Anesthesiologist's Manual of Surgical Procedures

by Jaffe, Richard A.; Samuels, Stanley I.

• ISBN13: 9780781714716
• ISBN10: 0781714710
• Format: Hardcover
• Copyright: 1999-02-01
• Publisher: Lippincott Williams & Wilkins

Summary

Completely updated for its Third Edition, this practical reference is a comprehensive guide to the anesthetic and perioperative management of patients during all procedures performed by general and subspecialist surgeons. The book explains each procedure from both the surgeon' s and the anesthesiologist' s perspective, presents details on anesthetic technique, and guides the anesthesiologist and surgeon through the decisions that must be made before, during, and after surgery. Emphasis is on factors that impact the anesthesiologist, including patient positioning, duration of surgery, and complications. The Third Edition covers 40 new and variant surgical procedures. New chapters include office-based surgery and invasive procedures in anesthesia.

Table of Contents

Contributors	xix	(8)
Foreword	xxvii	(2)
Preface	xxix	(2)
Acknowledgments	xxxi
1.0 Neurosurgery	1	(90)
1.1 Intracranial neurosurgery	3	(56)
Surgeons: Gary K. Steinberg
Lawrence M. Shuer
Alexandra J. Golby
John R. Adler
Gary Heit
Gerald D. Silverberg
Anesthesiologists: C. Philip Larson, Jr.
Richard A. Jaffe
Stanley I. Samuels
Craniotomy for intracranial aneurysms	5	(9)
Craniotomy for cerebral embolectomy	14	(1)
Craniotomy for intracranial vascular malformations	15	(6)
Craniotomy for extracranial-intracranial revascularization (EC-IC bypass)	21	(4)
Craniotomy for tumor	25	(5)
Craniotomy for skull tumor	30	(1)
Craniotomy for trauma	31	(5)
Microvascular decompression of cranial nerve	36	(2)
Bifrontal craniotomy for CSF leak	38	(1)
Transoral resection of the odontoid	39	(2)
Transsphenoidal resection of pituitary tumor	41	(3)
Ventricular shunt procedures	44	(2)
Craniocervical decompression (Chiari malformation)	46	(1)
Stereotactic neurosurgery	47	(4)
Stereotactic neurosurgery for movement disorders	51	(3)
Epilepsy surgery	54	(5)
1.2 Spinal neurosurgery	59	(20)
Surgeon: Lawrence M. Shuer
Anesthesiologist: C. Philip Larson, Jr.
Lumbar fusion	61	(1)
Lumbar laminotomy, laminectomy	62	(1)
Thoracic laminectomy, costotransversectomy	63	(3)
Cervical laminectomy for tumor	66	(1)
Anterior cervical discectomy	67	(2)
Cervical laminotomy, foraminotomy and laminectomy	69	(2)
Vertebral corpectomy with strut fusion	71	(1)
Cervical or craniocervical fusion	72	(4)
Surgery for spasticity	76	(3)
1.3 Other neurosurgery	79	(12)
Surgeons: Lawrence M. Shuer
Gary K. Steinberg
Anesthesiologist: C. Philip Larson, Jr.
Carotid endarterectomy	81	(6)
Percutaneous procedures for trigeminal neuralgia	87	(4)
2.0 Ophthalmic Surgery	91	(26)
Surgeons: Sally R. Byrd
Peter R. Egbert
Michael W. Gaynon
Anesthesiologists: Stanley I. Samuels
Richard A. Jaffe
Jayshree B. Desai
Cataract extraction with intraocular lens insertion	93	(1)
Corneal transplant	94	(1)
Trabeculectomy	95	(1)
Ectropion repair	96	(1)
Entropion repair	97	(1)
Ptosis surgery	98	(1)
Eyelid reconstruction	99	(1)
Pterygium excision	100	(3)
Repair of ruptured or lacerated globe	103	(2)
Strabismus surgery	105	(3)
Dacryocystorhinostomy (DCR)	108	(1)
Enucleation	109	(1)
Orbitotomy--anterior and lateral	110	(2)
Retinal surgery	112	(5)
3.0 Otolaryngology--Head and Neck Surgery	117	(46)
Surgeons: Willard E. Fee, Jr.
