Stoelting's Anesthesia and Co-Existing Disease E-Book (2025)

描述

A valuable resource for anesthesia providers at all levels of training and practice, Stoelting's Anesthesia and Co-Existing Disease, 8th Edition, provides concise, thorough coverage of pathophysiology of the most common diseases and their medical management relevant to anesthesia. Noted authority Dr. Roberta L. Hines and new editor Dr. Stephanie Jones lead a stellar team of contributing authors who provide clear, detailed guidance on successfully managing or avoiding complications stemming from pre-existing conditions. Presents detailed discussions of common diseases, as well as highlights of more rare diseases and their unique features that could be of importance in the perioperative period.
Includes the latest practice guidelines, easy-to-follow treatment algorithms, bulleted key points, and more.
Contains two new chapters on Nutritional Diseases: Obesity and Malnutrition and Chronic Pain, and significantly revised content on valvular heart disease, heart failure and cardiomyopathies, pericardial disease and cardiac trauma, endocrine disease, diseases of aging, pregnancy-associated diseases, and more.
Features abundant figures, tables, diagrams, and photos that provide fast access to the most pertinent aspects of every condition and clarify critical points regarding management.
Examines specific anesthesia considerations for special patient populations, including pediatric, obstetric, and elderly patients.
Ideal for anesthesiologists in practice and for anesthesia residents in training and preparing for boards.
Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

备用文件名

lgli/Stoeltings Anesthesia and Co-Existing Disease, 8e (Oct 23, 2021)_(0323718604)_(Elsevier).pdf

备用文件名

nexusstc/Stoelting's Anesthesia and Co-Existing Disease/b16be10f9f8fe3c2943c0cc159d1305c.pdf

备选作者

Roberta L Hines; Stephanie B Jones; Robert K Stoelting

备选作者

Hines, Roberta L.

备用出版商

Elsevier Limited (UK)

备用出版商

Mosby, Incorporated

备用版本

United States, United States of America

备用版本

Eighth edition, Philadelphia, PA, 2021

备用版本

Eighth edition, Philadelphia, PA, 2022

备用版本

Eighth edition, Amsterdam, 2021

备用版本

8th edition, Philadelphia, 2022

备用版本

Oct 15, 2021

元数据中的注释

{"edition":"8","isbns":["0323718604","0323718612","2021940083","9780323718608","9780323718615"],"last_page":752,"publisher":"Elsevier"}

