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Publisher: Elsevier   (Total: 3051 journals)

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Showing 1 - 200 of 3048 Journals sorted alphabetically
A Practical Logic of Cognitive Systems     Full-text available via subscription   (Followers: 7)
AASRI Procedia     Open Access   (Followers: 15)
Academic Pediatrics     Hybrid Journal   (Followers: 24, SJR: 1.402, h-index: 51)
Academic Radiology     Hybrid Journal   (Followers: 22, SJR: 1.008, h-index: 75)
Accident Analysis & Prevention     Partially Free   (Followers: 86, SJR: 1.109, h-index: 94)
Accounting Forum     Hybrid Journal   (Followers: 25, SJR: 0.612, h-index: 27)
Accounting, Organizations and Society     Hybrid Journal   (Followers: 30, SJR: 2.515, h-index: 90)
Achievements in the Life Sciences     Open Access   (Followers: 4)
Acta Anaesthesiologica Taiwanica     Open Access   (Followers: 5, SJR: 0.338, h-index: 19)
Acta Astronautica     Hybrid Journal   (Followers: 358, SJR: 0.726, h-index: 43)
Acta Automatica Sinica     Full-text available via subscription   (Followers: 3)
Acta Biomaterialia     Hybrid Journal   (Followers: 25, SJR: 2.02, h-index: 104)
Acta Colombiana de Cuidado Intensivo     Full-text available via subscription   (Followers: 1)
Acta de Investigación Psicológica     Open Access   (Followers: 2)
Acta Ecologica Sinica     Open Access   (Followers: 8, SJR: 0.172, h-index: 29)
Acta Haematologica Polonica     Free   (SJR: 0.123, h-index: 8)
Acta Histochemica     Hybrid Journal   (Followers: 3, SJR: 0.604, h-index: 38)
Acta Materialia     Hybrid Journal   (Followers: 225, SJR: 3.683, h-index: 202)
Acta Mathematica Scientia     Full-text available via subscription   (Followers: 5, SJR: 0.615, h-index: 21)
Acta Mechanica Solida Sinica     Full-text available via subscription   (Followers: 9, SJR: 0.442, h-index: 21)
Acta Oecologica     Hybrid Journal   (Followers: 10, SJR: 0.915, h-index: 53)
Acta Otorrinolaringologica (English Edition)     Full-text available via subscription   (Followers: 1)
Acta Otorrinolaringológica Española     Full-text available via subscription   (Followers: 3, SJR: 0.311, h-index: 16)
Acta Pharmaceutica Sinica B     Open Access   (Followers: 1)
Acta Poética     Open Access   (Followers: 4)
Acta Psychologica     Hybrid Journal   (Followers: 24, SJR: 1.365, h-index: 73)
Acta Sociológica     Open Access  
Acta Tropica     Hybrid Journal   (Followers: 6, SJR: 1.059, h-index: 77)
Acta Urológica Portuguesa     Open Access  
Actas Dermo-Sifiliograficas     Full-text available via subscription   (Followers: 4)
Actas Dermo-Sifiliográficas (English Edition)     Full-text available via subscription   (Followers: 3)
Actas Urológicas Españolas     Full-text available via subscription   (Followers: 4, SJR: 0.383, h-index: 19)
Actas Urológicas Españolas (English Edition)     Full-text available via subscription   (Followers: 2)
Actualites Pharmaceutiques     Full-text available via subscription   (Followers: 5, SJR: 0.141, h-index: 3)
Actualites Pharmaceutiques Hospitalieres     Full-text available via subscription   (Followers: 4, SJR: 0.112, h-index: 2)
Acupuncture and Related Therapies     Hybrid Journal   (Followers: 4)
Acute Pain     Full-text available via subscription   (Followers: 13)
Ad Hoc Networks     Hybrid Journal   (Followers: 11, SJR: 0.967, h-index: 57)
Addictive Behaviors     Hybrid Journal   (Followers: 15, SJR: 1.514, h-index: 92)
Addictive Behaviors Reports     Open Access   (Followers: 6)
Additive Manufacturing     Hybrid Journal   (Followers: 7, SJR: 1.039, h-index: 5)
Additives for Polymers     Full-text available via subscription   (Followers: 21)
Advanced Drug Delivery Reviews     Hybrid Journal   (Followers: 134, SJR: 5.2, h-index: 222)
Advanced Engineering Informatics     Hybrid Journal   (Followers: 11, SJR: 1.265, h-index: 53)
Advanced Powder Technology     Hybrid Journal   (Followers: 17, SJR: 0.739, h-index: 33)
Advances in Accounting     Hybrid Journal   (Followers: 9, SJR: 0.299, h-index: 15)
Advances in Agronomy     Full-text available via subscription   (Followers: 15, SJR: 2.071, h-index: 82)
Advances in Anesthesia     Full-text available via subscription   (Followers: 26, SJR: 0.169, h-index: 4)
Advances in Antiviral Drug Design     Full-text available via subscription   (Followers: 3)
Advances in Applied Mathematics     Full-text available via subscription   (Followers: 6, SJR: 1.054, h-index: 35)
Advances in Applied Mechanics     Full-text available via subscription   (Followers: 11, SJR: 0.801, h-index: 26)
Advances in Applied Microbiology     Full-text available via subscription   (Followers: 22, SJR: 1.286, h-index: 49)