David J. Terris
Edward C. Gabalski
Robert J. Troell
Robert W. Riley
Nelson B. Powell
Kasey K. Li
Joseph B. Roberson
Anesthesiologists: John G. Brock-Utne
Raymond R. Gaeta
Edward R. Baer
Michael W. Champeau
Introduction--surgeons perspective	119	(1)
Tonsillectomy and/or adenoidectomy	120	(3)
Laryngoscopy/bronchoscopy/esophagoscopy	123	(5)
Nasal surgery	128	(1)
Sinus surgery	129	(2)
Ear surgery	131	(3)
Parotidectomy: superficial, total, radical	134	(2)
Submandibular gland excision	136	(2)
Neck dissection: functional, modified radical, radical	138	(2)
Laryngectomy: total, supraglottic, hemi	140	(2)
Glossectomy	142	(3)
Maxillectomy	145	(3)
Tracheostomy	148	(3)
Intubation for epiglottitis	151	(1)
Skull base surgery	152	(5)
Reconstructive surgery for sleep-disordered breathing	157	(6)
4.0 Dental Surgery	163	(8)
Surgeon: Stephen A. Schendel
Anesthesiologists: Richard A. Jaffe
Stanley I. Samuels
Temporomandibular joint arthroscopy/arthroplasty	165	(1)
Oral surgery	166	(1)
Restorative dentistry	167	(4)
5.0 Thoracic Surgery	171	(42)
Surgeons: Walter B. Cannon
James B.D. Mark
Anesthesiologists: Brett G. Fitzmaurice
Jay B. Brodsky
Introduction--surgeon's perspective	173	(1)
Lobectomy, pneumonectomy	173	(6)
Wedge resection of lung lesion	179	(2)
Chest-wall resection	181	(1)
Repair of pectus excavatum or carinatum	182	(3)
Thoracoplasty	185	(1)
Drainage of empyema	186	(2)
Resection of trachea for stenosis or tumor	188	(3)
Excision of mediastinal tumor	191	(2)
Mediastinoscopy	193	(3)
Bronchoscopy--flexible and rigid	196	(6)
Video-assisted thoracoscopy (VAT)	202	(2)
Thymectomy	204	(3)
Excision of blebs or bullae	207	(3)
Lung volume reduction surgery	210	(3)
6.0 Cardiovascular Surgery	213	(114)
6.1 Cardiac surgery	215	(48)
Surgeons: R. Scott Mitchell
Norman E. Shumway
Anesthesiologists: Gordon R. Haddow
Lawrence C. Siegel
Cardiopulmonary bypass	217	(5)
Coronary artery bypass graft surgery	222	(5)
Left ventricular aneurysmectomy	227	(1)
Aortic valve replacement	228	(3)
Mitral valve repair or replacement	231	(4)
Tricuspid valve repair	235	(3)
Septal myectomy/myotomy	238	(2)
Cardiac mapping, ablation and AICD procedures	240	(4)
Pacemaker insertion	244	(2)
Pericardiectomy	246	(4)
Minimally invasive and port-access coronary revascularization	250	(5)
Limited thoracotomy and port-access approach to mitral valve surgery	255	(8)
6.2 Vascular surgery	263	(48)
Surgeons: James I. Fann
R. Scott Mitchell
Stephen T. Kee
Michael D. Dake
Anesthesiologists: Kristi L. Peterson
Gordon R. Haddow
Carotid endarterectomy (vascular)	265	(1)
Repair of thoracic aortic aneurysms	266	(3)
Endovascular stent-grafting of aortic aneurysms	269	(4)
Repair of acute aortic dissections and dissecting aneurysms	273	(5)
Repair of aneurysms of the thoracoabdominal aorta	278	(4)
Surgery of the abdominal aorta	282	(4)
Infrainguinal arterial bypass	286	(4)
Lumbar sympathectomy	290	(1)
Upper extremity sympathectomy	291	(3)
