Table of Contents

SECTION 1 INTRODUCTION

1. Scope of Modern Anesthetic Practice

2. The International Scope, Practice and Legal Aspects of Anesthesia

3. Perioperative Management

4. Operating Room Management

5. Medical Informatics

6. Quality Improvement and Patient Safety

7. Human Performance and Patient Safety

8. Patient Simulation and Clinical Practice

9. Teaching Anesthesia

10. Ethical Aspects of Anesthesia Care

11. Legal Aspects of Anesthesia Care in America

12. Anesthesia Business Models

SECTION 2 ANESTHETIC PHYSIOLOGY

13. Consciousness and Memory

14. Sleep Medicine

15. Perioperative and Anesthesia Neurotoxicity

16. The Autonomic Nervous System

17. Cerebral Physiology and the Effects of Anesthetic Drugs

18. Neuromuscular Physiology and Pharmacology

19. Respiratory Physiology

20. Cardiac Physiology

21. Gastrointestinal Physiology and Pathophysiology

22. Hepatic Pathology and Pathophysiology

23. Renal Physiology and Pharmacology

SECTION 3 ANESTHETIC PHARMACOLOGY

24. Basic Principles of Pharmacology

25. Inhaled Anesthetics: Mechanism of Action

26. Inhaled Anesthetics: Uptake and Distribution; Metabolism, and Toxicity

27. Inhaled Anesthetics: Pulmonary Pharmacology

28. Inhaled Anesthetics: Cardiovascular Pharmacology

29. Inhaled Anesthetics: Delivery Systems

30. Intravenous Anesthetics

31. Opioid Analgesics

32. Non-Opioid Pain Medications

33. Intravenous Drug Delivery Systems

34. Pharmacology of Neuromuscular Blocking Drugs

35. Reversal (Antagonism of Neuromuscular Blockade)

36. Local Anesthetics

SECTION 4 ANESTHESIA MANAGEMENT

37. Risk of Anesthesia

38. Preoperative Evaluation

39. Anesthetic Implications of Concurrent Diseases

40. Anesthetic Implications of Complementary and Alternative Medications

41. Patient Positioning and Anesthesia

42. Neuromuscular Disorders and Other Genetic Disorders

43. Malignant Hyperthermia and Other Related Disorders

44. Fundamental Principles of Monitoring Instrumentation

45. Cardiovascular Monitoring

46. Transthoracic (TTE & TEE) Chest and Cardiac Echocardiography

47. Electrocardiography, Perioperative Ischemia and Myocardial Infarction

48. Implantable Cardiac Pulse Generators: Pacemakers and Cardioverter-Defibrillators

49. Neurologic Monitoring

50. Monitoring the Depth of Anesthesia

51. Respiratory Monitoring

52. Renal Function Monitoring

53. Neuromuscular Monitoring

54. Temperature Regulation and Monitoring

55. Airway Management in the Adult

56. Spinal, Epidural, and Caudal Anesthesia

57. Nerve Blocks

58. Ultrasound Guidance for Regional Anesthesia

59. Perioperative Fluid and Electrolyte Therapy

60. Perioperative Acid-Base Balance

61. Patient Blood Management: Transfusion Therapy

62. Patient Blood Management: Coagulation

63. Patient Blood Management: Autologous Transfusion, Recombinant Factor VIIa, and Bloodless Medicine

SECTION 5 ADULT SUBSPECIALTY MANAGEMENT

64. Anesthesia and Treatment of Chronic Pain

65. Palliative Medicine

66. Anesthesia for Thoracic Surgery

67. Anesthesia for Cardiac Surgical Procedures

68. Anesthesia for Cardiac Catherization and Electroconversion

69. Anesthesia for Vascular Surgery

70. Anesthesia for Neurologic Surgery

71. Anesthesia for Bariatric Surgery

72. Anesthesia and the Renal and Genitourinary Systems

73. Anesthesia and the Hepatobiliary System

74. Anesthesia for Abdominal Organ Transplantation

75. Anesthesia for Organ Procurement

76. Brain Death

77. Anesthesia for Obstetrics

78. Anesthesia for Fetal Surgery

79. Anesthesia for Orthopaedic Surgery

80. Geriatric Anesthesia

81. Anesthesia for Trauma

82. Anesthesia and Prehospital Emergency and Trauma Care

83. The Role of the Anesthesiologist in Disasters

84. Anesthesia for Eye Surgery

85. Anesthesia for Ear, Nose, and Throat Surgery

86. Administration of Anesthesia by Robots

87. Anesthesia for Robotically Conducted Surgery

88. Anesthesia for Laser Surgery

89. Ambulatory (Outpatient) Anesthesia

90. Non-Operating Room Anesthesia (NORA)

91. Clinical Care in Extreme Environments: At High and Low Pressure and in Space

SECTION 6 PEDIATRIC ANESTHESIA

92. Regional Anesthesia in Children

93. Pediatric Anesthesia

94. Anesthesia for Pediatric Cardiac Surgery

95. Pediatric and Neonatal Intensive Care

SECTION 7 POSTOPERATIVE CARE

96. The Postanesthesia Care Unit

97. Postoperative Nausea and Vomiting

98. Acute Postoperative Pain

99. Cognitive Dysfunction and Other Long-Term Complications of Surgery and Anesthesia

100. Postoperative Visual Loss

SECTION 8 CRITICAL CARE MEDICINE

101. Critical Care Anesthesiology

102. Critical Care Protocols and Decision Support

103. Respiratory Care

104. Nitric Oxide and Inhaled Pulmonary Vasodilators

105. Neurocritical Care

106. Nutrition and Metabolomics

107. Extracorporeal Support Therapies

108. Cardiopulmonary Resuscitation: Basic and Advanced Life Support

SECTION 9 ANCILLARY RESPONSIBILITIES AND PROBLEMS

109. Electrical Safety in the Operating Room

110. Environmental Safety Including Chemical Dependency

111. Statistical Methods in Anesthesia

APPENDIX

Development of the ASA Practice Guidelines

About the Author

Ronald D. Miller, MD, MS, Professor Emertius of Anesthesia and Perioperative Care, Department of Anesthesia and Perioperative Care, University of California, San Francisco, School of Medicine, San Francisco, California