Advanced Anesthesia Review provides a comprehensive knowledge review for all second-year US Anesthesiology residents taking the American Board of Anesthesiology's (ABA) Advanced Exam.
A companion to Basic Anesthesia Review, this essential review features concise and readable chapters covering the relevant knowledge and concepts as determined by the ABA's curriculum. While multiple books are available for board review, very few have published since the ABA restructured board examinations. Advanced Anesthesia Review is organized topically according to the most recently published ABA curriculum and highlights ABA key words along with bulleted key points to reinforce key concepts and facts.
BASIC SCIENCES Monitoring Methods 1. Vascular Pressures 2. Brain and Spinal Cord Function 3. Mixed Venous Oxygen Saturation 4. Cardiac Output 5. Coagulation Monitors 6. Ultrasound-Guided Placement of Vascular Catheters 7. Point-of-Care Ultrasound (POCUS) 8. ASA Monitoring Standards Ventilators 9. Continous Positive Airway Pressure (CPAP) and Positive End-Expiratory Pressure (PEEP) 10. Nebulizers, Humidifiers, Drug Delivery Systems 11. Electrical, Fire, and Explosion Hazards Anesthesia Procedures, Methods, and Techniques 12. Controlled Hypotension 13. Hyperbaric Medicine: Indications and Application of Hyperbaric Oxygen Therapy 14. High Altitude Anesthesia Nervous System 15. Central and Peripheral Nervous Systems 16. Drug Metabolism 17. Intracranial Pressure 18. Brain Volume 19. Intracranial Pressure and Herniation 20. Electroencephalography (EEG) 21. Evoked Potentials CLINICAL SCIENCES Regional Anesthesia 22. Common Complications of Local Anesthetics 23. Peripheral and Autonomic Nerve Blocks 24. Automatic Nerver Blocks 25. Nerve Blocks (Head) 26. Nerve Blocks (Neck) 27. Extremeties Nerve Blocks 28. Truncal Nerve Blocks 29. Spine Related Procedures 30. Diagnosis and Management of Local Anesthetic Systemic Toxicity (LAST) 31. Intravenous Lipid Emulsion Therapy and the American Society of Regional Anesthesia Checklist for Local Anesthetic Toxicity 32. Role of Regional Anesthesia in Enhanced Recovery Protocols 33. Innervation of Pelvic Structures Pharmacology 34. General Concepts in Pharmacology 35. Pharmacogenetics and Genetic Factors in Drug Dose-Response Relationships 36. Malignant Hyperthermia 37. Butyrlcholinesterase (Pseudocholinesterase) Deficiency 38. Prolonged Qt Syndrome 39. Rapid Metabolizers 40. Addiction 41. Anesthetic Implications of Addiction 42. Addiction versus Tolerance 43. CNS Drugs for Non-Anesthetic Use 44. Non-Streroidal Anti-Inflammatory Drugs (NSAIDs) 45. Acetaminophen 46. Alpha-2 Agonists 47. Tranquilizers 48. Antidepressants, Anti-Parkinson Drugs 49. Arousal Agents 50. Antiemetics 51. Anti-aspiration medications 52. Chronic Opioid Dependence and Therapy 53. Sympathetic Nervous System: Anatomy, Drugs, Receptors, Transmitters 54. Parasympethetic: Anatomy, Drugs Receptors Transmitters Central Nervous System 55. Anatomy of Central Nervous System 56. Neurologic Disorders 57. Musculoskeletal System 58. Epilepsy 59. Coma and Hyperosmolar Coma 60. Therapeutic Barbiturate Coma 61. Drug Intoxication 62. Paraplegia, Quadriplegia, Spinal Shock, Autonomic Hyperreflexia, Acute Spinal Cord Injury 63. Airway Management in the Patient with Cervical Spine Disease 64. Tetanus 65. Positioning and Anesthesia in the Sitting Position 67. Cerebral Protection 68. Intracranial Aneurysms and A-V Malformations 69. Interventional Neuroradiology 70. Pituitary Adenoma 71. Fluid Management in Neurosurgery 72. Spinal Fluid Drainage 73. Stereotactic and Gamma-Knife Techniques, Deep Brain Stimulator Placement, Intraoperative Wake-Up Techniques 74. Ventriculostomy 75. Awake Craniotomy 76. Postoperative Visual Loss 77. Hypothermia 78. MAC and Sedation Respiratory System Anatomy 