Perioperative Monitoring, An Issue of Anesthesiology Clinics

Perioperative Monitoring, An Issue of Anesthesiology Clinics

1st Edition - August 17, 2021

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  • Editors: Gabriella Iohom, Girish P. Joshi
  • Hardcover ISBN: 9780323835268
  • eBook ISBN: 9780323835275

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Description

This issue of Anesthesiology Clinics, guest edited by Drs. Gabriella Iohom and Girish P. Joshi, focuses on Perioperative Monitoring. This is one of four issues each year selected by the series consulting editor, Dr. Lee Fleisher. Articles in this issue include, but are not limited to: Clinician monitoring, Ventilation monitoring, Measurement of pulmonary mechanics, Hemodynamic monitoring, Tissue perfusion monitoring, Neuromuscular blockade monitoring, Depth of anesthesia monitoring, Antinociception monitoring, Cerebral perfusion monitoring - Brain oxygen saturation monitoring, Coagulation, Ultrasound - the new stethoscope (POCUS), Mobile and Remote monitoring, smart phone use, AI, machine learning, deep learning, and closed loop devices and Telemedicine for anesthesiologists. 

Table of Contents

  • Cover image
  • Title page
  • Table of Contents
  • Copyright
  • Contributors
  • Forthcoming Issues
  • Foreword
  • Preface
  • Clinician Monitoring
  • Key points
  • History of monitoring
  • Development of standards
  • Anesthesia clinician as the first standard of monitoring
  • Monitoring the clinician
  • Monitoring the monitors
  • Future developments
  • Summary
  • Clinics care points
  • Ventilation Monitoring
  • Key points
  • Introduction
  • Pulse oximetry
  • Monitoring ventilation with capnography
  • Respiratory rate monitors
  • Monitoring invasive mechanical ventilation
  • Postoperative opioid-induced respiratory depression
  • Detecting patient deterioration with continuous monitoring
  • Clinics care points
  • Disclosure
  • Respiratory Mechanics
  • Key points
  • Introduction
  • What are respiratory mechanics?
  • Why measure respiratory mechanics?
  • Physiology of chest mechanics
  • Concept of mechanical power
  • Stress
  • Stress index
  • Strain
  • Time constant
  • Perioperative measurements
  • Flow and volume
  • Derived measurements
  • Airway resistance
  • Measurement of dead space
  • Extended monitoring
  • Best positive end-expiratory pressure ventilation
  • What is the optimal positive end-expiratory pressure and how is it determined?
  • Intrathoracic or pleural pressure
  • Transpulmonary pressure and esophageal pressure
  • Choice of positive end-expiratory pressure using esophageal pressure
  • Compliance of lungs and chest wall
  • Functional residual capacity and end-expiratory lung volume
  • Why measure lung volumes during invasive ventilation?
  • Electrical impedance tomography
  • Mechanical ventilation in special subsets of patients
  • Summary
  • Clinics care points
  • Perioperative Hemodynamic Monitoring: An Overview of Current Methods
  • Key points
  • Introduction
  • Pressure monitoring
  • Flow monitoring
  • Volume monitoring
  • Fluid responsiveness
  • Discussion
  • Summary
  • Clinics care points
  • Neuromuscular Blockade Monitoring
  • Key points
  • Background
  • Types of assessment
  • Why is neuromuscular monitoring important
  • Quantitative neuromuscular monitoring technologies
  • Challenges with use of quantitative monitoring
  • Site of monitoring
  • Paretic extremities
  • Summary
  • Clinics care points
  • Depth of Anesthesia Monitoring
  • Key points
  • Introduction
  • Background
  • Processed electroencephalograph
  • Commercially available processed electroencephalographic monitors
  • Clinical pitfalls
  • Clinical care points
  • Processed electroencephalographic monitors and awareness
  • pEEG monitors and secondary outcomes
  • Clinical care points
  • Translation to clinical practice
  • Intraoperative Nociception Monitoring
  • Key points
  • Nociception and pain and their relevance to the state of anesthesia
  • Physiology of nociception and its effects
  • Effects of nociception that form the basis of nociceptive monitoring
  • Benefits of nociceptive monitoring
  • Understanding the available nociceptive monitoring technologies and their applicability during surgery
  • Review of existing literature
  • Limitations and disadvantages
  • Summary
  • Clinics care points
  • Disclosure
  • Cerebral Perfusion and Brain Oxygen Saturation Monitoring with: Jugular Venous Oxygen Saturation, Cerebral Oximetry, and Transcranial Doppler Ultrasonography
  • Key points
  • Introduction
  • Discussion
  • Summary
  • Clinics care points
  • Perioperative Coagulation Monitoring
  • Key points
  • Introduction
  • Principles of perioperative coagulopathy
  • Benefit of preoperative coagulation screening test
  • Coagulation testing in the perioperative setting
  • Clinical implications
  • Discussion
  • Summary
  • Clinics care points
  • Ultrasound: The New Stethoscope (Point-of-Care Ultrasound)
  • Key points
  • Point-of-care lung ultrasound
  • Putting it together
  • Lung pathologies
  • Clinics care points
  • Point-of-care gastric ultrasound
  • Summary
  • Clinics care points
  • Supplementary data
  • Toward Smart Monitoring with Phones, Watches, and Wearable Sensors
  • Key points
  • Self-monitoring with smartphones and connected devices
  • Smartphones applications for perioperative clinicians
  • Summary
  • Clinics care points
  • Machine Learning, Deep Learning, and Closed Loop Devices—Anesthesia Delivery
  • Key points
  • Background
  • What are closed loop systems?
  • What is artificial intelligence?
  • Clinical applications of closed loop devices and artificial intelligence
  • Closed loop devices in anesthesiology
  • Machine learning in anesthesiology
  • Challenges and future directions of closed loop devices and artificial intelligence
  • Clinics care points
  • Telemedicine for Anesthesiologists
  • Key points
  • Introduction
  • Preoperative care
  • Intraoperative care
  • Postoperative care
  • Equipment
  • Health Insurance Portability and Accountability Act compliance
  • Medical licensure and billing
  • Informed consent
  • The COVID-19 pandemic
  • Summary
  • Clinics care points

Product details

  • No. of pages: 240
  • Language: English
  • Copyright: © Elsevier 2021
  • Published: August 17, 2021
  • Imprint: Elsevier
  • Hardcover ISBN: 9780323835268
  • eBook ISBN: 9780323835275

About the Editors

Gabriella Iohom

Affiliations and Expertise

Department of Anaesthesia and Intensive Care Medicine Cork University Hospital Wilton Road Cork T12DC4A Ireland

Girish P. Joshi

Affiliations and Expertise

Department of Anesthesiology and Pain Management University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, Texas 75390-9068

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