Miller’s Anesthesia 7th Edition by Ronald Miller, Lars Eriksson, Lee Fleisher, Jeanine Wiener Kronish, William Young – Ebook PDF Instant Download/Delivery: 1416066241, 9781416066248
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ISBN 10: 1416066241
ISBN 13: 9781416066248
Author: Ronald Miller, Lars Eriksson, Lee Fleisher, Jeanine Wiener Kronish, William Young
From fundamental principles to advanced subspecialty procedures, Miller’s “Anesthesia” covers the full scope of contemporary anesthesia practice. It is the go-to reference for masterful guidance on the technical, scientific, and clinical challenges you face. Now, new chapters, new authors, meticulous updates, an increased international presence, and a new full-color design ensure that the 7th edition continues the tradition of excellence that you depend on. And, as an Expert Consult title with enhanced online features, this meticulously updated 7th edition comes with easy access to the full text online, regular updates, video demonstrations, and more.
Miller’s Anesthesia 7th Table of contents:
1. Scope of anesthesia practice
Introduction
Anesthesiology as a multidisciplinary specialty
Perioperative patient care
Anesthesia workforce
Training and certification in anesthesiology
Quality and safety
Value-based care
Future of anesthesia care
Chapter 1 Questions
Introduction
Perioperative patient care
Anesthesia workforce
Training and certification in anesthesiology
Value-based care
2. Learning anesthesia
Introduction
Competencies, milestones, and entrustable professional activities
Structured approach to anesthesia care
Learning strategies
Chapter 2 Questions
Competencies, milestones, and entrustable professional activities
Structured approach to anesthesia care
Learning strategies
3. Clinician well-being
Introduction
Defining terms
Why well-being is important
Factors affecting clinician well-being
Mental health
Interventions to improve well-being
Chapter 3 Questions
Defining terms
Why well-being is important
Factors affecting clinician well-being
Mental health
Interventions to improve well-being
4. Basic pharmacologic principles
Introduction
Pharmacokinetic principles
Pharmacodynamic principles
Special populations
Chapter 4 Questions
Pharmacokinetic principles
Pharmacodynamic principles
Special populations
5. Clinical cardiac and pulmonary physiology
Hemodynamics
Cardiac reflexes
Coronary blood flow
Pulmonary circulation
Pulmonary gas exchange
Pulmonary mechanics
Control of breathing
Integration of the heart and lungs
Chapter 5 Questions
Hemodynamics
Cardiac reflexes
Coronary blood flow
Pulmonary circulation
Pulmonary gas exchange
Pulmonary mechanics
Control of breathing
6. Autonomic nervous system
Anatomy of the autonomic nervous system
Adrenergic pharmacology
Selective α-adrenergic receptor agonists
β2-Adrenergic receptor agonists
α-Adrenergic receptor antagonists
β-Adrenergic antagonists
Cholinergic pharmacology
Chapter 6 Questions
7. Inhaled anesthetics
History
Chemical and physical properties
Uptake and distribution in the body
Minimum alveolar concentration (MAC)
Mechanisms
Organ system effects
Unique issues with nitrous oxide
Toxicity and adverse events
Metabolism, elimination, and recovery
Environmental considerations
Chapter 7 Questions
Chemical and physical properties
Uptake and distribution in the body
Minimum alveolar concentration (MAC)
Mechanisms
Organ system effects
Unique issues with nitrous oxide
Toxicity and adverse events
Metabolism, elimination, and recovery
Environmental considerations
8. Intravenous anesthetics
Why intravenous anesthetics?
GABAA receptor agonism
Propofol
Barbiturates
Benzodiazepines
Ketamine
Etomidate
Dexmedetomidine
Chapter 8 Questions
Why intravenous anesthetics?
