Anesthesiologist's Manual of Surgical Procedures 5e

Anesthesiologists Manual of Surgical Procedures, 5e is your top-to-bottom guide to anesthetic technique, containing
everything you need to know for effective perioperative management of patients. With so many moving variables before,
during, and after surgery, it뭩 crucial to understand the best practices for successful anesthetic care. This
instructive text accounts for each variable immaculately, presenting all anesthetic considerations in a clear,
templated format, detailing each treatment option then refining and summarizing all courses of action in easy-to-read
tables. If you뭨e an anesthesiologist, anesthesia resident, or CRNA, this new Fifth Edition will guide you through all
operative scenarios and ensure the highest standards of anesthetic practice.

Features:
Full color illustrations and photographs
Each procedure covered from both the surgeon and anesthesiologist뭩 perspectives
Summary tables distill each procedure for easy review
Electronic version includes links to procedures
Now with the print edition, enjoy the bundled interactive eBook edition, offering tablet, smartphone, or online access
to:
Complete content with enhanced navigation
A powerful search that pulls results from content in the book, your notes, and even the web
Cross-linked pages, references, and more for easy navigation
Highlighting tool for easier reference of key content throughout the text
Ability to take and share notes with friends and colleagues
Quick reference tabbing to save your favorite content for future


Table of Contents
1.0 NEUROSURGERY
1.1 Intracranial Neurosurgery

SURGEONS Gary K. Steinberg, Robert L. Dodd, Gordon T. Sakamoto, Lawrence M. Shuer,

Steven D. Chang, Edward R. Laws ANESTHESIOLOGIST Richard A. Jaffe

Craniotomy for intracranial aneurysms

Craniotomy for cerebral embolectomy

Craniotomy for intracranial vascular malformations

Craniotomy for extracranial-intracranial revascularization (EC-IC bypass)

Craniotomy for tumor

Anesthetic considerations for awake craniotomy

Craniotomy for skull tumor

Craniotomy for trauma

Microvascular decompression of cranial nerve

Bifrontal craniotomy for CSF leak

Transoral approach to the cervicomedullary junction and odontoid

Transsphenoidal resection of pituitary tumor

Ventricular shunt procedures

Craniocervical decompression (Chiari malformation)

Stereotactic neurosurgery



1.2 Functional Neurosurgery

SURGEONS Jamie M. Henderson, Gary Heit, Lawrence M. Shuer

ANESTHESIOLOGIST Richard A. Jaffe

Functional neurosurgery뾦ntroduction: the surgical treatment of pain, movement disorders, and epilepsy

Stereotactic procedures: deep brain stimulation, pallidotomy, and thalamotomy

Surgical analgesics: spinal cord stimulation, intrathecal pumps, and cortical stimulation

Vagal nerve stimulation

Epilepsy surgery

Surgery for spasticity

Percutaneous procedures for trigeminal neuralgia



1.3 Spinal Neurosurgery

SURGEONS Stephen Ryu, Scott Berta

ANESTHESIOLOGIST C. Philip Larson, Jr.

Anterior fusion/fixation of the upper cervical (C1-C2) spine

Posterior fusion/fixation of the upper cervical spine

Anterior fusion/fixation of the mid and lower cervical spine

Posterior fusion/fixation of the mid and lower cervical spine

Anterior cervicothoracic spine surgery

Anesthetic considerations for cervical neurosurgical procedures

Anterior thoracic spine surgery

Posterior thoracic spine surgery

Anterior lumbar/lumbosacral spine surgery

Posterior lumbar spine surgery

Posterior lumbar fusion and instrumentation

Combined anterior and posterior instrumentation of the thoracic and lumbar spine

Anesthetic considerations for thoracolumbar neurosurgical procedures



1.4 Carotid Endarterectomy

SURGEONS Gary K. Steinberg, Robert L. Dodd

ANESTHESIOLOGIST Richard A. Jaffe

Carotid endarterectomy



2.0 OPHTHALMIC SURGERY

SURGEONS Eleonora M. Lad, Peter R. Egbert, Darius M. Moshfeghi

ANESTHESIOLOGIST Richard A. Jaffe

Cataract extraction with intraocular lens insertion

Corneal transplant

Trabeculectomy

Ectropion repair

Entropion repair

Ptosis repair

Eyelid reconstruction

Pterygium excision

Repair of ruptured or lacerated globe

Dacryocystorhinostomy (DCR)