Advances In Atomic, Molecular, and Optical Physics     Full-text available via subscription   (Followers: 16, SJR: 3.31, h-index: 42)
Advances in Biological Regulation     Hybrid Journal   (Followers: 4, SJR: 2.277, h-index: 43)
Advances in Botanical Research     Full-text available via subscription   (Followers: 3, SJR: 0.619, h-index: 48)
Advances in Cancer Research     Full-text available via subscription   (Followers: 25, SJR: 2.215, h-index: 78)
Advances in Carbohydrate Chemistry and Biochemistry     Full-text available via subscription   (Followers: 9, SJR: 0.9, h-index: 30)
Advances in Catalysis     Full-text available via subscription   (Followers: 5, SJR: 2.139, h-index: 42)
Advances in Cell Aging and Gerontology     Full-text available via subscription   (Followers: 4)
Advances in Cellular and Molecular Biology of Membranes and Organelles     Full-text available via subscription   (Followers: 12)
Advances in Chemical Engineering     Full-text available via subscription   (Followers: 27, SJR: 0.183, h-index: 23)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 10, SJR: 0.665, h-index: 29)
Advances in Chronic Kidney Disease     Full-text available via subscription   (Followers: 9, SJR: 1.268, h-index: 45)
Advances in Clinical Chemistry     Full-text available via subscription   (Followers: 29, SJR: 0.938, h-index: 33)
Advances in Colloid and Interface Science     Full-text available via subscription   (Followers: 18, SJR: 2.314, h-index: 130)
Advances in Computers     Full-text available via subscription   (Followers: 16, SJR: 0.223, h-index: 22)
Advances in Dermatology     Full-text available via subscription   (Followers: 12)
Advances in Developmental Biology     Full-text available via subscription   (Followers: 11)
Advances in Digestive Medicine     Open Access   (Followers: 6)
Advances in DNA Sequence-Specific Agents     Full-text available via subscription   (Followers: 5)
Advances in Drug Research     Full-text available via subscription   (Followers: 22)
Advances in Ecological Research     Full-text available via subscription   (Followers: 43, SJR: 3.25, h-index: 43)
Advances in Engineering Software     Hybrid Journal   (Followers: 25, SJR: 0.486, h-index: 10)
Advances in Experimental Biology     Full-text available via subscription   (Followers: 7)
Advances in Experimental Social Psychology     Full-text available via subscription   (Followers: 42, SJR: 5.465, h-index: 64)
Advances in Exploration Geophysics     Full-text available via subscription   (Followers: 3)
Advances in Fluorine Science     Full-text available via subscription   (Followers: 8)
Advances in Food and Nutrition Research     Full-text available via subscription   (Followers: 50, SJR: 0.674, h-index: 38)
Advances in Fuel Cells     Full-text available via subscription   (Followers: 16)
Advances in Genetics     Full-text available via subscription   (Followers: 15, SJR: 2.558, h-index: 54)
Advances in Genome Biology     Full-text available via subscription   (Followers: 11)
Advances in Geophysics     Full-text available via subscription   (Followers: 6, SJR: 2.325, h-index: 20)
Advances in Heat Transfer     Full-text available via subscription   (Followers: 22, SJR: 0.906, h-index: 24)
Advances in Heterocyclic Chemistry     Full-text available via subscription   (Followers: 9, SJR: 0.497, h-index: 31)
Advances in Human Factors/Ergonomics     Full-text available via subscription   (Followers: 26)
Advances in Imaging and Electron Physics     Full-text available via subscription   (Followers: 2, SJR: 0.396, h-index: 27)
Advances in Immunology     Full-text available via subscription   (Followers: 36, SJR: 4.152, h-index: 85)
Advances in Inorganic Chemistry     Full-text available via subscription   (Followers: 9, SJR: 1.132, h-index: 42)
Advances in Insect Physiology     Full-text available via subscription   (Followers: 3, SJR: 1.274, h-index: 27)
Advances in Integrative Medicine     Hybrid Journal   (Followers: 6)
Advances in Intl. Accounting     Full-text available via subscription   (Followers: 4)
Advances in Life Course Research     Hybrid Journal   (Followers: 8, SJR: 0.764, h-index: 15)
Advances in Lipobiology     Full-text available via subscription   (Followers: 2)
Advances in Magnetic and Optical Resonance     Full-text available via subscription   (Followers: 9)
Advances in Marine Biology     Full-text available via subscription   (Followers: 16, SJR: 1.645, h-index: 45)
Advances in Mathematics     Full-text available via subscription   (Followers: 10, SJR: 3.261, h-index: 65)
Advances in Medical Sciences     Hybrid Journal   (Followers: 6, SJR: 0.489, h-index: 25)
Advances in Medicinal Chemistry     Full-text available via subscription   (Followers: 5)
