing
Breast biopsy
Sentinel lymph node biopsy
Breast-conserving surgery and mastectomy reconstruction

7.11 Endocrine Surgery
Surgeons: Julia Park, Dana T. Lin, Ralph S. Greco
Anesthesiologists: Sara Nikravan, Frederick G. Mihm
Excision of thyroglossal duct cyst
Thyroidectomy
Parathyroidectomy
Adrenalectomy

7.12 Liver/Kidney/Pancreas Transplantation
Surgeons: Amy E. Gallo, Marc L. Melcher, Dev M. Desai, Carlos O. Esquivel
Anesthesiologists: Timothy Angelotti, Hendrikus J. M. Lemmens
Kidney transplantation cadaveric and live-donor
Cadaveric kidney/pancreas transplantation
Live-donor nephrectomy laparoscopic and open
Kidney transplant nephrectomy
Liver transplantation
Living-donor liver transplantation
Multiorgan procurement

7.13 Trauma Surgery
Surgeons: Daniel J. Riskin, David A. Spain, Ronald Jou
Anesthesiologist: Charles C. Hill
Initial assessment and airway management for trauma surgery
Emergency tube thoracostomy
Emergency department thoracotomy
Exploratory surgery for neck trauma
Anesthetic considerations for neck trauma surgery
Chest trauma: pericardial window, release of tamponade, repair of cardiac laceration
Chest trauma: repair of great vessels
Chest trauma: pneumonectomy, lobectomy, repair of tracheobronchial injury
Abdominal trauma: damage control
Abdominal trauma: hepatic and splenic injuries
Abdominal trauma: vascular injuries
Pediatric trauma

8.0 OBSTETRIC/GYNECOLOGIC SURGERY
8.1 Gynecologic Oncology
Surgeons: Gina Westhoff, Nelson N. Teng
Anesthesiologist: Clifford A. Schmiesing
Staging laparotomy for ovarian, fallopian tube, and primary peritoneal cancer
Interval, secondary cytoreductive, and second look assessment laparotomy
Radical vulvectomy
Conization of the cervix
Anesthetic considerations for laser therapy to vulva, vagina, cervix
Suction curettage for gestational trophoblastic disease
Pelvic exenteration
Exploratory laparotomy or laparoscopy, hysterectomy/bso for uterine cancer
Radical hysterectomy
Robotic-assisted laparoscopy and surgery in gynecologic oncology
Interstitial perineal implants

8.2 Gynecology/Infertility Surgery
Surgeons: Bertha Chen, Eva D. Littman, Amin A. Milki, Lynn M. Westphal, Brooke E. Friedman
Anesthesiologist: Clifford A. Schmiesing
Dilatation and curettage (D&C)
Therapeutic abortion, dilatation, and evacuation (D&E)
Hysteroscopy
Pelvic laparotomy
Transvaginal oocyte retrieval (TVOR)
Infertility operations/assisted reproductive technologies
Hysterectomy vaginal, abdominal, laparoscopic or robotic
Operations for pelvic organ prolapse: anterior and posterior colporrhaphy, enterocele repair, sacrospinous ligament vaginal vault suspension, uterosacral ligament vaginal vault suspension, sacrocolpopexy
Operations for stress urinary incontinence

8.3 Obstetric Surgery
Surgeons: M. Mark Taslimi, Yasser Y. El-Sayed
Anesthesiologists: Brendan Carvalho, Lee Coleman
Cesarean section lower segment and classic
Medical and surgical management of postpartum hemorrhage
Repair of uterine rupture
Postpartum tubal ligation
Repair of vaginal/cervical lacerations
Cervical cerclage elective and emergent
Removal of retained placenta
Management of uterine inversion

8.4 Laparoscopic Procedures for Gynecologic Surgery
Surgeons: Camran R. Nezhat, Jacqualin Miller, Amanda Stevens, Chandhana Paka, Elizabeth Buescher, M. Ali Parsa
Anesthesiologist: Clifford A. Schmiesing
Laparoscopic surgery for endometriosis
Laparoscopic surgery for ectopic pregnancy or adnexal mass
Laparoscopic myomectomy
Laparoscopic hysterectomy
Laparoscopic surgery for vaginal vault suspension

