You’re Wrong, I’m Right: Dueling Authors Reexamine Classic Teachings in Anesthesia

Front Matter....Pages i-xxvi
Front Matter....Pages 1-1
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
Front Matter....Pages 57-57
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
Front Matter....Pages 57-57
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
Front Matter....Pages 93-93
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
Front Matter....Pages 103-103
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
Front Matter....Pages 103-103
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
Front Matter....Pages 151-151
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
Front Matter....Pages 181-181
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
Front Matter....Pages 181-181
Should We Treat Hypertension Immediately Before Electroconvulsive Therapy?....Pages 209-211
Front Matter....Pages 213-213
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
Front Matter....Pages 237-237
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
Front Matter....Pages 273-273
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
Front Matter....Pages 273-273
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
Front Matter....Pages 293-293
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
Front Matter....Pages 309-309
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
Front Matter....Pages 347-347
Epidural Steroid Injection or Physical Therapy for Lumbosacral Radiculopathy Due to Disc Herniation?....Pages 349-351
Front Matter....Pages 347-347
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
Front Matter....Pages 387-387
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
Front Matter....Pages 405-405
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
Front Matter....Pages 423-423
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
Front Matter....Pages 423-423
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
Back Matter....Pages 453-457