Advances in Microbial Physiology     Full-text available via subscription   (Followers: 4, SJR: 1.44, h-index: 51)
Advances in Molecular and Cell Biology     Full-text available via subscription   (Followers: 22)
Advances in Molecular and Cellular Endocrinology     Full-text available via subscription   (Followers: 10)
Advances in Molecular Toxicology     Full-text available via subscription   (Followers: 8, SJR: 0.324, h-index: 8)
Advances in Nanoporous Materials     Full-text available via subscription   (Followers: 4)
Advances in Oncobiology     Full-text available via subscription   (Followers: 3)
Advances in Organ Biology     Full-text available via subscription   (Followers: 2)
Advances in Organometallic Chemistry     Full-text available via subscription   (Followers: 15, SJR: 2.885, h-index: 45)
Advances in Parallel Computing     Full-text available via subscription   (Followers: 7, SJR: 0.148, h-index: 11)
Advances in Parasitology     Full-text available via subscription   (Followers: 7, SJR: 2.37, h-index: 73)
Advances in Pediatrics     Full-text available via subscription   (Followers: 24, SJR: 0.4, h-index: 28)
Advances in Pharmaceutical Sciences     Full-text available via subscription   (Followers: 13)
Advances in Pharmacology     Full-text available via subscription   (Followers: 15, SJR: 1.718, h-index: 58)
Advances in Physical Organic Chemistry     Full-text available via subscription   (Followers: 8, SJR: 0.384, h-index: 26)
Advances in Phytomedicine     Full-text available via subscription  
Advances in Planar Lipid Bilayers and Liposomes     Full-text available via subscription   (Followers: 3, SJR: 0.248, h-index: 11)
Advances in Plant Biochemistry and Molecular Biology     Full-text available via subscription   (Followers: 8)
Advances in Plant Pathology     Full-text available via subscription   (Followers: 5)
Advances in Porous Media     Full-text available via subscription   (Followers: 4)
Advances in Protein Chemistry     Full-text available via subscription   (Followers: 17)
Advances in Protein Chemistry and Structural Biology     Full-text available via subscription   (Followers: 20, SJR: 1.5, h-index: 62)
Advances in Psychology     Full-text available via subscription   (Followers: 62)
Advances in Quantum Chemistry     Full-text available via subscription   (Followers: 5, SJR: 0.478, h-index: 32)
Advances in Radiation Oncology     Open Access  
Advances in Small Animal Medicine and Surgery     Hybrid Journal   (Followers: 2, SJR: 0.1, h-index: 2)
Advances in Space Biology and Medicine     Full-text available via subscription   (Followers: 5)
Advances in Space Research     Full-text available via subscription   (Followers: 362, SJR: 0.606, h-index: 65)
Advances in Structural Biology     Full-text available via subscription   (Followers: 8)
Advances in Surgery     Full-text available via subscription   (Followers: 7, SJR: 0.823, h-index: 27)
Advances in the Study of Behavior     Full-text available via subscription   (Followers: 30, SJR: 1.321, h-index: 56)
Advances in Veterinary Medicine     Full-text available via subscription   (Followers: 16)
Advances in Veterinary Science and Comparative Medicine     Full-text available via subscription   (Followers: 13)
Advances in Virus Research     Full-text available via subscription   (Followers: 5, SJR: 1.878, h-index: 68)
Advances in Water Resources     Hybrid Journal   (Followers: 43, SJR: 2.408, h-index: 94)
Aeolian Research     Hybrid Journal   (Followers: 5, SJR: 0.973, h-index: 22)
Aerospace Science and Technology     Hybrid Journal   (Followers: 327, SJR: 0.816, h-index: 49)
AEU - Intl. J. of Electronics and Communications     Hybrid Journal   (Followers: 8, SJR: 0.318, h-index: 36)
African J. of Emergency Medicine     Open Access   (Followers: 5, SJR: 0.344, h-index: 6)
Ageing Research Reviews     Hybrid Journal   (Followers: 8, SJR: 3.289, h-index: 78)
Aggression and Violent Behavior     Hybrid Journal   (Followers: 413, SJR: 1.385, h-index: 72)
Agri Gene     Hybrid Journal  
Agricultural and Forest Meteorology     Hybrid Journal   (Followers: 16, SJR: 2.18, h-index: 116)
Agricultural Systems     Hybrid Journal   (Followers: 30, SJR: 1.275, h-index: 74)
Agricultural Water Management     Hybrid Journal   (Followers: 40, SJR: 1.546, h-index: 79)
Agriculture and Agricultural Science Procedia     Open Access  
Agriculture and Natural Resources     Open Access   (Followers: 1)
Agriculture, Ecosystems & Environment     Hybrid Journal   (Followers: 54, SJR: 1.879, h-index: 120)
Ain Shams Engineering J.     Open Access   (Followers: 5, SJR: 0.434, h-index: 14)
Air Medical J.     Hybrid Journal   (Followers: 5, SJR: 0.234, h-index: 18)
AKCE Intl. J. of Graphs and Combinatorics     Open Access   (SJR: 0.285, h-index: 3)