9.0 UROLOGY
Surgeons: Harcharan S. Gill, Benjamin Chung
Anesthesiologist: Ronald G. Pearl
Diagnostic transurethral (endoscopic) procedures
Therapeutic transurethral procedures (except TURP)
Transurethral resection of the prostate (TURP)
Open prostate operations
Nephrectomy
Operations on the renal pelvis and upper ureter
Cystectomy
Open bladder operations (other than cystectomy)
Inguinal operations
Penile operations
Scrotal operations
Perineal operations
Vaginal operations
Special considerations for robotic-assisted laparoscopic procedures

10.0 ORTHOPEDIC SURGERY
10.1 Hand Surgery
Surgeons: Vincent R. Hentz, Kimberley Wirsing
Anesthesiologist: Lindsey Vokach-Brodsky
Darrach procedure
Dorsal stabilization and extensor synovectomy of the rheumatoid wrist
Metacarpophalangeal and interphalangeal joint arthroplasty and arthrodesis
Arthrodesis of the wrist
Total wrist replacement
Thumb carpometacarpal joint fusion/arthroplasty/stabilization
Excision of ganglion of the wrist
Palmar and digital fasciectomy
Repair of lacerated tendons/nerves
Wrist arthroscopy/repair of triangular fibrocartilage complex tears
Carpal tunnel release
Fixation of fractures and dislocations of the wrist and hand
Digit and hand replantation

10.2 Shoulder/Arm Surgery
Surgeons: Amy L. Ladd, Andrew C. Karich, Emilie V. Cheung
Anesthesiologist: Lindsey Vokach-Brodsky
Arthroscopic shoulder surgery
Surgery for acromial impingement, rotator cuff tears, and acromioclavicular joint arthritis
Surgery for shoulder instability
Glenohumeral shoulder arthroplasty
Shoulder girdle procedures
Brachial plexus surgery
Arm surgery

10.3 Spine Surgery
Surgeons: Eugene J. Carragee, Ivan Cheng, Nima Salari
Anesthesiologists: Adam P. Brown, C. Philip Larson, Jr.
Minimally invasive posterior lumbar discectomy (microdiscectomy)
Minimally invasive anterior lumbar interbody fusion through a transpsoas approach
Spinal reconstruction and fusion thoracic and thoracolumbar spine
Spinal reconstruction and fusion lumbosacral spine
Spinal reconstruction and fusion cervical spine

10.4 Hip, Pelvis, Upper Leg Surgery
Surgeons: James I. Huddleston, Michael J. Bellino, Stuart B. Goodman
Anesthesiologists: Frederick G. Mihm, Pedro P. Tanaka
Open reduction and internal fixation (ORIF) of pelvis or acetabulum
Closed reduction and external fixation of the pelvis
Open reduction and internal fixation (ORIF) of acetabulum fractures
Osteotomy and bone graft augmentation of the pelvis
Arthrodesis of the sacroiliac joint
Amputations about the hip and pelvis: disarticulation of the hip and hindquarter amputation
Arthroplasty of the hip
Arthrodesis of the hip
Synovectomy of the hip
Open reduction and internal fixation (ORIF) of proximal femoral fractures (femoral neck, intertrochanteric, subtrochanteric fractures)
Open reduction and internal fixation (ORIF) of distal femur fractures
Open reduction and internal fixation (ORIF) of the femoral shaft with plate
Intramedullary nailing of femoral shaft
Repair of nonunion/malunion of proximal third of femur, proximal femoral osteotomy for osteoarthritis
Closed reduction and external fixation of femur

10.5 Knee Surgery
Surgeons: James I. Huddleston, John J. Csongradi, Stuart B. Goodman
Anesthesiologists: Frederick G. Mihm, Pedro P. Tanaka
Arthroplasty of the knee
Arthrodesis of the knee
Open reduction and internal fixation (ORIF) of patellar fractures
Repair or reconstruction of knee ligaments
Patellar realignment
Arthroscopy of the knee
Knee arthrotomy
Repair of tendons knee and leg