Venous surgery--thrombectomy or vein excision	294	(1)
Surgery for portal hypertension	295	(6)
Arteriovenous access for hemodialysis	301	(2)
Permanent vascular access	303	(3)
Venous surgery--vein stripping and perforator ligation	306	(1)
Varicose vein stripping	307	(4)
6.3 Heart/Lung Transplantation	311	(16)
Surgeons: Bruce A. Reitz
James I. Fann
Anesthesiologist: Lawrence C. Siegel
Surgery for heart transplantation	313	(5)
Surgery for lung and heart/lung transplantation	318	(9)
7.0 General Surgery	327	(210)
7.1 Esophageal surgery	329	(14)
Surgeon: Harry A. Oberhelman
Anesthesiologist: Steven K. Howard
Esophagostomy	331	(1)
Esophageal diverticulectomy	332	(1)
Closure of esophageal perforation	333	(1)
Esophagomyotomy	334	(2)
Esophagogastric fundoplasty	336	(1)
Esophagectomy	337	(6)
7.2 Stomach surgery	343	(16)
Surgeon: Mark A. Vierra
Anesthesiologist: Steven K. Howard
Gastric resections	345	(1)
Oversew gastric or duodenal perforation	346	(2)
Operations for peptic ulcer disease	348	(4)
Operations for morbid obesity	352	(4)
Gastrostomy placement	356	(3)
7.3 Intestinal surgery	359	(14)
Surgeon: Harry A. Oberhelman
Anesthesiologist: Steven K. Howard
Duodenotomy	361	(1)
Appendectomy	362	(1)
Excision of Meckel's diverticulum	363	(2)
Enterostomy	365	(2)
Continent ileostomy pouch (Kock)	367	(1)
Small-bowel resection with anastomosis	368	(1)
Enterolysis	369	(1)
Closure of enteric fistulae	370	(3)
7.4 Colorectal surgery	373	(22)
Surgeon: James M. Stone
Anesthesiologist: Steven K. Howard
Total proctocolectomy	375	(3)
Partial colectomy with anastomosis	378	(2)
Repair of cecal or sigmoid volvulus	380	(1)
Stoma closure and repair surgeries	381	(4)
Operations for rectal prolapse	385	(1)
Rectal surgery	386	(2)
Anal fistulotomy/fistulectomy	388	(2)
Hemorrhoidectomy	390	(1)
Operations for rectal incontinence	391	(4)
7.5 Hepatic surgery	395	(6)
Surgeon: Harry A. Oberhelman
Anesthesiologist: Steven K. Howard
Hepatic resection	397	(1)
Hepatorrhaphy	398	(3)
7.6 Biliary tract surgery	401	(12)
Surgeon: Mark A. Vierra
Anesthesiologist: Steven K. Howard
Open cholecystectomy	403	(2)
Biliary drainage procedures	405	(2)
Excision of bile duct tumor	407	(2)
Choledochal cyst excision or anastomosis	409	(4)
7.7 Laparoscopic general surgery	413	(22)
Surgeon: Mark A. Vierra
Anesthesiologist: Steven K. Howard
Laparoscopic esophageal fundoplication	415	(2)
Laparoscopic Heller's myotomy and antireflux procedure	417	(1)
Laparoscopic cholecystectomy	418	(4)
Laparoscopic splenectomy	422	(2)
Laparoscopic adrenalectomy	424	(2)
Laparoscopic bowel resection	426	(3)
Laparoscopic appendectomy	429	(3)
Laparoscopic inguinal hernia repair	432	(3)
7.8 Pancreatic surgery	435	(12)
Surgeon: Harry A. Oberhelman
Anesthesiologist: Steven K. Howard
Operative drainage for pancreatitis	437	(1)
Drainage of pancreatic pseudocyst	438	(1)
Pancreaticojejunostomy	439	(2)
Pancreatectomy	441	(1)
Whipple resection	442	(5)
7.9 Peritoneal surgery	447	(16)