Enucleation

Orbitotomy뾞nterior and lateral

Retinal surgery



3.0 OTOLARYNGOLOGY뾊EAD AND NECK SURGERY 173

SURGEONS Michael J. Kaplan, Edward Damrose, Nikolas H. Blevins, Robert K. Jackler,

Peter Hwang, Sarmela T. Sunder, Sam P. Most, Willard E. Fee, Jr., Robert W. Riley,

Nelson B. Powell, Donald M. Sesso

ANESTHESIOLOGISTS Vladimir Nekhendzy, Cosmin Guta, Michael W. Champeau

Introduction뾱urgeon뭩 perspective

Introduction뾞nesthesiologist뭩 perspective

Laryngoscopy/bronchoscopy/esophagoscopy

Tracheotomy/tracheostomy and cricothyroidotomy

Intubation for epiglottitis

Zenker뭩 diverticulectomy

Laryngeal framework surgery (thyroplasty, arythenoid adduction, injection laryngoplasty)

Tracheal and cricotracheal resection

Laryngectomy: partial and total

Tonsillectomy and/or adenoidectomy

Glossectomy

Maxillectomy and orbit exenteration

Composite resection with marginal or segmental mandibulectomy (and neck dissection)

Neck dissection

Lymph node biopsy

Parotidectomy: superfi cial, total, or radical

Submandibular gland excision

Endoscopic sinus surgery

External sinus surgery

Nasal surgery (rhinoplasty, septoplasty, septorhinoplasty)

Facial plastic surgery

Otology and neurotology

Neurotological skull base surgery

Reconstructive surgery for sleep-disordered breathing



4.0 DENTAL SURGERY

SURGEONS Stephen A. Schendel, Joseph Looby

ANESTHESIOLOGIST Richard A. Jaffe

Temporomandibular joint arthroscopy/arthrotomy

Oral surgery

Restorative dentistry



5.0 THORACIC SURGERY

SURGEONS Richard I. Whyte, Walter B. Cannon

ANESTHESIOLOGISTS Gordon Finlayson, Jens Lohser, Jay B. Brodsky

Introduction뾱urgeon뭩 perspective

Lobectomy, pneumonectomy

Wedge resection of lung lesion

Chest-wall resection

Repair of pectus excavatum or carinatum

Thoracoplasty

Drainage of empyema

Tracheal resection

Excision of mediastinal tumor

Mediastinoscopy

Bronchoscopy뾣lexible and rigid

Airway laser surgery

Video-assisted thoracoscopy surgery (VATS)

Thymectomy

Excision of blebs or bullae

Lung-volume reduction surgery

Bronchopulmonary lavage

Lung transplant



6.0 CARDIOVASCULAR SURGERY

6.1 Cardiac Surgery

SURGEON R. Scott Mitchell

ANESTHESIOLOGISTS Linda E. Foppiano, Lawrence C. Siegel

Cardiopulmonary bypass

Coronary artery bypass graft surgery

Left ventricular aneurysmectomy

Aortic valve replacement

Mitral valve repair or replacement

Tricuspid valve repair

Septal myectomy/myotomy

Pacemaker insertion

Pericardiectomy



6.2 Minimally Invasive Cardiac Surgery

SURGEON James I. Fann

ANESTHESIOLOGIST Lawrence C. Siegel

Off-pump and minimally invasive coronary artery bypass grafting

Port-access coronary revascularization

Limited thoracotomy and port-access approach to mitral valve surgery



6.3 Vascular Surgery

SURGEONS James I. Fann, R. Scott Mitchell, Stephen T. Kee, Michael D. Dake

ANESTHESIOLOGIST Pieter Van der Starre

Carotid endarterectomy (vascular)

