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Should Recent Clinical Trials Change Perioperative Management in Patients with Cardiac Risk Factors?
Pages 3-6
This text covers the major controversies and "myths" in each of the major anesthesia subspecialties. You're Wrong, I'm Right is designed to be an easy and engaging evidence based read that offers the fast-paced give-and-take of a debate between two experts at the top of their game--capturing their full argument, including expressions of humor and displays of temper. Each point of contention begins with a real case, carefully selected to encapsulate the argument. One author then argues the "pro" side and another the "con." Sometimes a single author may argue both sides. In doing so, the authors highlight the newest evidence and remind us of classic principles that have stood the test of time. At the end of the debate, readers can determine which argument they will use in their clinical practice, and may also consult a final "Consensus” section that identifies the editors' and contributors' "picks" of the one best practice in a range of different situations.
Should Recent Clinical Trials Change Perioperative Management in Patients with Cardiac Risk Factors?
Pages 3-6
Should Real-Time Ultrasound Guidance Be Routinely Used for Central Venous Catheter Placement?
Pages 7-9
A Patient with Chronic Kidney Disease Is Coming to the Operating Room for an Emergent Procedure, Which Intravenous Fluid Do You Plan to Give Her?
Pages 11-13
Just Say NO to Nitrous!
Pages 15-17
Closed-Loop Anesthesia: Wave of the Future or No Future?
Pages 19-20
Should Acute Respiratory Distress Syndrome (ARDS) Preventative Ventilation Be Standard in the Adult Operating Room?
Pages 21-22
I Gave Rocuronium 3 Hours Ago, Do I Need to Reverse?
Pages 23-24
How Do You Recognize and Treat Perioperative Anaphylaxis?
Pages 25-27
Is Monitored Anesthesia Care (MAC) Safe for All Cases?
Pages 29-32
Does Electrophysiology Really Have to Reprogram My Patient’s Pacemaker Prior to Electroconvulsive Therapy?
Pages 33-34
When Can Transesophageal and Trans-Thoracic Echocardiography Be Useful in a Non-Cardiac Case?
Pages 35-37
Should Antifibrinolytics Be Used in Patients Undergoing Total Joint Replacements?
Pages 39-41
Will Operating Rooms Run More Efficiently When Anesthesiologists Get Involved in Their Management?
Pages 43-47
Are Outcomes Better for Trauma Patients Who Are Treated Early with Clotting Factors?
Pages 49-52
Should Cerebral Oximetry Be Employed in Morbidly Obese Patients Undergoing Bariatric Surgery?
Pages 53-54
Is Normal Saline Solution the Best Crystalloid for Intravascular Volume Resuscitation?
Pages 55-56
Should Local Anesthesia with Conscious Sedation Be Considered the Standard of Care Over General Anesthesia for Transcatheter Aortic Valve Replacement via the Transfemoral Approach?
Pages 59-62
Should Antiplatelet Therapy Be Stopped Preoperatively in a Patient with Coronary Artery Stents?
Pages 63-66
Is Extubating My Cardiac Surgery Patient Postoperatively in the Operating Room a Good Idea?
Pages 67-69
Is a Pulmonary Artery Catheter Needed If You Have Transesophageal Echocardiography in a Routine Coronary Artery Bypass Grafting?
Pages 71-74
When Should You Transfuse a Patient Who Is Bleeding After Cardiopulmonary Bypass?
Pages 75-78
Neuraxial Versus General Anesthesia in a Patient with Asymptomatic Severe Aortic Stenosis
Pages 79-80
Should High-Risk Cardiac Patients Receive Perioperative Statins?
Pages 81-82
Cardiopulmonary Bypass Cases: To Hemodilute or Not?
Pages 83-84
Are Seizures Really a Problem After the Use of Antifibrinolytics?
Pages 85-86
Is Regional Anesthesia for Cardiac Surgery a Good Idea?