Alcohol     Hybrid Journal   (Followers: 11, SJR: 0.922, h-index: 66)
Alcoholism and Drug Addiction     Open Access   (Followers: 8)
Alergologia Polska : Polish J. of Allergology     Full-text available via subscription   (Followers: 1)
Alexandria Engineering J.     Open Access   (Followers: 1, SJR: 0.436, h-index: 12)
Alexandria J. of Medicine     Open Access   (Followers: 1)
Algal Research     Partially Free   (Followers: 8, SJR: 2.05, h-index: 20)
Alkaloids: Chemical and Biological Perspectives     Full-text available via subscription   (Followers: 3)
Allergologia et Immunopathologia     Full-text available via subscription   (Followers: 1, SJR: 0.46, h-index: 29)
Allergology Intl.     Open Access   (Followers: 4, SJR: 0.776, h-index: 35)
Alpha Omegan     Full-text available via subscription   (SJR: 0.121, h-index: 9)
ALTER - European J. of Disability Research / Revue Européenne de Recherche sur le Handicap     Full-text available via subscription   (Followers: 9, SJR: 0.158, h-index: 9)
Alzheimer's & Dementia     Hybrid Journal   (Followers: 46, SJR: 4.289, h-index: 64)
Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring     Open Access   (Followers: 4)
Alzheimer's & Dementia: Translational Research & Clinical Interventions     Open Access   (Followers: 4)
Ambulatory Pediatrics     Hybrid Journal   (Followers: 5)
American Heart J.     Hybrid Journal   (Followers: 49, SJR: 3.157, h-index: 153)
American J. of Cardiology     Hybrid Journal   (Followers: 47, SJR: 2.063, h-index: 186)
American J. of Emergency Medicine     Hybrid Journal   (Followers: 40, SJR: 0.574, h-index: 65)
American J. of Geriatric Pharmacotherapy     Full-text available via subscription   (Followers: 9, SJR: 1.091, h-index: 45)
American J. of Geriatric Psychiatry     Hybrid Journal   (Followers: 14, SJR: 1.653, h-index: 93)
American J. of Human Genetics     Hybrid Journal   (Followers: 32, SJR: 8.769, h-index: 256)
American J. of Infection Control     Hybrid Journal   (Followers: 26, SJR: 1.259, h-index: 81)
American J. of Kidney Diseases     Hybrid Journal   (Followers: 32, SJR: 2.313, h-index: 172)
American J. of Medicine     Hybrid Journal   (Followers: 46, SJR: 2.023, h-index: 189)
American J. of Medicine Supplements     Full-text available via subscription   (Followers: 3)
American J. of Obstetrics and Gynecology     Hybrid Journal   (Followers: 200, SJR: 2.255, h-index: 171)
American J. of Ophthalmology     Hybrid Journal   (Followers: 59, SJR: 2.803, h-index: 148)
American J. of Ophthalmology Case Reports     Open Access   (Followers: 6)
American J. of Orthodontics and Dentofacial Orthopedics     Full-text available via subscription   (Followers: 6, SJR: 1.249, h-index: 88)
American J. of Otolaryngology     Hybrid Journal   (Followers: 25, SJR: 0.59, h-index: 45)
American J. of Pathology     Hybrid Journal   (Followers: 26, SJR: 2.653, h-index: 228)
American J. of Preventive Medicine     Hybrid Journal   (Followers: 24, SJR: 2.764, h-index: 154)
American J. of Surgery     Hybrid Journal   (Followers: 35, SJR: 1.286, h-index: 125)
American J. of the Medical Sciences     Hybrid Journal   (Followers: 12, SJR: 0.653, h-index: 70)
Ampersand : An Intl. J. of General and Applied Linguistics     Open Access   (Followers: 5)
Anaerobe     Hybrid Journal   (Followers: 4, SJR: 1.066, h-index: 51)
Anaesthesia & Intensive Care Medicine     Full-text available via subscription   (Followers: 58, SJR: 0.124, h-index: 9)
Anaesthesia Critical Care & Pain Medicine     Full-text available via subscription   (Followers: 12)
Anales de Cirugia Vascular     Full-text available via subscription  
Anales de Pediatría     Full-text available via subscription   (Followers: 2, SJR: 0.209, h-index: 27)
Anales de Pediatría (English Edition)     Full-text available via subscription  
Anales de Pediatría Continuada     Full-text available via subscription   (SJR: 0.104, h-index: 3)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 4, SJR: 2.577, h-index: 7)
Analytica Chimica Acta     Hybrid Journal   (Followers: 37, SJR: 1.548, h-index: 152)
Analytical Biochemistry     Hybrid Journal   (Followers: 166, SJR: 0.725, h-index: 154)
Analytical Chemistry Research     Open Access   (Followers: 8, SJR: 0.18, h-index: 2)
Analytical Spectroscopy Library     Full-text available via subscription   (Followers: 12)
Anesthésie & Réanimation     Full-text available via subscription   (Followers: 1)
Anesthesiology Clinics     Full-text available via subscription   (Followers: 23, SJR: 0.421, h-index: 40)
Angiología     Full-text available via subscription   (SJR: 0.124, h-index: 9)
Angiologia e Cirurgia Vascular     Open Access  
Animal Behaviour     Hybrid Journal   (Followers: 170, SJR: 1.907, h-index: 126)