79. Divisions and Bronchoscopic Anatomy 80. Bronchial and Pulmonary Circulations 81. Lung Mechanics 82. Normal Acid-Base Regulation 83. Effects of Imbalance on Electrolytes and Organ Perfusion 84. Strong Ionic Difference (SID) 85. Arterial Blood Gas Interpretation 86. The Anion Gap and Metabolic Acidosis 87. Temperature Effect on Blood Gases: Alpha-Stat vs. pH-Stat 88. Lung Functions and Cellular Processes 89. Ventilation 90. Lung Volumes 91. Pulmonary Function Tests 92. Obstructive Lung Disease 93. Restrictive Lung Disease 94. Evaluation and Management of the Patient with Respiratory Disease (Intraoperative Management) 95. Respiratory Adjungts: Heliox, Nitric Oxide, Epoprostenol and Intraoperative Steroids 96. Preoperative Evaluation and Preparation of the Patient with Pulmonary Disease 97. Choice of Anesthesia and Anesthetic Techniques in Thoracic Surgery 98. Non-Pulmonary Surgery 99. Thoracic and Pulmonary Surgery 100. Bronchopleural Fistula 101. One-Lung Ventilation 102. Thoracoscopy 103. Postoperative Pain 104. Ventilator Support and Extubation Criteria 105. Management of Respiratory Failure 106. Modes of Ventilation 107. BIPAP, Airway Pressure Release Ventilation, and Prone Ventilation 108. Sleep Apnea 109. Complications and Side Effects of Mechnical Ventilation 110. Volutrauma, Barotrauma, Biotrauma 111. Management of Bronchospasm 112. Lung Transplantation Cardiovascular System Anatomy 113. Normal Anatomy of Heart and Major Vessels 114. Echocardiographic Heart Anatomy 115. Cardiac Catheterization 116. Ischemic Heart Disease 117. Coronary Artery Bypass Procedures 118. Valvular Heart Disease 119. Subacute Bacterial Endocarditis Prophylaxis 120. Rhythym Disorders and Conduction Defects 121. Pacemakers and Automated Implantable Cardioverter/Defibrillator (AICD) 122. Perioperative Implications of Pacemaker and AICD 123. Ventricular Synchronization 124. Ablations, Cryotherapy, and Maze Procedure 125. Heart Failure and Cardiomyopathy 126. Systolic vs. Diastolic Dysfunction 127. Post-obstructive Pulmonary Edema 128. Pulmonary Hypertension 129. Heart Transplantation 130. Cardiac Tamponade 131. Constrictive Pericarditis 132. Mechanical Circulatory Assist Devices 133. Cardiopulmonary Bypass 134. Myocardial Preservation 135. Preconditioning 137. Off-Pump Coronary Artery Bypass (OPCAB) 138. Minimally Invasive Direct Coronary Artery Bypass (MIDCAB) 139. Percutaneous Valve Repair/Replacement 140. Intraaortic Balloon Pump 141. Extracorporeal Membrane Oxygenation (ECMO) 142. Ventricular Assist Devices 143. Pulmonary Embolism 144. Hypertension 145. Effect of Intracardiac Shunts on Inhalation Induction Vascular Diseases 146. Carotid Endarterectomy 147. Peripheral Arteriosclerotic Disease 148. Aortic Aneurysm 149. Advanced Cardiopulmonary Resuscitation Gastrointestinal and Hepatic Systems 150. Anatomy of the Gastrointestinal System 151. Parenteral Nutrition 152. Morbid Obesity/Anesthesia for Bariatric Surgery 153. Postoperative Hepatic Dysfunction 154. Liver Transplant Surgery 155. Anesthesia for Upper and Lower GI Endoscopy Renal and Urinary Systems 156. Renal Anatomy 157. Pathophysiology of Renal Disease 158. Anesthetic Management in Renal Failure and Arteriovenous (A-V) Shunts 159. Anesthetic Management for Kidney Transplantation 160. Anesthesia for Extracorporal Shock Wave Lithotripsy 161. Perioperative Oliguria and Anuria 162. Dialysis and Hemofiltration 163. Pharmacologic Prevention and Treatment of Renal Failure 164. Urologic Surgery 165. Perioperative Electrolyte Abnormalities 166. Fluid Therapy and Homeostasis 167. Fluid Balance During Surgery 168. Assessment of Fluid Responsiveness and Goal-Directed Therapies 169. Esophageal Doppler 170. Complications of Transurethral Resection of the Prostate Hematologic System 171. Anemias 172. Polycythemias 173. Thrombocytopenia