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Essential Clinical Anesthesia Review: Keywords, Questions and Answers for the Boards www.ebook3000.com Essential Clinical Anesthesia Review: Keywords, Questions and Answers for the Boards Edited by Linda S Aglio Harvard Medical School and the Brigham and Women’s Hospital, Boston, MA, USA Robert W Lekowski The Brigham and Women’s Hospital and Harvard Medical School, Boston, MA, USA Richard D Urman The Brigham and Women’s Hospital, Center for Perioperative Management and Medical Informatics, and Harvard Medical School, Boston, MA, USA www.ebook3000.com University Printing House, Cambridge CB2 8BS, United Kingdom Cambridge University Press is part of the University of Cambridge It furthers the University’s mission by disseminating knowledge in the pursuit of education, learning and research at the highest inter- national levels of excellence www.cambridge.org Information on this title: www.cambridge.org/9781107681309 © Cambridge University Press 2015 This publication is in copyright Subject to statutory exception and to the provisions of relevant collective licensing agreements, no reproduction of any part may take place without the written permission of Cambridge University Press First published 2015 Printed in the United Kingdom by Clays, St Ives plc A catalogue record for this publication is available from the British Library Library of Congress Cataloguing in Publication data Essential clinical anesthesia review : keywords, questions and answers for the boards / edited by Linda S Aglio, Robert W Lekowski, Richard D Urman p ; cm Includes bibliographical references and index ISBN 978-1-107-68130-9 (Hardback) I Aglio, Linda S., editor II Lekowski, Robert W., editor III Urman, Richard D., editor [DNLM: 1 Anesthesia–Examination Questions 2 Anesthesia– Outlines 3 Anesthetics–administration & dosage–Examination Questions 4 Anesthetics–administration & dosage–Outlines WO 218.2] RD82.3 617.906076–dc23 2014014929 ISBN 978-1-107-68130-9 Paperback Cambridge University Press has no responsibility for the persistence or accuracy of URLs for external or third-party internet websites referred to in this publication, and does not guarantee that any content on such websites is, or will remain, accurate or appropriate Every effort has been made in preparing this book to provide accurate and up-to-date information which is in accord with accepted standards and practice at the time of publication Although case histories are drawn from actual cases, every effort has been made to disguise the identities of the individuals involved Nevertheless, the authors, editors and publishers can make no warranties that the information contained herein is totally free from error, not least because clinical standards are constantly changing through research and regulation The authors, editors and publishers therefore disclaim all liability for direct or consequential damages resulting from the use of material contained in this book Readers are strongly advised to pay careful attention to information provided by the manufacturer of any drugs or equipment that they plan to use Contents List of contributors xi 13 Substance abuse and anesthesia 56 Preface xvii Nantthasorn Zinboonyahgoon and Joseph M Garfield History of anesthesia 1 Section 2 – Airway management Manisha S Desai and Sukumar P Desai 14 Anatomy of the human airway 61 Section 1 – Preoperative care and Richard Hsu and Christopher Chen evaluation 15 Airway assessment 64 1 Preoperative