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Journal Cover Anesthesiology Clinics
  [SJR: 0.421]   [H-I: 40]   [23 followers]  Follow
    
   Full-text available via subscription Subscription journal
   ISSN (Print) 1932-2275
   Published by Elsevier Homepage  [3051 journals]
  • Anesthesia Outside the Operating Room
    • Authors: Mark S. Weiss; Wendy L. Gross
      Abstract: Publication date: December 2017
      Source:Anesthesiology Clinics, Volume 35, Issue 4
      Author(s): Mark S. Weiss, Wendy L. Gross


      PubDate: 2017-11-05T07:26:36Z
      DOI: 10.1016/j.anclin.2017.09.001
       
  • Anesthesia Outside of the Operating Room: The Wild West or the New
           Frontier'
    • Authors: Lee A. Fleisher
      Abstract: Publication date: December 2017
      Source:Anesthesiology Clinics, Volume 35, Issue 4
      Author(s): Lee A. Fleisher


      PubDate: 2017-11-05T07:26:36Z
      DOI: 10.1016/j.anclin.2017.09.002
       
  • Anesthesia Outside the Operating Room
    • Authors: Mark S. Weiss; Wendy L. Gross
      Abstract: Publication date: December 2017
      Source:Anesthesiology Clinics, Volume 35, Issue 4
      Author(s): Mark S. Weiss, Wendy L. Gross


      PubDate: 2017-11-05T07:26:36Z
      DOI: 10.1016/j.anclin.2017.09.001
       
  • Demands of Integrated Care Delivery in Interventional Medicine and
           Anesthesiology
    • Authors: Wendy L. Gross; Lebron Cooper; Steven Boggs
      Pages: 555 - 558
      Abstract: Publication date: December 2017
      Source:Anesthesiology Clinics, Volume 35, Issue 4
      Author(s): Wendy L. Gross, Lebron Cooper, Steven Boggs
      Teaser Evolving financial and medical constraints fueled by the increasing repertoire of nonoperating room cases and widening scope of patient comorbidities are discussed. The need to integrate finances and care approaches is detailed, and strategic suggestions for broader collaborative practice are suggested.

      PubDate: 2017-11-05T07:26:36Z
      DOI: 10.1016/j.anclin.2017.08.001
       
  • Building and Maintaining Organizational Infrastructure to Attain Clinical
           Excellence
    • Authors: Kelly Lebak; Jason Lane; Richard Taus; Hansol Kim; Michael S. Stecker; Michael Hall; Meghan B. Lane-Fall; Mark S. Weiss
      Pages: 559 - 568
      Abstract: Publication date: December 2017
      Source:Anesthesiology Clinics, Volume 35, Issue 4
      Author(s): Kelly Lebak, Jason Lane, Richard Taus, Hansol Kim, Michael S. Stecker, Michael Hall, Meghan B. Lane-Fall, Mark S. Weiss
      Teaser Active maintenance of highly functional teams is critical to ensuring safe, efficient patient care in the non–operating room anesthesia (NORA) suite. In addition to developing collaborative relationships and patient care protocols, individual and team training is needed. For anesthesiologists, this training must begin during residency. The training should be supplemented with continuing education in this field for providers who find themselves working in the NORA space. As NORA continues to grow, robust NORA-specific quality assurance and improvement programs will empower anesthesiologists with the tools they need to best care for these patients.

      PubDate: 2017-11-05T07:26:36Z
      DOI: 10.1016/j.anclin.2017.07.002
       
  • Safety of Non–Operating Room Anesthesia
    • Authors: Zachary G. Woodward; Richard D. Urman; Karen B. Domino
      Pages: 569 - 581
      Abstract: Publication date: December 2017
      Source:Anesthesiology Clinics, Volume 35, Issue 4
      Author(s): Zachary G. Woodward, Richard D. Urman, Karen B. Domino
      Teaser Malpractice claims for non–operating room anesthesia care (NORA) had a higher proportion of claims for death than claims in operating rooms (ORs). NORA claims most frequently involved monitored anesthesia care. Inadequate oxygenation/ventilation was responsible for one-third of NORA claims, often judged probably preventable by better monitoring. Fewer malpractice claims for NORA occurred than for OR anesthesia as assessed by the relative numbers of in NORA versus OR procedures. The proportion of claims in cardiology and radiology NORA locations were increased compared with estimates of cases in these locations. Although NORA is safe, adherence to safe clinical practice is important.

