Anesthesia Outside of the Operating Room - R. Urman, et al., (Oxford, 2011) WW

379 Pages·2011·10.65 MB·English

Anesthesia Outside of the

Operating Room

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Anesthesia Outside of the Operating Room

Edited by

RICHARD D. URMAN, MD, MBA
Assistant Professor of Anesthesia
Harvard Medical School
Director, Procedural Sedation Management
Co-Director, Center for Perioperative Management and Medical Informatics
Brigham and Women’s Hospital
Boston, MA

WENDY L. GROSS, MD, MHCM
Assistant Professor of Anesthesia
Harvard Medical School
Director of Peri-Procedural Services, Cardiovascular Medicine
Director of Non-OR Cardiac Anesthesia, Division of Cardiac Anesthesia
Brigham and Women’s Hospital
Boston, MA

BEVERLY K. PHILIP, MD
Professor of Anesthesia
Harvard Medical School
Founding Director, Day Surgery Unit
Brigham and Women’s Hospital
Boston, MA

1

1

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Library of Congress Cataloging-in-Publication Data

Urman, Richard D.
Anesthesia outside of the operating room / Richard D. Urman, Wendy L. Gross, Beverly K. Philip.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-0-19-539667-6
1. Anesthesia. 2. Ambulatory surgery. I. Gross, Wendy L. II. Philip, Beverly K. III. Title.
[DNLM: 1. Anesthesia—methods. 2. Ambulatory Care Facilities. WO 200]
RD82.U76 2011
617.9’6—dc22
2010027998

This material is not intended to be, and should not be considered, a substitute for medical or
other professional advice. Treatment for the conditions described in this material is highly
dependent on the individual circumstances. And, while this material is designed to offer accurate
information with respect to the subject matter covered and to be current as of the time it was
written, research and knowledge about medical and health issues is constantly evolving and dose
schedules for medications are being revised continually, with new side effects recognized and
accounted for regularly. Readers must therefore always check the product information and clinical
procedures with the most up-to-date published product information and data sheets provided by the
manufacturers and the most recent codes of conduct and safety regulation. The publisher and the
authors make no representations or warranties to readers, express or implied, as to the accuracy or
completeness of this material. Without limiting the foregoing, the publisher and the authors make
no representations or warranties as to the accuracy or effi cacy of the drug dosages mentioned in the
material. The authors and the publisher do not accept, and expressly disclaim, any responsibility for
any liability, loss, or risk that may be claimed or incurred as a consequence of the use and/or
application of any of the contents of this material.

The views and opinions herein belong solely to the authors. They do not nor should they be construed
as belonging to, representative of, or being endorsed by the Uniformed Services University of the
Health Sciences, the U.S. Army, The Department of Defense, or any other branch of the federal
government of the United States.

9 8 7 6 5 4 3 2 1

Printed in the United States of America
on acid-free paper

To my parents
and Zina Matlyuk-Urman, MD,
for their love and encouragement
—R. D. U.

To my family and my colleagues
who make every day a learning experience
—W. L. G.

To the outstanding physician, scientist,
and husband, James H. Philip, MD
—B. K. P.

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Contents

Foreword
xi
Preface
xiii
Contributors
xv

1. Challenges of Anesthesia Outside the Operating Room
1
Wendy L. Gross and Richard D. Urman

2. Preoperative Patient Evaluation for Anesthesia Care Outside of the Operating Room
8
Bobbie Jean Sweitzer

3. Patient Monitoring
20
Samuel M. Galvagno Jr, and Bhavani Kodali

4. Anesthetic Techniques
28
Laurence M. Hausman, and Meg A. Rosenblatt

5. Recovery and Discharge for Procedures Conducted Outside of the Operating Room
37
Lianfeng Zhang and Frances F. Chung

6. Management of Staffi ng and Case Scheduling for Anesthesia Outside of the Operating Room
42
Alex Macario

7. Procedural Sedation by Nonanesthesia Providers
49
Julia Metzner and Karen B. Domino

8. Anesthesia and Sedation Outside of the Operating Room: Outcomes, Regulation,
and Quality Improvement
62
Julia Metzner and Karen B. Domino

9. CT and PET/CT-Guided Interventional Radiology Procedures
74
Daniel A. T. Souza, Milana Flusberg, Paul B. Shyn, Servet Tatli, and Stuart G. Silverman

10. Magnetic Resonance Imaging and Ultrasound-Guided Percutaneous
Interventional Radiology Procedures
82
Bijal Patel, Paul B. Shyn, Kemal Tuncali, and Stuart G. Silverman

11. Interventional Neuroradiology
92
Ruth Thiex and Kai U. Frerichs

12. Interventional Radiology Procedures
106
Leslie B. Scorza

13. Anesthesia for Diagnostic and Therapeutic Radiologic Procedures
126
Thomas W. Cutter

vii

viii CONTENTS

14. Anesthesia in the Radiation Oncology Suite
143
Eric A. Harris and Keith Candiotti

15. Gastrointestinal Endoscopy Procedures
151
Mark A. Gromski and Kai Matthes

16. Anesthesia for Gastrointestinal Endoscopic Procedures
156
Justin K. Wainscott and Regina Y. Fragneto

17. Anesthesia for Interventional Pulmonology
167
Basem Abdelmalak

18. Anesthetic Implications of Natural Orifi ce Translumenal
Endoscopoic Surgery (NOTES) and Single-Incision Laparoscopic Surgery (SILS)
175
Kai Matthes

19. New Challenges for Anesthesiologists Outside of the Operating Room:
The Cardiac Catheterization and Electrophysiology Laboratories
179
Wendy L. Gross, Robert T. Faillace, Douglas C. Shook, Suanne M. Daves, and Robert M. Savage

20. Anesthesia for In Vitro Fertilization
198
Patricia M. Sequeira

21. Anesthesia for Urologic Procedures
206
Brandi A. Bottiger and Sarah Rebstock

22. Anesthesia for Procedures in the Emergency Department
217
Richard D. Zane and James E. Andruchow

23. Offi ce-Based Anesthesia
228
Laurence M. Hausman

24. Pediatric Anesthesia Outside of the Operating Room
236
Keira P. Mason

25. Anesthesia for Procedures in the Intensive Care Unit and the Neonatal Intensive Care Unit
244
John K. Stene and Carolyn A. Barbieri

26. Electroconvulsive Therapy
251
Lisa Ross

27. Pain Management Procedures
260
Christopher V. Maani and Anthony Dragovich

28. Anesthesia in the Military Setting
267
Christopher P. Clinkscales

29. Anesthetic Considerations in Homeland Disasters
280
Ernesto A. Pretto Jr.,

30. Anesthetic Considerations during Flight
294
Christopher W. Connor

31. Anesthetic Considerations in Dental Practice
298
Michael Joseph

32. Ultra-Rapid Opiate Detoxifi cation
309
Clifford M. Gevirtz, Elizabeth A. M. Frost, and Alan D. Kaye

CONTENTS ix

33. Telemedicine, Teleanesthesia, and Telesurgery
316
W. Bosseau Murray, Sorin Vaduva, and Benjamin W. Berg

Appendix 1: Preuse Check of Anesthesia Equipment
328

Appendix 2: Malignant Hyperthermia
331

Appendix 3: Selected American Society of Anesthesiologists Guidelines
332

Index
351

Anesthesia Information Management Systems Outside of the Operating Room is available online at
www.isobs.org/aims