10.6 Lower Leg, Ankle, Foot, and Other Lower-Extremity Procedures
Surgeon: John J. Csongradi
Anesthesiologists: Frederick G. Mihm, Pedro P. Tanaka
Open reduction and internal fixation (ORIF) of the tibial plateau fracture
Intramedullary nailing, tibia
External fixation, tibia
Open reduction and internal fixation (ORIF) of distal tibia, ankle, and foot fractures
Repair nonunion/malunion, tibia
Arthroscopy of the ankle
Ankle arthrotomy
Ankle arthrodesis
Repair/reconstruction of ankle ligaments
Amputation through ankle (syme)
Amputation, transmetatarsal
Lengthening or transfer of tendons, ankle, and foot
Amputation above the knee
Amputation below the knee
Fasciotomy of the thigh
Fasciotomy of the leg
Biopsy, leg and foot
Biopsy or drainage of abscess/excision of tumor

11.0 PLASTIC AND RECONSTRUCTIVE SURGERY
11.1 Facial Cosmetic Surgery
Surgeons: Thomas S. Satterwhite, David M. Kahn
Anesthesiologist: Vanila Singh
Introduction to cosmetic facial surgery
Facelift and necklift
Browlift and blepharoplasty
Rhinoplasty
Facial laser resurfacing

11.2 Nonfacial Aesthetic Surgery
Surgeons: Thomas S. Satterwhite, David M. Kahn, George W. Commons
Anesthesiologists: Vanila Singh, Bruce D. Halperin
Augmentation mammoplasty
Reduction mammoplasty
Mastopexy/breast lift
Brachioplasty
Abdominoplasty
Body lifts
Liposuction

11.3 Craniofacial Surgery
Surgeon: Stephen A. Schendel
Anesthesiologist: Richard A. Jaffe
Repair of facial fractures
Lefort osteotomies
Mandibular osteotomies/genioplasty

11.4 Functional Restoration
Surgeons: James Chang, David M. Kahn
Anesthesiologist: Vanila Singh
Microsurgery-free-flap reconstruction
Microsurgery-replantation
Breast surgery introduction
Breast reconstruction
Chest wall reconstruction
Pressure sore reconstruction

11.5 Burn Surgery
Surgeon: Kenneth K. Yim
Anesthesiologist: Melissa T. Berhow
Free skin graft for burn wound (with tangential excision, excision to fascia, or debridement)

12.0 PEDIATRIC SURGERY
12.1 Pediatric Neurosurgery
Surgeons: Michael Edwards, Sam Cheshier
Anesthesiologists: Michael I. Chen, William W. Feaster
Craniofacial surgery
Closure of myelomeningocele
Surgical correction of occult spinal dysraphism
Craniotomy for vein of galen malformation
Ventriculoscopy and third ventriculostomy
Pediatric brain arteriovenous malformations (AVM)

12.2 Pediatric Ophthalmic Surgery
Surgeons: D. M. Alcorn, Natalia F. Callaway, Darius M. Moshfeghi
Anesthesiologist: Julie Williamson
Strabismus surgery
Pediatric vitreoretinal surgery

12.3 Pediatric Otolaryngology
Surgeons: Anna H. Messner, Kevin Huoh
Anesthesiologists: Sam Mireles, Ellen Wang, Gregory B. Hammer
Myringotomy and tympanostomy tube placement
Tonsillectomy and adenoidectomy
Bronchoscopy/esophagoscopy
Laryngoscopy, supraglottoplasty, excision of laryngeal lesions
Removal of branchial cleft cyst or thyroglossal duct cyst
Incision/drainage of deep neck abscess
Laryngotracheal reconstruction, cricotracheal resection, laryngotracheoplasty
Choanal atresia repair
Pediatric tracheostomy