anesthetic assessment 3 Richard Hsu and Christopher Chen Emily L Wang and Jeffrey Lu 16 Perioperative airway management 67 2 Obstructive and restrictive lung disease 8 Richard Hsu and Maksim Zayaruzny Emily L Wang and Jeffrey Lu 17 Management of the difficult airway 70 3 Anesthetic goals in patients with myocardial Richard Hsu and Maksim Zayaruzny ischemia and heart failure 15 Thomas Hickey and Linda S Aglio Section 3 – Anesthesia equipment 4 Anesthetic goals in patients with valvular heart 18 Medical gas supply, vacuum, and scavenging 74 disease 18 Marc Philip T Pimentel and James H Philip Zahra M Malik and Martin Zammert 19 Anesthesia machine 76 5 Obesity 22 Marc Philip T Pimentel and James H Philip Kelly G Elterman and Suzanne Klainer 20 Anesthesia ventilators 79 6 Chronic renal failure 26 Marc Philip T Pimentel and James H Philip Michael Vaninetti and Assia Valovska 21 Anesthesia breathing apparatuses 82 7 Liver disease 30 Marc Philip T Pimentel and James H Philip Julia Serber and Evan Blaney 22 Electrical safety 85 8 Principles of diabetes mellitus and perioperative Marc Philip T Pimentel and James H Philip glucose control 33 Olutoyin Okanlawon and Richard D Urman Section 4 – Patient monitoring 9 Common blood disorders 37 23 Hemodynamic patient monitoring 88 Rosemary Uzomba, Michael D’Ambra, and Robert Thomas Hickey and Linda S Aglio W Lekowski 24 The electrocardiogram and approach to diagnosis 10 The elderly patient 43 of common abnormalities 93 Allison Clark and Lisa Crossley Thomas Hickey and Linda S Aglio 11 Neurologic diseases and anesthesia 45 25 Pulse oximetry and capnography 101 Nantthasorn Zinboonyahgoon and Joseph Hanjo Ko and George P Topulos M Garfield 12 Anesthetic considerations in psychiatric disease 51 Nantthasorn Zinboonyahgoon and Joseph M Garfield v www.ebook3000.com Contents 26 Monitoring of neuromuscular blockade 104 44 Allergic reactions 156 M Tariq Hanifi, J Matthew Kynes, and Joseph M Garfield Iuliu Fat and Devon Flaherty 27 Thermoregulation and temperature monitoring 107 Section 7 – Pharmacology of local Jessica Bauerle and Zhiling Xiong anesthetics 28 Neurophysiologic monitoring 109 45 Pharmacology of local anesthetics: mechanism of Scott W Vaughan and Linda S Aglio action and pharmacokinetics 159 Jessica Bauerle and Zhiling Xiong 29 Intraoperative awareness 113 Nantthasorn Zinboonyahgoon and Joseph M Garfield 46 Clinical applications of local anesthetics 161 Julia Serber and Evan Blaney Section 5 – Inhalation anesthetics Section 8 – Anesthetic techniques 30 Inhalation anesthetics 115 Carly C Guthrie and Jeffrey Lu 47 Administration of general anesthesia 164 Carly C Guthrie and Jeffrey Lu 31 Pharmacokinetics of inhalation agents 118 Carly C Guthrie and Jeffrey Lu 48 Total intravenous anesthesia 166 Alissa Sodickson and Richard D Urman 32 Pharmacodynamics of inhalation agents 121 Carly C Guthrie and Jeffrey Lu 49 Monitored anesthesia care 169 Lisa M Hammond and James Hardy Section 6 – Intravenous anesthetics and adjunct drugs 50 Patient positioning and common nerve injuries 172 J Matthew Kynes and Joseph M Garfield 33 Intravenous induction agents 124 Lisa M Hammond and James Hardy Section 9 – Managing the transition from anesthesia 34 Mechanisms of anesthetic actions 127 Lisa M Hammond and James Hardy 51 Emergence from anesthesia 174 Pete Pelletier and Galina Davidyuk 35 Pharmacokinetics of intravenous agents 130 Alissa Sodickson and Richard D Urman 52 Postoperative complications in the post-anesthesia care unit 177 36 Opioids 