Gain a thorough understanding of nursing anesthesia with the most comprehensive text on the market. Written by leading expert, John Nagelhout, CRNA, PhD, FAAN, and new contributing author Sass Elisha, EdD, CRNA, Nurse Anesthesia, 6th Edition features both scientific principles and evidence-based material. Inside you’ll find a solid introduction to the history, education, and legal issues of nurse anesthetist, its scientific foundations, equipment and monitoring, and preoperative evaluation and preparation of the patient. This new edition includes chapters on patient centered care and cultural competence, additional drugs of interest, blood and blood component therapy, anesthesia management for patients with cardiac devices, anesthesia for robotic surgery, anesthesia for transplant surgery and organ procurement, and physiology and management of acute and chronic pain. Not only a key reference for practicing nurse anesthetists, this bestseller prepares you for certification and today's clinical anesthesia practice.
1. Cover image - p. i 2. Title Page - p. i 3. Table of Contents - p. i 4. Copyright - p. ii 5. Contributors - p. iii 6. Reviewers - p. vi 7. Foreword - p. viii 8. Preface - p. ix 9. Acknowledgments - p. x 10. Unit I Professional Issues - p. x 11. 1 Nurse Anesthesia - p. 1 12. 2 Nurse Anesthesia Specialty Practice and Education in the United States - p. 15 13. 3 Patient Centered Care, Cultural Competence, and Nurse Anesthesia Practice - p. 20 14. Unit II Scientific Foundations - p. 25.e2 15. 4 Nurse Anesthesia Research - p. 27 16. 5 General Principles, Pharmacodynamics, and Drug Receptor Concepts - p. 48 17. 6 Pharmacokinetics - p. 57 18. 7 Pharmacokinetics of Inhalation Anesthetics - p. 73 19. 8 Inhalation Anesthetics - p. 80 20. 9 Intravenous Induction Agents - p. 93 21. 10 Local Anesthetics - p. 110 22. 11 Opioid and Non-opioid Analgesics - p. 128 23. 12 Neuromuscular Blocking Agents, Reversal Agents, and Their Monitoring - p. 140 24. 13 Autonomic and Cardiac Pharmacology - p. 165 25. 14 Additional Drugs of Interest - p. 190 26. 15 Chemistry and Physics of Anesthesia - p. 201 27. Unit III Technology Related to Anesthesia Practice - p. 227.e2 28. 16 Anesthesia Equipment - p. 229 29. Organization of the Anesthesia Gas Machine - p. 229 30. Supply - p. 231 31. Processing - p. 237 32. Delivery - p. 247 33. Disposal - p. 264 34. Risk Management - p. 265 35. Summary - p. 271 36. References - p. 271.e1 37. 17 Clinical Monitoring I - p. 272 38. 18 Clinical Monitoring II - p. 290 39. 19 Clinical Monitoring III - p. 300 40. Unit IV Preoperative Preparation - p. 310.e1 41. 20 Preoperative Evaluation and Preparation of the Patient - p. 311 42. Preanesthesia Assessment Clinic - p. 311 43. Chart Review - p. 312 44. Patient Interview - p. 312 45. Patient Evaluation: Overview of Systems - p. 317 46. Diagnostic Testing - p. 340 47. Fasting Considerations - p. 342 48. American Society of Anesthesiologists Physical Status Classification System - p. 343 49. Preventing Operative Errors - p. 344 50. Summary - p. 344 51. References - p. 345.e1 52. Unit V Intraoperative Management - p. 345.e5 53. 21 Fluid Administration, Perioperative Goal-Directed Fluid Therapy, and Electrolyte Disorders - p. 347 54. 22 Blood and Blood Component Therapy - p. 369 55. 23 Positioning for Anesthesia and Surgery - p. 380 56. 24 Airway Management - p. 397 57. Anatomy and Physiology of the Airway - p. 397 58. Airway Evaluation - p. 400 59. Tracheal Intubation - p. 410 60. Management of the Difficult and Failed Airway - p. 410 61. Airway Blocks - p. 417 62. Cricoid Pressure - p. 420 63. Adjunct Airway Equipment and Techniques - p. 421 64. Tracheal Extubation - p. 434 65. Complications of Airway Management - p. 438 66. Summary - p. 440 67. References - p. 440.e1 68. 25 Cardiovascular Anatomy, Physiology, Pathophysiology, and Anesthesia Management - p. 441 69. Cardiovascular System - p. 441 70. Vascular System - p. 455 71. Hypertension - p. 462 72. Mitral Stenosis - p. 467 73. Mitral Regurgitation and Insufficiency - p. 468 74. Aortic Stenosis - p. 470 75. Aortic Insufficiency - p. 472 76. Mitral Valve Prolapse - p. 473 77. Cardiomyopathy - p. 474 78. Summary - p. 478 79. References - p. 478.e1 80. 