Repair of thoracic aortic aneurysms

Endovascular stent-grafting of aortic aneurysms

Repair of acute aortic dissections and dissecting aneurysms

Repair of aneurysms of the thoracoabdominal aorta

Surgery of the abdominal aorta

Infrainguinal arterial bypass

Arterial embolectomy

Lumbar sympathectomy

Venous surgery뾲hrombectomy or vein excision

Surgery for portal hypertension

Arteriovenous access for hemodialysis

Permanent vascular access

Venous surgery뾴ein stripping and perforator ligation

Varicose vein stripping



6.4 Heart/Lung Transplantation

SURGEONS Hari R. Mallidi, Bruce A. Reitz

ANESTHESIOLOGISTS Lawrence C. Siegel, Linda E. Foppiano

Surgery for heart transplantation

Surgery for lung and heart/lung transplantation



7.0 GENERAL SURGERY

7.1 Esophageal Surgery

SURGEONS Richard I. Whyte, Jeffrey A. Norton

ANESTHESIOLOGIST Vivek Kulkarni

Esophagostomy

Esophageal diverticulectomy

Management of esophageal perforation

Esophagomyotomy

Esophagogastric fundoplasty

Esophagectomy



7.2 Stomach Surgery

SURGEONS Sherry M. Wren, Myriam J. Curet

ANESTHESIOLOGISTS Kevin A. Malott, Jay B. Brodsky

Gastric resections

Gastric or duodenal perforation

Operations for peptic ulcer disease

Open operations for morbid obesity

Gastrostomy placement



7.3 Intestinal Surgery

SURGEONS Jeffrey A. Norton, Harry A. Oberhelman

ANESTHESIOLOGIST Kevin A. Malott

Duodenotomy

Open appendectomy

Excision of Meckel뭩 diverticulum

Enterostomy

Continent ileostomy pouch (Kock)