      PubDate: 2017-11-05T07:26:36Z
      DOI: 10.1016/j.anclin.2017.07.003
       
  • Implementation and Use of Anesthesia Information Management Systems for
           Non–operating Room Locations
    • Authors: Jason T. Bouhenguel; David A. Preiss; Richard D. Urman
      Pages: 583 - 590
      Abstract: Publication date: December 2017
      Source:Anesthesiology Clinics, Volume 35, Issue 4
      Author(s): Jason T. Bouhenguel, David A. Preiss, Richard D. Urman
      Teaser Non–operating room anesthesia (NORA) encounters comprise a significant fraction of contemporary anesthesia practice. With the implemention of an aneshtesia information management system (AIMS), anesthesia practitioners can better streamline preoperative assessment, intraoperative automated documentation, real-time decision support, and remote surveillance. Despite the large personal and financial commitments involved in adoption and implementation of AIMS and other electronic health records in these settings, the benefits to safety, efficacy, and efficiency are far too great to be ignored. Continued future innovation of AIMS technology only promises to further improve on our NORA experience and improve care quality and safety.

      PubDate: 2017-11-05T07:26:36Z
      DOI: 10.1016/j.anclin.2017.07.001
       
  • Monitoring for Nonoperating Room Anesthesia
    • Authors: Stylianos Voulgarelis; John P. Scott
      Pages: 591 - 599
      Abstract: Publication date: December 2017
      Source:Anesthesiology Clinics, Volume 35, Issue 4
      Author(s): Stylianos Voulgarelis, John P. Scott
      Teaser Procedures requiring nonoperating room anesthesia (NORA) continue to increase in quantity and complexity. The roles of anesthesiologists as members of care teams in nonoperating room locations continue to evolve. The safe provision of NORA requires strict adherence to standardized monitoring guidelines including pulse oximetry, capnography, electrocardiogram, and noninvasive blood pressure ampliflier. Body temperature should also be measured in appropriate scenarios. High-risk anesthetics require advanced preparation and monitoring.

      PubDate: 2017-11-05T07:26:36Z
      DOI: 10.1016/j.anclin.2017.07.004
       
  • Use of Anesthesiology Services in Radiology
    • Authors: Hansol Kim; Jason Lane; Rolf Schlichter; Michael S. Stecker; Richard Taus
      Pages: 601 - 610
      Abstract: Publication date: December 2017
      Source:Anesthesiology Clinics, Volume 35, Issue 4
      Author(s): Hansol Kim, Jason Lane, Rolf Schlichter, Michael S. Stecker, Richard Taus
      Teaser In the setting of technological advancements in imaging and intervention with concomitant rise in the use of non–operating room anesthesia (NORA) care, it has become even more critical for anesthesiologists to be aware of the needs and limitations of interventional procedures performed outside of the operating room. This article addresses the use of NORA services from the interventional radiologist’s point of view and provides specific examples of preprocedural, intraprocedural, and postprocedural care patients may need for optimal outcome.

      PubDate: 2017-11-05T07:26:36Z
      DOI: 10.1016/j.anclin.2017.07.005
       
  • An Anesthesiologist’s View of Tumor Ablation in the Radiology Suite
    • Authors: Annie Amin; Jason Lane; Thomas Cutter
      Pages: 611 - 615
      Abstract: Publication date: December 2017
      Source:Anesthesiology Clinics, Volume 35, Issue 4
      Author(s): Annie Amin, Jason Lane, Thomas Cutter
      Teaser The advent of radiology image–guided tumor ablation procedures has opened up a new era in minimally invasive procedures. Using CT, MRI, ultrasound, and other modalities, radiologists and surgeons can now ablate a tumor through percutaneous entry sites. What traditionally was done in an operating room via large open incisions, with multiple days in the hospital recovering, is now becoming an outpatient procedure via these new techniques. Anesthesiologists play a critical role in optimizing outcome in these patients. Knowledge by anesthesiologists of procedural goals, technology used, and inherit safety concerns of anesthetizing patients in the radiology suite are all critical to patients and proceduralists.

      PubDate: 2017-11-05T07:26:36Z
      DOI: 10.1016/j.anclin.2017.07.006
       
  • A Radiologist’s View of Tumor Ablation in the Radiology Suite
    • Authors: Sharath K. Bhagavatula; Jason Lane; Paul Shyn
      Pages: 617 - 626
      Abstract: Publication date: December 2017
      Source:Anesthesiology Clinics, Volume 35, Issue 4
      Author(s): Sharath K. Bhagavatula, Jason Lane, Paul Shyn
      Teaser Image-guided percutaneous, minimally invasive ablation techniques offer a wide variety of new modalities to treat tumors in some of the most medically complicated patients coming to our hospitals. The use of computed tomography, PET, ultrasound imaging, and MRI to guide radiofrequency ablation, microwave ablation, and cryoablation techniques now makes it possible to treat patients on a short stay or outpatient basis with very good immediate outcomes. This rapid expansion of new tumor ablation techniques often presents challenges for the non–operating room anesthesia team. Collaboration and communication between the radiologist and anesthesiologist are key to safety and excellent patient outcomes.

