Anesthesiologist's Manual of Surgical Procedures [antikvár]

FOREWORD One of the rewarding aspects of being an anesthesiologist is the opportunity to participate in a diversity of surgical procedures. We provide anesthesia for general surgery, thoracic surgery, neurosurgery, orthopedic surgery, plastic surgery, pediatric surgery, cardiovascular surgery, and obstetric and gynecologic surgery. Within each of these subspecialties, there are a bewildering array of procedures, each having its own specific anesthetic impUcations. Although some anesthesiologists do specialize in one specific area, most of us must always be prepared to handle cases from multiple surgical subspecialties. The Anesthesiologist's Manual of Surgical Procedures is designed for these anesthesiologists, who, in the course of a week, may have a list that includes such diverse cases as craniocervical decompression of a Chiari malformation, skull base surgery, ventricular septal myectomy/myotomy, laparoscopic splenectomy, TIPS procedure, and a Darrach procedure. Finding relevant information on an unfamiliar and/or uncommon surgical procedure and its anesthetic implications can be a difficult, firustrating, and time-consuming task. The anesthesiologist can seek information from surgical or anesthesia colleagues, from books and publications in a personal or institutional library, or from electronic searches and sources. It is, however, often difficult to identify a colleague with the appropriate knowledge, and our print and electronic sources often discuss the disease process and the surgery, without directly addressing the important anesthetic implications. The first edition of the Anesthesiologist's Manual of Surgical Procedures, published in 1994, provided a fast, efficient way to find the information that is most relevant to the anesthesiologist. Each chapter was written jointly by surgeons and anesthesiologists with broad knowledge and experience in that particular surgical area. For each procedure, the surgical considerations, a summary of procedural issues, and the preoperative, intraoperative, and postoperative anesthetic considerations were reviewed in a concise, easy-to-follow manner. The consistent format throughout the book allowed the reader to develop a rapid approach to finding the information that is most relevant to a specific procedure. The third edition continues this basic approach, while adding chapters and significantly expanding coverage in multiple areas, including functional neurosurgery, minimally invasive cardiac surgery, reconstructive/plastic surgery, and office-based anesthesiology. The expanding role of laparoscopy is well represented in the revisions of many chapters. In addition, several chapters have had major revisions and/or additional procedures added. These include neurosurgery, otolaryngology, thoracic surgery, stomach surgery, craniofacial surgery, functional restoration, and pediatric surgery. The number of illustrations has been increased significantly, making it easier for the reader to understand the specifics of the surgical procedures. The chapters and procedures are supplemented by eight appendices, which cover preoperative considerations, standard aduh anesthetic protocols, perioperative pain management, pediatric anesthetic protocols, pediatric postoperative pain management, drug interactions, and latex allergy. The combination of the specific procedures discussed in the body of the book with the general approaches described in the appendices allows complete planning of an anesthetic for a typical patient in most surgical procedures. This third ediüon documents the rapid growth that has occurred in surgery and anesthesia over the past five years. The editors have significantly improved both the quaUty and quantity of chapters, while maintaining those unique factors that have made the book an invaluable reference for all anesthesiologists over the past decade. Ronald G. Pearl, M.D., Ph.D. Professor and Chair of Anesthesia Stanford University School of Medicine July, 2003