Pages 87-88
Are Surgical and Anesthesia Medical Missions in Low- and Middle-Income Countries Helping or Hurting? The Evolving Fields of Global Anesthesia and Global Surgery
Pages 89-92
Can Oxygenation in Single-Lung Thoracic Surgery Be Affected by Inhibition of Hypoxic Pulmonary Vasoconstriction?
Pages 95-96
Is a Bronchial Blocker Just as Good as a Double-Lumen Tube for Achieving Adequate Lung Isolation?
Pages 97-99
Your Thoracic Epidural is Not Working: How Do You Provide Analgesia Post-thoracotomy?
Pages 101-102
Pediatric Upper Respiratory Infection: You Cancelled the Case and Told the Parents to Reschedule, Right?
Pages 105-108
Does a Low Mean Blood Pressure in the Neonate Under Anesthesia Lead to Cognitive Deficits?
Pages 109-110
Does Rapid Sequence Induction Have a Role in Pediatric Anesthesia?
Pages 111-113
Anesthetic Neurotoxicity: Is Anesthesia Toxic to the Developing Brain? Should I Cancel My Baby’s Surgery?
Pages 115-116
Should an Anxious Parent Be Allowed to Be Present for the Induction of Anesthesia in Her Child?
Pages 117-119
What Is the Role of Premedication in the Pediatric Patient?
Pages 121-123
Presence of Family Members in the Operating Room: Is This Really Helpful?
Pages 125-126
Is It Appropriate for Complicated Pediatric Surgical Patients to Receive Care Outside of Specialized Pediatric Centers?
Pages 127-129
Are the Transfusion Goals for a Premature Infant the Same As for a 7-Year-Old?
Pages 131-132
How Should You Get the Autistic Child into the Operating Room When the Mother Objects to Intramuscular Ketamine?
Pages 133-134
Is “Deep” Extubation Preferable in Patients at Risk for Bronchospasm?
Pages 135-137
What Is the Best Approach to a Pediatric Patient with an Unexplained Intraoperative Cardiac Arrest?
Pages 139-141
Malignant Hyperthermia: “It Certainly Is” Versus “It Certainly Is Not!”
Pages 143-145
Is There a “Right” Drug to Choose When the Blood Pressure Is Low and More Volume Is not the Answer in a Pediatric Patient?
Pages 147-149
Which Is Safer: A Traditional Epidural or a Combined Spinal Epidural?
Pages 153-154
When Should a Patient Undergoing Dilation and Evacuation of Products of Gestation Be Intubated?
Pages 155-156
Two Blood Patches Have Failed. Now What?
Pages 157-159
Should a Spinal Be Used for Surgical Anesthesia After a Failed Labor Epidural?
Pages 161-163
Accidental Dural Puncture: Should an Intrathecal Catheter Be Threaded?
Pages 165-168
Should Intraoperative Cell Salvage Be Used During Cesarean Delivery?
Pages 169-172
Should Damage Control or Traditional Resuscitation Be Used for Abnormal Placentation Cases?
Pages 173-176
Managing the Noncompliant HIV-Positive Mother: A PRO/CON Debate
Pages 177-180
At What Hematocrit Should a Patient Who is Undergoing Craniotomy for Tumor be Transfused?
Pages 183-184
Traumatic Brain Injury: Where Do We Stand with Ketamine and Hyperventilation?
Pages 185-187
Is General Anesthesia or Conscious Sedation More Appropriate for Patients Undergoing Endovascular Clot Retrieval for Acute Ischemic Stroke?
Pages 189-191
Tranexamic Acid for Major Spine Surgery
Pages 193-195
Should Major Spine Surgery Patients Be Extubated in the Operating Room?
Pages 197-199
General Anesthesia for Intra-arterial Stroke Treatment (Endovascular Mechanical Thrombectomy): Still Needed or a Thing of the Past?
Pages 201-203
Is It Better to Perform a Craniotomy for Brain Tumor Resection Awake?
