Anesthesia Unplugged, Second Edition

Christopher Gallagher, MD Associate Professor, Department of Anesthesiology, State University of New York at Stony Brook, Stony Brook, New York

PART I VENOUS ACCESS 1 PERIPHERAL INTRAVENOUS (IV) ACCESS2 THE INTERNAL JUGULAR (IJ) LINE3 SUBCLAVIAN VEIN CATHETERIZATION4 CENTRAL VENOUS ACCESS IN THE PEDIATRIC PATIENT 5 FEMORAL VENOUS ACCESS—THE THUNDER DOWN UNDER: THE FEMORAL VEIN 6 PICC LINES—JUST REALLY, REALLY LONG IVS PART II ARTERIAL ACCESS7 THE RADIAL A-LINE: A VERSATILE AND ESSENTIAL TOOL8 THE BRACHIAL A-LINE9 STAND BY ME: THE FEMORAL ARTERIAL LINE 10 THE BEAT-TO-BEAT FAUCET DOWN YONDER: THE PEDAL A-LINEPART III AIRWAY11 MASK VENTILATION: THE MASK OF ZORRO12 “GOODNIGHT, SLEEP TIGHT”: SETUP AND MASK INDUCTION FOR PEDIATRIC PATIENTS 13 LARYNGEAL MASK AIRWAY AND OTHER SUPRAGLOTTIC AIRWAY DEVICES14 LARYNGOSCOPY15 AWAKE INTUBATION16 WHIZ-BANG INTUBATION GIZMOS17 FIRE! FIRE! IN THE OPERATING ROOM 18 KIDDIE AIRWAY19 SURGICAL AIRWAY20 SMOOTH AWAKENING21 SHOW ME THE MYCOBACTERIUM!—TB PROTECTION 22 INTUBATIONS OUTSIDE THE OPERATING ROOM23 NASOGASTRIC TUBE PLACEMENT: THE AGONY AND THE ECSTASY PART IV BACK 24 SPINAL ANESTHESIA25 EPIDURAL, LUMBAR26 THORACIC EPIDURALS—WHAT’S THE BIG DEAL?27 MENDING FENCES—THE BLOOD PATCH 28 KIDDIE CAUDAL EPIDURAL AND PENILE BLOCKS29 BLADDER EXSTROPHY—KIDDIE CAUDAL WITH TUNNELPART V REGIONAL30 REGIONAL BLOCK OF THE UPPER EXTREMITY 31 LOWER EXTREMITY NERVE BLOCKS 32 ABDOMINAL PAIN BE GONE: THE TAP BLOCK 33NERVE BLOCKS FOR ABDOMINAL SURGERY34 PERIPHERAL NERVE CATHETERS—COMFORTABLY NUMB35 KIDDIE NERVE BLOCKS36 CHRONIC PAIN BLOCKS37 INSIGHTS ON OPHTHALMIC ANESTHESIAPART VI CHEST38 “THE LUNG’S NOT DOWN, YOU IDIOT!”— LUNG ISOLATION 39 PACING: “KEEPING THE PACE” 40 TEE LOOK! IT’S A BIRD…IT’S A PLANE…NO, IT’S TEE MAN! 41 THE SWAN SONG 42 ANESTHESIA FOR THE CARDIAC CATHETERIZATION LAB 43 PORT ACCESS SURGERY: ALL FEAR MINIMUS MAXIMUS—MINIMALLY INVASIVE PORT ACCESS HEART SURGERYPART VII BRAINIACS44 ICP MONITORING45 CEREBRAL OXIMETRY—BRAIN POWER46 MRI—DO’S AND DONUTSPART VIII ROOMSMANSHIP47 GETTING STARTED48 ROOMSMANSHIP 49 POSITIONING 101 50 HANDOFF IN THE OR 51 DON’T DROP THE BALL: A STANDARDIZED HANDOFF 52 ANESTHESIA INFORMATION MANAGEMENT SYSTEMS: GEEK SQUAD TO THE OR STAT! 53 DECODING SURGEON SPEAKPART IX FAR FROM THE MADDENING CROWD54 PREADMISSION TESTING 55 OFF-SITE ANESTHESIA 56 TRANSPORTING A PATIENT, OR DON’T GET CAUGHT IN THE ELEVATOR UNPREPARED 57 INTENSIVE CARE UNIT58 HIGHWAY TO THE DANGER ZONE: HAZMAT59 SIMULATION60 FIGHTING AN UPHILL BATTLE: ANESTHESIA FOR THE OBESE PATIENT AND WEIGHT-LOSS SURGERY INDEX