Small-bowel resection with anastomosis

Enterolysis

Closure of enteric fistulae



7.4 Colorectal Surgery

SURGEONS Andrew A. Shelton, Carlos E. Pineda, Mark Lane Welton

ANESTHESIOLOGISTS Cosmin Guta, Vincent Hsieh

Laparoscopic colorectal surgery

Total proctocolectomy

Segmental (partial) colectomy

Stoma closure or peristomal hernia repair

Operations for rectal prolapse

Rectal surgery

Anal fistulotomy/fistulectomy/fistula plug

Hemorrhoidectomy/stapled hemorrhoidopexy

Operations for fecal incontinence



7.5 Hepatic Surgery

SURGEONS Samuel K. S. So, Harry A. Oberhelman

ANESTHESIOLOGIST Hendrikus J. M. Lemmens

Hepatic resection

Hepatorrhaphy



7.6 Biliary Tract Surgery

SURGEON C. Andrew Bonham

ANESTHESIOLOGIST Hendrikus J.M. Lemmens

Open cholecystectomy and common bile duct exploration

Biliary drainage procedures

Excision of bile duct tumor

Choledochal cyst excision or anastomosis

Anesthetic considerations for biliary tract surgery



7.7 Laparoscopic General Surgery

SURGEON Myriam J. Curet

ANESTHESIOLOGISTS Ruth M. Fanning, Jay B. Brodsky, Brendan Carvalho

Laparoscopic repair of perforated peptic ulcer

Laparoscopic esophageal fundoplication

Laparoscopic Heller뭩 myotomy ?antireflux procedure

Laparoscopic cholecystectomy, ?common duct exploration

Laparoscopic splenectomy

Laparoscopic adrenalectomy

Laparoscopic bowel resection

Laparoscopic appendectomy

Laparoscopic inguinal hernia repair

Laparoscopic bariatric surgery

Anesthesia for laparoscopy in pregnancy



7.8 Pancreatic Surgery

SURGEON Jeffrey A. Norton

ANESTHESIOLOGIST Martin Angst

Operative drainage for pancreatitis

Drainage of pancreatic pseudocyst

Longitudinal pancreaticojejunostomy

Pancreatectomy

Whipple resection



7.9 Peritoneal Surgery

SURGEONS Jeffrey A. Norton, Harry A. Oberhelman

ANESTHESIOLOGIST Martin Angst

Exploratory or staging laparotomy

Splenectomy

Excision of intraabdominal, retroperitoneal tumors

Drainage of subphrenic abscess

Inguinal herniorrhaphy

Femoral herniorrhaphy

Repair of incisional hernia

Repair of abdominal dehiscence



7.10 Breast Surgery

SURGEONS Irene L. Wapnir, Jennifer L. De la Pena, Stefanie S. Jeffrey

ANESTHESIOLOGIST Lindsey Vokach-Brodsky

Breast biopsy

Sentinel lymph node biopsy

Breast-conserving surgery and mastectomy ?reconstruction



7.11 Endocrine Surgery

SURGEONS Mark Koransky, Eliza Long, Ralph S. Greco

ANESTHESIOLOGIST Frederick G. Mihm

Excision of thyroglossal duct cyst

Thyroidectomy

Parathyroidectomy

Adrenalectomy



7.12 Liver/Kidney/Pancreas Transplantation

SURGEONS Stephan Busque, Marc L. Melcher, Dev M. Desai, Carlos O. Esquivel

ANESTHESIOLOGISTS Timothy Angelotti, Hendrikus J.M. Lemmens

Kidney transplantation뾠adaveric and live-donor

Cadaveric kidney/pancreas transplantation

Live-donor nephrectomy뾩aparoscopic and open

Kidney transplant nephrectomy

Liver transplantation

Living-donor liver transplantation

Multiorgan procurement



7.13 Trauma Surgery

SURGEONS Daniel J. Riskin, David A. Spain

ANESTHESIOLOGISTS Charles C. Hill, G. Brant Walton

Initial assessment and airway management for trauma surgery

Emergency tube thoracostomy

Emergency department thoracotomy

Exploratory surgery for neck trauma

Anesthetic considerations for neck trauma surgery

Chest trauma: pericardial window, release of tamponade, repair of cardiac laceration

Chest trauma: repair of great vessels

Chest trauma: pneumonectomy, lobectomy, repair of tracheobronchial injury

Abdominal trauma: damage control

Abdominal trauma: hepatic and splenic injuries

Abdominal trauma: vascular injuries

Pediatric trauma



8.0 OBSTETRIC/GYNECOLOGIC SURGERY

8.1 Gynecologic Oncology

SURGEONS O.W. Stephanie Yap, Amreen Husain, Daniel S. Kapp, Nelson N. Teng

ANESTHESIOLOGIST Cliff Schmiesing

Staging laparotomy for ovarian, fallopian tube, and primary peritoneal cancer

Interval, second-look/reassessment, and secondary cytoreductive laparotomy for ovarian cancer

Radical vulvectomy

Conization of the cervix

Anesthetic considerations for laser therapy to vulva, vagina, cervix

Suction curettage for gestational trophoblastic disease

Pelvic exenteration

Exploratory laparotomy, hysterectomy/BSO for uterine cancer

Radical hysterectomy

Interstitial perineal implants

Laparoscopic surgery in gynecologic oncology



8.2 Gynecology/Infertility Surgery

SURGEONS Bertha Chen, Eva D. Littman, Amin A. Milki, Lynn M. Westphal

ANESTHESIOLOGIST Cliff Schmiesing

Dilatation and curettage (D&C)

Therapeutic abortion, dilatation, and evacuation (D&E)

Hysteroscopy

Pelvic laparotomy

Transvaginal oocyte retrieval (TVOR)

Infertility operations/assisted reproductive technologies

Hysterectomy뾴aginal or total abdominal

Anterior and posterior colporrhaphy, enterocele repair, vaginal sacrospinous suspension