Pages 205-206
Nitrous Oxide in Neuroanesthesia: Does It Have a Place?
Pages 207-208
Should We Treat Hypertension Immediately Before Electroconvulsive Therapy?
Pages 209-211
Viscoelastic Testing in Liver Transplantation
Pages 215-217
Antifibrinolytics in Liver Transplantation
Pages 219-220
Would You Recommend Accepting a “Donation After Cardiac Death” Liver?
Pages 221-223
Should Only Patients Who Are Medically Optimized Receive a Liver Transplant?
Pages 225-227
Is the Model for End-Stage Liver Disease (MELD) Score the Best Way to Evaluate Liver Transplant Patients Preoperatively?
Pages 229-231
A Small Bowel Transplant for a Patient with Scleroderma: Once Again on the Slippery Slope Both Clinically and Ethically
Pages 233-236
Should Steroids Be Used in Septic Shock?
Pages 239-240
Should Extracorporeal Membrane Oxygenation Be Used for the Early Treatment of Acute Respiratory Distress Syndrome?
Pages 241-244
What Is the Most Effective Initial Resuscitation for the Septic Shock Patient?
Pages 245-247
Should Patients with Acute Respiratory Distress Syndrome Be Placed in the Prone Position to Improve Ventilation?
Pages 249-250
What Is the Best Strategy for Ventilation in Acute Respiratory Distress Syndrome?
Pages 251-253
Is a Single Dose of Etomidate for Rapid Sequence Intubation (RSI) Safe in the Critically Ill Patient?
Pages 255-256
Should Intensive Care Unit Patients Be Deeply Sedated?
Pages 257-259
Is There Any Advantage to Albumin Over Crystalloid for Volume Resuscitation?
Pages 261-263
There Is Nothing Dexmedetomidine Does that Cannot Be Done Old School
Pages 265-267
Does Treating Systemic Inflammatory Response Syndrome Lead to Better Outcomes in Surgical Patients?
Pages 269-270
Should Mechanically Ventilated Intensive Care Unit Patients Receive Physical Therapy?
Pages 271-272
Should Persistent Postoperative Nausea and Vomiting Delay Discharge of an Ambulatory Surgery Patient from the Post-anesthesia Care Unit?
Pages 275-277
Should We Postpone Surgery in Patients with Uncontrolled Preoperative Hypertension?
Pages 279-280
Should the Morbidly Obese Patient Be Allowed to Leave the Day of Surgery?
Pages 281-283
Should Complementary and Alternative Medicine (CAM) Be Used for the Treatment of Postoperative Pain Following Ambulatory Surgery?
Pages 285-288
Pros and Cons of a Freestanding Ambulatory Surgery Center (ASC) Versus a Hospital-Based Operating Room
Pages 289-291
Can a Regional Anesthetic Affect the Development of Phantom Limb Pain?
Pages 295-296
Charcot–Marie–Tooth Disease and Regional Anesthesia: Is Perioperative Neuraxial Analgesia Really Contraindicated?
Pages 297-298
Positional Headache Without a Previous Lumbar Puncture: Would a Blood Patch Be Useful?
Pages 299-300
Single-Dose Epidural Morphine or Patient-Controlled Epidural Analgesia (PCEA) for Post-Cesarean Pain Control?
Pages 301-303
Is Opioid Avoidance Warranted for a Patient with Obstructive Sleep Apnea in the Postoperative Period?
Pages 305-307
Is Spinal or Epidural Anesthesia Contraindicated in a Patient with Multiple Sclerosis?
Pages 311-312
The Scanner, the Twitcher, or Both: How Best to Perform Peripheral Nerve Blocks?
Pages 313-315
Do We Know the Mechanism of Intravenous Lipid Emulsion (ILE) Therapy for High Blood Levels of Local Anesthetics?
Pages 317-318
Secrets Behind Keeping Your Block Catheter Working
Pages 319-321
Is an Indwelling Neuraxial or Peripheral Nerve Catheter Safe in a Trauma Patient Who Needs Twice-Daily Low Molecular Weight Heparin?