26 Anesthesia for Cardiac Surgery - p. 479 81. Anesthetic Management of General Cardiac Surgery - p. 479 82. Anesthetic Considerations for Specific Cardiac Diseases and Surgical Procedures - p. 501 83. Summary - p. 524 84. References - p. 524.e1 85. 27 Perioperative Management of Cardiac Implantable Electronic Devices - p. 525 86. 28 Anesthesia for Vascular Surgery - p. 535 87. 29 Respiratory Anatomy, Physiology, Pathophysiology, and Anesthetic Management - p. 563 88. Anatomy and Physiology of the Respiratory System - p. 563 89. Respiratory System Pathology - p. 580 90. References - p. 623.e1 91. 30 Anesthesia for Thoracic Surgery - p. 624 92. 31 Neuroanatomy, Neurophysiology, and Neuroanesthesia - p. 645 93. Organization of the Central Nervous System - p. 645 94. Anatomy of the Central Nervous System - p. 646 95. Peripheral Nervous System - p. 649 96. Vasculature of the Central Nervous System - p. 651 97. Electrophysiology - p. 652 98. Neurotransmitters - p. 653 99. Sensory Pathways - p. 655 100. Motor Pathways - p. 657 101. Neuroanesthesia - p. 658 102. Intracranial Pressure - p. 661 103. Neurophysiologic Monitoring - p. 664 104. Anesthetic Considerations for Specific Procedures - p. 666 105. Summary - p. 681 106. References - p. 681.e1 107. 32 Renal Anatomy, Physiology, Pathophysiology, and Anesthesia Management - p. 682 108. 33 Hepatobiliary and Gastrointestinal Disturbances and Anesthesia - p. 709 109. Liver Disease - p. 709 110. Diseases of the Biliary Tract - p. 720 111. Diseases of the Esophagus - p. 722 112. Diseases of the Stomach - p. 723 113. Pancreatic Disease - p. 727 114. Diseases of the Intestinal Tract - p. 731 115. Splenic Disease - p. 738 116. Carcinoid Tumors and Carcinoid Syndrome - p. 740 117. Summary - p. 742 118. References - p. 742.e1 119. 34 Anesthesia for Laparoscopic Surgery - p. 743 120. 35 Anesthesia for Robotic Surgery - p. 752 121. 36 Musculoskeletal System Anatomy, Physiology, Pathophysiology, and Anesthesia Management - p. 760 122. 37 The Endocrine System and Anesthesia - p. 782 123. General Principles of Endocrine Physiology - p. 782 124. Pituitary Gland - p. 784 125. Parathyroid Gland - p. 790 126. Pancreas - p. 795 127. Diabetes Mellitus - p. 798 128. Adrenal Glands - p. 805 129. Thyroid Gland - p. 816 130. Summary - p. 822 131. References - p. 822.e1 132. 38 Hematology and Anesthesia - p. 823 133. 39 Thermal Injury and Anesthesia - p. 843 134. 40 Trauma Anesthesia - p. 855 135. 41 Anesthesia for Organ Transplantation - p. 871 136. 42 Outpatient Anesthesia - p. 889 137. 43 Anesthesia for Ear, Nose, Throat, and Maxillofacial Surgery - p. 904 138. 44 Anesthesia for Ophthalmic Procedures - p. 925 139. 45 Anesthesia for Orthopedics and Podiatry - p. 946 140. 46 The Immune System and Anesthesia - p. 959 141. 47 Anesthesia and Laser Surgery - p. 983 142. 48 Obesity and Anesthesia Practice - p. 998 143. 49 Regional Anesthesia - p. 1015 144. 50 Regional Anesthesia - p. 1042 145. 51 Obstetric Anesthesia - p. 1064 146. 52 Neonatal Anesthesia - p. 1092 147. 53 Pediatric Anesthesia - p. 1117 148. 54 Geriatrics and Anesthesia Practice - p. 1136 149. 55 Postanesthesia Recovery - p. 1147 150. 56 Acute Pain - p. 1167 151. 57 Chronic Pain - p. 1183 152. 58 Nonoperating Room Anesthesia - p. 1194 153. 59 Anesthesia Complications - p. 1216 154. Index - p. 1235
Gain a thorough understanding of nursing anesthesia with the most comprehensive text on the market. Written by leading expert, John Nagelhout, CRNA, PhD, FAAN, and new contributing author Sass Elisha, EdD, CRNA, Nurse Anesthesia, 6th Edition features both scientific principles and evidence-based material. Inside you’ll find a solid introduction to the history, education, and legal issues of nurse anesthetist, its scientific foundations, equipment and monitoring, and preoperative evaluation and preparation of the patient. This new edition includes chapters on patient centered care and cultural competence, additional drugs of interest, blood and blood component therapy, anesthesia management for patients with cardiac devices, anesthesia for robotic surgery, anesthesia for transplant surgery and organ procurement, and physiology and management of acute and chronic pain. Not only a key reference for practicing nurse anesthetists, this bestseller prepares you for certification and today's clinical anesthesia practice.