GABAA receptor agonism
Propofol
Barbiturates
Benzodiazepines
Ketamine
Etomidate
Dexmedetomidine
9. Opioids
Basic pharmacology
Clinical pharmacology
Clinical application
Emerging developments
Chapter 9 Questions
Basic pharmacology
Clinical pharmacology
Clinical application
10. Local anesthetics
History
Nerve conduction
Local anesthetic actions on sodium channels
Differential local anesthetic blockade
Spread of local anesthesia after injection
Pharmacokinetics
Adverse effects
Specific local anesthetics
When local anesthesia fails
Future local anesthetics and conclusions
Chapter 10 Questions
History
Nerve conduction
Local anesthetic actions on sodium channels
Spread of local anesthesia after injection
Pharmacokinetics
Adverse effects
Specific local anesthetics
Future local anesthetics and conclusions
11. Neuromuscular blocking and reversal agents
Introduction
The neuromuscular junction
Structure–activity relationships
Depolarizing neuromuscular blocking agents: Succinylcholine
Nondepolarizing neuromuscular blocking agents
Monitoring the effects of nondepolarizing neuromuscular blocking agents
Antagonism of residual neuromuscular block
Chapter 11 Questions
The neuromuscular junction
Structure–activity relationships
Depolarizing neuromuscular blocking agents: Succinylcholine
Nondepolarizing neuromuscular blocking agents
Monitoring the effects of nondepolarizing neuromuscular blocking agents
Antagonism of residual neuromuscular block
12. Anesthetic neurotoxicity
Introduction
Anesthetic drugs as a cause for neurodegeneration and long-term neurocognitive deficits
Clinical evidence for neurotoxicity
Intraoperative course and neurocognitive outcomes
Conclusions
Chapter 12 Questions
Introduction
Anesthetic drugs as a cause for neurodegeneration and long-term neurocognitive deficits
Clinical evidence for neurotoxicity
Intraoperative course and neurocognitive outcomes
13. Preoperative evaluation
Introduction
History and physical examination
Preoperative evaluation of common coexisting diseases
Preoperative testing
Risk assessment
Medication management
NPO guidelines
Informed consent for anesthesia
Preoperative evaluation clinics
Chapter 13 Questions
History and physical examination
Preoperative evaluation of common coexisting diseases
Preoperative testing
NPO guidelines
Informed consent for anesthesia
Preoperative evaluation clinics
14. Choice of anesthetic technique
Introduction
Types of anesthesia
Choosing an appropriate anesthetic technique
Practical aspects of anesthesia choice
Chapter 14 Questions
Types of anesthesia
Choosing an appropriate anesthetic technique
Practical aspects of anesthesia choice
15. Anesthesia delivery systems
The anesthesia workstation
Functional anatomy of the anesthesia workstation
Anesthetic breathing circuits
Anesthesia ventilators
Scavenging systems
Checking your anesthesia workstation
Chapter 15 Questions
Functional anatomy of the anesthesia workstation
Anesthetic breathing circuits
Anesthesia ventilators
Scavenging systems
Checking your anesthesia workstation
16. Airway management
Anatomy and physiology of the upper airway
Airway assessment
Airway management techniques
Invasive airway access
Complications
Airway management in infants and children
Chapter 16 Questions
Anatomy and physiology of the upper airway
Airway assessment
Airway management techniques
Invasive airway access
Complications
Airway management in infants and children
17. Spinal, epidural, and caudal anesthesia
Principles
Practice
Evidence
Anatomy
Mechanism of action
Physiologic effects
Indications
Contraindications
Spinal anesthesia
Epidural anesthesia
Combined spinal-epidural anesthesia (CSE)
Caudal anesthesia
Complications
Chapter 17 Questions
Anatomy
Mechanism of action and physiology
Indications and contraindications
Spinal anesthesia
Epidural anesthesia
Combined spinal-epidural anesthesia
Caudal anesthesia
Complications
18. Peripheral nerve blocks
Introduction
Ultrasound basics
Cervical plexus block
Upper extremity blocks
Lower extremity blocks
Chest and abdomen blocks
Intravenous regional anesthesia (bier block)
Chapter 18 Questions
Introduction
Ultrasound basics
Upper extremity blocks
Lower extremity blocks
Chest and abdomen blocks
Intravenous regional anesthesia
19. Patient positioning and associated risks
Introduction
Physiologic aspects of positioning
General positioning principles
Positioning for robotic-assisted surgery
Pressure injuries
Bite injuries
Peripheral nerve injuries
Evaluation and treatment of perioperative neuropathies
Perioperative eye injury and visual loss
Anesthesia outside the operating room
Chapter 19 Questions
Physiologic aspects of positioning