备用描述

0
001 - Inside front cover
Inside front cover
002 - Front matter
Front matter
Stoelting’s anesthesia and co-existing disease
003 - Copyright
Copyright
004 - Preface
Preface
005 - Contributors
Contributors
006 - Contents
Contents
007 - 1 - Sleep-related breathing disorder
1 Sleep-related breathing disorder
Obstructive sleep apnea (osa)
Adult osa
Apnea
Hypopnea
Respiratory effort–related arousals
Diagnosing osa in adults
Levels of sleep apnea testing
Pathogenesis of osa
Cardiovascular consequences
Neurocognitive consequences
Metabolic consequences
Mortality and economic consequences
Treatment of adult osa
Pap therapy for osa
Oral appliance therapy for osa
Other device therapy for osa
Airway surgical therapy for osa
Bariatric surgery for osa
Adjunct medical therapy for osa
Pediatric osa
Surgical therapy for osa in children
Pap therapy for osa in children
Adjunct medical therapy for osa in children
Central sleep apnea syndromes
Csa with cheyne-stokes breathing
Csa due to a medical disorder without cheyne-stokes breathing
Csa due to high-altitude periodic breathing
Csa due to a medication or substance
Primary csa
Primary csa of infancy
Treatment-emergent csa
Sleep-related hypoventilation disorders
Obesity hypoventilation syndrome (ohs)
Congenital central alveolar hypoventilation syndrome
Late-onset central hypoventilation syndrome with hypothalamic dysfunction (lo-chs/hd)
Idiopathic central alveolar hypoventilation (icah)
Srhv due to a medication or substance
Srhv due to a medical disorder
Sleep-related hypoxemia disorder
Isolated symptoms and normal variants
Snoring
Catathrenia
Effect of sleep on control of breathing
Control of upper airway patency
Effect of sleep on control of upper airway patency
Perioperative considerations in patients with srbd
Practice guidelines for perioperative management of patients with osa
Key points
Resources
008 - 2 - Anesthetic considerations for obstructive lung disease
2 Anesthetic considerations for obstructive lung disease
Acute upper respiratory tract infection
Signs and symptoms
Diagnosis
Management of anesthesia
Asthma
Signs and symptoms
Diagnosis
Pulmonary function testing
Arterial blood gas analysis
Chest radiography and electrocardiography
Treatment
Acute severe asthma
Management of anesthesia
Chronic obstructive pulmonary disease
Signs and symptoms
Diagnosis
Pulmonary function tests
Chest radiography
Computed tomography
Physiologic testing
Blood testing
Treatment
Lung volume reduction surgery
Management of anesthesia
Risk reduction strategies
Preoperative
Smoking cessation.
Effects of smoking cessation.
Intermediate to long-term effects.
Nutritional status.
Preoperative incentive muscle training.
Intraoperative
Regional anesthesia.
General anesthesia.
Postoperative
Lung expansion maneuvers.
Miscellaneous respiratory disorders
Bronchiectasis
Pathophysiology
Diagnosis
Treatment
Management of anesthesia
Cystic fibrosis
Pathophysiology
Diagnosis
Treatment
Clearance of airway secretions.
Bronchodilator therapy.
Reduction in viscoelasticity of sputum.
Antibiotic therapy.
Management of anesthesia
Primary ciliary dyskinesia
Bronchiolitis obliterans
Central airway obstruction
Diagnosis
Management of anesthesia
Key points
Resources
009 - 3 - Restrictive respiratory diseases and lung transplantation
3 Restrictive respiratory diseases and lung transplantation
Acute intrinsic restrictive lung disease (alveolar and interstitial pulmonary edema)
Pulmonary edema
Cardiogenic pulmonary edema
Negative pressure pulmonary edema
Neurogenic pulmonary edema
Reexpansion pulmonary edema
Drug-induced pulmonary edema
High-altitude pulmonary edema (hape)
Management of anesthesia in patients with pulmonary edema
Chemical pneumonitis
E-cigarette (or vaping) product use–associated lung injury (evali)
Covid-19 induced restrictive lung disease
Acute respiratory failure
Overview
Mechanical support for ventilation
Volume-cycled ventilation
A/c ventilation.
Simv.
Pressure-cycled ventilation
Management of patients receiving mechanical support for ventilation
Sedation.
Muscle relaxants.
Complications of mechanical ventilation
Infection.
Barotrauma.
Atelectasis.
Monitoring of treatment
Mixed venous partial pressure of oxygen
Arterial ph
Intrapulmonary shunt
Weaning from the ventilator
Tracheal extubation
Oxygen supplementation
Acute respiratory distress syndrome
Diagnosis
Clinical management
Chronic intrinsic restrictive lung disease (interstitial lung disease)
Sarcoidosis
Hypersensitivity pneumonitis (extrinsic allergic alveolitis)
Pulmonary langerhans cell histiocytosis
Pulmonary alveolar proteinosis (pap)
Lymphangioleiomyomatosis
Aging-related restrictive physiology
Management of anesthesia in patients with chronic interstitial lung disease
Chronic extrinsic restrictive lung disease
Thoracic extrapulmonary causes
Extrathoracic causes
Anesthetic management of patients with restrictive lung disease
Diagnostic procedures in patients with lung disease
Lung transplantation
Overview