Surgeon: Harry A. Oberhelman
Anesthesiologist: Steven K. Howard
Exploratory or staging laparotomy	449	(2)
Splenectomy	451	(2)
Excision of intraabdominal, retroperitoneal tumors	453	(1)
Drainage of subphrenic abscess	454	(1)
Inguinal hermiorrhaphy	455	(2)
Femoral herniorrhaphy	457	(1)
Repair of incisional hernia	458	(1)
Repair of abdominal dehiscence	459	(4)
7.10 Breast surgery	463	(8)
Surgeon: Stefanie S. Jeffrey
Anesthesiologist: Steven K. Howard
Breast biopsy	465	(1)
Sentinel lymph node biopsy	466	(2)
Mastectomy (+)(-) reconstruction	468	(3)
7.11 Endocrine surgery	471	(14)
Surgeons: Ronald J. Weigel
Harry A. Oberhelman
Anesthesiologist: Steven K. Howard
Excision of thyroglossal duct cyst	473	(1)
Thyroidectomy	474	(3)
Parathyroidectomy	477	(3)
Adrenalectomy	480	(5)
7.12 Liver/Kidney Transplantation	485	(26)
Surgeons: Edward J. Alfrey
Donald C. Dafoe
Carlos O. Esquivel
Anesthesiologists: Gordon R. Haddow
E. Price Stover
Kidney transplantation--cadaveric and live donor	487	(1)
Cadaveric kidney/pancreas transplantation	488	(4)
Live-donor nephrectomy	492	(2)
Liver transplantation	494	(11)
Multiorgan procurement	505	(6)
7.13 Trauma surgery	511	(26)
Surgeons: Aleksander R. Komar
J. Augusto Bastidas
Anesthesiologist: Linda E. Foppiano
Initial Assessment and airway management	513	(1)
Emergency tube thoracostomy	514	(2)
Emergency room thoracotomy	516	(1)
Exploratory surgery for neck trauma	517	(4)
Chest trauma: pericardial window, release of tamponade, repair of cardiac laceration	521	(1)
Chest trauma: repair of great vessels	522	(2)
Chest trauma: pneumonectomy, lobectomy, repair of tracheobronchial injury	524	(3)
Abdominal trauma: damage control	527	(1)
Abdominal trauma: hepatic and splenic injuries	528	(3)
Trauma surgery for abdominal vascular injuries	531	(4)
Pediatric trauma: airway and vascular access	535	(2)
8.0 Obstetric/Gynecologic Surgery	537	(98)
8.1 Gynecologic oncology	539	(34)
Surgeons: Babak Edraki
Nelson N. Teng
Daniel S. Kapp
Anesthesiologists: Jon W. Propst
Myer H. Rosenthal
Staging laparotomy for ovarian cancer	541	(3)
Second-look/reassessment laparotomy for ovarian cancer	544	(3)
Radical vulvectomy	547	(4)
Conization of the cervix	551	(4)
Suction curettage for gestational trophoblastic disease	555	(4)
Pelvic exenteration	559	(4)
Exploratory laparotomy, hysterectomy/BSO for uterine cancer	563	(3)
Radical hysterectomy	566	(3)
Interstitial perineal implants	569	(4)
8.2 Gynecology/infertility surgery	573	(26)
Surgeons: M. Thomas Margolis
W. LeRoy Heinrichs
Anesthesiologist: Emily F. Ratner
Dilatation and curettage	575	(1)
Therapeutic abortion, dilatation and evacuation	576	(3)
Hysteroscopy	579	(3)
Pelvic laparotomy	582	(2)
Infertility operations/in vitro fertilization	584	(4)
Hysterectomy--vaginal or total abdominal	588	(4)
Anterior and posterior colporrhaphy, enterocele repair, vaginal sacrospinous suspension	592	(3)
Operations for stress urinary incontinence	595	(4)
