Non Operating Room Anesthesia

The demand for anesthesiologists outside of the operating room continues to grow as the number of minimally invasive procedures proliferates and the complexity of diagnostic procedures undertaken outside of the OR increase. Non-Operating Room Anesthesia is an easy-to-access, highly visual reference that facilitates an in-depth understanding of NORA procedures and protocols needed to minimize risk and complications and to maximize growth opportunities. Effectively assess and manage risks and differences in procedures through in-depth discussions addressing the unique challenges and issues associated with non-traditional settings. Review the most recent knowledge with updated coverage of the use of the electrophysiology lab (EPL) and cardiac catheterization laboratory (CCL) in the care of the critically ill patient; patient assessment; and anesthetic considerations. Prepare for varying anesthetic conditions in non-OR settings with in-depth discussions on communication, management, and laboratory preparation for anticipated concerns or complications. Glean all essential, up-to-date, need-to-know information about NORA with coverage that surpasses the depth and scope of review articles and other references. Focus on the practical guidance you need thanks to a user-friendly color-coded format, key points boxes, drug descriptions, checklist boxes (for monitors, equipment, and drugs), and over 400 color photos that help you visualize each procedure and setting.

The demand for anesthesiologists outside of the operating room continues to grow as the number of minimally invasive procedures proliferates and the complexity of diagnostic procedures undertaken outside of the OR increase. Non-Operating Room Anesthesia is an easy-to-access, highly visual reference that facilitates an in-depth understanding of NORA procedures and protocols needed to minimize risk and complications and to maximize growth opportunities. "In this book, Drs. Mark Weiss and Lee Fleisher have provided an important tool to address both the challenges and opportunities for anesthesiologists in providing non-operating room anesthesia (NORA) care." Foreword: Roger A. Moore, Clinical Associate Professor of Anesthesiology and Critical Care, May 2015 Effectively assess and manage risks and differences in procedures through in-depth discussions addressing the unique challenges and issues associated with non-traditional settings. Review the most recent knowledge with updated coverage of the use of the electrophysiology lab (EPL) and cardiac catheterization laboratory (CCL) in the care of the critically ill patient; patient assessment; and anesthetic considerations. Prepare for varying anesthetic conditions in non-OR settings with in-depth discussions on communication, management, and laboratory preparation for anticipated concerns or complications. Glean all essential, up-to-date, need-to-know information about NORA with coverage that surpasses the depth and scope of review articles and other references. Focus on the practical guidance you need thanks to a user-friendly color-coded format, key points boxes, drug descriptions, checklist boxes (for monitors, equipment, and drugs), and over 400 color photos that help you visualize each procedure and setting. Access the fully searchable contents online at Expert Consult!

This book covers all aspects of out of operating room anesthesia and deep sedation practice. The practical aspects of anesthesia are emphasized, with particular stress on management of un-anticipated adverse events. A concise, yet comprehensive description of relevant basic sciences is also included. Although the contributors are predominantly North American, essential elements of out of OR practice in countries other than the USA are incorporated. Situations like those that contributed to the death of Joan Rivers are addressed with particular emphasis on their recognition, prevention and management. The importance of safety as the key element in providing anesthesia in remote or unfamiliar areas is highlighted and discussed. A lack of accurate documentation is a major drawback in out of OR anesthesia practice and the reader is drawn to the importance of documentation, both from a practical and medico legal standpoint. A separate chapter deals with research and future directions in out of OR anesthesia. Out of Operating Room Anesthesia: A Comprehensive Review, is primarily aimed at all anesthesia providers: anesthesiologists, nurse anesthetists and residents. Specific chapters such as dental anesthesia, anesthesia for ER procedures and sedation for cosmetic procedures will be useful as a reference guide to physicians exposed to brief training in anesthesia during their non-anesthesia residency program.

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.

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. Topics include patient monitoring techniques, pre-procedure evaluation and post-procedure care, and procedural sedation performed by non-anesthesia providers. The 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.

This book highlights remarkable new endoscopic, laparoscopic, and thoracoscopic approaches to the removal of surgical lesions for different pathologic conditions under general endotracheal anesthesia in infants and children. It details how newer techniques in airway management, monitoring, regional nerve blocks for these innovative minimally invasive approaches have resulted in a decrease in intraoperative and postoperative morbidity and early recovery process after pediatric anesthesia. This unique book contains features that provide the audience with several clinical scenarios where exceptional surgical outcomes are achieved with optimum pre-op preparation via collaborative team efforts. To date there is no other textbook emphasizing the anesthetic and surgical management during the most innovative advances in endoscopic surgery in children. Per oral endoscopic myotomy (POEM) for the definitive treatment of achalasia in children is probably the most advanced endoscopic surgery done successfully in children. POEM is the best example of endoscopic surgery performed via natural orifices known as the Natural orifice transluminal endoscopic surgery (NOTES). Another new laparoscopic surgical intervention -Median Arcuate Ligament surgical release for Median Arcuate Ligament Syndrome (MALS) for patients with Postural Orthostatic Tachycardia Syndrome (POTS) is described with established perioperative protocols emphasizing the need for early admission, intravenous hydration, and premedication. Novel approaches in the anesthetic management in children with short bowel syndrome for bowel lengthening techniques like the serial transverse enteroplasty (STEP) and in teenagers for laparoscopic bariatric surgery with adjustable gastric banding (AGB) and vertical sleeve gastrectomy (VSG) for morbid obesity are new areas that would enlighten the readers. Anesthetic Management in Pediatric General Surgery is an invaluable resource for pediatric anesthesiologists, surgeons, and their trainees specializing in the care of pediatric patients.

This issue of Anesthesiology Clinics focuses on Anesthesia Out of the Operating Room. Editors Mark Weiss and Wendy Gross have assembled an expert team of authors on topics such as: A Changing Landscape: Demands of Integrated Care Delivery: Interventional Medicine and Anesthesiology: Engineering Challenges and Interdisciplinary Teamwork; Organizational Infrastructure: Attaining and Teaching Clinical Excellence. Improvement across specialties by implementing an “Institute mentality in the clinical arena; Quality: Who’s rules apply?; Electronic Health Records; Monitoring; Interventional Radiology (NOT RADIATION): (Safety/Tumor Ablation/Adult radiology/ equipment); Approaches to Vascular Disease; Cath Lab: Structural Heart Disease, Devices and TAVR; EP Lab; Cardioversions and TEEs; Upper GI EGD and new procedures; Colonoscopy and new procedures anesthesiologist and GI person; Endoscopic Surgery, repair of surgical procedures, bariatric procedures; Interventional Pulmonology; Pediatrics; Market Evaluation; Finances, Bundled Payments and ACOs; Competitive Strategy or Joint Venture Finance: potential threats and likely future scenarios.