Healthcare Information Technology Exam Guide The Anesthesia Guide
Arthur Atchabahian, Ruchir Gupta
ISBN: 9780071760492 / 0071760490


Table of Contents

Contributors
Foreword
Preface
Acknowledgments
PART I. Preoperative
1. Preoperative Evaluation
Sansan S. Lo, MD

2. Predicting Difficult Mask Ventilation and Intubation
Adam Sachs, MD

3. Preoperative Fasting Guidelines
Edward C. Lin, MD

4. Pulmonary Function Tests
Ruchir Gupta, MD

5. Preoperative EKG
Bessie Kachulis, MD and Ann E. Bingham, MD

6. Preoperative Echocardiography
Sanford M. Littwin, MD

7. Cardiac Risk Stratification for Noncardiac Surgery, Lee’s Score, NYHA Classification
Sumeet Goswami, MD, MPH and Amit Goswami, MD

8. Infective Endocarditis Prophylaxis
Edward C. Lin, MD

PART II. Coexisting Disease
9. Management of Chronic Medications in the Perioperative Period
Yakub Abrakhimov, MD

10. Herbal Medicines and Supplements
Sansan S. Lo, MD

11. Patient on Corticosteroids
Clément Hoffmann, MD and Jean-Pierre Tourtier, MD

12. Anticoagulation, Antiplatelet Medications
Tony P. Tsai, MD

13. Obstructive Sleep Apnea
Edward C. Lin, MD

14. Obesity
Edward C. Lin, MD

15. Conduction Abnormalities
Amit H. Sachdev, MD and Molly Sachdev, MD, MPH

16. Tachyarrythmias
Amit H. Sachdev, MD and Molly Sachdev, MD, MPH

17. Wolff–Parkinson–White (WPW) Syndrome
Amit H. Sachdev, MD and Molly Sachdev, MD, MPH

18. Pacemakers
Sanford M. Littwin, MD

19. Implantable Cardiac Defibrillators (ICDs)
Sanford M. Littwin, MD

20. Hypertrophic Cardiomyopathy (HCM)
Sanford M. Littwin, MD

21. Angioedema
Kathleen A. Smith, MD and Adrienne Turner Duffield, MD

22. Patient with a Stent (or Following PCI)
Ghislaine M. Isidore, MD

23. Preoperative Coagulation Assessment
Gebhard Wagener, MD and Ruchir Gupta, MD

24. G6PD Deficiency
Ruchir Gupta, MD

25. Diabetes Mellitus
Jennifer Wu, MD, MBA and Arthur Atchabahian, MD

26. Liver Failure
Ruchir Gupta, MD

27. Chronic Renal Failure
Gebhard Wagener, MD

28. Acute Renal Injury
Elrond Teo, MBBS and Gebhard Wagener, MD

29. Parkinson Disease
Mark S. Tinklepaugh, MD

30. Multiple Sclerosis
Arthur Atchabahian, MD

31. Myasthenia Gravis
Arthur Atchabahian, MD

32. Preexisting Spinal Cord Injury
Candra Rowell Bass, MD and Priya A. Kumar, MD

33. Porphyria
Mark S. Tinklepaugh, MD

34. Geriatric Physiology
Janine L. Thekkekandam, MD and Harendra Arora, MD

35. Latex Allergy
Mark S. Tinklepaugh, MD

36. Electrolyte Abnormalities (Na, K, Ca, Mg, PO 4 )
J. David Roccaforte, MD

37. HIV and Anesthesia
Harsha Nalabolu, MD

38. Coexisting Diseases with Anesthetic Implications
Kriti Sankholkar, MD

PART III. Monitoring
39. Intraoperative EKG
Ann E. Bingham, MD and Bessie Kachulis, MD

40. Hemodynamic Monitoring
Seth Manoach, MD, CHCQM and Jean Charchaflieh, MD, DrPH, FCCM, FCCP

41. Noninvasive Cardiac Output Monitoring
Sarah C. Smith, MD

42. Pulse Oximeter
Ruchir Gupta, MD

43. Capnography
Ruchir Gupta, MD

44. Processed EEG Monitoring
Donald M. Mathews, MD

PART IV. General Anesthesia
45. Preoperative Anesthesia Checklist
Kriti Sankholkar, MD