8.3 Obstetric surgery	599	(24)
Surgeons: Yasser El-Sayed
Ronald N. Gibson
Babak Edraki
R. Harold Holbrook, Jr.
Anesthesiologist: Sheila E. Cohen
Cesarean section--lower segment and classical	601	(6)
Emergent obstetrical hysterectomy	607	(1)
Repair of uterine rupture	608	(2)
Postpartum tubal ligation	610	(2)
Repair of vaginal/cervical lacerations	612	(3)
Cervical cerclage--elective and emergent	615	(2)
Removal of retained placenta	617	(3)
Management of uterine inversion	620	(3)
8.4 Laparoscopic procedures for gynecologic surgery	623	(12)
Surgeons: B. Hannah Ortiz
Camran R. Nezhat
Anesthesiologist: Edward T. Riley
Laparoscopic surgery for endometriosis	625	(3)
Laparoscopic surgery for ectopic pregnancy	628	(1)
Laparoscopic myomectomy	629	(2)
Laparoscopic hysterectomy	631	(4)
9.0 Urology	635	(36)
Surgeons: Harcharan S. Gill
Fuad S. Freiha
Anesthesiologists: Steven A. Deem
Ronald G. Pearl
Diagnostic transurethral (endoscopic) procedures	637	(1)
Therapeutic transurethral procedures (except TURP)	638	(3)
Transurethral resection of the prostate (TURP)	641	(3)
Open prostate operations	644	(4)
Nephrectomy	648	(2)
Operations on the renal pelvis and upper ureter	650	(3)
Cystectomy	653	(3)
Open bladder operations (other than cystectomy)	656	(2)
Inguinal operations	658	(3)
Penile operations	661	(2)
Scrotal operations	663	(3)
Perineal operations	666	(2)
Vaginal operations	668	(3)
10.0 Orthopedic Surgery	671	(132)
10.1 Hand surgery	673	(30)
Surgeons: Gordon A. Brody
Amy L. Ladd
Anesthesiologists: Talmage D. Egan
Jeffrey D. Swenson
Yuan-Chi Lin
Darrach procedure	675	(1)
Surgery for epidermolysis bullosa	676	(2)
Dorsal stabilization and extensor synovectomy of the rheumatoid wrist	678	(1)
Metacarpophalangeal and interphalangeal joint arthroplasty	679	(1)
Arthrodesis of the wrist	680	(2)
Total wrist replacement	682	(1)
Thumb carpometacarpal joint fusion/arthroplasty/stabilization	683	(2)
Excision of ganglion of the wrist	685	(1)
Palmar and digital fasciectomy	686	(1)
Repair of flexor tendon laceration	687	(3)
Wrist arthroscopy	690	(1)
Carpal tunnel release	691	(3)
Repair of fractures and dislocations of the distal radius, carpus and metacarpals	694	(2)
Digit and hand replantation	696	(3)
Pollicization of a finger	699	(1)
Syndactyly repair	700	(3)
10.2 Shoulder surgery	703	(20)
Surgeon: Amy L. Ladd
Anesthesiologists: Talmage D. Egan
Jeffrey D. Swenson
Shoulder arthroscopy	705	(2)
Surgery for acromial impingement, rotator cuff tears and acromioclavicular disease	707	(1)
Surgery for shoulder dislocations or instability	708	(3)
Shoulder (glenohumeral) arthroplasty	711	(4)
Shoulder girdle procedures	715	(2)
Brachial plexus surgery	717	(3)
Arm surgery	720	(3)
10.3 Surgery of the lower extremities	723	(66)
Surgeons: John J. Csongradi
Stuart B. Goodman
Anesthesiologist: Frederick G. Mihm
Hip and pelvis procedures	725	(1)
Open reduction and internal fixation (ORIF) of pelvis or acetabulum	725	(1)
Osteotomy and bone graft augmentation of the pelvis	726	(2)
Arthrodesis of the sacroiliac joint	728	(1)
Closed reduction and external fixation of the pelvis	729	(1)
Amputations about the hip and pelvis: disarticulation of the hip and hindquarter amputation	730	(3)
Arthroplasty of the hip	733	(3)