Management of anesthesia for primary lung transplantation surgery
Management of anesthesia for patients with prior lung transplantation
Physiologic effects of lung transplantation
Key points
Resources
010 - 4 - Critical illness
4 Critical illness
Pathophysiology of the critically ill patient undergoing surgery
Shock: Disordered perfusion
Hypodynamic shock
Hypovolemic shock.
Cardiogenic shock.
Obstructive shock.
Hyperdynamic shock
Septic shock.
Traumatic shock.
Inflammation: Sepsis and the systemic response to trauma
Commonalities of systemic inflammation
Primary goals: Surviving sepsis
General resuscitative measures.
Diagnosis of septic source.
Empirical antibiotic therapy and infection source control.
Fluid resuscitation.
Vasopressor and inotropic medications.
Steroid management.
Hemoglobin target.
Ventilator measures for sepsis-induced acute respiratory distress syndrome.
General critical care management.
A genomic and molecular perspective
The systemic inflammatory response.
Compensatory antiinflammatory response syndrome (cars).
Persistent inflammation, immunosuppression, and catabolism syndrome (pics).
Hemorrhage: The exsanguinating patient
Classification of hemorrhage
Coagulopathy associated with massive hemorrhage and injury
Damage control resuscitation
Overview and general principles.
Limitation of crystalloid use.
Optimal transfusion practice.
Role of procoagulants in the exsanguinating patient
Clotting factors.
Antifibrinolytic agents.
The anticoagulated patient
Platelet dysfunction and thrombocytopenia.
Acute cardiopulmonary instability
Hemodynamic compromise and circulatory collapse
Cardiac etiologies.
Peripheral etiologies.
Acute exacerbation of respiratory failure
Anatomic mechanical etiologies.
Airway circuit mechanical etiologies.
Primary pulmonary etiologies.
Metabolic derangements
Malnutrition
Overfeeding.
Refeeding syndrome.
Hyperglycemia.
Paradigm shifts.
Sick euthyroid syndrome
Low t3 state.
Low t4 state.
Recovery state.
Treatment.
Utility of thyroid function tests in the critically ill patient.
Relative adrenal insufficiency
Acute renal dysfunction
Rifle criteria.
Akin criteria.
Kdigo criteria.
Cirrhosis
Fulminant hepatic failure
Neurologic disorders
Pain, agitation, and delirium
Pain and analgesia.
Agitation and sedation.
Delirium.
Metabolic encephalopathy
Critical illness polyneuropathy
Acute quadriplegic myopathy
Prolonged effects of neuromuscular blockade
General principles of perioperative management in the critically ill patient
Intravenous fluid management
Parenteral solutions
Maintenance fluid therapy
Resuscitative fluid therapy: Crystalloid versus colloid
Interruption of enteral nutrition preoperatively
Administration of blood products
Emergency transfusion
Reconstitution of prbcs
Mitigation of surgical site infections
Risk factors
Preventive measures
General principles of prophylactic perioperative antibiotic administration
Ongoing antimicrobial management of established infections in the or
Venous thromboembolism prophylaxis
Critically ill nonsurgical patients
Critically ill surgical patients
Nonorthopedic surgical patients.
Orthopedic surgical patients.
Glycemic management
Perioperative impact of diabetes mellitus
Perioperative and intraoperative glycemic control regimens
Steroid management
Indications for administration of stress steroid dosing
Risks associated with stress steroid dosing.
Thermal regulation
Hypothermia
Hyperthermia
Malignant hyperthermia.
Special scenarios in the management of the critically ill surgical patient
Transporting the critically ill patient to and from the operating room
General principles
Maintenance of therapies
Contraindications to transport
Specific operations in critically ill patients
Abdominal compartment syndrome
Definitions.
Significance: Progressive organ failure.
Treatment.
Damage control in the trauma patient
The initial operation: A band-aid for anatomy to facilitate repair of physiology.
The sicu resuscitation: Abrogation of the lethal triad.
The definitive operation: Restoration of anatomy.
After damage control: Subsequent operative interventions
Common operations to facilitate management of the critically ill patient
Tracheostomy.
Enteral feeding access.
Acute management of the critically ill burn patient
Key points
Resources
012 - 6 - Valvular heart disease
011 - 5 - Ischemic heart disease
5 Ischemic heart disease
Stable angina pectoris
Diagnosis
Electrocardiography
Nuclear cardiology techniques
Echocardiography
Stress cardiac MRI
Electron beam CT
CT angiography
Coronary angiography
Treatment
Treatment of associated diseases
Reduction of risk factors and lifestyle modification
Medical treatment of myocardial ischemia
Revascularization
Acute coronary syndrome
St-segment elevation myocardial infarction
Pathophysiology
Diagnosis
Laboratory studies.
Imaging studies.
Treatment
Reperfusion therapy.
Percutaneous coronary intervention.
Coronary artery bypass graft surgery.
Adjunctive medical therapy
Antithrombotic agents.
β blockers.
