Happily, despite a plethora of authors, there is a strong sense of narrative unity that is rare in a medical text.
Philadelphia, Lippincott Williams Wilkins, 1999.Jaffe empowers the rtkvhda sys driver update anesthesia provider to speak clearly, directly, and with proper terminology to those over the drapes.In sum, this is a book that is not just meant to be readit can actually be used!Each procedure, over the bite-sized course of a few pages, is finally split into two parts: surgical considerations and anesthetic considerations.To paraphrase Donald Rumsfeld, there are three types of procedures: those I know I have done; those I know I have not done; and those I have not done and do not even know exist.For my own practice, of course, it is the sections on anesthetic considerations that have proved most useful.In my view, it would be suitable for all levels of anesthesia providers including residents, certified registered nurse anesthetists, and attending anesthesiologists; it also could be a valuable resource for our surgical colleagues to better understand our special concerns regarding certain procedures or patient populations.In keeping with the previous editions, this book has 15 chapters, each of which covers a major surgical specialty (neurosurgery, thoracic, etc.To prepare for my first operating room day as a first-year clinical anesthesia resident, I looked up each of the patients on the schedule, and, in keeping with my training from intern year, did a thorough preoperative assessment before calling my attending.
I recognize that I do not yet have a plan for every case I will encounter as an anesthesiologist.The book explains each procedure from both the surgeon and anesthesiologist perspectives, presents details on anesthetic technique, and guides the anesthesiologist and surgeon through the decisions that must be made before, during, and after surgery.This practical reference is a comprehensive guide to the anesthetic and perioperative management of patients before and during all procedures performed by general and subspecialist surgeons requiring anesthetic management.For one, there are now 316 additional pages, which afford room for updated techniques, such as robotic surgery.Luckily I discovered (or, rather, was variously advised and prodded by innumerable senior residents and attendings to discover) Jaffes.Although older attendings may never look past the roughly eight-pound hardcopy, the digital platform provides exactly the sort of portability and manipulability that the current and upcoming generations of anesthesiology trainees seek.Chapters in the book are classified by surgical subspecialties with descriptions of individual surgical procedures in each chapter, starting with techniques by surgical subspecialists, including the position, incision site, special instrumentation, estimated blood loss, surgical time, and common surgical complications and their incidence.It achieves the rare didactic feat of enriching what you know while also deeply shaping how you think about what you know.) and is further broken down into related groups of procedures (.e., the general surgery section is divided into esophageal, stomach, intestinal, and so on).This book is a true collaborative contribution from surgeons and anesthesiologists.In addition to being revised with surgical techniques and anesthetic considerations, the authors added several new chapters and sections, such as surgery for epilepsy, reconstructive operations for sleep disorder, minimally invasive (off-pump) coronary bypass surgery, an entire chapter of laparoscopic operations, expanded coverage for emergency.I was wondering how I could absorb what appeared to be an overwhelming amount of information overnight, and could clearly have benefited from this book.I still remember the first time I read this book, preparing for an in-training exam, after I was given a stack of references from my attending physician to familiarize myself with various surgical procedures and their anesthetic implications.This is followed by the subspecialty anesthesiologists description of anesthetic considerations for this type of surgery, including preoperative evaluation (systemic implications of the disease process, special concerns, necessary preoperative laboratory tests, and premedications intraoperative management (divided into induction, maintenance, emergence, and some special considerations such.The cited references certainly would help those wishing to know more in-depth information about the procedures.This is an excellent reference book and covers almost all aspects of surgical procedures and anesthetic considerations.
Emphasis is on factors that impact the anesthesiologist, including patient positioning, duration of surgery, and complications.