Evidence-Based Practice of Anesthesiology : Expert Consult - Online and Print

by Fleisher, Lee A.

• ISBN13: 9781416059967
• ISBN10: 1416059962
• Edition: 2nd
• Format: Paperback
• Copyright: 2009-03-09
• Publisher: Elsevier Science Health Science div

Summary

Evidence-Based Practice of Anesthesiology, 2nd Edition, by Lee A. Fleisher, MD, summarizes the best available evidence concerning the most common clinical questions that anesthesiologists face every day, so you will have an informed basis for making effective patient management decisions. This new edition covers 24 new topics and explores a full range of important issues in perioperative management-discussing the clinical options, examining the relevant research, and presenting expert recommendations. It features the latest information on clinical situations and reviews all clinical options based on the most recent clinical trials, providing a valuable framework for translating evidence into practice. As an Expert Consult title it includes convenient online access to the complete contents of the book-fully searchable-along with all of the images downloadable for your personal use, and references linked to Medline at www.expertconsult.com. Explores key topics such as preoperative preparation, perioperative management, regional anesthesia, monitoring, cardiovascular anesthesia, neurosurgical anesthesia, obstetrical anesthesia, pediatric anesthesia, and pain, Uses a practical, consistent format in each chapter, providing an overview of the question under discussion...an outline of the available management options...a review of the relevant evidence...identification of areas of uncertainty...a summary of existing management guidelines...and the author's recommendations. Provides tables that summarize the available literature as well as the recommended clinical approaches at a glance. Covers routine care as well as complicated and special situations to prepare you for a full range of challenges. Features anytime, anywhere online access to the complete contents of the book, text and images, along with references linked to Medline, at www.expertconsult.com. Provides the latest information on clinical situations and reviews all clinical options based on the most recent clinical trials, to provide a valuable framework for translating evidence into practice. Presents coverage of 24 new topics including use of ultrasound guidance for regional anesthesia, effectiveness of preoperative clinics, perioperative brain protection and risk factors for perioperative stroke, optimal postoperative analgesia, and many others to help you keep you up to date. Your purchase entitles you to access the web site until the next edition is published, or until the current edition is no longer offered for sale by Elsevier, whichever occurs first. If the next edition is published less than one year after your purchase, you will be entitled to online access for one year from your date of purchase. Elsevier reserves the right to offer a suitable replacement product (such as a downloadable or CD-ROM-based electronic version) should access to the web site be discontinued.

Table of Contents

Section I

Evidence-Based Practice Parameters -The American Society of Anesthesiologists Approach

Section II

Does Routine Testing Affect Outcome?

Is a preoperative screening clinic cost effective?

Who Should Have A Preoperative 12-Lead Electrocardiogram?

Should Preoperative Hemoglobin Always Be Obtained?

What are the Risk Factors for Perioperative Stroke?

Should we delay surgery in the patient with recent cocaine use?

Should All Anti-Hypertensive Agents Be Continued before Surgery?

Is there an optimal timing for smoke cessation?

Should patients with asthma be given preoperative medications including steroids?

Which patient should have a preoperative cardiac evaluation (stress test)?

Should patients with stable coronary artery disease undergo prophylactic revascularization prior to non-cardiac surgery?

How should we prepare the patient with a pacemaker/ICD?

When Should Pulmonary Function Tests Be Performed Preoperatively?

Section III

Does the Airway Examination Predict Difficult Intubation?

Should Regional or General Anesthesia Be Used for Cases in which the Patient Has an Anticipated Difficult Airway?

Is there a best approach to induction of anesthesia in emergent situations?

Do Inhalational agents have beneficial or harmful effects?

Does anesthetic choice effect surgical and recovery times?

What are the benefits of different ventilatory techniques?

Is There an Optimal Perioperative Hemoglobin?

When are platelet/plasma transfusions indicated?

What drugs decrease postoperative bleeding?

When Should Perioperative Glucocorticoid Replacement Be Administered?

Does the Choice of Fluid Matter in Major Surgery?

What works in a patient with acute respiratory distress syndrome?

What Actions can be used to Prevent Peripheral Nerve Injury?

What is the Best Means of Preventing Perioperative Renal Injury?

Are alpha-2 agonists effective in reducing perioperative cardiac complications in non-cardiac surgery?

Which are the best techniques for reducing the incidence of postoperative deep vein thrombosis?

What is the optimal perioperative management for latex allergy?

Are there special techniques in obese patient

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