      PubDate: 2017-11-05T07:26:36Z
      DOI: 10.1016/j.anclin.2017.07.007
       
  • Catheterization Laboratory
    • Authors: Paul N. Fiorilli; Saif Anwaruddin; Elizabeth Zhou; Ronak Shah
      Pages: 627 - 639
      Abstract: Publication date: December 2017
      Source:Anesthesiology Clinics, Volume 35, Issue 4
      Author(s): Paul N. Fiorilli, Saif Anwaruddin, Elizabeth Zhou, Ronak Shah
      Teaser The cardiac catheterization laboratory is advancing medicine by performing procedures on patients who would usually require sternotomy and cardiopulmonary bypass. These procedures are done percutaneously, allowing them to be performed on patients considered inoperable. Patients have compromised cardiovascular function or advanced age. An anesthesiologist is essential for these procedures in case of hemodynamic compromise. Interventionalists are becoming more familiar with transcatheter aortic valve replacement and the device has become smaller, both contributing to less complications. Left atrial occlusion and the endovascular edge-to-edge mitral valve repair devices were approved. Although these devices require general anesthesia, an invasive surgery and cardiopulmonary bypass machine are not necessary for deployment.

      PubDate: 2017-11-05T07:26:36Z
      DOI: 10.1016/j.anclin.2017.07.008
       
  • Anesthesia in the Electrophysiology Laboratory
    • Authors: Jeff E. Mandel; William G. Stevenson; David S. Frankel
      Pages: 641 - 654
      Abstract: Publication date: December 2017
      Source:Anesthesiology Clinics, Volume 35, Issue 4
      Author(s): Jeff E. Mandel, William G. Stevenson, David S. Frankel
      Teaser The electrophysiology suite is a foreign location to many anesthesiologists. The initial experience was with shorter procedures under conscious sedation, and the value of greater tailoring of the sedation/anesthesia by anesthesiologists was not perceived until practice patterns had already been established. Although better control of ventilation with general anesthesia may be expected, suppression of arrhythmias, blunting of the hemodynamic adaptation to induced arrhythmias, and interference by muscle relaxants with identification of the phrenic nerve may be seen. We review a range of electrophysiology procedures and discuss anesthetic approaches that balance patient safety and favorable outcomes.

      PubDate: 2017-11-05T07:26:36Z
      DOI: 10.1016/j.anclin.2017.07.009
       
  • Cardioversions and Transthoracic Echocardiography
    • Authors: Ronak Shah; Elizabeth Zhou
      Pages: 655 - 667
      Abstract: Publication date: December 2017
      Source:Anesthesiology Clinics, Volume 35, Issue 4
      Author(s): Ronak Shah, Elizabeth Zhou
      Teaser Patients with atrial fibrillation and flutter routinely require transesophageal echocardiography with cardioversion. It is not uncommon to encounter patients with reduced ejection fractions, coronary artery disease, prior cardiac surgery, or obstructive sleep apnea. The anesthesiologist must carefully evaluate the patient and any available laboratory and study findings to assess for potential complications after anesthesia. Appropriate anesthetics must be chosen based on the preoperative evaluation. Additionally, because most of these cases are done without a secured airway, emergency medications and airway equipment must be readily available.

      PubDate: 2017-11-05T07:26:36Z
      DOI: 10.1016/j.anclin.2017.08.002
       
  • Anesthesia for Routine and Advanced Upper Gastrointestinal Endoscopic
           Procedures
    • Authors: Christopher D. Sharp; Ezekiel Tayler; Gregory G. Ginsberg
      Pages: 669 - 677
      Abstract: Publication date: December 2017
      Source:Anesthesiology Clinics, Volume 35, Issue 4
      Author(s): Christopher D. Sharp, Ezekiel Tayler, Gregory G. Ginsberg
      Teaser This article aims to detail the breadth and depth of advanced upper gastrointestinal endoscopic procedures. It will focus on sedation and airway management concerns pertaining to this emerged and emerging class of minimally invasive interventions. The article will also cover endoscopic hemostasis, endoscopic resection, stenting and Barrett eradication therapy plus endoscopic ultrasound. It additionally will address the nuances of endoscopic retrograde cholangiopancreatography and new natural orifice transluminal endoscopic surgery procedures including endoscopic cystgastrostomy and the per-oral endoscopic myotomy procedure.