46. Management of Total Intravenous Anesthesia (TIVA)
Donald M. Mathews, MD

47. Vasoactive Medications
Ruchir Gupta, MD

48. Breathing Circuits
Jamaal T. Snell, MD

49. Mechanical Ventilation in the Operating Room
Sauman Rafii, MD and J. David Roccaforte, MD

50. Full Stomach
Elisabeth Falzone, MD and Jean-Pierre Tourtier, MD

51. Difficult Intubation and Various Tools
Samir Kendale, MD

52. Airway Blocks
Edward C. Lin, MD

53. Awake Fiber-Optic Intubation
Arthur Atchabahian, MD

54. Retrograde Intubation
Arthur Atchabahian, MD

55. High-Frequency Jet Ventilation (HFJV)
Brooke Albright, MD

56. Antidotes
Clément Hoffmann, MD and Jean-Pierre Tourtier, MD

57. Ambulatory Anesthesia
Jennifer Wu, MD, MBA

58. Opioids, Induction Agents, Neuromuscular Blockers
Brian J. Egan, MD, MPH

59. Common Drugs Encountered in the OR
Ruchir Gupta, MD

60. Inhalation Agents
Jennifer Wu, MD, MBA

61. Intraoperative Events
Tanuj P. Palvia, MD and Jason Lau, MD

62. Postoperative Complications
Teresa A. Mulaikal, MD and Sansan S. Lo, MD

63. OR Fires
Jean Charchaflieh, MD, DrPH, FCCM, FCCP

64. Blood Products and Transfusion
Ruchir Gupta, MD and Gebhard Wagener, MD

65. Massive Transfusion, Factor (Including von Willebrand Disease)
Gebhard Wagener, MD and Ruchir Gupta, MD

66. Autologous Transfusion
Rita Parikh, MD

67. Prevention of Venous Thromboembolism (VTE)
Jessica Spellman, MD

68. Heparin-Induced Thrombocytopenia
Rita Parikh, MD

69. Common PACU Problems; PACU Discharge Criteria
Jan Boublik, MD, PhD

PART V. Specific Procedures
70. Orthopedic Procedures; Bone Cement Implantation Syndrome; Pneumatic Tourniquet
Arthur Atchabahian, MD

71. ENT Procedures
Nasrin N. Aldawoodi, MD and Claude McFarlane, MD, MA

72. Anesthesia for Laser Surgery
Albert Ju, MD

73. Ophthalmology
Manuel Corripio, MD

74. Endocrine Surgery
Brooke Albright, MD

75. Carcinoid Tumor, Somatostatin and Octreotide
Ruchir Gupta, MD and Arthur Atchabahian, MD

76. Pheochromocytoma
Neelima Myneni, MD

77. Laparoscopic Surgery
Jennifer Wu, MD, MBA

78. Robotically Assisted Laparoscopic Prostatectomy
Nitin K. Sekhri, MD and Ervant Nishanian, PhD, MD

79. Bariatric Surgery
Jamey J. Snell, MD

80. Renal Transplant
Brooke Albright, MD

81. Liver Transplant
Gebhard Wagener, MD

82. Electroconvulsive Therapy (ECT)
Tony P. Tsai, MD

83. Off-site Anesthesia
Neelima Myneni, MD

84. Cosmetic Surgery
Brooke Albright, MD

PART VI. Cardiovascular and Thoracic
85. Basics of CPB
Jennie Ngai, MD

86. Intraoperative TEE
Sanford M. Littwin, MD

87. CABG/OPCAB
Jennie Ngai, MD

88. Valve Surgery
Jennie Ngai, MD

89. Heart Transplantation
Meghann M. Fitzgerald, MD and Sumeet Goswami, MD, MPH

90. Open AAA Surgery
Megan Graybill Anders, MD and Harendra Arora, MD

91. Thoracoabdominal Aneurysm
Ervant Nishanian, PhD, MD and Shahzad Shaefi, MD

92. Anesthesia for Endovascular Procedures
Jamey J. Snell, MD and Brooke Albright, MD

93. Tamponade
Tony P. Tsai, MD

94. One-lung Ventilation
Jennie Ngai, MD

95. Thoracic Surgery
Meghann M. Fitzgerald, MD and Sumeet Goswami, MD, MPH

96. Lung Transplantation
Meghann M. Fitzgerald, MD and Sumeet Goswami, MD, MPH

97. Minimally Invasive Cardiac Surgery
Brad Hamik, MD and Ervant Nishanian, PhD, MD

PART VII. Neuroanesthesia / Neurocritical Care
98. ICP Monitoring, Acute ICP Increase
Alan W. Ho, MD and Mark Weller, MD