General positioning principles
Positioning for robotic-assisted surgery
Pressure injuries
Bite injuries
Peripheral nerve injuries
Evaluation and treatment of perioperative neuropathies
Perioperative eye injury and visual loss
20. Anesthetic monitoring
Introduction
Respiratory system
Circulatory system
Central nervous system
Peripheral nervous system
Temperature
Magnetic resonance imaging and adverse conditions
Multifunctional displays and decision support
Chapter 20 Questions
Introduction
Respiratory system
Circulatory system
Central nervous system
Peripheral nervous system
Temperature
21. Point-of-care ultrasound
Introduction
Review of ultrasound physics
Ultrasound transducers
Preparing for the examination
Basic cardiac ultrasound
Pulmonary ultrasound
Abdominal ultrasound
Conclusion and future directions
Chapter 21 Questions
Review of ultrasound physics
Basic cardiac ultrasound
Pulmonary ultrasound
Abdominal ultrasound
22. Acid-base balance and blood gas analysis
Definitions
Regulation of the hydrogen ion concentration
Analysis of arterial blood gases
Differential diagnosis of acid-base disturbances
Other information provided by analysis of ABG and pH
Chapter 22 Questions
Introduction
Analysis of arterial blood gases
Differential diagnosis of acid-base disturbances
Other information provided by analysis of ABG and pH
23. Hemostasis
Introduction
Normal hemostasis
Bleeding disorders
Prothrombotic states
Laboratory evaluation of hemostasis
Antithrombotic and procoagulant drugs
Perioperative management of antithrombotic therapy
Chapter 23 Questions
Normal hemostasis
Bleeding disorders
Prothrombotic states
Laboratory evaluation of hemostasis
Antithrombotic and procoagulant drugs
Perioperative management of antithrombotic therapy
24. Fluid management
Introduction
Physiology of fluid balance
Fluid replacement solutions
Hemodynamic monitoring for fluid responsiveness
Perioperative fluid strategies for optimal volume status
Chapter 24 Questions
Physiology of fluid balance
Fluid replacement solutions
Hemodynamic monitoring for fluid responsiveness
Perioperative fluid strategies for optimal volume status
25. Blood therapy
Introduction
Blood banking essentials
Blood components
Patient blood management and the decision to transfuse red blood cells
Complications of blood therapy
Autologous blood transfusions
Chapter 25 Questions
Blood banking essentials
Blood components
Patient blood management and the decision to transfuse red blood cells
Complications of blood therapy
Autologous blood transfusions
26. Cardiovascular disease
Introduction
Coronary artery disease
Valvular heart disease
Disturbances of cardiac conduction and rhythm
Heart failure
Hypertrophic cardiomyopathy
Pulmonary hypertension
Cardiac tamponade
Aneurysms of the aorta
Cardiopulmonary bypass
Chapter 26 Questions
Coronary artery disease
Valvular heart disease
Disturbances of cardiac conduction and rhythm
Heart failure
Hypertrophic cardiomyopathy
Pulmonary hypertension
Cardiac tamponade
Aneurysms of the aorta
Cardiopulmonary bypass
27. Chronic pulmonary disease
Introduction
Asthma
Chronic obstructive pulmonary disease
Interstitial lung disease
Cystic fibrosis
Obstructive sleep apnea
Pulmonary hypertension
Anesthesia for lung resection
Mediastinoscopy
Mediastinal masses
Chapter 27 Questions
Introduction
Asthma
Chronic obstructive pulmonary disease
Interstitial lung disease
Obstructive sleep apnea
Pulmonary hypertension
Anesthesia for lung resection
Options for lung isolation
Mediastinoscopy
Mediastinal masses
28. Renal, liver, and biliary tract disease
Renal disease
Liver disease
Diseases of the biliary tract
Chapter 28 Questions
Renal disease
Liver disease
Diseases of the biliary tract
29. Nutritional, gastrointestinal, and endocrine disease
Nutritional disorders
Gastrointestinal disorders
Endocrine disorders
Chapter 29 Questions
Nutritional disorders
Gastrointestinal disorders
Endocrine disorders
30. Central nervous system disease
Neuroanatomy
Neurophysiology
Intracranial pressure and brain relaxation
Neuroprotection
Neurophysiologic monitoring
Anesthesia for neurosurgery
Common clinical cases
Chapter 30 Questions
Neuroanatomy
Neurophysiology
Intracranial pressure and brain relaxation
Anesthesia for neurosurgery
Common clinical cases
31. Ophthalmology and otolaryngology
Ophthalmology
Otolaryngology
Chapter 31 Questions
32. Orthopedic surgery
Rheumatologic disorders
Spine surgery
Surgery in the sitting position
Fractured hip
Total joint replacement
Chapter 32 Questions
Rheumatologic disorders
Spine surgery
Surgery in the sitting position
Fractured hip
Total joint replacement
33. Obstetrics
Physiologic changes in pregnant women
