Miller’s Anesthesia Review

542 Pages·2012·2.865 MB·English

by  Lorraine M Sdrales, Ronald D. Miller

MILLER’S
ANESTHESIA
REVIEW
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MILLER’S
ANESTHESIA
REVIEW
SECOND EDITION
Lorraine M. Sdrales,
MD
Attending Anesthesiologist
Cedars-Sinai Medical Center
Los Angeles, California
Ronald D. Miller,
MD
Professor of Anesthesia and Perioperative Care
Department of Anesthesia and Perioperative Care
University of California, San Francisco, School of Medicine
San Francisco, California
1600JohnF.KennedyBlvd.
Ste1800
Philadelphia,PA19103-2899
MILLER’SANESTHESIAREVIEW 978-1-4377-2793-7
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Copyright#2001byChurchillLivingstone,animprintofElsevierInc.
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LibraryofCongressCataloging-in-PublicationData
Sdrales,LorraineM.
Miller’sanesthesiareview/LorraineM.Sdrales,RonaldD.Miller.–2nded.
p.;cm.
Rev.ed.of:Anesthesiareview:astudyguidetoAnesthesia,fiftheditionandBasicsofanesthesia,fourth
edition/LorraineM.Sdrales,RonaldD.Miller;consultingeditor,RobertK.Stoelting.c2001.
Includesbibliographicalreferencesandindex.
ISBN978-1-4377-2793-7(pbk.:alk.paper)
I.Miller,RonaldD.,1939-II.Sdrales,LorraineM.Anesthesiareview.III.Title.
[DNLM:1.Anesthesia–ExaminationQuestions.WO218.2]
617.906076–dc23
2012009621
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CONTRIBUTORS
Meredith C.B. Adams, MD Adam Collins, MD
Assistant Professor, Departments of Anesthesiology, Associate Professor, Department of Anesthesia and
Psychiatry, and Neurology, University of Florida; Perioperative Care, University of California,
Section Chief, Pain Medicine, North Florida/South San Francisco, School of Medicine, San Francisco,
Georgia Veterans Health System, Gainesville, California
Florida
Anil de Silva, MD
Dean B. Andropoulos, MD,MHCM Professor, Department of Anesthesia and Perioperative
Chief of Anesthesiology, Department of Pediatric Care, University of California, San Francisco, School
Anesthesiology, Texas Children’s Hospital; Professor, of Medicine, San Francisco, California
Department of Anesthesiology and Pediatrics, Baylor
College of Medicine, Houston, Texas Ken Drasner, MD
Professor of Clinical Anesthesia, Department of
Anesthesia and Perioperative Care, University of
Sheila R. Barnett, MD
California, San Francisco, School of Medicine,
Associate Professor of Anesthesiology, Harvard Medical
San Francisco, California
School, Beth Israel Deaconess Medical Center, Boston,
Massachusetts
Helge Eilers, MD
AssociateProfessor,DepartmentofAnesthesiaand
Luca M. Bigatello, MD
PerioperativeCare,UniversityofCalifornia,
Director, Surgical Critical Care, Department of
SanFrancisco,SchoolofMedicine,SanFrancisco,
Anesthesiology and Pain Medicine, St. Elizabeth’s
California
Medical Center, Boston, Massachusetts
John Feiner, MD
Thomas J.J. Blanck, MD,PhD Professor, Department of Anesthesia and Perioperative
Professor and Chairman, Department of Anesthesiology,
Care, University of California, San Francisco, School of
Professor of Physiology and Neuroscience, New York
Medicine, San Francisco, California
University Langone Medical Center, New York,
New York
Alana Flexman, MD
Clinical Assistant Professor, Department of Anesthesia
Lundy Campbell, MD and Perioperative Care, University of California,
Associate Clinical Professor, Department of Anesthesia San Francisco, School of Medicine, San Francisco,
and Perioperative Care, University of California, California
San Francisco, School of Medicine, San Francisco,
California
Charles J. Fox, MD
ViceChairforAcademics,DepartmentofAnesthesiology,
Lydia Cassorla, MD Tulane University Medical Center, New Orleans,
Professor, Department of Anesthesia and Perioperative Louisiana
Care, University of California, San Francisco, School of
Medicine, San Francisco, California William R. Furman, MD
Professor of Anesthesiology and Surgery, Vice Chair for
Daniel Cole, MD Clinical Affairs, Department of Anesthesiology,
Professor of Anesthesiology, College of Medicine Mayo Vanderbilt University School of Medicine; Executive
Clinic;Chair,DepartmentofAnesthesiology,MayoClinic Medical Director, Perioperative Services, Vanderbilt
Arizona, Phoenix, Arizona University Hospital, Nashville, Tennessee
v
Contributors
Steven Gayer, MD,MBA Eric Y. Lin, MD
Professor, Department of Anesthesiology and Assistant Professor, Department of Anesthesia and
Ophthalmology, The Bascom Palmer Eye Institute, Perioperative Care, University of California,