99. Neuromonitoring (Transcranial Doppler (TCD), EEG, Carotid stump pressure (SP), Near Infrared Spectroscopy (NIRS), SjO2)
John G. Gaudet, MD

100. Interventional Neuroradiology
Nicolai Goettel, MD, DESA

101. Craniotomy
Nicolai Goettel, MD, DESA

102. Awake Craniotomy
Nicolai Goettel, MD, DESA

103. Neurovascular Surgery
Zirka H. Anastasian, MD

104. Carotid Artery Endarterectomy (CEA)
John G. Gaudet, MD and Yann Villiger, MD, PhD

105. Spinal Surgery and Neurophysiologic Monitoring
John G. Gaudet, MD and Christopher Lysakowski, MD

106. Anticonvulsants: Seizure Prophylaxis and Chronic Treatment
Harsha Nalabolu, MD

107. Status Epilepticus
Victor Zach, MD and Roopa Kohli-Seth, MD

108. Asymptomatic Cerebrovascular Disease (For Non-neurosurgery)
Zirka H. Anastasian, MD

109. Management of Patient with Intracerebral Hemorrhage (ICH)
Aditya Uppalapati, MD and Roopa Kohli-Seth, MD

110. Management of Subdural and Extradural Hematomas
Lisa E. Vianna, DO and Roopa Kohli-Seth, MD

111. Management of Patient with Ischemic Stroke
Victor Zach, MD and Roopa Kohli-Seth, MD

112. Glasgow and Liège Scales
Elisabeth Falzone, MD and Jean-Pierre Tourtier, MD

113. Management of Traumatic Brain Injury
Karim Tazarourte, MD, Eric Cesareo, MD, and David Sapir, MD

114. Initial Management of Spinal Cord Injury (SCI)
Karim Tazarourte, MD, Eric Cesareo, MD, and David Sapir, MD

115. Meningitis
Lisa E. Vianna, DO and Roopa Kohli-Seth, MD

116. Brain Abscess
Lisa E. Vianna, DO and Roopa Kohli-Seth, MD

117. Diabetes Insipidus
Ananda C. Dharshan, MBBS and Roopa Kohli-Seth, MD

118. Brain Death and Organ Donation
Ronaldo Collo Go, MD and Roopa Kohli-Seth, MD

PART VIII. Regional
119. Safety in Regional Anesthesia
Erica A. Ash, MD

120. Local Anesthetics and Adjuvants
Robert N. Keddis, MD

121. Neuraxial Anesthesia
Toni Torrillo, MD

122. Surgical Epidural
Toni Torrillo, MD

123. Spinal Anesthesia
Toni Torrillo, MD

124. Combined Spinal Epidural Anesthesia
Toni Torrillo, MD

125. Postdural Puncture Headache
Michael Anderson, MD

126. Principles of Peripheral Nerve Stimulation (PNS)
Caroline Buhay, MD

127. Ultrasound Guidance for Regional Anesthesia
M. Fahad Khan, MD, MHS

128. Insertion of Perineural Catheters
Caroline Buhay, MD

129. Management of a Neuropathy Following Regional Anesthesia
Arthur Atchabahian, MD

130. Cervical Plexus Blocks
Michael Anderson, MD

131. Brachial Plexus
Denis Jochum, MD

132. Upper Limb Dermatomes, Myotomes, Sclerotomes
