Out of Operating Room Anesthesia PDF – A Comprehensive Review

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Preface

Out of operating room anesthesia challenges are discussed in almost all anesthesia textbooks. Moreover, there are at least two books dedicated to the area already available. With this in the background, one might wonder the necessity and timeliness of yet another book. The project can only be justified with one or more of the following three criteria and we hope that all three are met in this maiden edition.
The field of out of operating room anesthesia has evolved beyond belief. About two decades ago, most gastrointestinal (GI) endoscopic procedures were diagnostic and performed either awake or after administration of midazolam. Nearly all neuroradiological procedures were diagnostic scans, occasionally requiring sedation or general anesthesia. Electrophysiological procedures were largely restricted to cardioversions and pacemaker insertions. As we fast-forward two decades, the array of procedures performed in all these areas is of epic proportions. Therapeutic GI endoscopic procedures are performed in large numbers on a daily basis. Apart from highly evolved pacemaker insertions and reinsertions, the growth in the area of cardiac ablation is phenomenal. Neuroradiological approaches involving coils and stents have already limited the scope of neurosurgery. Thoracic surgery has seen a major decline as a result of therapeutic bronchoscopy. The ongoing research promises that 10–20 years henceforth, the out of operating procedures will overtake operating room procedures—both in volume and complexity. In all these locations, the presence of anesthesia provider is ubiquitous. Consequently, there is an absolute need for another dedicated book in the out of operating room area.
Another factor is the content. This book is much more practice oriented. Although topics such as organization, layout, and management of the out of operating room practice are important, we have deliberately left them out. Instead, extensive focus is on the various aspects of administration of anesthesia. As editors, we would like to consider all the chapters as outstanding.
The third reason to write a book is to present the subject matter in a unique style. Wherever appropriate, the chapters are bulleted and we believe that this feature would increase the pleasure of reading. A brief abstract is presented for many chapters summarizing the salient features. Additionally, tables and figures are used as applicable.
Although family support is essential during such endeavors and we appreciate their support, more importantly we would like to acknowledge the precise and dependable assistance provided by Wade Grayson, the developmental editor at Springer. We also appreciate the guidance accorded by Joanna Renwick, Clinical Medicine Editor at Springer. It was a pleasure to work with both of them.

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