12.4 Pediatric Cardiovascular Surgery
Surgeons: Katsuhide Maeda, V. Mohan Reddy, Frank L. Hanley
Anesthesiologists: Claudia Benkwitz, Komal Kamra, M. Gail Boltz, Chandra Ramamoorthy
Surgery for atrial septal defect (ostium secundum)
Surgery for atrioventricular canal defect
Surgery for ventricular septal defect
Surgery for patent ductus arteriosus
Surgery for coarctation of the aorta
Surgery for tetralogy of fallot
Surgery for total anomalous pulmonary venous connection
Surgery for complete transposition of the great arteries
Surgery for truncus arteriosus
Surgery for tricuspid atresia
Surgery for double-outlet right ventricle
Surgery for hypoplastic left heart syndrome

12.5 Pediatric General Surgery
Surgeons: James Wall, Craig Albanese
Anesthesiologists: Rebecca E. Claure, Brenda Golianu, Gregory B. Hammer
Resection of cystic hygroma, branchial cleft cyst, thyroglossal duct cyst, or other cervical mass
Esophagus-foreign body removal and dilation
Repair of tracheoesophageal fistula and esophageal atresia
Mediastinal mass biopsy or resection
Neonatal lung resection
Drainage of empyema
Repair of pectus excavatum/carinatum
Esophageal replacement, colon interposition
Repair of congenital diaphragmatic hernia
Pyloromyotomy for pyloric stenosis
Abdominal tumor: resection of neuroblastoma, Wilms' tumor, hepatic tumors
Laparotomy for intestinal perforation, necrotizing enterocolitis
Repair of biliary atresia and choledochal cysts
Repair of abdominal wall defects: omphalocele/gastroschisis
Pull-through for Hirschsprung's disease
Pull-through for imperforate anus, cloaca
Repair of inguinal & umbilical hernias, hydrocele
Surgery for the undescended testicle
Resection of sacrococcygeal teratoma
Anesthesia for minimally invasive surgery in pediatric patients
Ex utero intrapartum treatment (EXIT) procedure
Pediatric bariatric surgery

12.6 Pediatric Urology
Surgeons: Philip Barbosa, Linda M. Dairiki Shortliffe
Anesthesiologists: Imad M. Yamout, Anita Honkanen
Kidney and upper urinary tract operations
Transurethral procedures
Open bladder operations
Bladder augmentation
Penile surgery
Genital procedures (clitoroplasty, vaginoplasty, urethroplasty)
Inguinoscrotal procedures
Laparoscopic procedures
Robotic-assisted procedures
Stone procedures

12.7 Pediatric Orthopedic Surgery
Surgeons: James G. Gamble, Amy L. Ladd
Anesthesiologists: Genevieve D'Souza, Brenda Golianu, R. J. Ramamurthi
Percutaneous pinning of displaced supracondylar humerus fracture
Closed or open reduction of displaced lateral condyle humerus fracture
Aspiration and injection of unicameral bone cyst
Release for torticollis
Pollicization of a finger
Syndactyly repair
Posterior spinal instrumentation and fusion
Anterior spinal fusion for scoliosis
Pelvic osteotomy
Acetabular augmentation (shelf) & Chiari osteotomy
Ober fasciotomy, Yount-Ober release
Hip, open reduction & femoral shortening
Adductor release or transfer, psoas release
Pinning of slipped capital femoral epiphysis (SCFE)
Flexible intramedullary nailing of long-bone fractures
Proximal femoral osteotomy
Epiphysiodesis
Sofield procedure
Limb lengthening
Patellar realignment
Tendon transfer, lengthening (posterior tibial)
Triple arthrodesis and grice procedure (extra-articular subtalar arthrodesis)
Surgical correction of clubfoot
Surgery for epidermolysis bullosa

12.8 Surgery for Craniofacial Malformations
Surgeon: Stephen A. Schendel
Anesthesiologists: Nai Yi Sun, Mary Laughlin, Louise Furukawa
Surgical correction of craniosynostosis
Major secondary craniofacial surgical procedures
Cleft lip repair unilateral/bilateral
Palatoplasty
Pharyngoplasty
Alveolar cleft repair with bone graft
Secondary cleft lip/nasal surgery
Otoplasty