Arthrodesis of the hip	736	(1)
Synovectomy of the hip	737	(4)
Upper leg procedures	741	(1)
Open reduction and internal fixation (ORIF) of proximal femoral fractures	741	(2)
Open reduction and internal fixation (ORIF) of distal femur fractures	743	(1)
Open reduction and internal fixation (ORIF) of the femoral shaft with plate	744	(1)
Intramedullary nailing of femoral shaft	745	(2)
Repair of nonunion/malunion of proximal third of femur, proximal femoral osteotomy for osteoarthritis	747	(1)
Closed reduction and external fixation of femur	748	(2)
Knee procedures	750	(1)
Arthroplasty of the knee	750	(1)
Arthrodesis of the knee	751	(2)
Open reduction and internal fixation (ORIF) of patellar fractures	753	(1)
Repair or reconstruction of knee ligaments	754	(1)
Patellar realignment	755	(2)
Arthroscopy of the knee	757	(1)
Knee arthrotomy	758	(1)
Repair of tendons--knee and leg	759	(3)
Lower leg procedures	762	(1)
Open reduction and internal fixation (ORIF) of the tibial plateau fracture	762	(1)
Intramedullary nailing, tibia	763	(1)
External fixation, tibia	764	(1)
Open reduction and internal fixation (ORIF) of distal tibia, ankle, and foot fractures	765	(1)
Repair nonunion/malunion, tibia	766	(2)
Ankle, foot procedures	768	(1)
Arthroscopy of the ankle	768	(1)
Ankle arthrotomy	769	(1)
Ankle arthrodesis	770	(1)
Repair/reconstruction of ankle ligaments	771	(1)
Amputation through ankle (Syme)	772	(1)
Amputation, transmetatarsal	773	(1)
Lengthening or transfer of tendons, ankle and foot	774	(1)
Other lower extremity procedures	775	(1)
Amputation above the knee	775	(1)
Amputation below the knee	776	(3)
Fasciotomy of the thigh	779	(2)
Fasciotomy of the leg	781	(2)
Biopsy, leg and foot	783	(1)
Biopsy or drainage of abscess/excision of tumor	784	(5)
10.4 Spine surgery	789	(14)
Surgeon: Eugene J. Carragee
Anesthesiologists: Stanley I. Samuels
Richard A. Jaffe
Minimally invasive posterior lumbar discectomy (microdiscectomy)	791	(2)
Anterior spinal reconstruction and fusion--thoracic and thoracolumbar spine	793	(3)
Anterior spinal reconstruction and fusion--lumbosacral spine	796	(7)
11.0 Reconstructive Surgery	803	(46)
11.1 Aesthetic surgery	805	(10)
Surgeons: Andrew E. Turk
Annette C. Cholon
Lars M. Vistnes
Anesthesiologists: Rona G. Giffard
Terri D. Homer
Bruce D. Halperin
George W. Commons
Abdominoplasty	807	(2)
Mammoplasty and related surgery	809	(3)
Liposuction	812	(3)
11.2 Burn surgery	815	(8)
Surgeons: Barry H. J. Press
Lynn D. Solem
Anesthesiologist: Rona G. Giffard
Free skin graft for burn wound	817	(6)
11.3 Functional restoration	823	(16)
Surgeon: Stephen A. Schendel
Anesthesiologists: Stanley I. Samuels
Richard A. Jaffe
Repair of facial fractures	825	(4)
LeFort osteotomies	829	(1)
Mandibular osteotomies/genioplasty	830	(2)
Breast/chest-wall reconstruction	832	(3)
Pressure-sore and wound reconstruction	835	(4)
11.4 Functional restoration--microsurgery	839	(10)
Surgeons: William C. Lineaweaver
Kenneth C.W. Hui
Anesthesiologist: Richard A. Jaffe
Stanley I. Samuels
Microsurgery--flap procedures	841	(3)
Microsurgery--replantation	844	(5)
12.0 Pediatric Surgery	849	(194)
12.1 Pediatric neurosurgery	851	(14)
Surgeons: Stephen L. Huhn
Lawrence M. Shuer
Gary K. Steinberg
Anesthesiologist: C. Philip Larson, Jr.