1. Cover image - p. i 2. Title Page - p. i 3. Table of Contents - p. i 4. Copyright - p. ii 5. Contributors - p. iii 6. Reviewers - p. vi 7. Foreword - p. viii 8. Preface - p. ix 9. Acknowledgments - p. x 10. Unit I Professional Issues - p. x 11. 1 Nurse Anesthesia - p. 1 12. 2 Nurse Anesthesia Specialty Practice and Education in the United States - p. 15 13. 3 Patient Centered Care, Cultural Competence, and Nurse Anesthesia Practice - p. 20 14. Unit II Scientific Foundations - p. 25.e2 15. 4 Nurse Anesthesia Research - p. 27 16. 5 General Principles, Pharmacodynamics, and Drug Receptor Concepts - p. 48 17. 6 Pharmacokinetics - p. 57 18. 7 Pharmacokinetics of Inhalation Anesthetics - p. 73 19. 8 Inhalation Anesthetics - p. 80 20. 9 Intravenous Induction Agents - p. 93 21. 10 Local Anesthetics - p. 110 22. 11 Opioid and Non-opioid Analgesics - p. 128 23. 12 Neuromuscular Blocking Agents, Reversal Agents, and Their Monitoring - p. 140 24. 13 Autonomic and Cardiac Pharmacology - p. 165 25. 14 Additional Drugs of Interest - p. 190 26. 15 Chemistry and Physics of Anesthesia - p. 201 27. Unit III Technology Related to Anesthesia Practice - p. 227.e2 28. 16 Anesthesia Equipment - p. 229 29. Organization of the Anesthesia Gas Machine - p. 229 30. Supply - p. 231 31. Processing - p. 237 32. Delivery - p. 247 33. Disposal - p. 264 34. Risk Management - p. 265 35. Summary - p. 271 36. References - p. 271.e1 37. 17 Clinical Monitoring I - p. 272 38. 18 Clinical Monitoring II - p. 290 39. 19 Clinical Monitoring III - p. 300 40. Unit IV Preoperative Preparation - p. 310.e1 41. 20 Preoperative Evaluation and Preparation of the Patient - p. 311 42. Preanesthesia Assessment Clinic - p. 311 43. Chart Review - p. 312 44. Patient Interview - p. 312 45. Patient Evaluation: Overview of Systems - p. 317 46. Diagnostic Testing - p. 340 47. Fasting Considerations - p. 342 48. American Society of Anesthesiologists Physical Status Classification System - p. 343 49. Preventing Operative Errors - p. 344 50. Summary - p. 344 51. References - p. 345.e1 52. Unit V Intraoperative Management - p. 345.e5 53. 21 Fluid Administration, Perioperative Goal-Directed Fluid Therapy, and Electrolyte Disorders - p. 347 54. 22 Blood and Blood Component Therapy - p. 369 55. 23 Positioning for Anesthesia and Surgery - p. 380 56. 24 Airway Management - p. 397 57. Anatomy and Physiology of the Airway - p. 397 58. Airway Evaluation - p. 400 59. Tracheal Intubation - p. 410 60. Management of the Difficult and Failed Airway - p. 410 61. Airway Blocks - p. 417 62. Cricoid Pressure - p. 420 63. Adjunct Airway Equipment and Techniques - p. 421 64. Tracheal Extubation - p. 434 65. Complications of Airway Management - p. 438 66. Summary - p. 440 67. References - p. 440.e1 68. 25 Cardiovascular Anatomy, Physiology, Pathophysiology, and Anesthesia Management - p. 441 69. Cardiovascular System - p. 441 70. Vascular System - p. 455 71. Hypertension - p. 462 72. Mitral Stenosis - p. 467 73. Mitral Regurgitation and Insufficiency - p. 468 74. Aortic Stenosis - p. 470 75. Aortic Insufficiency - p. 472 76. Mitral Valve Prolapse - p. 473 77. Cardiomyopathy - p. 474 78. Summary - p. 478 79. References - p. 478.e1 80. 