Operations for stress urinary incontinence



8.3 Obstetric Surgery

SURGEONS M. Mark Taslimi, Yasser El-Sayed

ANESTHESIOLOGISTS Brendan Carvalho, Lee Coleman

Cesarean section뾩ower segment and classic

Medical and surgical management of postpartum hemorrhage

Repair of uterine rupture

Postpartum tubal ligation

Repair of vaginal/cervical lacerations

Cervical cerclage-elective and emergent

Removal of retained placenta

Management of uterine inversion



8.4 Laparoscopic Procedures for Gynecologic Surgery

SURGEON Camran R. Nezhat

ANESTHESIOLOGIST Cliff Schmiesing

Laparoscopic surgery for endometriosis

Laparoscopic surgery for ectopic pregnancy

Laparoscopic myomectomy

Laparoscopic hysterectomy



9.0 UROLOGY

SURGEONS Harcharan S. Gill, Benjamin Chung

ANESTHESIOLOGISTS Steven A. Deem, Ronald G. Pearl

Diagnostic transurethral (endoscopic) procedures

Therapeutic transurethral procedures (except TURP)

Transurethral resection of the prostate (TURP)

Open prostate operations

Nephrectomy

Operations on the renal pelvis and upper ureter

Cystectomy

Open bladder operations (other than cystectomy)

Inguinal operations

Penile operations

Scrotal operations

Perineal operations

Vaginal operations

Special considerations for robotic-assisted laparoscopic procedures



10.0 ORTHOPEDIC SURGERY

10.1 Hand Surgery

SURGEONS Vincent R. Hentz, Kimberley Wirsing

ANESTHESIOLOGIST Lindsey Vokach-Brodsky

Darrach procedure

Dorsal stabilization and extensor synovectomy of the rheumatoid wrist

Metacarpophalangeal and interphalangeal joint arthroplasty and arthrodesis

Arthrodesis of the wrist

Total wrist replacement

Thumb carpometacarpal joint fusion/arthroplasty/stabilization

Excision of ganglion of the wrist

Palmar and digital fasciectomy

Repair of lacerated tendons/nerves

Wrist arthroscopy/repair of triangular fibrocartilage complex tears

Carpal tunnel release

Fixation of fractures and dislocations of the wrist and hand

Digit and hand replantation



10.2 Shoulder/Arm Surgery

SURGEONS Amy L. Ladd, Andrew C. Karich, Emilie V. Cheung

ANESTHESIOLOGIST Lindsey Vokach-Brodsky

Arthroscopic shoulder surgery

Surgery for acromial impingement, rotator cuff tears, and acromioclavicular joint arthritis

Surgery for shoulder instability

Glenohumeral shoulder arthroplasty

Shoulder girdle procedures

Brachial plexus surgery

Arm surgery



10.3 Spine Surgery

SURGEON Eugene J. Carragee

ANESTHESIOLOGIST C. Philip Larson, Jr.

Minimally invasive posterior lumbar discectomy (microdiscectomy)

Anterior spinal reconstruction and fusion뾲horacic and thoracolumbar spine

Anterior spinal reconstruction and fusion뾩umbosacral spine



10.4 Hip, Pelvis, Upper Leg Surgery

SURGEONS James I. Huddleston, Michael J. Bellino, Stuart B. Goodman

ANESTHESIOLOGISTS Frederick G. Mihm, Christoph Egger Halbeis

Open reduction and internal fixation (ORIF) of pelvis or acetabulum

Closed reduction and external fixation of the pelvis

Open reduction and internal fixation (ORIF) of acetabulum fractures

Osteotomy and bone graft augmentation of the pelvis

Arthrodesis of the sacroiliac joint

Amputations about the hip and pelvis: disarticulation of the hip and hindquarter amputation

Arthroplasty of the hip

Arthrodesis of the hip

Synovectomy of the hip

Open reduction and internal fixation (ORIF) of proximal femoral fractures (femoral neck, intertrochanteric,
subtrochanteric fractures)

Open reduction and internal fixation (ORIF) of distal femur fractures

Open reduction and internal fixation (ORIF) of the femoral shaft with plate

Intramedullary nailing of femoral shaft

Repair of nonunion/malunion of proximal third of femur, proximal femoral osteotomy for osteoarthritis