University of Miami School of Medicine, Miami, Florida San Francisco, School of Medicine, San Francisco,
California
David B. Glick, MD,MBA
Associate Professor, Department of Anesthesia and Lawrence Litt, PhD,MD
Critical Care, University of Chicago; Medical Director, Emeritus Professor, Departments of Anesthesia and
Pre- and Post-Anesthesia Care Units, University of Perioperative Care, and Radiology, University of
Chicago, Chicago, Illinois California, San Francisco, School of Medicine,
San Francisco, California
Erin A. Gottlieb, MD
Assistant Professor, Department of Pediatrics and Henry Liu, MD
Anesthesiology, Baylor College of Medicine; Attending Associate Professor of Anesthesiology, Director of
Anesthesiologist, Division ofPediatricCardiovascular Cardiothoracic and Vascular Anesthesia, Tulane
Anesthesiology,TexasChildren’sHospital,Houston,Texas University Medical Center, New Orleans, Louisiana
Tula Gourdin, MBA Linda Liu, MD
Analyst, Department of Anesthesia and Perioperative
Professor, Department of Anesthesia and Perioperative
Care, University of California, San Francisco, School Care, University of California, San Francisco, School of
of Medicine, San Francisco, California Medicine, San Francisco, California
Michael A. Gropper, MD,PhD Jennifer Lucero, MD
Professor and Executive Vice Chairman, Department
AssistantProfessor,DepartmentofAnesthesiaand
of Anesthesia and Perioperative Care, University of
PerioperativeCare,UniversityofCalifornia,SanFrancisco,
California, San Francisco; Director, Critical Care
SchoolofMedicine,SanFrancisco,California
Medicine,UniversityofCalifornia,SanFranciscoMedical
Center, San Francisco, California
Anuj Malhotra, MD
Pain Management Fellow, Department of Anesthesia,
Jennifer E. Hofer, MD
Stanford University, Palo Alto, California
Assistant Professor, Department of Anesthesia and
Critical Care, The University of Chicago Medical
Vinod Malhotra, MD
Center, Chicago, Illinois
Professor, Department of Anesthesiology and Urology,
Vice Chair for Clinical Affairs, Clinical Director of the
Robert W. Hurley, MD,PhD
Operating Rooms, Weill Cornell Medical College and
Associate Professor, Departments of Anesthesiology,
Medical Center, New York, New York
Neurology, Orthopaedics and Rehabilitation, and
Psychiatry,UniversityofFlorida;ChiefofPainMedicine,
College of Medicine, University of Florida; Medical Rachel Eshima McKay, MD
Clinical Professor, Department of Anesthesia and
Director, University of Florida Pain and Spine Center,
Perioperative Care, University of California,
Gainesville, Florida
San Francisco, School of Medicine, San Francisco,
California
Steve Hyman, MD,MM
Associate Professor of Clinical Anesthesiology,
Department of Anesthesiology, Vanderbilt University Pankaj Mehta, MD
School of Medicine, Nashville, Tennessee FacultyofInterventionalPainMedicine,ClevelandClinic
Foundation, Cleveland, Ohio
Alan David Kaye, MD,PhD
Professor and Chairman, Department of Anesthesiology, Douglas G. Merrill, MD,MBA
Professor,DepartmentofPharmacology,LouisianaState Professor of Anesthesiology, Dartmouth Medical School;
University School of Medicine-New Orleans, New Director, The Center for Perioperative Services; Medical
Orleans, Louisiana Director, Outpatient Surgery, Dartmouth-Hitchcock
Medical Center, Lebanon, New Hampshire
Jae-Woo Lee, MD
Associate Professor in Residence, Department of Ronald D. Miller, MD
Anesthesiology and Perioperative Care, University of Professor, Department of Anesthesia and Perioperative
California, San Francisco, School of Medicine, San Care, University of California, San Francisco, School
Francisco, California of Medicine, San Francisco, California
vi
Contributors
Theodora K. Nicholau, PhD,MD David Shimabukuro, MDCM
ClinicalProfessor,DepartmentofAnesthesiaand Associate Professor, Department of Anesthesia and
PerioperativeCare,UniversityofCalifornia,SanFrancisco, Perioperative Care, University of California,
SchoolofMedicine,SanFrancisco,California San Francisco, School of Medicine, San Francisco,
California
Howard D. Palte, MBChB,FCA(SA)
Assistant Professor, Department of Anesthesiology, Randolph H. Steadman, MD
University of Miami, Miami, Florida ProfessorandViceChair,DepartmentofAnesthesiology,
David Geffen School of Medicine at University of
Anup Pamnani, MD California, Los Angeles, Los Angeles, California
AssistantProfessor,DepartmentofAnesthesiology,Weill
Cornell Medical College, New York, New York Greg Stratmann, MD,PhD
Associate Professor, Department of Anesthesia and
Siamak Rahman, MD Perioperative Care, University of California,