Craniofacial surgery	853	(2)
Repair of myelomeningocele	855	(3)
Surgical correction of spinal dysraphism	858	(2)
Craniotomy for vein of Galen aneurysm	860	(2)
Ventriculoscopy and third ventriculostomy	862	(3)
12.2 Pediatric otolaryngology	865	(20)
Surgeon: Anna H. Messner
Anesthesiologists: Gregory B. Hammer
Cathy R. Lammers
Introduction--surgeon's perspective	867	(1)
Myringotomy and tympanostomy tube placement	867	(2)
Tonsillectomy and adenoidectomy	869	(3)
Bronchoscopy/esophagoscopy	872	(1)
Laryngoscopy, supraglottoplasty, excision of laryngeal lesions	873	(3)
Removal of branchial cleft cyst or thyroglossal duct cyst	876	(1)
Incision/drainage of deep neck abscess	876	(2)
Cricoid split, laryngotracheoplasty	878	(3)
Choanal atresia repair	881	(1)
Pediatric tracheotomy	882	(3)
12.3 Pediatric cardiovascular surgery	885	(44)
Surgeons: David D. Yuh
Bruce A. Reitz
Anesthesiologist: Kristi L. Peterson
Surgery for atrial septal defect (ostium secundum)	887	(3)
Surgery for atrioventricular canal defect	890	(3)
Surgery for ventricular septal defect	893	(3)
Surgery for patent ductus arteriosus	896	(2)
Surgery for coarctation of the aorta	898	(5)
Surgery for tetralogy of Fallot	903	(4)
Surgery for total anomalous pulmonary venous connection	907	(4)
Surgery for complete transposition of the great arteries	911	(3)
Surgery for truncus arteriosus	914	(4)
Surgery for tricuspid atresia	918	(3)
Surgery for double-outlet right ventricle	921	(4)
Surgery for hypoplastic left heart syndrome	925	(4)
12.4 Pediatric general surgery	929	(42)
Surgeon: Gary E. Hartman
Anesthesiologists: Alvin Hackel
Gregory B. Hammer
Repair of esophageal atresia/tracheoesophageal fistula	931	(3)
Abdominal tumor: resection of neuroblastoma, Wilms' tumor, hepatoblastoma	934	(4)
Repair of congenital diaphragmatic hernia	938	(3)
Laparotomy for intestinal perforation, necrotizing enterocolitis	941	(3)
Repair of pectus excavatum/carinatum	944	(2)
Pyloromyotomy	946	(2)
Esophageal replacement, colon interposition, Waterston procedure, gastric tube placement	948	(2)
Hepatic portoenterostomy (Kasai procedure)	950	(2)
Resection of cystic hygroma, branchial cleft cyst, thyroglossal duct cyst, or other cervical mass	952	(2)
Repair of omphalocele/gastroschisis	954	(3)
Hernia repair	957	(2)
Esophagoscopy for foreign body removal, esophageal dilation	959	(2)
Pullthrough for Hirschsprung's disease; Soave, Duhamel, Swenson pullthrough	961	(3)
Pullthrough for imperforate anus, sacroperineal pullthrough (perineal anoplasty), abdominosacroperineal pullthrough	964	(2)
Mediastinal mass--biopsy or resection	966	(5)
12.5 Pediatric urology	971	(16)
Surgeons: Steven P. LaPointe
Linda D. Shortliffe
Anesthesiologists: Gregory B. Hammer
Cathy R. Lammers
Kidney and upper urinary tract operations	973	(3)
Transurethral procedures	976	(1)
Open bladder operations	977	(2)
Penile surgery	979	(1)
Genital procedures (clitoroplasty, vaginoplasty, urethroplasty)	980	(3)
Inguinoscrotal procedures	983	(2)
Laparoscopic procedures	985	(2)
12.6 Pediatric orthopedic surgery	987	(38)