Closed reduction and external fixation of femur



10.5 Knee Surgery 1013

SURGEONS James I. Huddleston, John J. Csongradi, Stuart B. Goodman

ANESTHESIOLOGISTS Frederick G. Mihm, Christoph Egger Halbeis

Arthroplasty of the knee

Arthrodesis of the knee

Open reduction and internal fixation (ORIF) of patellar fractures

Repair or reconstruction of knee ligaments

Patellar realignment

Arthroscopy of the knee

Knee arthrotomy

Repair of tendons뾨nee and leg



10.6 Lower Leg, Ankle, Foot, and Other Lower-Extremity Procedures

SURGEON John J. Csongradi

ANESTHESIOLOGIST Frederick G. Mihm

Open reduction and internal fixation (ORIF) of the tibial plateau fracture

Intramedullary nailing, tibia

External fixation, tibia

Open reduction and internal fixation (ORIF) of distal tibia, ankle, and foot fractures

Repair nonunion/malunion, tibia

Arthroscopy of the ankle

Ankle arthrotomy

Ankle arthrodesis

Repair/reconstruction of ankle ligaments

Amputation through ankle (Syme)

Amputation, transmetatarsal

Lengthening or transfer of tendons, ankle, and foot

Amputation above the knee

Amputation below the knee

Fasciotomy of the thigh

Fasciotomy of the leg

Biopsy, leg and foot

Biopsy or drainage of abscess/excision of tumor



11.0 PLASTIC AND RECONSTRUCTIVE SURGERY

11.1 Facial Cosmetic Surgery

SURGEONS Angeline F. Lim, Lonny L. Ross, David M. Kahn

ANESTHESIOLOGIST Tara Cornaby

Introduction to cosmetic facial surgery

Facelift and necklift

Browlift and blepharoplasty

Rhinoplasty

Facial laser resurfacing



11.2 Nonfacial Aesthetic Surgery

SURGEONS Angeline F. Lim, David M. Kahn, George W. Commons

ANESTHESIOLOGISTS Lindsey Vokach-Brodsky, Bruce D. Halperin

Augmentation mammoplasty

Reduction mammoplasty

Mastopexy/breast lift

Brachioplasty

Abdominoplasty

Body lifts

Liposuction



11.3 Craniofacial Surgery

SURGEONS Stephen A. Schendel, Joseph F. Looby

ANESTHESIOLOGISTS Tara Cornaby, Richard A. Jaffe

Repair of facial fractures

Lefort osteotomies

Mandibular osteotomies/genioplasty



11.4 Functional Restoration

SURGEONS James Chang, David M. Kahn, Angeline F. Lim

ANESTHESIOLOGIST Tara Cornaby

Microsurgery-free-flap reconstruction

Microsurgery-replantation

Breast surgery뾦ntroduction

Breast reconstruction

Chest-wall reconstruction

Pressure-sore reconstruction



11.5 Burn Surgery

SURGEON Kenneth K. Yim

ANESTHESIOLOGIST Melissa T. Berhow

Free skin graft for burn wound (with tangential excision, excision to fascia, or debridement)



12.0 PEDIATRIC SURGERY

12.1 Pediatric Neurosurgery

SURGEONS Michael Edwards, Stephen L. Huhn

ANESTHESIOLOGISTS William W. Feaster, Brian P. Struyk

Craniofacial surgery

Closure of myelomeningocele

Surgical correction of spinal dysraphism

Craniotomy for vein of Galen malformation

Ventriculoscopy and third ventriculostomy

Pediatric brain arteriovenous malformations (AVM)