Associate Clinical Professor, Department of San Francisco, School of Medicine, San Francisco,
Anesthesiology, University of California, Los Angeles, California
Los Angeles, California
Bobbie Jean Sweitzer, MD
James P. Rathmell, MD Professor, Departments of Anesthesiology and Critical
Professor of Anesthesia, Harvard Medical School; Vice Care and Medicine, University of Chicago; Director,
Chair and Chief, Division of Pain Medicine, Department Anesthesia Perioperative Medicine Clinic, University
of Anesthesia, Critical Care, and Pain Medicine, of Chicago Medical Center, Chicago, Illinois
Massachusetts General Hospital, Boston, Massachusetts
Pekka Talke, MD
Mark Rollins, MD,PhD Professor, Chief of Neuroanesthesia, Department of
AssociateProfessor,DepartmentofAnesthesiaand Anesthesia and Perioperative Care, University of
PerioperativeCare,UniversityofCalifornia,SanFrancisco, California, San Francisco, School of Medicine,
SchoolofMedicine,SanFrancisco,California San Francisco, California
Andrew D. Rosenberg, MD Arthur W. Wallace, MD,PhD
Chief, Department of Anesthesiology, New York Professor in Residence and Vice Chair, Department
University Hospital For Joint Diseases; Executive Vice- of Anesthesia and Perioperative Care, University
Chair, Department of Anesthesiology, New York ofCalifornia,SanFrancisco,SchoolofMedicine;Chiefof
University School of Medicine, New York, New York Anesthesia, Veterans Affairs Medical Center,
San Francisco, California
Patricia Roth, MD
Professor, Department of Anesthesia and Perioperative Jeffrey D. Wilkinson, MD
Care, University of California, San Francisco, School of South County Anesthesia Associates; Chairman, Quality
Medicine, San Francisco, California Committee of the Board, St. Anthony’s Medical Center,
St. Louis, Missouri
Isobel A. Russell, MD,PhD,FACC
Professor, Department of Anesthesia and Perioperative Victor W. Xia, MD
Care, University of California, San Francisco, School of Associate Clinical Professor, Department of
Medicine;Chief,CardiacAnesthesiaServices,University Anesthesiology, David Geffen School of Medicine at
of California, San Francisco Medical Center, University of California, Los Angeles, Los Angeles,
San Francisco, California California
vii
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PREFACE
Aswithallmedicaldisciplines,thepracticeofanesthesia information read. Anesthesia residents at every level
requires a solid knowledge base as well as clinical may use it to prepare for specific clinical applications
competence. There are many textbooks that provide the that they may face on a subspecialty rotation or with
studentofanesthesiologywiththeinformationneededto givencases.Anesthesiaresidentscanalsousethisstudy
practice anesthesia. What was lacking was a book that guide for group study in which they will be required
allowed studentsat everyleveltoactively participatein to verbalize answers to questions on given topics.
their learning. This study guide lets the reader evaluate Similarly, faculty may use the study guide to quiz
his or her own knowledge and formulate answers alone residents orally in a coherent, progressive manner in
oringroups,anditprovidesanalternatemeansofstudy formal or informal settings. This question and answer
of the information. bookcanbeusedforself-studyforBoardexaminations,
The format of the book is question and answer. It is whichmaybeparticularlyusefultotheanesthesiologist
organizedinalogicalprogressionfrombasicanesthesia who is in practice and is required to register with the
principles and concepts to more complex issues. These ABA MOCA program for recertification every 10 years.
includethedeliveryofanesthesiainvarioussettingsand Finally, anesthesiologists in practice may find the study
the administration of anesthesia to patients with organ guide useful to refresh their knowledge base andreview
system dysfunction and disease states. All the answers old and new information that they may not have been
are current, fully formed, and self-explanatory, and taught during their residencies. The multiple uses of
the page number references provided at the end of each this study guide make it an appropriate choice for
question refer the reader to the Basics of Anesthesia, students, teachers, and clinicians of anesthesiology at
Sixth Edition, text where further information on the every level.
given topic can be found.
There are several ways this study guide can be used. Lorraine M. Sdrales
The first-year anesthesia resident may use it to solidify Ronald D. Miller
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