Surgeon: Lawrence A. Rinsky
Anesthesiologist: Yuan-Chi Lin
Percutaneous pinning of displaced supracondylar humerus fracture	989	(2)
Posterior spinal instrumentation and fusion	991	(3)
Anterior spinal fusion for scoliosis, with instrumentation	994	(3)
Pelvic osteotomy	997	(2)
Acetabular augmentation (shelf) & Chiari osteotomy	999	(2)
Ober fasciotomy, Yount-Ober release	1001	(1)
Hip, open reduction (+)(-) femoral shortening	1002	(2)
Adductor release or transfer, psoas release	1004	(1)
Pinning of slipped capital femoral epiphysis (SCFE)	1005	(2)
Proximal femoral osteotomy	1007	(1)
Epiphysiodesis	1008	(2)
Sofield procedure	1010	(1)
Limb lengthening	1011	(3)
Patellar realignment	1014	(1)
Tendon transfer, lengthening (posterior tibial)	1015	(2)
Triple arthrodesis and Grice procedure (extraarticular subtalar arthrodesis)	1017	(1)
Turco, surgical correction of clubfoot	1018	(7)
12.7 Repair of congenital malformations	1025	(18)
Surgeon: Stephen A. Schendel
Anesthesiologist: Yuan-Chi Lin
Cleft lip repair--unilateral/bilateral	1027	(1)
Abbe-Estlander repair/cross lip flap	1028	(1)
Palatoplasty	1029	(1)
Pharyngoplasty	1030	(1)
Alveolar cleft repair with bone graft	1031	(2)
Lip/nose revisions	1033	(2)
Otoplasty	1035	(1)
Primary correction of craniosynostosis, craniofacial anomalies	1036	(3)
Secondary correction of craniofacial malformations	1039	(4)
13.0 Out-of-Operating Room Procedures	1043
13.1 Adult procedures	1045	(24)
Surgeons: Charles DeBattista
Alexander M. Norbash
Robert J. Singer
I. Bing Liem
Stephen T. Kee
Charles P. Semba
Daniel Y. Sze
Anesthesiologists: Richard A. Jaffe
Stanley I. Samuels
Anesthesia for out-of-operating room procedures	1047	(1)
Electroconvulsive therapy (ECT)	1047	(4)
Interventional neuroradiology	1051	(4)
Direct current cardioversion	1055	(2)
Implantation of cardioverter-defibrillator (AICD)	1057	(1)
Transjugular intrahepatic portosystemic shunt (TIPS)	1058	(5)
Imaging and image-guided procedures	1063	(6)
13.2 Pediatric procedures	1069
Authors: Sarah S. Donaldson
Carol A. Shostak
Paul T. Pitlick
Gary E. Hartman
George F. Van Hare
Anesthesiologists: Richard A. Jaffe
Stanley I. Samuels
Cathy R. Lammers
M. Gail Boltz
Gregory B. Hammer
Pediatric radiation therapy	1071	(4)
Interventional cardiology--pediatric	1075	(4)
Pediatric oncologic procedures	1079	(2)
Upper/lower GI endoscopy	1081	(1)
Cross-sectional imaging (CT, MRI)	1082	(2)
Extracorporeal membrane oxygenation (ECMO)	1084
Appendices
Authors: Sandra Leigh Bardas
Stephen P. Fischer
Alvin Hackel
Gregory B. Hammer
Richard A. Jaffe
Cathy R. Lammers
C. Philip Larson, Jr
Yuan-Chi Lin
Cathy M. Russo
Stanley I. Samuels
A. Preoperative laboratory testing and diagnostic studies	A-1
B. Standard adult anesthetic protocols	B-1
C. Standard adult postoperative pain management	C-1
D. Standard pediatric anesthetic protocols	D-1
E. Standard pediatric postoperative pain management	E-1
F. Table of drug interactions	F-1
G. Special considerations for latex allergy	G-1
H. Acronyms and abbreviations	H-1
Subject Index