Evidence-Based Practice of Anesthesiology

Section 1: Preoperative Preparation
1. Does routine testing effect outcome?
2. Should preoperative hemoglobin always be obtained?
3. Is routine pregnancy testing necessary?
4. Is preoperative screening clinic cost-effective?
5. Who should have a preoperative 12-lead electrocardiogram?
6. When should pulmonary function tests be performed
preoperatively?
7. Does the airway examination predict difficult intubations?
8. What is the optimal evaluation of the patient with
obstructive sleep apnea?
9. Is there an optimal timing for smoking cessation?
10. Does Prophylactic coronary revascularization reduce cardiac
complications?
11. Should all anti-hypertensive agents be continued before
surgery?
12. Should patients with asthma be given preoperative
medications including steroids?
13. Is authologous predonation cost-effective?
Section 2: Perioperative Management
14. Does a history of difficult intubation necessitate awake
airway management?
15. Patients with difficult airways: regional versus general
anesthesia
16. Is there an ideal approach for the MH-susceptible patient?
17. What is the optimal perioperative management for latex
allergy?
18. What reduces the risk of aspiration?
19. What is the optimal treatment for aspiration?
20. What is the best strategy to prevent PONV?
21. Does the choice of fluid matter in major surgery?
22. Does the choice of muscle relaxant effect outcome?
23. Is perioperative hypothermia detrimental?
24. When should perioperative glucocorticoids be administered?
25. Should beta adrenergic blocking agents be given rountinely
in noncardiac surgery?
26. Should beta adrenergic blocking agents be given routinely in
noncardiac surgery?
27. Are alpha- 2 agonists effective in reducing perioperative
cardiac complications?
28. Does perioperative hyperglycemia increase risk?
29. What is the best means of preventing perioperative renal
dysfunction?
30. What works in a patient with acute repiratory distress
syndrome?
31. Is there an optimal perioperative hemoglobin?
32. Is isovelemic hemoditultion cost effective?
33. What drugs increase postoperative bleeding?
34. Fondaparinux: What is its efficacy and safety in surgical
patients?
35. Can we prevent recall during anesthesia?
36. What actions can be used to prevent peripheral nerve injury?
37. Is one general anesthetic technique associated with faster
recovery?
38. Does anesthetic choice effect surgical and recovery times?
39. What criteria should be used for discharge after outpatient
surgery?
40. What is the optimal intra and postoperative management of
the obstructive sleep apnea patient?
41. Do intensivists in the ICU improve outcome?
Section 3: Regional Anesthesia
42. Is regional superior to general for hip surgery?
43. Should spinal anesthesia be performed in patients with
multiple sclerosis?
44. Is regional anesthesia safe in the patient on anti-platelet
agents?
45. Does regional anesthesia decrease perioperative blood loss?
46. Do additives (epinephrine, bicarbonate, clonide) improve the
onset and quality of peripheral nerve blocks?
47. The best approaches to prophylaxis against DVT formation
when using a combination of neuraxial anesthesia and the heparins
48. Vitamin K Antagonists and Spinal Axis Anesthesia
49. Herbal Medications and Spinal Axis Anesthesia
50. What is the optimal management of the post-lumbar puncture
headache?
51. What is an epidural blood patch indicated?
52. Is regional anesthesia appropriate for outpatient surgery?
Section 4: Monitoring
53. Does a PA cather influence outcome in noncardiac surgery?
54. Does electrophysiologic monitoring effect outcome?
55. What is the best method of diagnosing perioperative
myocardial infarction?
Section 5: Cardiovascular Anesthesia
56. Is OPCAB superior to CABG?
57. Is fast-tracking for cardiac surgery safe?
58. What should be done first, a CABG or a CEA or should both be
done together?
59. Is region