Table of Contents

Section 1: Introduction. Scope of modern anesthetic practice.
The international scope and practice of anesthesia.
Perioperative medicine.
Informatics in perioperative medicine.
Quality improvement in anesthesia practice.
Human performance and patient safety.
Patient simulation.
Ethical aspects of anesthesia care.
Section 2: Anesthetic physiology. Consciousness, memory, and anesthesia.
Sleep medicine.
Cerebral physiology and the effects of anesthetic drugs.
Neuromuscular physiology.
Respiratory physiology and pathophysiology.
Cardiac physiology.
Gastrointestinal physiology and pathophysiology.
Hepatic physiology and pathophysiology.
Renal anatomy, physiology, pharmacology and evaluation of function.
Basic principles of pharmacology.
Inhaled anesthetics: mechanisms of action.
Inhaled anesthetic pharmacokinetics: uptake, distribution, metabolism and toxicity.
Pulmonary pharmacology and inhaled anesthetics.
Inhaled anesthetics: delivery systems.
Intravenous anesthetics.
Opioids.
Nonopioid pain medications.
Intravenous drug delivery systems.
Pharmacology of neuromuscular blocking drugs.
Reversal (antagonism) of neuromuscular blockade.
Local anesthetics.
Section 3: Anesthesia management. Risk of anesthesia.
Preoperative evaluation.
Anesthetic implications of concurrent diseases.
Complementary and alternative therapies.
Patient positioning for anesthesia.
Neuromuscular disorders and other genetic disorders.
Cardiovascular monitoring.
Perioperative echocardiography.
Implantable cardiac pulse generators: pacemakers and cardioverter-defibrillators.
Neurologic monitoring.
Monitoring depth of anesthesia (monitoring brain state).
Respiratory monitoring.
Renal pathophysiology and treatment for perioperative ischemia and nephrotoxic injury.
Neuromuscular monitoring.
Airway management in the adult.
Spinal, epidural, and caudal anesthesia.
Peripheral nerve blocks.
Perioperative fluid and electrolyte therapy.
Perioperative acid-base balance.
Patient blood management: transfusion therapy.
Patient blood management: coagulation.
Section 4: Adult subspecialty management. Management of the patient with chronic pain.
Palliative medicine.
Anesthesia for thoracic surgery.
Anesthesia for cardiac surgical procedures.
Anesthesia for cardiac catherization and electroconversion.
Anesthesia for vascular surgery.
Anesthesia for neurologic surgery and neurointerventions.
Anesthesia for bariatric surgery.
Anesthesia and the renal and genitourinary systems.
Anesthesia for organ transplantation.
Anesthesia for organ procurement.
Anesthesia for obstetrics.
Anesthesia for fetal surgery and other fetal therapies.
Anesthesia for orthopaedic surgery.
Geriatric anesthesia.
Anesthesia for trauma.
Anesthesia in prehospital and emergency care.
Biologic, natural and human-induced disasters: the role of the anesthesiologist.
Anesthesia for ophthalmic surgery.
Anesthesia for otolaryngologic and head-neck surgery.
Anesthesia for robotic surgery.
Anesthesia for ambulatory (outpatient) surgery.
Non-operating room anesthesia (NORA).
Clinical care in extreme environments: at high and low pressure and in space (aka hyperbaric).
Extreme physiology.
Section 5: Pediatric anesthesia. Regional anesthesia in children.
Pediatric anesthesia.
Anesthesia for pediatric cardiac surgery.
Pediatric and neonatal intensive care.
Section 6: Postoperative care. The postanesthesia care unit.
Immediate and long-term complications.
Acute postoperative pain.
Cognitive dysfunction and other long-term complications of surgery and anesthesia.
Section 7: Critical care medicine. Critical care anesthesiology.
Neurocritical care.
Extracorporeal membrane oxygenation and cardiac devices.
Cardiopulmonary resuscitation and advanced cardiac life support.
Section 8: Ancillary responsibilities and problems. Electrical burns and other burns.
Environmental safety and chemical dependency.
Evidence and clinical trials.
Interpreting the medical literature. Covering everything from historical and international perspectives to basic science and current clinical practice, Miller's Anesthesia, 9th Edition, remains the preeminent reference in the field. Dr. Michael Gropper leads a team of global experts who bring you the most up-to-date information available on the technical, scientific, and clinical issues you face each day - whether you're preparing for the boards, studying for recertification, or managing a challenging patient care situation in your practice. Contains fully revised and updated content throughout, including numerous new videos online. Includes four new chapters: Clinical Care in Extreme Environments: High Pressure, Immersion, and Hypo- and Hyperthermia; Immediate and Long-Term Complications; Clinical Research; and Interpreting the Medical Literature. Addresses timely topics such as neurotoxicity, palliation, and sleep/wake disorders. Streamlines several topics into single chapters with fresh perspectives from new authors, making the material more readable and actionable. Features the knowledge and expertise of former lead editor Dr. Ronald Miller, as well as new editor Dr. Kate Leslie of the University of Melbourne and Royal Melbourne Hospital. Provides state-of-the-art coverage of anesthetic drugs, guidelines for anesthetic practice and patient safety, new techniques, step-by-step instructions for patient management, the unique needs of pediatric patients, and much more - all highlighted by more than 1,500 full-color illustrations for enhanced visual clarity. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices, in addition to accessing regular updates, related websites, and an expanded collection of procedural videos.