Transplantation, An Issue of Anesthesiology Clinics, 1e: Volume 35-3

Description:

This issue of Anesthesiology Clinics focuses on Transplantation. Editors Aman Mahajan and Christopher Wray have assembled an expert team of authors on topics such as: Immunology and Pharmacology of Transplantation; Infectious Diseases and Malignancies in Transplantation; Anesthesia Management of the Organ Donor; Transfusion Medicine and Coagulation Management in Organ Transplantation; Pediatric Transplantation; Anesthesia for Kidney and Pancreas Transplantation; Anesthesia for Heart Transplantation; Anesthesia for Lung Transplantation; Anesthesia for Liver Transplantation; Anesthesia for Small Bowel and Multivisceral Transplantation; Anesthesia for hand and face transplantation; Anesthesia considerations in Transplant recipients for Non-transplant surgery.

Table of Contents:

Demands of Integrated Care Delivery in Interventional Medicine and Anesthesiology: Interdisciplinary Teamwork and Strategy

Key points

Building and Maintaining Organizational Infrastructure to Attain Clinical Excellence

Key points

Establishing comprehensive teams

Standards for the work environment

Teaching clinical excellence

Quality improvement

Summary

Safety of Non–Operating Room Anesthesia: A Closed Claims Update

Key points

Introduction

Methods

Results

Discussion

Summary

Implementation and Use of Anesthesia Information Management Systems for Non–operating Room Locations

Key points

Introduction

Preoperative workflow

Intraprocedure workflow

Current issues and future directions

Summary

Monitoring for Nonoperating Room Anesthesia

Key points

Introduction

Pulse oximetry

Capnography

Electrocardiogram

Noninvasive blood pressure

Temperature

Advanced monitors

Site-specific monitoring considerations

Summary

Use of Anesthesiology Services in Radiology

Key points

Introduction

American College of Radiology and Society of Interventional Radiology practice parameter on sedation and analgesia

Considerations for anesthesiology consultation

Use trends and procedural needs

Understanding the intricacies of interventional radiology procedures and the interventional radiology suite

Communication and collaboration for procedure planning

Postprocedure care

Future areas for improvement

An Anesthesiologist’s View of Tumor Ablation in the Radiology Suite

Key points

Introduction

Chemical ablation

Radiofrequency ablation

Cryoablation

Irreversible electroporation

MRI-guided neurosurgical ablation with laser diode (laser interstitial thermal therapy) for epilepsy and brain tumors

Summary

A Radiologist’s View of Tumor Ablation in the Radiology Suite

Key points

Introduction

Ablation techniques

Imaging guidance modalities

Implications for anesthesia

Summary

Catheterization Laboratory: Structural Heart Disease, Devices, and Transcatheter Aortic Valve Replacement

Key points

Introduction

Aortic stenosis

Introduction to transcatheter aortic valve replacement

Transcatheter aortic valve replacement versus medical therapy

Transcatheter aortic valve replacement versus surgical therapy

Routes of delivery

Types of transcatheter aortic valve replacement valves

Comparison of transcatheter aortic valve replacement versus surgical aortic valve replacement

Future directions for transcatheter aortic valve replacement

Anesthesia preevaluation

Monitoring

Procedure

Endovascular edge-to-edge mitral valve repair procedure

Left atrial appendage closure device

Closing

Anesthesia in the Electrophysiology Laboratory

Key points

Introduction

Preprocedural planning

Anticipated challenges

Sedation

General anesthesia

Beta-adrenergic stimulation for arrhythmia induction and testing

Effects of respiratory motion on catheter stability

Monitoring brain perfusion during ventricular tachycardia

Hemodynamic support

Summary

Supplementary data

Cardioversions and Transthoracic Echocardiography

Key points

Anesthesia for Routine and Advanced Upper Gastrointestinal Endoscopic Procedures

Key points

Introduction

Operating room communication

Pharmacologic strategies

Nonpharmacologic strategies

Gastrointestinal procedures

Summary

Anesthesia for Colonoscopy and Lower Endoscopic Procedures

Key points

Introduction

Sedation practice for lower endoscopy

Quality, safety, and outcomes

Utilization, cost, and reimbursement

Summary

Interventional Pulmonology

Key points

Airway access

Approaches to sedation

Ventilation

Summary

Pediatric Anesthesia Considerations for Interventional Radiology

Key points

Introduction

Pediatric and patient-specific considerations

Procedure-specific considerations

Summary

Market Evaluation: Finances, Bundled Payments, and Accountable Care Organizations

Key points

Introduction

Evolution of health insurance in the United States

Transition from hospital-based surgeries to ambulatory surgical centers

Outpatient care coordination

Patient-centered medical and surgical homes

Bundled payments

Accountable care organizations

The Medicare Access and Children's Health Insurance Program Reauthorization Act

Proliferation of new payment models

Future directions

Value-Based Care and Strategic Priorities

Key points

Theory of the business

Strategic priorities

Operational effectiveness

Value, cost, and outcomes

Strategic position

Teamwork and financial silos

Key elements of sustainable strategy