Inhibition of the renin-angiotensin-aldosterone system.
Other agents.
Non–st-segment elevation acs (ua/nstemi)
Diagnosis
Treatment
Complications of acute myocardial infarction
Postinfarction ischemia
Cardiac dysrhythmias
Pericarditis
Mitral regurgitation
Ventricular septal rupture
Myocardial dysfunction
Cardiogenic shock
Myocardial rupture
Right ventricular infarction
Mural thrombus and stroke
Perioperative implications of percutaneous coronary intervention
Percutaneous coronary intervention and thrombosis
Surgery and risk of stent thrombosis
Surgery and bare-metal stents
Surgery and drug-eluting stents
Risk of bleeding related to antiplatelet drugs
Bleeding versus stent thrombosis in the perioperative period
Perioperative management of patients with stents
Pci-to-surgery interval
Continuation of dual antiplatelet therapy
Perioperative monitoring strategies
Anesthetic technique
Immediate availability of an interventional cardiologist
Perioperative myocardial infarction
Pathophysiology
Diagnosis
Preoperative assessment of patients with known or suspected ischemic heart disease
History
Physical examination
Specialized preoperative testing
Exercise electrocardiography
Stress echocardiography and stress nuclear imaging
CT and MRI
Biomarker measurement
Management of anesthesia in patients with known or suspected ischemic heart disease undergoing noncardiac surgery
Risk stratification
Management after risk stratification
Coronary artery bypass grafting
Percutaneous coronary intervention
Pharmacologic management
Intraoperative management
Monitoring
Intraoperative management of myocardial ischemia
Postoperative management
Cardiac transplantation
Management of anesthesia
Postoperative complications
Anesthetic considerations in heart transplant recipients
Response to drugs
Preoperative evaluation
Management of anesthesia
Key points
Resources
6 Valvular heart disease
Introduction
Stenotic VS regurgitant lesions
Structural and functional response of left ventricle to pressure and/or volume overload
Evaluation of valvular heart disease
Aortic stenosis
Etiology
Pathophysiology
Clinical manifestations and diagnosis
Timing and type of intervention
Intraoperative management
Aortic regurgitation
Etiology
Pathophysiology
Clinical manifestations and diagnosis
Timing and type of interventions
Intraoperative management
Mitral stenosis
Etiology
Pathophysiology
Clinical manifestations and diagnosis
Timing and type of intervention
Intraoperative management
Mitral regurgitation
Etiology
Pathophysiology
Clinical manifestations and diagnosis
Timing and type of interventions
Intraoperative management
Tricuspid stenosis
Tricuspid regurgitation
Etiology
Pathophysiology
Clinical manifestations and diagnosis
Timing and type of intervention
Intraoperative management
Pulmonic stenosis
Pulmonic regurgitation
Prevention of infective endocarditis
Prosthetic heart valves
Types of prosthetic heart valves
Complications associated with prosthetic heart valves
Assessment of prosthetic heart valves
Antithrombotic therapy for prosthetic heart valves
Key points
Resources
013 - 7 - Congenital heart disease
7 Congenital heart disease
Congenital heart lesions
Acyanotic congenital heart disease
Shunting lesions
Atrial septal defect
Signs and symptoms.
Management of anesthesia.
Ventricular septal defect
Signs and symptoms.
Management of anesthesia.
Patent ductus arteriosus (pda)
Signs and symptoms.
Management of anesthesia.
Obstructive lesions
Aortic stenosis.
Signs and symptoms.
Management of anesthesia.
Pulmonic stenosis.
Signs and symptoms.
Management of anesthesia.
Coarctation of the aorta.
Signs and symptoms.
Management of anesthesia.
Ebstein anomaly.
Signs and symptoms.
Management of anesthesia.
Cyanotic congenital heart disease
Tetralogy of fallot
Signs and symptoms.
Management of anesthesia.
Preoperative preparation.
Induction and maintenance of anesthesia.
Eisenmenger syndrome
Signs and symptoms.
Management of anesthesia.
Tricuspid atresia
Signs and symptoms.
Management of anesthesia.
Transposition of the great arteries
Signs and symptoms.
Management of anesthesia.
Truncus arteriosus
Signs and symptoms.
Management of anesthesia.
Partial anomalous pulmonary venous return
Total anomalous pulmonary venous return
Signs and symptoms.
Management of anesthesia.
Hypoplastic left heart syndrome
Signs and symptoms.
Management of anesthesia.
Mechanical obstruction of the trachea
Double aortic arch
Aberrant left pulmonary artery
Noncardiac surgery in the adult patient with congenital heart disease
Preoperative evaluation
Premedication
Endocarditis prophylaxis
Vascular access
Dysrhythmia
Pulmonary hypertension
Heart failure
Bleeding diathesis
Intraoperative management
Postoperative management
Echocardiography in congenital heart disease
Important management strategies for adults with congenital heart disease
Infective endocarditis prophylaxis
Management of pulmonary hypertension
Balancing pulmonary and vascular resistance (qp:qs)
Modifying pulmonary and systemic vascular resistance