Pages 323-326
Awake or Asleep: Can Regional Nerve Blocks Be Safely Performed in the Heavily Sedated or Asleep Patient?
Pages 327-329
Intraneural Injection: A Good Idea or not?
Pages 331-332
Is a Transversus Abdominis Plane (TAP) Block Better Than Surgical Field Infiltration?
Pages 333-335
Is Point-of-Care (POC) Coagulation Testing Worthwhile Before Regional or Neuraxial Anesthesia?
Pages 337-338
Should a Peripheral Nerve Block Be Placed in an Anticoagulated Patient?
Pages 339-342
Are the Benefits of Stimulating Peripheral Nerve Block Catheters Worth the Risks?
Pages 343-345
Epidural Steroid Injection or Physical Therapy for Lumbosacral Radiculopathy Due to Disc Herniation?
Pages 349-351
Should a Trial of Epidural Steroid Injections Be Done Before Considering Spine Surgery?
Pages 353-355
Epidural Steroid Injection for Unilateral Radicular Pain: Is the Transforaminal Approach Superior to Interlaminar Injection?
Pages 357-359
Is a Tricyclic Antidepressant the Best First-Line Agent in Treating Neuropathic Pain?
Pages 361-362
What are the Risks and Benefits of Spinal Cord Stimulators and Intrathecal Pumps?
Pages 363-365
How Do You Determine If a Patient has Opioid-Induced Hyperalgesia?
Pages 367-368
Can Acute and Chronic Postsurgical Pain Be Decreased with Perioperative Neuropathic Agents?
Pages 369-371
Is Urine Drug Testing a Good Idea for Patients on Chronic Opioid Therapy?
Pages 373-376
Dexamethasone: To Use or Not To Use—That is the Question
Pages 377-379
Should Opioid Analgesics Be Used for Managing Pain in a Patient with a Drug Addiction?
Pages 381-382
Is Sympathetic Blockade Useful in Complex Regional Pain Syndrome (CRPS)?
Pages 383-385
Is Pulse Pressure Variation More Accurate Than Central Venous Pressure (CVP) or Pulmonary Artery Pressure (PAP) for Volume Resuscitation?
Pages 389-391
What Is the Best Management Strategy for Venous Air Embolism?
Pages 393-396
Does Cerebral Oximetry Have an Important Role in Trauma?
Pages 397-399
Should New Trauma Paradigms Be Used in the Care of the Severe Trauma Patient?
Pages 401-403
Do Herbal Supplements Create Unnecessary Risk for Patients?
Pages 407-409
How Much Evaluation of the Airway Is Essential Prior to Anesthesia?
Pages 411-414
Are There Concerns with Using Droperidol for Sedation for an Awake Fiberoptic Intubation?
Pages 415-417
Do Special Measures—Such as Postoperative CPAP, a Prolonged PACU Stay, and PACU EtCO2 Monitoring—Improve the Outcome in a Patient with Obstructive Sleep Apnea?
Pages 419-422
Do not Resuscitate: What Does that Mean Perioperatively?
Pages 425-427
Should a Trainee Be Allowed to Return to Anesthesiology After Narcotic Diversion and Presumed Addiction?
Pages 429-430
Should Anesthesia Personnel Be Subject to Mandatory Drug Testing?
Pages 431-433
Does Returning a Recovered Addicted Physician to Active Anesthesiology Practice Do More Harm Than Good?
Pages 435-437
Does Disruptive Behavior Among Anesthesia Care Providers Decrease Patient Safety?
Pages 439-441
Is Burnout Among Anesthesiologists a Humbug or a Real Entity?
Pages 443-445
The Tumor Is Inoperable: Tell the Patient or Punt to the Surgeon?
Pages 447-448
What Is the Role of Pain Physicians in the Opioid Epidemic?
Pages 449-451
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