Physiology of the uteroplacental circulation
Stages of labor
Anatomy of labor pain
Methods of labor analgesia
Neuraxial techniques
Contraindications of neuraxial anesthesia
Complications of neuraxial anesthesia
Anesthesia for cesarean delivery
Abnormal presentations and multiple births
Hypertensive disorders of pregnancy
Hemorrhage in pregnant women
Amniotic fluid embolism
Anesthesia for nonobstetric surgery during pregnancy
Diagnosis and management of fetal distress
Evaluation of the neonate and neonatal resuscitation
Chapter 33 Questions
Physiologic changes in pregnant women
Physiology of the uteroplacental circulation
Stages of labor
Anatomy of labor pain
Methods of labor analgesia
Neuraxial techniques
Contraindications of neuraxial anesthesia
Complications of neuraxial anesthesia
Anesthesia for cesarean delivery
Abnormal presentations and multiple births
Hypertensive disorders of pregnancy
Hemorrhage in pregnant women
Amniotic fluid embolism
Anesthesia for nonobstetric surgery during pregnancy
Diagnosis and management of fetal distress
Evaluation of the neonate and neonatal resuscitation
34. Pediatrics
Introduction
Developmental physiology
Pharmacologic differences
Fluid and electrolytes
Transfusion therapy
Pediatric airway
Anesthetic considerations
Medical and surgical diseases affecting the neonate
Congenital heart disease
Special anesthetic considerations
Chapter 34 Questions
Developmental physiology
Pharmacologic differences
Fluids and electrolytes
Transfusion therapy
Pediatric airway
Anesthetic considerations
Medical and surgical diseases affecting the neonate
Congenital heart disease
Special anesthetic considerations
35. Geriatrics
Introduction
The physiologic changes of aging
Pharmacologic considerations
Preoperative assessment and risk management
Intraoperative considerations
Postoperative management
Chronic pain in the elderly
Perioperative neurocognitive disorders
Summary
Chapter 35 Questions
The physiologic changes of aging
Pharmacologic considerations
Preoperative assessment and risk management
Intraoperative considerations
Postoperative management
Perioperative neurocognitive disorders
36. Organ transplantation
Introduction
Considerations for organ transplantation
Kidney transplantation
Liver transplantation
Heart transplantation
Lung transplantation
Pancreas transplantation
Conclusion
Chapter 36 Questions
Considerations for organ transplantation
Kidney transplantation
Liver transplantation
Heart transplantation
Lung transplantation
Pancreas transplantation
37. Outpatient anesthesia
Introduction
Patient selection
Surgeries and procedures
Preoperative evaluation
Anesthetic techniques
Postoperative care
Quality improvement
Advances and new trends in outpatient anesthesia
Conclusion
Chapter 37 Questions
Introduction
Patient selection
Surgeries and procedures
Preoperative evaluation
Anesthetic techniques
Postoperative care
Quality improvement
Advances and new trends in outpatient anesthesia
38. Anesthesia for procedures in nonoperating room locations
Introduction
Characteristics of NORA locations
Safety and concerns in radiology suites
Magnetic resonance imaging
Anesthesia for noninvasive imaging procedures
Interventional radiology
Endoscopy and endoscopic retrograde cholangiopancreatography
Catheter-based cardiology procedures
Electroconvulsive therapy
Chapter 38 Questions
Characteristics of NORA locations
Safety and concerns in radiology suites
Magnetic resonance imaging
Anesthesia for noninvasive imaging procedures
Interventional radiology
Endoscopy and endoscopic retrograde cholangiopancreatography
Catheter-based cardiology procedures
Electroconvulsive therapy (ECT)
39. Postanesthesia recovery
Introduction
Admission to the postanesthesia care unit
Early postoperative physiologic changes
Upper airway obstruction
Differential diagnosis of arterial hypoxemia in the PACU
Pulmonary edema in the PACU
Monitoring and treatment of hypoxemia
Hemodynamic instability
Renal dysfunction
Postoperative hypothermia and shivering
Postoperative nausea and vomiting
Delirium
Delayed awakening
Discharge criteria
Postanesthesia scoring systems
Chapter 39 Questions
Admission to the postanesthesia care unit
Early postoperative physiologic changes
Upper airway obstruction
Differential diagnosis of arterial hypoxemia in the PACU
Pulmonary edema in the PACU
Monitoring and treatment of hypoxemia
Hemodynamic instability
Renal dysfunction
Postoperative hypothermia and shivering
Postoperative nausea and vomiting
Delirium
Delayed awakening
Discharge criteria
Postanesthesia scoring systems
40. Perioperative pain management
Introduction
Common terminology
Neurobiology of pain