Onset of intravenous and inhaled agents
Left-to-right shunts
Right-to-left shunts
The univentricular heart during different stages of repair
Surgical management
Key points
Resources
014 - 8 - Abnormalities of cardiac conduction and cardiac rhythm
8 Abnormalities of cardiac conduction and cardiac rhythm
Introduction
Conduction system of the heart overview
Physiologic actions represented in the ECG
Cardiac conduction disturbances
First-degree atrioventricular heart block
Second-degree atrioventricular heart block
Third-degree atrioventricular heart block
Intraventricular conduction disturbances
Right bundle branch block
Left bundle branch block
Cardiac resynchronization therapy
Anesthesia for insertion of ICDs
Surgery in patients with cardiac implantable electronic devices
Preoperative evaluation
Cardiac dysrhythmia overview
Mechanisms of tachydysrhythmias
Increased automaticity
Reentry pathways
Triggering by afterdepolarizations
Supraventricular dysrhythmias
Sinus tachycardia
Premature atrial beats
Paroxysmal supraventricular tachycardia
Wolff-parkinson-white syndrome
Multifocal atrial tachycardia
Atrial fibrillation
Atrial flutter
Ventricular dysrhythmias
Ventricular ectopy (premature ventricular beats)
Ventricular tachycardia
Ventricular fibrillation
Mechanisms of bradydysrhythmias
Sinus bradycardia
Junctional rhythm
Treatment of cardiac dysrhythmias
Antidysrhythmic drugs
Adenosine
Atropine
Amiodarone
β-adrenergic blockers
Calcium channel blockers
Digoxin
Vasopressin
Dopamine
Epinephrine
Isoproterenol
Lidocaine
Magnesium
Procainamide
Sotalol
Twenty percent lipid emulsion
Transcutaneous pacing
Electrical cardioversion
Defibrillation
Radiofrequency catheter ablation
Cardiac implanted electronic devices
Permanently implanted cardiac pacemakers
Pacing modes
Asynchronous pacing.
Single-chamber pacing.
Dual-chamber pacing.
Ddd pacing.
Ddi pacing.
Rate-adaptive pacemakers
Anesthesia for cardiac pacemaker insertion
Key points
Resources
015 - 9 - Systemic and pulmonary arterial hypertension
9 Systemic and pulmonary arterial hypertension
Systemic hypertension
Public health implications
Pathophysiology
Current treatment of hypertension
Lifestyle modification
Pharmacologic therapy
Treatment of secondary hypertension
Perioperative implications of hypertension
Preoperative evaluation
Intraoperative considerations
Induction of anesthesia and monitoring
Maintenance of anesthesia
Hypertensive crises
Acute postoperative hypertension
Pulmonary arterial hypertension
Definitions and classification
Definition
Hemodynamic classification
Who clinical classification
Pathophysiology and pharmacologic treatment
Prostanoids
Endothelin receptor antagonists
Nitric oxide/guanylate cyclase
Perioperative considerations
Preoperative evaluation
Assessing risk factors
Outcome studies
Perioperative physiology
Right ventricular afterload.
Right ventricular inotropy.
Myocardial supply and demand.
Procedural considerations
Orthopedics
Laparoscopy
Thoracic surgery
Key points
Resources
016 - 10 - Heart failure and cardiomyopathies
10 Heart failure and cardiomyopathies
Heart failure
Definition
Epidemiology and etiology
Pathophysiology of heart failure
Left ventricular diastolic dysfunction
Left ventricular systolic dysfunction
Ventricular-arterial stiffening and abnormal lv-arterial coupling
Left atrial systolic and diastolic dysfunction
Acute versus chronic heart failure
Diagnosis of heart failure
Signs and symptoms
Medical imaging
Chest radiography
Echocardiography
Electrocardiography
Laboratory values
Classification of heart failure
Management of heart failure
Medical management
Chronic heart failure
Diuretics.
β blockers.
Inhibitors of the renin-angiotensin-aldosterone system.
Other medications.
Lifestyle modifications and control of comorbidities.
Acute heart failure
Diuretics.
Vasodilators.
Vasopressin receptor antagonists.
Inotropic support.
Calcium sensitizers.
Exogenous b-type natriuretic peptide.
Surgical management
Chronic heart failure
Revascularization therapy.
Cardiac resynchronization therapy.
Implantable hemodynamic monitors.
Implantable cardioverter-defibrillators.
Left ventricular assist devices.
Acute heart failure
Intraaortic balloon pump.
Impella.
Peripheral vad/ecmo.
Central vad/ecmo.
Biventricular assist device (bivad).
Anesthetic management
Preoperative evaluation
Intraoperative management
Monitoring
Choice of anesthetic
Fluid replacement
Anesthetic considerations for heart transplant patients
Anesthetic considerations for patients with implantable nonpulsatile vads
Postoperative period
Cardiomyopathies
Hypertrophic cardiomyopathy
Signs and symptoms
Diagnosis
Treatment
Medical therapy.
Surgical therapy.
Prognosis
Management of anesthesia
Preoperative evaluation and management.
Intraoperative management.
Parturient patients.
Postoperative management.
Dilated cardiomyopathy
Signs and symptoms
Diagnosis
Treatment
Prognosis
Management of anesthesia
Stress cardiomyopathy
Diagnosis, treatment, and prognosis
Peripartum cardiomyopathy