12.2 Pediatric Ophthalmic Surgery

SURGEON D. M. Alcorn

ANESTHESIOLOGISTS Brian P. Struyk, Alice A. Edler

Strabismus surgery



12.3 Pediatric Otolaryngology

SURGEONS Anna H. Messner, Kay W. Chang

ANESTHESIOLOGISTS Michael Chen, Cathy R. Lammers, Gregory B. Hammer

Myringotomy and tympanostomy tube placement

Tonsillectomy and adenoidectomy

Bronchoscopy/esophagoscopy

Laryngoscopy, supraglottoplasty, excision of laryngeal lesions

Removal of branchial cleft cyst or thyroglossal duct cyst

Incision/drainage of deep neck abscess

Laryngotracheal reconstruction, cricotracheal resection, laryngotracheoplasty

Choanal atresia repair

Pediatric tracheostomy



12.4 Pediatric Cardiovascular Surgery

SURGEONS V. Mohan Reddy, Frank L. Hanley

ANESTHESIOLOGISTS M. Gail Boltz, Chandra Ramamoorthy

Surgery for atrial septal defect (ostium secundum)

Surgery for atrioventricular canal defect

Surgery for ventricular septal defect

Surgery for patent ductus arteriosus

Surgery for coarctation of the aorta

Surgery for tetralogy of fallot

Surgery for total anomalous pulmonary venous connection

Surgery for complete transposition of the great arteries

Surgery for truncus arteriosus

Surgery for tricuspid atresia

Surgery for double-outlet right ventricle

Surgery for hypoplastic left heart syndrome



12.5 Pediatric General Surgery

SURGEONS Sanjeev Dutta, Baird M. Smith, Craig Albanese

ANESTHESIOLOGISTS Rebecca E. Claure, Brenda Golianu, Gregory B. Hammer

Resection of cystic hygroma, branchial cleft cyst, thyroglossal duct cyst, or other cervical mass

Esophagus-foreign body removal and dilation

Repair of tracheoesophageal fistula and esophageal atresia

Mediastinal mass뾟iopsy or resection

Neonatal lung resection

Drainage of empyema

Repair of pectus excavatum/carinatum

Esophageal replacement, colon interposition, gastric tube placement

Repair of congenital diaphragmatic hernia

Pyloromyotomy for pyloric stenosis

Abdominal tumor: resection of neuroblastoma, Wilms?tumor, hepatoblastoma

Laparotomy for intestinal perforation, necrotizing enterocolitis

Repair of biliary atresia and choledochal cysts

Repair of abdominal wall defects: omphalocele/gastroschisis

Pull-through for Hirschsprung뭩 disease

Pull-through for imperforate anus, cloaca

Repair of inguinal & umbilical hernias, hydrocele

Surgery for the undescended testicle

Resection of sacrococcygeal teratoma

Anesthesia for minimally invasive surgery in pediatric patients

Ex utero intrapartum treatment (EXIT) procedure



12.6 Pediatric Urology

SURGEONS Ilene Y. Wong, Jeffrey Marotte, Linda M. Dairiki Shortliffe

ANESTHESIOLOGISTS Imad Yamout, Anita Honkanen

Kidney and upper urinary tract operations

Transurethral procedures

Open bladder operations

Bladder augmentation

Penile surgery

Genital procedures (clitoroplasty, vaginoplasty, urethroplasty)

Inguinoscrotal procedures

Laparoscopic procedures



12.7 Pediatric Orthopedic Surgery

SURGEONS James G. Gamble, Lawrence A. Rinsky, James Chang, Amy L. Ladd

ANESTHESIOLOGISTS Komal Kamra, Alice A. Edler, R. J. Ramamurthi

Percutaneous pinning of displaced supracondylar humerus fracture

Closed or open reduction of displaced lateral condyle humerus fracture

Aspiration and injection of unicameral bone cyst

Release for torticollis

Pollicization of a finger

Syndactyly repair

Posterior spinal instrumentation and fusion

Anterior spinal fusion for scoliosis

Pelvic osteotomy

Acetabular augmentation (shelf) & Chiari osteotomy

Ober fasciotomy, Yount-Ober release

Hip, open reduction & femoral shortening

Adductor release or transfer, psoas release

Pinning of slipped capital femoral epiphysis (SCFE)

Flexible intramedullary nailing of long-bone fractures

Proximal femoral osteotomy

Epiphysiodesis

Sofield procedure

Limb lengthening

Patellar realignment

Tendon transfer, lengthening (posterior tibial)