Analgesic delivery systems
Systemic therapy
Neuraxial analgesia
Surgical site (incision) infiltration
Intraarticular administration
Paravertebral blocks
Peripheral nerve block
Regional analgesia
Transversus abdominis plane block
Chapter 40 Questions
Common terminology
Neurobiology of pain
Analgesic delivery systems
Systemic therapy
Neuraxial analgesia
Surgical site infiltration
Intraarticular administration
Peripheral nerve block
Regional analgesia
Transversus abdominis plane block
41. Critical care medicine
Intensive care unit definitions, interprofessional care, and physician staffing
Organ failure and support
A-F bundle
Chapter 41 Questions
ICU definitions, interprofessional care, and physician staffing
Organ failure and support
A-F bundle
42. Perioperative medicine
Introduction
The perioperative medicine consultant
Improving perioperative outcomes and operationalizing perioperative medicine
Value-added preoperative screening and testing
Medical management of the most common comorbidities
Psychological state: Assessment and interventions
Cognitive screening and interventions
Health literacy and shared decision making
Other opportunities to improve perioperative outcomes
Future directions in perioperative medicine: Social determinants of health
Chapter 42 Questions
Improving perioperative outcomes and operationalizing perioperative medicine
Value-added preoperative screening and testing
Medical management of the most common comorbidities
Psychological state: Assessment and interventions
Cognitive screening and interventions
Health literacy and shared decision making
43. Trauma
Introduction
Initial management
Intraoperative management
Special considerations
Chapter 43 Questions
Introduction
Initial management
Intraoperative management
Special considerations
44. Chronic pain management
Introduction
Chronic pain foundations
Painful conditions: Spine
Painful conditions: Neuropathic pain
Painful conditions: Chronic postsurgical pain
Pain conditions: Additional generators
Psychological treatment pillar: Catastrophizing
Physical medicine treatment pillar
Pharmacologic treatment pillar
Procedural treatment pillar
Neuromodulation: Advanced interventional pain medicine
Summary
Chapter 44 Questions
Chronic pain foundations
Painful conditions: Spine
Painful conditions: Neuropathic pain
Psychological treatment pillar: Catastrophizing
Pharmacologic treatment pillar
Procedural treatment pillar
Neuromodulation: Advanced interventional pain medicine
45. Cardiopulmonary resuscitation
Introduction
Evidence based
Principles of management
Chapter 45 Questions
Basic life support
Adult advanced cardiac life support
Pediatric advanced life support
Postresuscitation care and neuroprognostication
Special perioperative considerations
46. Quality and patient safety
Introduction
Definitions: Quality versus safety
Specific approaches to anesthesia safety
From safety to quality: Making anesthesia both safer and better
Tools for improving local outcomes
Chapter 46 Questions
Definitions: Quality versus safety
Specific approaches to anesthesia safety
From safety to quality: Making anesthesia both safer and better
Tools for improving local outcomes
47. Palliative care
Introduction
What do palliative care teams do?
Palliative care and pain
Challenges in the palliative care patient
Perioperative management of the palliative care patient
Chapter 47 Questions
Introduction
What do palliative care teams do?
Palliative care and pain
Challenges in the palliative care patient
Perioperative management of the palliative care patient
48. Sleep medicine and anesthesia
Introduction
Basic sleep physiology
General anesthesia
Other arousal states
Sleep and anesthesia states
Functional neuroanatomy of sleep and arousal pathways
Sleep-disordered breathing or sleep-related breathing disorders
Obstructive sleep apnea
Chapter 48 Questions
Basic sleep physiology
General anesthesia
Sleep and anesthesia states
Functional neuroanatomy of sleep and arousal pathways
Sleep-disordered breathing or sleep-related breathing disorders
Obstructive sleep apnea
49. Anesthesia and environmental health
Health, healthcare, and climate change
Environmental impact of anesthesia gases
Occupational hazards of inhaled anesthetics
Low-flow anesthesia
Closed-circuit anesthesia
CO2 absorbents
Waste anesthetic gas scavenging systems
Environmental impact of propofol
Drug waste
Environmental impact of operating room practices
Summary
Chapter 49 Questions
Health, healthcare, and climate change
Environmental impact of anesthesia gases
Occupational hazards of inhaled anesthetics
Low-flow anesthesia
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