Signs and symptoms
Diagnosis
Treatment
Prognosis
Management of anesthesia
Secondary cardiomyopathies with restrictive physiology
Signs and symptoms
Diagnosis
Treatment and prognosis
Management of anesthesia
Cor pulmonale
Pathophysiology
Signs and symptoms
Diagnosis
Treatment
Prognosis
Management of anesthesia
Key points
Resources
017 - 11 - Pericardial disease and cardiac trauma
11 Pericardial disease and cardiac trauma
Introduction
Pericardial structure and function
Congenital abnormalities
Pericarditis
Diagnosis
Treatment
Postcardiac injury syndromes
Pericardial effusion and tamponade
Etiology
Pathophysiology
Diagnosis
Echocardiographic imaging in pericardial effusion and tamponade
Hemopericardium
Treatment
Management of anesthesia
Constrictive pericarditis
Pathophysiology
Diagnosis
Treatment
Management of anesthesia
Cardiac trauma
Blunt cardiac injuries
Diagnosis
Treatment
Commotio cordis
Penetrating cardiac trauma
Aortic injuries
Diagnosis
Treatment
Key points
Resources
018 - 12 - Vascular disease
12 Vascular disease
Diseases of the thoracic and abdominal aorta
Aneurysms and dissections of the thoracic and abdominal aorta
Incidence
Etiology
Classification
Signs and symptoms
Diagnosis
Medical management of aortic aneurysms
Preoperative evaluation
Indications for surgery
Rupture of abdominal aortic aneurysm
Aortic dissections
Type a dissection.
Ascending aorta.
Aortic arch.
Type b dissection
Descending thoracic aorta.
Unique risks of surgery
Surgical approach.
Anterior spinal artery syndrome.
Spinal cord blood supply.
Risk factors.
Hemodynamic responses to aortic cross clamping.
Hemodynamic responses to aortic unclamping.
Management of anesthesia
Monitoring blood pressure
Monitoring neurologic function
Monitoring cardiac function
Monitoring intravascular volume and renal function
Induction and maintenance of anesthesia
Postoperative management
Endovascular aortic aneurysm repair
Complications
Anesthetic management
Postoperative management
Reboa (resuscitative endovascular balloon occlusion of the aorta)
Carotid artery disease and stroke
Epidemiology and risk factors
Cerebrovascular anatomy
Diagnostic tests
Treatment of stroke
Carotid endarterectomy
Preoperative evaluation
Management of anesthesia
Postoperative management and complications
Endovascular treatment of carotid disease
Peripheral arterial disease
Chronic arterial insufficiency
Risk factors
Signs and symptoms
Diagnosis
Treatment
Management of anesthesia
Postoperative management
Subclavian steal syndrome
Coronary-subclavian steal syndrome
Acute arterial occlusion
Signs and symptoms
Diagnosis
Treatment
Management of anesthesia
Raynaud phenomenon
Diagnosis
Treatment
Management of anesthesia
Peripheral venous disease
Superficial thrombophlebitis and deep vein thrombosis
Prevention of venous thromboembolism
Clinical risk factors.
Regional anesthesia.
Treatment of deep vein thrombosis
Complications of anticoagulation.
Systemic vasculitis
Temporal (giant cell) arteritis
Thromboangiitis obliterans (buerger disease)
Signs and symptoms
Treatment
Management of anesthesia
Polyarteritis nodosa
Lower extremity chronic venous disease
Key points
Resources
019 - 13 - Diseases affecting the brain
13 Diseases affecting the brain
Cerebral physiology
Cerebral blood flow, blood volume, and metabolism
Arterial carbon dioxide partial pressure
Arterial oxygen partial pressure
Cerebral perfusion pressure and cerebral autoregulation
Cerebral venous blood pressure
Anesthetic drugs
Increased intracranial pressure
Methods to decrease intracranial pressure
Specific causes of increased intracranial pressure
Aqueductal stenosis
Benign intracranial hypertension
Normal pressure hydrocephalus
Spontaneous intracranial hypotension
Intracranial tumors
Specific brain tumor classes
Astrocytoma
Oligodendroglioma
Ependymoma
Primitive neuroectodermal tumor
Meningioma
Pituitary tumor
Acoustic neuroma
Central nervous system lymphoma
Metastatic tumor
Management of anesthesia
Preoperative management
Induction of anesthesia
Maintenance of anesthesia
Fluid therapy
Monitoring
Postoperative management
Sitting position and venous air embolism
Disorders related to vegetative brain function
Coma
Management of anesthesia
Brain death and organ donation
Management of anesthesia
Cerebrovascular disease
Cerebrovascular anatomy
Acute ischemic stroke
Management of acute ischemic stroke
Management of anesthesia for ischemic stroke revascularization
Perioperative and periprocedural stroke
Acute hemorrhagic stroke
Intraparenchymal hemorrhage
Epidural hematoma
Subdural hematoma
Subarachnoid hemorrhage and intracranial aneurysms
Management of anesthesia.
Arteriovenous malformation
Venous angioma
Cavernous angioma
Capillary telangiectasia
Arteriovenous fistula
Management of anesthesia
Moyamoya disease
Management of anesthesia
Traumatic brain injury
Management of anesthesia
Congenital anomalies of the brain
Chiari malformation
Tuberous sclerosis
Von hippel–lindau disease
Neurofibromatosis
Degenerative diseases of the brain
