BookBasavana G. Goudra, Preet Mohinder, Singh Michael S. Green, editors.
Summary: This book provides detailed and practical information for anesthesia providers worldwide who are challenged with providing anesthesia for both emerging and infrequently performed procedures. Concise and well-structured 42 chapters in this book provide accurate and up-to-date information that helps the reader to safely anesthetise patients presenting for a variety of procedures such as conjoined twin separation, pediatric heart and lung transplantation, pancreas and small intestine transplantation, endobariatric procedures, peroral endoscopic myotomy, jugular foramen tumors, robotic gynecological surgeries, proton beam therapy and many other complex surgeries and procedures. Anaesthesia for Uncommon and Emerging Procedures fills a unique void long felt by anesthesia providers. The book is a must for in every department or library as it provides handy reference even for providers engaged in providing anesthesia for such procedures on a regular basis. Anesthesiologists, CRNAs/AAs and those in in preoperative clinics such as hospitalists and APRN/PA providers will find this book to be an invaluable resource for optimizing outcomes in anesthesia.
Contents:
Intro
Foreword
Preface
Contents
1: Anesthesia for Endoscopic Bariatric Surgery
Introduction
Endoscopic Bariatric Surgery Procedures
Restrictive Procedures
Intragastric Balloons
Endoscopic Sleeve Gastroplasty
Malabsorbtive Procedures
Gastrointestinal Bypass Sleeves
Aspiration Therapies
Pathophysiology of Obesity
Anesthetic Considerations
Monitored Anesthesia Care (MAC)
General Anesthesia
Monitoring
Intra-operative Complications
Pharmacology
Opioids
Nonopioid Analgesics and Anxiolytics
Sedative Hypnotics
Inhaled Anesthetics Neuromuscular Blocking Agents
Reversal Agents
Post-operative Management
Conclusion
References
2: Anesthesia for Peroral Endoscopic Myotomy (POEM)
Introduction
Paranesthesia Evaluation with Reference to Achalasia
Anesthesia Management
Full Stomach and Risk of Aspiration
Choice of Muscle Relaxant
Choice of Endotracheal Tube
Maintenance of Anesthesia
Monitoring
Intraprocedural Complications
Pneumothorax
Capnopericardium
Subcutaneous Emphysema
Pneumomediastinum
Postoperative Complications
Gastric POEM (G-POEM) Follow-Up EGD in Patients Who Underwent POEM
Conclusions
References
3: Anesthesia for Endoscopic Skull Base Surgery
Anatomy of the Skull Base
Historical Perspective
Surgical Considerations
Anesthetic Considerations
Pre-operative Evaluation and Testing
Airway Management
Monitoring and Maintenance of Anesthesia
Neurophysiological Monitoring
Tranexamic Acid
Spinal Drains
Intraoperative Valsalva Maneuver
Pediatric Transnasal Skull Base Surgery
Emergence and Extubation
Conclusion
References 4: Anesthesia for Jugular Foramen Tumors: Paragangliomas and Schwannomas
Introduction
Paranesthesia Evaluation with JFTs
Anesthesia Management
Monitoring
Choice of Muscle Relaxant
Maintenance of Anesthesia
Intraprocedural Complications
Endocrine Derangements
Aspiration Risk and Airway Obstruction
Increased Intracranial Pressure
Blood Loss
Postoperative Complications
Cranial Nerve Injury
CSF Leak
Impaired Gastric Emptying
Conclusions
References
5: Anesthesia for Robot-Assisted Gynecological Surgery
Introduction
Preoperative Assessment Cardiovascular
Pulmonary
Intracranial
Intraocular
Renal
Patient Positioning on the Operating Table: 2 Phases
Phase 1: Patient Positioning for Induction of Anesthesia (Table 5.1)
Phase 2: Patient Positioning for Surgery Following Induction of Anesthesia
Intra Operative Changes in Physiology
Hemodynamic
Ventilation
Emergence from Anesthesia
Postoperative Analgesia
Intraoperative Emergencies
Massive Intraoperative Hemorrhage
Venous Gas Embolism
Pneumothorax
Venous Thromboembolism
Robotic Malfunction Emergency Undocking Protocol for Da Vinci® Robot.