133 Pete Pelletier and Galina Davidyuk Alissa Sodickson and Richard D Urman 53 Management of postoperative nausea and 37 Muscle relaxants 137 vomiting 179 M Tariq Hanifi and Michael Nguyen M Tariq Hanifi and Michael Nguyen 38 Reversal of neuromuscular blockade 140 54 Cognitive changes after surgery and anesthesia 181 M Tariq Hanifi and Michael Nguyen Allison Clark and Lisa Crossley 39 Perioperative pulmonary aspiration prophylaxis 143 Section 10 – Regional anesthesia Emily L Wang and Jeffrey Lu 55 Anatomy of the vertebral column and spinal cord 183 40 Perioperative antiemetic therapies 147 Jennifer Oliver and Jose Luis Zeballos Iuliu Fat and Devon Flaherty 56 Spinal anesthesia 187 41 COX inhibitors and alpha2-adrenergic agonists 149 Jennifer Oliver and Jose Luis Zeballos Iuliu Fat and Devon Flaherty 57 Epidural anesthesia 190 42 Diuretics 151 Jennifer Oliver and Jose Luis Zeballos Iuliu Fat and Devon Flaherty 43 Drug interactions 153 Iuliu Fat and Devon Flaherty vi 58 Principles of ultrasound-guided nerve blocks 192 Contents Rejean Gareau and Kamen Vlassakov 75 Pacemakers and automated implantable 59 Upper extremity nerve blocks 194 cardioverter-defibrillators 249 Rejean Gareau and Kamen Vlassakov Jessica Patterson and John A Fox 60 Lower extremity nerve blocks 197 76 Ventricular assist devices 252 Rejean Gareau and Kamen Vlassakov Jessica Patterson and John A Fox Section 11 – Fluid and electrolyte balance 77 Anesthetic considerations for surgical repair of the thoracic aorta 254 61 Fluid replacement 202 Jessica Patterson and John A Fox Pingping Song and Gyorgy Frendl 78 Cardiac transplantation in the adult 257 62 Acid–base balance in anesthesia and intensive Jessica Patterson and John A Fox care medicine 205 Pingping Song and Gyorgy Frendl 79 Persistent postoperative bleeding in cardiac surgical patients 259 63 Ion balance 209 Rosemary Uzomba, Michael D’Ambra, and Robert Pingping Song and Gyorgy Frendl W Lekowski 64 Total parenteral nutrition 214 Section 14 – Vascular anesthesia Pingping Song and Gyorgy Frendl 80 Carotid endarterectomy 265 Section 12 – Transfusion medicine Agnieszka Trzcinka and Shaheen Shaikh 65 Blood products 217 81 Abdominal aortic aneurysm 267 Hanjo Ko and Robert W Lekowski Mohab Ibrahim and Linda S Aglio 66 Blood transfusion 219 82 Endovascular abdominal aortic aneurysm repair 270 Hanjo Ko and Robert W Lekowski Andrea Girnius and Annette Mizuguchi 67 Massive transfusion 222 83 Peripheral vascular disease 272 Hanjo Ko and Robert W Lekowski Andrea Girnius and Annette Mizuguchi 68 Normovolemic hemodilution, perioperative blood Section 15 – Thoracic anesthesia salvage, and autologous blood donation 224 Hanjo Ko and Robert W Lekowski 84 Respiratory physiology 274 Hanjo Ko and George P Topulos Section 13 – Cardiac anesthesia 85 Oxygen and carbon dioxide transport 277 69 Cardiac physiology 225 Hanjo Ko and George P Topulos Erich N Marks and Lauren J Cornella 86 Lung isolation techniques 279 70 Cardiovascular pharmacology 230 Yuka Kiyota, Philip M Hartigan, and Erich N Marks and Lauren J Cornella George P Topulos 71 Adjunct cardiovascular drugs 238 87 Anesthetic management for pulmonary Erich N Marks and Lauren J Cornella resection 282 Yuka Kiyota, George P Topulos, and 72 Coronary artery bypass grafting utilizing Philip M Hartigan cardiopulmonary bypass 241 Erich N Marks and Lauren J Cornella 88 Lung transplantation for end-stage lung disease 286 Stephanie Yacoubian and Ju-Mei Ng 73 Off-pump coronary artery bypass 244 Zahra M Malik and