Anesthesia Outside the Operating Room

Foreword to the 1st edition
Foreword to the 2nd edition
Chapter 1. Challenges of Anesthesia Outside of the Operating Room
Wendy L. Gross, MD, MHCM and Richard D. Urman, MD, MBA
Chapter 2. Preoperative Patient Evaluation for Anesthesia Care Outside of the Operating Room
Yasmeen Beg, MD and BobbieJean Sweitzer, MD
Chapter 3. Patient Monitoring
Benjamin T. Fedeles, MD, Samuel M. Galvagno Jr, DO, PhD, FCCM, and Bhavani Kodali, MD
Chapter 4. Anesthetic Techniques
Dennis Grech, MD and Laurence M. Hausman, MD
Chapter 5. Recovery and Discharge for Procedures Conducted Outside of the Operating Room
Hairil R. Abdullah, MBBS, MMED and Frances Chung, MBBS, FRCPC
Chapter 6. Management of Staffing and Case Scheduling for Anesthesia Outside of the Operating Room
Alex Macario, MD, MBA and Deepak Sharma, MD, MBA
Chapter 7. Financial Analysis and Competitive Strategies for NORA
Sanjana Vig, MD, MBA and Steven Boggs, MD, MBA
Chapter 8. Anesthesia Information Management Systems (AIMS) for the OOOR Setting
Keith J Ruskin, MD and Ori Gottlieb, MD
Chapter 9. Procedural Sedation by Nonanesthesia Providers
Julia Metzner, MD and Karen B. Domino, MD, MPH
Chapter 10. Outcomes, Regulation, and Quality Improvement
Julia Metzner, MD and Karen B. Domino, MD, MPH
Chapter 11. CT and PET/CT-Guided Interventional Radiology Procedures
Sharath K. Bhagavatula, MD, Daniel A. T. Souza, MD, Milana Flusberg, MD, Stuart G. Silverman, MD, and Paul B. Shyn, MD
Chapter 12. Magnetic Resonance Imaging and Ultrasound-Guided Percutaneous Interventional Radiology Procedures
Sharath K. Bhagavatula, MD, Bijal Patel, MD, Kemal Tuncali, MD, Stuart G. Silverman, MD, and Paul B. Shyn, MD
Chapter 13. Interventional Neuroradiology
Ruth Thiex, MD, PHD and Kai U. Frerichs, MD
Chapter 14. Interventional Radiology Procedures
Leslie B. Scorza, MD
Chapter 15. Anesthesia for Diagnostic and Therapeutic Radiologic Procedures
Annie Amin, MD and Thomas W. Cutter, MD, MAEd
Chapter 16. Anesthesia in the Radiation Oncology Suite
Eric A. Harris, MD, MBA and Keith Candiotti, MD
Chapter 17. Radiation Safety
Erin M. Maddy, Kevin Abnet, Geoffrey Scriver, and Mrinal Shukla
Chapter 18. Gastrointestinal Endoscopy Procedures
Mark A. Gromski, MD and Kai Matthes, MD, PHD
Chapter 19. Anesthesia for Gastrointestinal Endoscopic Procedures
Lori Kral Barton, MD and Regina Y. Fragneto, MD
Chapter 20. Anesthesia for Interventional Pulmonology
Basem Abdelmalak, MD
Chapter 21. Anesthetic Implications of Natural Orifice Translumenal Endoscopic Surgery (NOTES) and Single-Incision Laparoscopic Surgery (SILS)
Mark A. Gromski, MD and Kai Matthes, MD, PHD
Chapter 22. New Challenges for Anesthesiologists Outside of the Operating Room: The Cardiac Catheterization and Electrophysiology Laboratories
Wendy L. Gross, MD, MHCM, Lebron Cooper, MD, Robert T. Faillace, MD, ScM, Douglas C. Shook, MD, Suanne M. Daves, MD and Robert M. Savage, MD, FACC
Chapter 23. Sedation for assisted reproductive technologies
Vesela Kovacheva, MD PhD and Patricia M. Sequeira
Chapter 24. Anesthesia for Urologic Procedures
Christopher V. Maani, MD and Gaelen Horne, DO
Chapter 25. Anesthesia for Procedures in the Emergency Department
James E. Andruchow, MD, MSc and Benjamin Easter, MD
Chapter 26. Office-Based Anesthesia
Laurence M. Hausman, MD
Chapter 27. Pediatric Anesthesia Outside of the Operating Room
Mohamed Mahmoud, MD, Robert S. Holzman MD, and Keira P. Mason, MD
Chapter 28. Procedures in the Adult and Neonatal Intensive Care Unit
Matthew Read, MD and Christopher V. Maani, MD
Chapter 29. Electroconvulsive Therapy
Lisa Ross, MD
Chapter 30. Pain Management Procedures
Christopher V. Maani, MD and LT Col Edward M. Lopez, MD
Chapter 31. Anesthesia in the Military Setting
Craig McFarland MD, Robert H. Burch III MD, and Christopher V. Maani, MD
Chapter 32. Anesthetic Considerations in Homeland Disasters
Robert Perelmut MD and Ernesto A. Pretto JR., MD, MPH
Chapter 33. Non-elective care on board of aircraft
Christopher Connor, MD PhD and Ben O'Brien, MD PhD (Habil) FRCA FFICM MHBA ATPL
Chapter 34. Anesthesia Considerations in Dental Practice
Janice A. Townsend, DDS, MS, Gabriel Hernandez, DDS, andLynda Harhad, DDS
Chapter 35. Ultra-Rapid Opiate Detoxification
Clifford M. Gevirtz, MD, MPH, Elizabeth Frost, MD, and Alan D. Kaye, MD, PHD
Chapter 36. Telemedicine, Teleanesthesia, and Telesurgery
W. Bosseau Murray, MD, Sorin Vaduva, MBA, and Benjamin W. Berg, MD
Chapter 37. The Future of NORA
Donald Matthews
Appendix 1. Preuse Checking of Anesthesia Equipment
Appendix 2. Malignant Hyperthermia
Appendix 3. Selected American Society of Anesthesiologists Guidelines
Appendix 4. ACLS
Appendix 5. Pediatric Emergency Planning and Resuscitation

