Anesthesia Outside the Operating Room

Front Cover
Richard D. Urman, Wendy L. Gross, Beverly K. Philip
Oxford University Press, Sep 10, 2018 - Medical - 440 pages
Anesthesia Outside of the Operating Room is a comprehensive, up-to-date textbook that covers all aspects of anesthesia care in OOR settings, from financial considerations to anesthetic techniques to quality assurance. With increasing numbers of procedures such as cardiac catheterization and imaging taking place outside of the main OR, anesthesia providers as well as non-anesthesia members of the patient care team will find this book critical to their understanding of the principles of anesthesia care in unique settings which may have limited physical resources. The book includes chapters on patient monitoring techniques, pre-procedure evaluation and post-procedure care, and procedural sedation performed by non-anesthesia providers. Its authors address problems of anesthesia that have unique answers in OOR settings, such as patient transport and cardiac arrest, and discuss technological progress and considerations for the future. The text also covers surgical procedures and anesthetic considerations by procedure location, such as radiology, infertility clinics, field and military environments, and pediatric settings, among many others Select guidelines from the American Society of Anesthesiologists (ASA) are provided as well. Edited by the senior faculty from Harvard Medical School and with contributions from other academic institutions, Anesthesia Outside of the Operating Room provides a unique and convenient compendium of expertise and experience.
 

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Contents

1 Challenges of Anesthesia Outside of the Operating Room
1
2 Preoperative Patient Evaluation for Anesthesia Care Outside of the Operating Room
8
3 Patient Monitoring
22
4 Anesthetic Techniques
31
5 Recovery and Discharge for Procedures Conducted Outside of the Operating Room
42
6 Management of Staffing and Case Scheduling for Anesthesia Outside of the Operating Room
47
7 Financial Analysis and Competitive Strategies for NORA
55
8 Anesthesia Information Management Systems AIMS for the OOOR Setting
65
23 Anesthesia for Assisted Reproductive Technologies
234
24 Anesthesia for Urologic Procedures
241
25 Anesthesia for Procedures in the Emergency Department
252
26 OfficeBased Anesthesia
262
27 Pediatric Anesthesia Outside of the Operating Room
270
28 Procedures in the Adult and Neonatal Intensive Care Units
281
29 Electroconvulsive Therapy
288
30 Pain Management Procedures
297

9 Procedural Sedation by Nonanesthesia Providers
69
10 Outcomes Regulation and Quality Improvement
81
11 CT and PETCTGuided Interventional Radiology Procedures
94
12 Magnetic Resonance Imaging and UltrasoundGuided Percutaneous Interventional Radiology Procedures
103
13 Interventional Neuroradiology
114
14 Interventional Radiology Procedures
127
15 Anesthesia for Diagnostic and Therapeutic Radiologic Procedures
148
16 Anesthesia in the Radiation Oncology Suite
167
17 Radiation Safety
178
18 Gastrointestinal Endoscopy Procedures
185
19 Anesthesia for Gastrointestinal Endoscopic Procedures
191
20 Anesthesia for Interventional Pulmonology
203
21 Anesthetic Implications of Natural Orifice Translumenal Endoscopic Surgery NOTES and SingleIncision Laparoscopic Surgery SILS
211
The Cardiac Catheterization and Electrophysiology Laboratories
215
31 Anesthesia in the Military Setting
304
32 Anesthetic Considerations in Homeland Disasters
317
33 Telemedicine Teleanesthesia and Telesurgery
333
34 Anesthesia Considerations in Dental Practice
346
35 Ultrarapid Opiate Detoxification
354
36 Nonelective Care On Board an Aircraft
361
37 The Future of NORA
366
Appendix 1 Preuse Checking of Anesthesia Equipment
377
Appendix 2 Malignant Hyperthermia
381
Appendix 3 Selected American Society of Anesthesiologists Guidelines
383
Appendix 4 Basic Life Support BLS and Advanced Cardiac Life Support ACLS
402
Appendix 5 Pediatric Emergency Planning and Resuscitation
408
Index
413
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About the author (2018)

RICHARD D. URMAN, MD, MBA, FASA Associate Professor of Anesthesia Harvard Medical School Director, Anesthesia Services, BWH Healthcare Center-Chestnut Hill Medical Director, Procedural Sedation for Interventional Medicine Director (Anesthesia), Center for Perioperative Research Fellowship Director, Perioperative Medicine Brigham and Women's Hospital, Boston, MA WENDY L. GROSS, MD, MHCM Assistant Professor of Anesthesia Harvard Medical School Vice Chair, Planning and Analytics Director, Non-OR Services Faculty, Division of Cardiac Anesthesia Brigham and Women's Hospital, Boston, MA BEVERLY K. PHILIP, MD Professor of Anesthesia Harvard Medical School Founding Director, Day Surgery Unit Brigham and Women's Hospital, Boston, MA

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