Martin Zammert 89 Bronchoscopy and mediastinoscopy: anesthetic implications 291 74 Transesophageal echocardiography 246 Stephanie Yacoubian and Ju-Mei Ng Zahra M Malik and Martin Zammert 90 Management of mediastinal mass 295 Stephanie Yacoubian and Ju-Mei Ng vii www.ebook3000.com Contents 105 Parathyroid disorders 339 Hyung Sun Choi and Vesela Kovacheva Section 16 – Neuroanesthesia 106 Pheochromocytoma and carcinoid tumors 342 91 Principles of neurophysiology 300 Hyung Sun Choi and Vesela Kovacheva Whitney de Luna and Linda S Aglio 107 Syndrome of inappropriate antidiuretic hormone, 92 Cerebral protection 303 diabetes insipidus, and transsphenoidal pituitary Whitney de Luna and Linda S Aglio surgery 345 Syed Irfan Qasim Ali and Vesela Kovacheva 93 Craniotomy 305 Whitney de Luna and Linda S Aglio 108 Disorders of the adrenal cortex 348 Syed Irfan Qasim Ali and Vesela Kovacheva 94 Cerebrovascular diseases 308 Agnieszka Trzcinka and Shaheen Shaikh Section 20 – Anesthesia for neuromuscular and collagen disease 95 Anesthesia for electroconvulsive therapy 311 Agnieszka Trzcinka and Shaheen Shaikh 109 Malignant hyperthermia 351 Zinaida Chepurny and Alvaro A Macias Section 17 – Anesthesia for renal and urinary tract diseases 110 Myasthenia gravis 354 Zinaida Chepurny and Alvaro A Macias 96 Renal physiology 314 Michael Vaninetti and Assia Valovska 111 Muscular dystrophy and myotonic dystrophy 357 Zinaida Chepurny and Alvaro A Macias 97 Urology 316 Michael Vaninetti and Assia Valovska Section 21 – Anesthesia for ocular, ear, and throat diseases 98 Kidney and pancreas transplantation 319 Michael Vaninetti and Assia Valovska 112 Ophthalmic procedures 360 Caryn Barnet and Dongdong Yao Section 18 – Anesthesia for general surgical procedures 113 Common otolaryngology procedures 362 Caryn Barnet and Dongdong Yao 99 Anesthesia for intra-abdominal surgery 322 Kelly G Elterman and Suzanne Klainer 114 Lasers, airway surgery, and operating room fires 364 100 Principles of laparoscopic surgery 325 Caryn Barnet and Dongdong Yao Olutoyin Okanlawon and Richard D Urman Section 22 – Anesthesia for orthopedic 101 Principles of anesthesia for esophageal and gastric and trauma surgery surgery 328 Olutoyin Okanlawon and Richard D Urman 115 Anesthesia for common orthopedic procedures 367 Christopher Voscopoulos and David Janfaza 102 Principles of anesthesia for breast and gynecologic surgery 331 116 Rheumatoid arthritis and scoliosis 372 Olutoyin Okanlawon and Richard D Urman Christopher Voscopoulos and David Janfaza 103 Anesthesia for liver transplantation 334 117 Anesthetic management in spine surgery 375 Julia Serber and Evan Blaney Christopher Voscopoulos and David Janfaza Section 19 – Anesthesia for endocrine 118 Anesthesia for trauma 378 diseases Christopher Voscopoulos and David Janfaza 104 Thyroid disorders 336 Hyung Sun Choi and Vesela Kovacheva viii ... Essential Clinical Anesthesia Review: Keywords, Questions and Answers for the Boards www.ebook3000.com Essential Clinical Anesthesia Review: Keywords, Questions and Answers for the Boards. .. several chapters Essential Clinical Anesthesia Review: Keywords, Questions organized according to the ABA keyword list for a particular and Answers for the Boards is the first review book of... Library Library of Congress Cataloguing in Publication data Essential clinical anesthesia review : keywords, questions and answers for the boards / edited by Linda S Aglio, Robert W Lekowski, Richard

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