Triple arthrodesis and grice procedure (extra-articular subtalar arthrodesis)

Surgical correction of clubfoot

Surgery for epidermolysis bullosa



12.8 Surgery for Craniofacial Malformations

SURGEONS Stephen A. Schendel, Lawrence M. Shuer, Joseph F. Looby

ANESTHESIOLOGISTS Louise Furukawa, Gregory B. Hammer

Surgical correction of craniosynostosis

Major secondary craniofacial surgical procedures

Cleft lip repair뾳nilateral/bilateral

Palatoplasty

Pharyngoplasty

Alveolar cleft repair with bone graft

Secondary cleft lip/nasal surgery

Otoplasty



12.9 Pediatric Transplantation

SURGEONS Waldo Concepcion, Sophoclis P. Alexopoulos

ANESTHESIOLOGISTS Louise Furukawa, Gregory B. Hammer

Pediatric Renal Transplantation

Pediatric Liver Transplantation



13.0 OUT-OF-OPERATING ROOM PROCEDURES

13.1 Out-of-Operating Room Procedures뾃dult

SURGEONS Charles DeBattista, Joan K. Frisoli, Stephen T. Kee, L. Bing Liem, Michael P. Marks, Erik J. Sirulnick, Daniel
Y. Sze

ANESTHESIOLOGISTS John Brock-Utne, Bradley D. O묬onnor, Jens Lohser, Richard A. Jaffe, Leland H. Hanowell

Anesthesia for out-of-operating room procedures

Electroconvulsive therapy (ECT)

Interventional neuroradiology

Direct current (DC) cardioversion

Implantation of cardioverter-defibrillator (ICD)

Transjugular intrahepatic portosystemic shunt (TIPS)

ERCP

Imaging and image-guided procedures

Tracheobronchial stenting

Radiofrequency ablation

Irreversible Electroporation (IRE Ablation)



13.2 Out-of-Operating Room Procedures뾒ediatric

SURGEONS Sarah S. Donaldson, Anne M. Dubin, Jeffrey A. Feinstein, Gary E. Hartman, Trang H. La, Stanton B. Perry,
Kalyani R. Trivedi

ANESTHESIOLOGISTS M. Gail Boltz, Rebecca E. Claure, Brenda Golianu, Chandra Ramamoorthy, R. J. Ramamurthi, Neyssa Marina

Pediatric radiation therapy

Pediatric cardiac catheterization and electrophysiology

Pediatric oncologic procedures

Upper/lower GI endoscopy

Cross-sectional imaging (CT, MRI)

Surgical considerations for ECMO

Anesthetic management for surgical procedures under ECMO



14.0 OFFICE-BASED ANESTHESIA

SURGEONS David A. Berman, Vernon J. Adams, Jr, Azeem K. Lakha

ANESTHESIOLOGIST Terri D. Homer

Introduction뾞nesthesiologist뭩 perspective

Facial rejuvenation: lasers and RF tissue tightening

Office dental rehabilitation under deep iv sedation

Dental implants and bone grafting



15.0 EMERGENCY PROCEDURES FOR THE ANESTHESIOLOGIST

ANESTHESIOLOGISTS Frederick G. Mihm, Myer H. Rosenthal

Emergency cricothyrotomy

Pericardiocentesis

Arterial cutdown

Emergent needle/catheter thoracostomy



APPENDICES

AUTHORS Sandra Leigh Bardas, Ian Carroll, Stephen P. Fischer, Raymond R. Gaeta,

Brenda Golianu, Julie Good, Alvin Hackel, Richard A. Jaffe, Cathy Lammers, Katie Larkin,

C. Philip Larson, Jr., Sean Mackey, Emily Ratner, Cliff Schmiesing, Jeannie Seybold,

Steve Shafer, Naiyi Sun

A. Preoperative considerations

B. Standard adult anesthetic protocols

C. Standard perioperative pain management

D. Standard pediatric anesthetic management

E. Standard pediatric postoperative pain management

F. Table of drug interactions

G. Special considerations for latex allergy

H. Perioperative acupuncture

I. Management of the difficult airway