• New edition provides an up-to-date, evidence-based coverage of important topics in non-OR anesthesia
• Chapters authored by some of the leading experts in the field
• A useful resource for both anesthesiologists and non-anesthesiologists
• Provides thorough discussions of quality, safety, and management

Anesthesia Outside of the Operating Room is a comprehensive, up-to-date textbook that covers all aspects of anesthesia care in OOR settings, from financial considerations to anesthetic techniques to quality assurance. With increasing numbers of procedures such as cardiac catheterization and imaging taking place outside of the main OR, anesthesia providers as well as non-anesthesia members of the patient care team will find this book critical to their understanding of the principles of anesthesia care in unique settings which may have limited physical resources.

The book includes chapters on patient monitoring techniques, pre-procedure evaluation and post-procedure care, and procedural sedation performed by non-anesthesia providers. Its authors address problems of anesthesia that have unique answers in OOR settings, such as patient transport and cardiac arrest, and discuss technological progress and considerations for the future. The text also covers surgical procedures and anesthetic considerations by procedure location, such as radiology, infertility clinics, field and military environments, and pediatric settings, among many others Select guidelines from the American Society of Anesthesiologists (ASA) are provided as well.

Edited by the senior faculty from Harvard Medical School and with contributions from other academic institutions, Anesthesia Outside of the Operating Room provides a unique and convenient compendium of expertise and experience.

RICHARD D. URMAN, MD, MBA, FASA Associate Professor of Anesthesia Harvard Medical School Director, Anesthesia Services, BWH Healthcare Center-Chestnut Hill Medical Director, Procedural Sedation for Interventional Medicine Director (Anesthesia), Center for Perioperative Research Fellowship Director, Perioperative Medicine Brigham and Women's Hospital, Boston, MA WENDY L. GROSS, MD, MHCM Assistant Professor of Anesthesia Harvard Medical School Vice Chair, Planning and Analytics Director, Non-OR Services Faculty, 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