and Thrombocytopathy 174. Congenital and Acquired Factor Deficiencies 175. Disseminated Intravascular Coagulation 176. Fibrinolysis 177. Anticoagulants and Antagonists 178. Coagulopathy in Trauma Patients 179. Hemoglobinopathies and Porphyrias 180. Transfusion Indications and Reactions 181. Complications of Transfusions 182. Transfusion Therapy for Massive Hemorrhage 183. Transfusion Ratios: Red Blood Cells to Plasma 184. Use of Uncross Matched Products Endocrine and Metabolic Systems 185. Anatomy of the Endocrine system 186. Hypopituitary Disease 187. Thyroid Gland 188. Parathyroid Disease 189. Adrenal Disease 190. Carcinoid Syndrome 191. Diabetes Mellitus 192. Pancreas Transplantation Neuromuscular Diseases and Disorders 193. Multiple Sclerosis 194. Guillain-Barre Syndrome 195. Charcot-Marie-Tooth Disease 196. Muscular Dystrophies 197. Mitochondrial Myopathies 198. Myasthenia Gravis 199. Lambert-Eaton Myasthenic Syndrome 200. Congenital Myasthenic Syndromes 201. Ion Channel Myotonias, Myotonia Congenita and Acquired Neuromyotonia 202. Hyperkalemic Periodic Paralysis 203. Hypokalemic Periodic Paralysis Clinical Subspecialties 115. Painful Disease States 116. Cancer Pain 117. Acute and Chronic Neck and Low Back Pain 118. Neuropathic Pain States 119. Complex Regional Pain Syndrome 120. Postherpetic Neuralgia 121. Phantom Limb Pain 122. Peripheral Neuropathies 123. Postoperative Epidural Analgesia 124. Neuraxial Opioids 125. Patient-Controlled Analgesia 126. Systemic Multimodal Analgesia 127. Continuous Spinal and Epidural Analgesia 128. Neurolytic and Non-Neurolytic Blocks 219. World Health Organization (WHO) Analgesic Ladder Pediatric Anesthesia 220. Apparatus and Breathing Circuits 221. Endotracheal Tube Selection 222. Warming Devices 223. Premedications 224. Agents, Techniques and Mapleson Circuits 225. Induction Techniques 226. Anesthetics Actions Different From Adults 227. Drug Toxicities Preferentially Occurring in Children 228. Opioid Dosing and Sensitivity 229. Neuromuscular Blockers 230. Regional Anesthesia 231. Fluid Therapy and Blood Replacement 232. NPO Guidelines for Pediatric Patients 233. Problems in Intubation and Extubation 234. Neonatal Physiology 235. Cardiovascular System 236. Metabolism, Fluid Distribution and Renal Function 237. Thermal Regulation 239. Fetal Hemoglobin 240. Bronchopulmonary Dysplasia 241. Congenital Heart and Major Vascular Disease 242. Cyanotic Defects 243. Acyanotic Defects 244. Primary Pulmonary Hypertension 245. Major Vascular Malformations 246. Altered Uptake/Distribution of IV and Inhalation Anesthetics 247. Cardiac Surgery; Corrective and Palliative 248. Noncardiac Surgery 249. Chronic Congenital Heart Disease 250. Congenital Diaphragmatic Hernia 251. Tracheoesophageal Fistula 252. Neonatal Lobar Emphysema 253. Pyloric Stenosis 254. Necrotizing Enterocolitis 255. Omphalocele/Gastroschisis 256. Meconium Aspiration 257. Respiratory Distress Syndrome 258. Myelomeningocele 259. Pnemo, Hemo, and Chylothorces 260. Upper Respiratory Infections (Colds, Epiglottitis, Laryngotracheobronchitis), Bronchopulmonary Dysplasia, Cystic Fibrosis 261. Musculoskeletal Disease 262. Hydrocephalus 263. Developmental Delay, Cerebral Palsy, Autism 264. Childhood Obesity 265. Skeletal Abnormalities in Children 266. Trisomy 21 (Down syndrome) and VATER Association 267. Chromosomal Abnormalities and Other Common Pediatric Syndromes 268. Juvenile Idiopathic Arthritis 269. Malignant Hyperthermia in Children Anesthetic Implications for Common Non-Neonatal Pediatric Subspecialty Surgery 270. Otolaryngology 271. Neurosurgery 272. Thoracic Surgery 273. General and Urologic Surgery 274. Orthopedic Surgery 275. Ophthalmologic Surgeries 276. Pediatric Outpatient Surgery 277. Systemic Medications and Routes of Administration, Multimodal Therapy. 