26 Anesthesia for Cardiac Surgery - p. 479 81. Anesthetic Management of General Cardiac Surgery - p. 479 82. Anesthetic Considerations for Specific Cardiac Diseases and Surgical Procedures - p. 501 83. Summary - p. 524 84. References - p. 524.e1 85. 27 Perioperative Management of Cardiac Implantable Electronic Devices - p. 525 86. 28 Anesthesia for Vascular Surgery - p. 535 87. 29 Respiratory Anatomy, Physiology, Pathophysiology, and Anesthetic Management - p. 563 88. Anatomy and Physiology of the Respiratory System - p. 563 89. Respiratory System Pathology - p. 580 90. References - p. 623.e1 91. 30 Anesthesia for Thoracic Surgery - p. 624 92. 31 Neuroanatomy, Neurophysiology, and Neuroanesthesia - p. 645 93. Organization of the Central Nervous System - p. 645 94. Anatomy of the Central Nervous System - p. 646 95. Peripheral Nervous System - p. 649 96. Vasculature of the Central Nervous System - p. 651 97. Electrophysiology - p. 652 98. Neurotransmitters - p. 653 99. Sensory Pathways - p. 655 100. Motor Pathways - p. 657 101. Neuroanesthesia - p. 658 102. Intracranial Pressure - p. 661 103. Neurophysiologic Monitoring - p. 664 104. Anesthetic Considerations for Specific Procedures - p. 666 105. Summary - p. 681 106. References - p. 681.e1 107. 32 Renal Anatomy, Physiology, Pathophysiology, and Anesthesia Management - p. 682 108. 33 Hepatobiliary and Gastrointestinal Disturbances and Anesthesia - p. 709 109. Liver Disease - p. 709 110. Diseases of the Biliary Tract - p. 720 111. Diseases of the Esophagus - p. 722 112. Diseases of the Stomach - p. 723 113. Pancreatic Disease - p. 727 114. Diseases of the Intestinal Tract - p. 731 115. Splenic Disease - p. 738 116. Carcinoid Tumors and Carcinoid Syndrome - p. 740 117. Summary - p. 742 118. References - p. 742.e1 119. 34 Anesthesia for Laparoscopic Surgery - p. 743 120. 35 Anesthesia for Robotic Surgery - p. 752 121. 36 Musculoskeletal System Anatomy, Physiology, Pathophysiology, and Anesthesia Management - p. 760 122. 37 The Endocrine System and Anesthesia - p. 782 123. General Principles of Endocrine Physiology - p. 782 124. Pituitary Gland - p. 784 125. Parathyroid Gland - p. 790 126. Pancreas - p. 795 127. Diabetes Mellitus - p. 798 128. Adrenal Glands - p. 805 129. Thyroid Gland - p. 816 130. Summary - p. 822 131. References - p. 822.e1 132. 38 Hematology and Anesthesia - p. 823 133. 39 Thermal Injury and Anesthesia - p. 843 134. 40 Trauma Anesthesia - p. 855 135. 41 Anesthesia for Organ Transplantation - p. 871 136. 42 Outpatient Anesthesia - p. 889 137. 43 Anesthesia for Ear, Nose, Throat, and Maxillofacial Surgery - p. 904 138. 44 Anesthesia for Ophthalmic Procedures - p. 925 139. 45 Anesthesia for Orthopedics and Podiatry - p. 946 140. 46 The Immune System and Anesthesia - p. 959 141. 47 Anesthesia and Laser Surgery - p. 983 142. 48 Obesity and Anesthesia Practice - p. 998 143. 49 Regional Anesthesia - p. 1015 144. 50 Regional Anesthesia - p. 1042 145. 51 Obstetric Anesthesia - p. 1064 146. 52 Neonatal Anesthesia - p. 1092 147. 53 Pediatric Anesthesia - p. 1117 148. 54 Geriatrics and Anesthesia Practice - p. 1136 149. 55 Postanesthesia Recovery - p. 1147 150. 56 Acute Pain - p. 1167 151. 57 Chronic Pain - p. 1183 152. 58 Nonoperating Room Anesthesia - p. 1194 153. 59 Anesthesia Complications - p. 1216 154. Index - p. 1235