Alzheimer disease
Parkinson disease
Huntington disease
Torticollis
Transmissible spongiform encephalopathies
Multiple sclerosis
Postpolio sequelae
Seizure disorders
Status epilepticus
Perioperative neurocognitive disorders
Neuroocular disorders
Leber optic atrophy
Retinitis pigmentosa
Kearns-sayer syndrome
Ischemic optic neuropathy
Anterior ischemic optic neuropathy
Posterior ischemic optic neuropathy
Cortical blindness
Retinal artery occlusion
Ophthalmic venous obstruction
Key points
Resources
020 - 14 - Disorders of the spine and spinal cord
14 Disorders of the spine and spinal cord
Anatomy of the vertebral column and spinal cord
Spinal cord injury
Acute spinal cord injury
Management of anesthesia
Chronic spinal cord injury
Management of anesthesia
Autonomic hyperreflexia
Elective spine surgery
Indications for elective spine surgery
Disk disease
Spondylosis and spondylolisthesis
Scoliosis
Spinal cord tumors
Management of anesthesia
Congenital anomalies and degenerative diseases of the vertebral column
Spina bifida occulta
Meningocele and myelomeningocele
Tethered spinal cord syndrome
Syringomyelia
Amyotrophic lateral sclerosis
Friedreich ataxia
Key points
Resources
021 - 15 - Diseases of the autonomic and peripheral nervous systems
15 Diseases of the autonomic and peripheral nervous systems
Introduction
Overview of the autonomic nervous system
Autonomic nervous system disorders
Multiple system atrophy
Management of anesthesia
Postural orthostatic tachycardia syndrome
Management of anesthesia
Paraganglioma
Management of anesthesia
Carotid sinus hypersensitivity
Management of anesthesia
Hyperhidrosis
Management of anesthesia
Paroxysmal sympathetic hyperactivity
Management of anesthesia
Familial dysautonomia
Management of anesthesia
Diseases of the peripheral nervous system
Idiopathic facial paralysis (bell palsy)
Trigeminal neuralgia (tic douloureux)
Glossopharyngeal neuralgia
Management of anesthesia
Charcot-marie-tooth disease
Management of anesthesia
Brachial plexus neuropathy
Guillain-barré syndrome (acute idiopathic polyneuritis)
Management of anesthesia
Entrapment neuropathies
Carpal tunnel syndrome
Ulnar neuropathy
Meralgia paresthetica
Complex regional pain syndrome
Management of anesthesia
Diseases associated with peripheral neuropathies
Diabetes mellitus
Alcohol abuse
Vitamin b12 deficiency
Uremia
Cancer
Collagen vascular diseases
Sarcoidosis
Acquired immunodeficiency syndrome–associated neuropathy
Perioperative peripheral neuropathies
Key points
Resources
022 - 16 - Diseases of the liver and biliary tract
16 Diseases of the liver and biliary tract
Epidemiology
Functions of the liver
Liver anatomy
Assessment of liver function
Diseases of the biliary tract
Biliary tract anatomy
Cholelithiasis
Choledocholithiasis
Hyperbilirubinemia
Gilbert syndrome
Crigler-najjar syndrome
Benign postoperative intrahepatic cholestasis
Hepatitis
Viral hepatitis
Covid-19
Alcohol-associated liver disease
Nonalcoholic fatty liver disease
Autoimmune hepatitis
Drug-induced liver injury
Inborn errors of metabolism
Wilson disease
α1-antitrypsin deficiency
Hemochromatosis
Primary biliary cholangitis
Primary sclerosing cholangitis
Cardiac causes of liver disease
Acute liver failure (formerly fulminant hepatic failure)
Cirrhosis
Portal hypertension
Ascites and spontaneous bacterial peritonitis
Varices
Hepatic encephalopathy
Hepatorenal syndrome
Hepatopulmonary syndrome
Portopulmonary hypertension
Anesthesia for patients with liver disease
Abnormal liver chemistry in the surgical patient
Procedures and operations for liver disease
Transjugular intrahepatic portosystemic shunt
Partial hepatectomy
Liver transplantation
Key points
Resources
023 - 17 - Diseases of the gastrointestinal system
17 Diseases of the gastrointestinal system
Procedures to evaluate and treat diseases of the gastrointestinal system
Upper gastrointestinal endoscopy
Colonoscopy
Other diagnostic tools
Diseases of the esophagus
Symptoms of esophageal disease
Esophageal motility disorders
The chicago classification
Achalasia
Treatment.
Anesthetic concerns.
Distal esophageal spasm
Esophageal structural disorders
Esophageal diverticula
Hiatal hernia
Esophageal tumors
Esophagectomy.
Morbidity and mortality.
Anesthetic implications.
Gastroesophageal reflux disease
Pathophysiology of gerd
Complications of gerd
Treatment
Perioperative management and anesthetic considerations
Peptic ulcer disease
Helicobacter pylori
Complications
Bleeding
Perforation
Obstruction
Gastric ulcer
Stress gastritis
Treatment
Antacids
H2-receptor antagonists
Proton pump inhibitors
Prostaglandin analogues
Cytoprotective agents
Miscellaneous drugs
Treatment of helicobacter pylori infection
Surgical treatment
Zollinger-ellison syndrome
Pathophysiology
Treatment
Management of anesthesia
Postgastrectomy syndromes
Dumping
Alkaline reflux gastritis
Inflammatory bowel disease
Ulcerative colitis
Complications
Crohn disease
Treatment of inflammatory bowel disease
Surgical treatment
Medical treatment