278. Regional Techniques 279. Pediatric Management of Postoperative Nausea and Vomiting 280. Pediatric Sedation. Kasia. kasia.rubin@gmail.com 281. Pediatric Anesthesia Outside the Operating Room Obstetric Anesthesia 282. Maternal Physiology 283. Placenta 284. Anesthetic Drugs and Adjuvants 285 Oxytocic Drugs 286. Tocolytic Drugs 287. Mechanisms of Placental Transfer and Placental Transfer of Specific Drugs 288. Fetal Disposition of Drugs 289. Drug Effects on Newborn 290. Amniotic Fluid 291. Labor Analgesia 292. Systemic Medications 293. Other Blocks 294. Complications of Obstetric Anesthesia 295. Physiology of Labor 296. Influence of Anesthetic Technique on Labor 297. Cesarean Section 298. Anesthesia for Cerclage or Non-Obstetric Surgery 299. Ectopic Pregnancy 300. Spontaneous Abortion 301. Gestational Trophoblastic Disease 302. Autoimmune Disorders 303 Endocrine Disorders 304. Heart Disease 305. Hematologic Disorders 306. Hypertension 307. Neurologic Disorders 308. Respiratory Disorders 309. Renal Changes During Pregnancy 310. Fetal Monitoring 311. Preeclampsia and Eclampsia 312. Supine Hypotensive Syndrome 313. Aspiration of Gastric Contents 314. Embolic Disorders 315. Antepartum Hemorrhage 316. Postpartum Hemorrhage 317. Umbilical Cord Prolapse 318. Retained Placenta 319. Dystocia,l Malposition, and Malrepresentation 320. Maternal Cardiopulmonary Resuscitation 321. Fever and Infection 322. Preterm Labor 323. Trial of Labor after Cesarean Delivery 324. Multiple Gestation 325. Neonatal Resuscitation 326. Apgar Scoring 327. Umbilical Cord Blood Gas 328. Intrauterine Surgery 329. Anesthetic Condierations in Breast-Feeding Otorhinolaryngology (ENT) Anesthesia 330. Airway Endoscopy, Microlaryngeal Surgery, Laser Surgery 331. Hazards and Complications 332. Intraoperative Thyroid and Parathyroid Function Monitoring 333. Nerve Injury Monitoring During ENT Surgery Miscellaneous 334. Liposuction 335. Anesthesia for Laparoscopic Surgery 336. Ophthalmologic Anesthesia 337. Orthopedic Anesthesia 338. Anesthesia for Trauma Patient 339. Anesthesia for MRI 340. Hemorrhagic Shock 341. Mass Casualty Events 342. Chemical and Biological Warfare 343. Anesthesia for Outpatient Surgery 344. Patient Selection and Preoperative Management 345. Discharge Criteria and Postoperative Follow Up 346. Office-Based Anesthesia 347. Geriatrics 348. Pharmacological Implications 349. Shock States 350. Systemic Inflammatory Response Syndrome 351. Multiple Organ Dysfunction Syndrome 352. Prescription Medication Overdose 353. Carbon Monoxide Poisoning 354. Drowning 355. Infection Control 356. Needle Stick Injury 357. Intravascular Catheter and Urinary Catheter Infection 358. Ventilator Associated Pneumonia 359. Antimicrobials 360. Mechanical Ventilation 361. Post-Operative Headache Special Problems in Anesthesiology 363. Electroconvulsive Therapy 364. Organ Donors and Procurement 365. Brain Death Criteria 366. Radiological Procedures 367. Ethics, Practice Management, Professionalism and Medicolegal Issues 368. Ethics, Advance Directives/Do Not Resuscitate (DNR) Orders 369. Malpractice 370. Initial Certification, Recertification, Maintenance of Certification and Related Issues 371. Costs of Medical/Anesthesia Care and Operating Room Management 372. Definitions 373. Medications Errors 374. Reporting: Mandatory and Voluntary Systems, Legal Requirements, Anesthesia Quality Institute and Physician Quality Reporting System 375. Safety Practices 376. Root Cause Analysis 377. Crisis Management and Teamwork 378. Quality Improvement 379. Six Sigma and Lean Operations for the Anesthesiologist 380. Barriers to Quality Improvement 381. Federal Regulatory Requirements and Quality Payment Programs
Alaa Abd-Elsayed is Associate Professor of Anesthesiology at University of Wisconsin-Madison.