Denis Jochum, MD

133. Interscalene Block
Arthur Atchabahian, MD

134. Supraclavicular Block
Arthur Atchabahian, MD

135. Infraclavicular Blocks
Arthur Atchabahian, MD

136. Axillary Block
Arthur Atchabahian, MD

137. Branch Blocks at the Elbow and the Wrist
Arthur Atchabahian, MD

138. Digital Blocks
Arthur Atchabahian, MD

139. Lumbosacral Plexus
Denis Jochum, MD

140. Lower Limb Dermatomes, Myotomes, Sclerotomes
Denis Jochum, MD

141. Psoas Compartment (Posterior Lumbar Plexus) Block
Arthur Atchabahian, MD

142. Femoral Nerve Block, FasciaIliaca Compartment Block (FICB)
Arthur Atchabahian, MD

143. Lateral Femoral Cutaneous Nerve Block
Arthur Atchabahian, MD

144. Obturator Nerve Block
Arthur Atchabahian, MD

145. Saphenous Nerve Blocks
Arthur Atchabahian, MD

146. Proximal Sciatic Blocks
Arthur Atchabahian, MD

147. Popliteal Blocks
Arthur Atchabahian, MD

148. Ankle Block
Arthur Atchabahian, MD

149. Thoracic Paravertebral Blocks
Jan Boublik, MD, PhD

150. Intercostal Nerve Blocks
Michael Anderson, MD

151. Innervation of the Abdominal Wall and Viscera
Marc Beaussier, MD, PhD

152. Transversus Abdominis Plane (TAP) Block; Ilioinguinal and Iliohypogastric Blocks
Michael Anderson, MD

153. Regional Analgesia for Abdominal Surgery
Marc Beaussier, MD, PhD

154. Infiltration Analgesia for Lower Limb Arthroplasty
Nicholas B. Scott, FRCS(Ed), FRCA

155. Superficial Blocks of the Face
Lucie Beylacq, MD

PART IX. Acute Pain (Postoperative)
156. Multimodal Postoperative Analgesia
Lisa Doan, MD

157. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)
Naum Shaparin, MD

158. IV PCA (Intravenous Patient-Controlled Analgesia)
Vickie Verea, MD, Christopher Gharibo, MD, and Lisa Doan, MD

159. Opioids
Naum Shaparin, MD

160. Antidepressants and Anticonvulsants Used in Pain Management
Lucia Daiana Voiculescu, MD and Chaturani Ranasinghe, MD

161. Other Adjuvant Agents Commonly Used in Pain Management
Lucia Daiana Voiculescu, MD and Amit Poonia, MD

162. Epidural Analgesia
Frantzces Alabre, FNP-C, DNP and Christopher Gharibo, MD

163. Management of Continuous Peripheral Nerve Blocks
Lisa Doan, MD

164. Pain and Sedation Scales in Adults
Lisa Doan, MD

165. Pediatric Postoperative Analgesia
F. Wickham Kraemer III, MD

166. Acute Pain Management of the Chronic Pain Patient
Vickie Verea, MD and Christopher Gharibo, MD

PART X. Pediatrics
167. Drug Dosages for Pediatric Anesthesia
Philipp J. Houck, MD and Leila Mei Pang, MD