12.9 Pediatric Transplantation
Surgeons: Waldo Concepcion, Amy E. Gallo
Anesthesiologists: Julianne Mendoza, Louise Furukawa, Gregory B. Hammer
Pediatric renal transplantation
Pediatric liver transplantation

13.0 OUT-OF-OPERATING ROOM PROCEDURES
13.1 Out-of-Operating Room Procedures Adult
Surgeons: Charles DeBattista, L. Bing Liem, Michael P. Marks, Stephen T. Kee, Daniel Y. Sze
Anesthesiologists: John Brock-Utne, Richard A. Jaffe
Anesthesia for out-of-operating room procedures
Electroconvulsive therapy (ECT)
Interventional neuroradiology
Direct current (DC) cardioversion
Implantation of cardioverter-defibrillator (ICD) or cardiac resynchronization therapy defibrillator (CRT-D)
Extraction of pacemaker (PM) and implantable cardioverter-defibrillator (ICD) leads
Catheter ablation of atrial fibrillation
Transjugular intrahepatic portosystemic shunt (TIPS)
Endoscopic retrograde cholangiopancreatography (ERCP)
Imaging and image-guided procedures
Tracheobronchial stenting
Radiofrequency ablation of tumors
Irreversible electroporation (IRE ablation)

13.2 Out-of-Operating Room Procedures Pediatric
Procedural Specialists: Claudia Mueller, Bill Berquist, Sarah S. Donaldson, Anne M. Dubin, Jeffrey A. Feinstein, Gary E. Hartman, Susan Hiniker, Neyssa Marina, Stanton B. Perry, Kalyani R. Trivedi, Ann Ming Yeh
Anesthesiologists: Komal Kamra, Rebecca E. Claure, Brenda Golianu, Manchula Navaratnam, Chandra Ramamoorthy, Kristin Sun, Claudia Benkwitz
Pediatric radiation therapy
Pediatric cardiac catheterization and electrophysiology
Pediatric oncologic procedures
Upper/lower GI endoscopy
Cross-sectional imaging (CT, MRI)
Surgical considerations for ECMO
Anesthetic management for surgical procedures under ECMO

14.0 OFFICE-BASED ANESTHESIA
Surgeons: David A. Berman, Vernon J. Adams, Jr., Azeem K. Lakha
Anesthesiologist: Terri D. Homer
Introduction anesthesiologist's perspective
Facial rejuvenation: lasers and rf tissue tightening
Office dental rehabilitation under deep iv sedation
Dental implants and bone grafting

15.0 EMERGENCY PROCEDURES FOR THE ANESTHESIOLOGIST
Anesthesiologists: Carlos Brun, Frederick G. Mihm
Emergency cricothyrotomy
Emergency pericardiocentesis
Emergency ultrasound-guided pericardiocentesis
Emergent needle/catheter thoracostomy
Emergent ultrasound-guided needle/catheter thoracostomy
Emergency intraosseous access

APPENDICES
Authors: Sandra Leigh Bardas, Alex J. Butwick, Sean Carlton, Ian Carroll, Brendan Carvalho, Rebecca E. Claure, Genevieve D'Souza, Stephen P. Fischer, Brenda Golianu, Julie Good, Anita Honkanen, Richard A. Jaffe, C. Philip Larson, Jr., Birgit Maas, Jordan L. Newmark, Einar Ottestad, Emily Ratner, Clifford A. Schmiesing, Jeannie Seybold, Steven L. Shafer, Nai Yi Sun
A. Preoperative considerations
B. S tandard adult anesthetic protocols
C. S tandard perioperative pain management
D. S tandard pediatric anesthetic management
E. S tandard pediatric postoperative pain management
F. Tables of drug interactions and recommendations for preop management
G. S pecial considerations for latex allergy
H. Perioperative acupuncture
I. Management of the difficult airway
J. Anticoagulation guidelines for neuraxial procedures
K. Abbreviations