备用描述

A valuable resource for anesthesia providers at all levels of training and practice, Stoelting's Anesthesia and Co-Existing Disease, 8th Edition, provides concise, thorough coverage of pathophysiology of the most common diseases and their medical management relevant to anesthesia. Noted authority Dr. Roberta L. Hines and new editor Dr. Stephanie Jones lead a stellar team of contributing authors who provide clear, detailed guidance on successfully managing or avoiding complications stemming from pre-existing conditions.<ul> <li> <p>Presents detailed discussions of common diseases, as well as highlights of more rare diseases and their unique features that could be of importance in the perioperative period. </p></li> <li> <p>Includes the latest practice guidelines, easy-to-follow treatment algorithms, bulleted key points, and more. </p></li> <li> <p>Contains two new chapters on Nutritional Diseases: Obesity and Malnutrition and Chronic Pain, and significantly revised content on valvular heart disease, heart failure and cardiomyopathies, pericardial disease and cardiac trauma, endocrine disease, diseases of aging, pregnancy-associated diseases, and more. </p></li> <li> <p>Features abundant figures, tables, diagrams, and photos that provide fast access to the most pertinent aspects of every condition and clarify critical points regarding management. </p></li> <li> <p>Examines specific anesthesia considerations for special patient populations, including pediatric, obstetric, and elderly patients. </p></li> <li> <p>Ideal for anesthesiologists in practice and for anesthesia residents in training and preparing for boards.</p></li></ul>

开源日期

2022-06-11