168. Newborn Resuscitation
Wanda A. Chin, MD

169. Pediatric Difficult Airway
Wanda A. Chin, MD

170. Pediatric Vital Signs
Wanda A. Chin, MD

171. Pediatric Sizing Chart
Philipp J. Houck, MD

172. Gastroschisis/Omphalocele
Wanda A. Chin, MD

173. Tracheoesophageal Fistula (TEF)
Wanda A. Chin, MD

174. Pyloric Stenosis
Wanda A. Chin, MD

175. Necrotizing Enterocolitis
Philipp J. Houck, MD

176. Pediatric Inguinal Hernia Repair
Philipp J. Houck, MD

177. The Hypotonic Child
Philipp J. Houck, MD

178. Pediatric Regional Anesthesia
Clara Lobo, MD

179. Basics of Pediatric Cardiac Anesthesia
Eric P. Wilkens, MD, MPH

PART XI. Obstetrics
180. Physiology of Pregnancy
Imre Rédai, MD, FRCA

181. Physiology of Labor and the Postpartum Period
Imre Rédai, MD, FRCA

182. Medications and Pregnancy
Imre Rédai, MD, FRCA

183. Antibiotic Prophylaxis and Therapy in Obstetrics
Imre Rédai, MD, FRCA

184. Anticoagulation During Pregnancy
Imre Rédai, MD, FRCA

185. Pregnancy-Induced Hypertension, Chronic Hypertension in Pregnancy, Preeclampsia, Eclampsia
Imre Rédai, MD, FRCA

186. Nonobstetrical Surgery in the Pregnant Patient
Elena Reitman Ivashkov, MD and Imre Rédai, MD, FRCA

187. Labor Analgesia
Anjali Fedson Hack, MD, PhD

188. Combined Spinal Epidural in Obstetrical Anesthesia
Imre Rédai, MD, FRCA

189. Anesthesia for Cesarean Section, Postoperative Analgesia Options
Imre Rédai, MD, FRCA

190. Anesthesia for Episiotomy, Perineal Laceration, and Forceps Delivery
Imre Rédai, MD, FRCA

191. Anesthesia for Cerclage
Imre Rédai, MD, FRCA

192. Tocolysis
M. Lee Haselkorn, MD and Imre Rédai, MD, FRCA

193. Anticoagulation after Cesarean Section
Imre Rédai, MD, FRCA

194. Peripartum Hemorrhage
Imre Rédai, MD, FRCA

195. Fetal HR Monitoring
Ruchir Gupta, MD

196. Twin Pregnancy, Breech Presentation, Trial of Labor after Cesarean Birth: Anesthetic Considerations for Patients Attempting Vaginal Birth
Imre Rédai, MD, FRCA

PART XII. Critical Care
197. Central Venous Access
Manuel Corripio, MD

198. Shock
Nirav Mistry, MD and Adel Bassily-Marcus, MD, FCCP, FCCM

199. Sepsis
Nirav Mistry, MD and Adel Bassily-Marcus, MD, FCCP, FCCM

200. Acute Myocardial Infarction, Complications and Treatment
Awais Sheikh, MD and Roopa Kohli-Seth, MD

201. Anaphylaxis
Alexandra P. Leader, MD, Ryan Dunst, MD, and Michael H. Andreae, MD

202. Lung Anatomy for Fiber-Optic Bronchoscopy
Constantin Parizianu, MD and Roopa Kohli-Seth, MD

203. ICU Ventilator Modes
Constantin Parizianu, MD and Roopa Kohli-Seth, MD

204. ARDS
Yan Lai, MD, MPH and Michael H. Andreae, MD

205. Status Asthmaticus
Awais Sheikh, MD and Roopa Kohli-Seth, MD

206. Pulmonary Embolism
Arif M. Shaik, MD and Adel Bassily-Marcus, MD, FCCP, FCCM

207. Acid–Base Abnormalities
Aditya Uppalapati, MD, Sumit Kapoor, MD, and Roopa Kohli-Seth, MD

208. Continuous Renal Replacement Therapy
Krunal Patel, MD and Roopa Kohli-Seth, MD

209. Transurethral Resection of the Prostate (TURP) Syndrome
Sonali Mantoo, MD and Roopa Kohli-Seth, MD

210. Diabetic Ketoacidosis
Krunal Patel, MD and Roopa Kohli-Seth, MD

211. Hyperosmolar Hyperglycemic State (HHS)
Zafar A. Jamkhana, MD, MPH and Roopa Kohli-Seth, MD

212. Critical Illness–Related Corticosteroid Insufficiency (CIRCI)
Nirav Mistry, MD and Adel Bassily-Marcus, MD, FCCP, FCCM

213. Caustic Ingestion
Jennifer Alt, MD

214. Upper Gastrointestinal Bleeding
Oriane Gardy, MD, Eric Cesareo, MD, David Sapir, MD, and Karim Tazarourte, MD

215. Acute Pancreatitis
Zafar A. Jamkhana, MD, MPH and Roopa Kohli-Seth, MD

216. Agitation, Delirium, Delirium Tremens
Ronaldo Collo Go, MD and Roopa Kohli-Seth, MD

217. Trauma Anesthesia
Satyanarayana Reddy Mukkera, MD, MPH and Roopa Kohli-Seth, MD

218. Burn Injury
Jean Charchaflieh, MD, DrPH, FCCM, FCCP

219. Toxicology
Satyanarayana Reddy Mukkera, MD, MPH and Roopa Kohli-Seth, MD

PART XIII. Rapid Reference
220. Important Formulae
Ruchir Gupta, MD

221. Commonly Used Phrases in the Operating Room
Arthur Atchabahian, MD and Ruchir Gupta, MD

222. BLS/ACLS/PALS
Ruchir Gupta, MD

223. Malignant Hyperthermia
Ghislaine M. Isidore, MD

Acronyms and Abbreviations

Index