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Although office-based anesthesia administration has been essential in the evolution of outpatient surgery, it is becoming more complex as people live longer and with more comorbid diseases. The purpose of this book is to strengthen the margin of safety of office-based anesthesia administration by helping practitioners determine whether the patients they treat are good candidates for office-based anesthesia. This book is organized into three sections. The first section provides a review of the principles of anesthesia, including the pharmacology of anesthetic agents, local anesthesia, patient monitoring, preoperative evaluation, the airway, and management of emergencies and complications. The major organ systems of the body are reviewed in section two, and the most common comorbid conditions that affect these systems are described in terms of their pathophysiology, diagnosis, management, and anesthesia-related considerations. Section three reviews patient groups that warrant special consideration in the administration of office-based anesthesia, such as geriatric, pediatric, pregnant, and obese patients. Spiral-bound and featuring tabs for quick and easy reference, this important book belongs on the shelf of every clinician who provides anesthesia in the office setting.
Contents Section I: Principles of Anesthesia Administration 1. Basic Principles of Anesthesia 2. Pharmacology and Utility of Intravenous Anesthesia 3. Pharmacology and Utility of Inhalation Anesthesia 4. Local Anesthesia Basics 5. Prophylactic and Perioperative Antibiotics 6. Analgesia Considerations in Anesthesia 7. Postoperative Nausea and Vomiting 8. Monitoring the Patient 9. Electrocardiography 10. Pre-anesthetic Patient Evaluation 11. Management of Airway Urgencies and Emergencies 12. Medical Emergencies 13. Aftermath of an Adverse Outcome or Complication
Section II: Anesthesia and Comorbid Disease 14. The Central Nervous System 15. The Cardiovascular System 16. The Pulmonary System 17. The Digestive System 18. The Renal System 19. The Hepatic System 20. The Endocrine System 21. The Musculoskeletal System 22. The Immune System
Section III: Anesthesia in Special Patient Groups 23. Hematopathology and Coagulopathy 24. Malignancy 25. Geriatrics 26. Special Needs Populations 27. Pediatric Considerations 28. Pregnancy 29. Obesity and Obstructive Sleep Apnea 30. Considerations for the Substance Abuse Patient Appendices
A. Comprehensive Drug Index B. Commonly Used Drugs and Doses C. Algorithms