      PubDate: 2017-11-05T07:26:36Z
      DOI: 10.1016/j.anclin.2017.08.006
       
  • Anesthesia for Colonoscopy and Lower Endoscopic Procedures
    • Authors: John Michael Trummel; Vinay Chandrasekhara; Michael L. Kochman
      Pages: 679 - 686
      Abstract: Publication date: December 2017
      Source:Anesthesiology Clinics, Volume 35, Issue 4
      Author(s): John Michael Trummel, Vinay Chandrasekhara, Michael L. Kochman
      Teaser Demand for anesthesiologist-assisted sedation is expanding for gastrointestinal lower endoscopic procedures and may add to the cost of these procedures. Most lower endoscopy can be accomplished with either no, moderate, or deep sedation; general anesthesia and active airway management are rarely needed. Propofol-based sedation has advantages in terms of satisfaction and recovery over other modalities, but moderate sedation using benzodiazepines and opiates work well for low-risk patients and procedures. No sedation for routine colonoscopy works well for selected patients and eliminates sedation-related risks. There is no difference in outcome measures based on sedation received.

      PubDate: 2017-11-05T07:26:36Z
      DOI: 10.1016/j.anclin.2017.08.007
       
  • Interventional Pulmonology
    • Authors: David M. DiBardino; Andrew R. Haas; Richard C. Month
      Pages: 687 - 699
      Abstract: Publication date: December 2017
      Source:Anesthesiology Clinics, Volume 35, Issue 4
      Author(s): David M. DiBardino, Andrew R. Haas, Richard C. Month
      Teaser Bronchoscopy presents a unique challenge and need for collaboration between anesthesia providers and bronchoscopists. The approach to topical anesthesia, analgesia, and sedation must be customized based on complexity, duration, and setting. The bronchoscopy team must work together in each phase of the procedure to ensure patient safety and allow completion of a quality bronchoscopy. Airway access may change depending on the type of procedure planned and must be discussed before each case. Intraprocedural difficulties with ventilation, airway pressure, and sedation may arise that must be addressed together. This review highlights an approach to these common challenges.

      PubDate: 2017-11-05T07:26:36Z
      DOI: 10.1016/j.anclin.2017.08.004
       
  • Pediatric Anesthesia Considerations for Interventional Radiology
    • Authors: Olivia Nelson; Philip D. Bailey
      Pages: 701 - 714
      Abstract: Publication date: December 2017
      Source:Anesthesiology Clinics, Volume 35, Issue 4
      Author(s): Olivia Nelson, Philip D. Bailey
      Teaser Anesthesiologists are increasingly called on to care for pediatric patients undergoing diagnostic imaging and invasive procedures in interventional radiology. These procedures are typically classified as either nonvascular or vascular, and can range from short diagnostic imaging studies or biopsies to significantly longer and more invasive intravascular procedures. Anesthesia providers must consider each child’s ability to cooperate reliably during the procedure, their age, and any cognitive impairment to define the best anesthetic plan. Several unique pediatric patient populations with specific procedural implications and anesthetic considerations who will benefit from additional periprocedural planning are discussed.

      PubDate: 2017-11-05T07:26:36Z
      DOI: 10.1016/j.anclin.2017.08.003
       
  • Market Evaluation
    • Authors: Shazia Mehmood Siddique; Shivan J. Mehta
      Pages: 715 - 724
      Abstract: Publication date: December 2017
      Source:Anesthesiology Clinics, Volume 35, Issue 4
      Author(s): Shazia Mehmood Siddique, Shivan J. Mehta
      Teaser To control costs and improve quality, changes in health care delivery and financing have emerged, resulting in shifting of financial risk to providers for the quality and cost of care, including emergence of accountable care organizations and bundled payment models. This article discusses health care financing and delivery models in the context of procedures and surgeries that happen outside of the operating room. It describes the history of health insurance, trends in ambulatory surgery centers, and new payment models that have emerged from the Affordable Care Act and the Medicare Access and Children's Health Insurance Program Reauthorization Act.

      PubDate: 2017-11-05T07:26:36Z
      DOI: 10.1016/j.anclin.2017.08.005
       
  • Value-Based Care and Strategic Priorities
    • Authors: Wendy L. Gross; Lebron Cooper; Steven Boggs; Barbara Gold
      Pages: 725 - 731
      Abstract: Publication date: December 2017
      Source:Anesthesiology Clinics, Volume 35, Issue 4
      Author(s): Wendy L. Gross, Lebron Cooper, Steven Boggs, Barbara Gold
      Teaser The anesthesia market continues to undergo disruption. Financial margins are shrinking, and buyers are demanding that anesthesia services be provided in an efficient, low-cost manner. To help anesthesiologists analyze their market, Drucker and Porter’s framework of buyers, suppliers, quality, barriers to entry, substitution, and strategic priorities allows for a structured analysis. Once this analysis is completed, anesthesiologists must articulate their value to other medical professionals and to hospitals. Anesthesiologists can survive and thrive in a value-based health care environment if they are capable of providing services differently and able to deliver cost-effective care.

      PubDate: 2017-11-05T07:26:36Z
      DOI: 10.1016/j.anclin.2017.08.008
       
  • Transplantation
    • Authors: Aman Mahajan; Christopher Wray
      Abstract: Publication date: September 2017
      Source:Anesthesiology Clinics, Volume 35, Issue 3
      Author(s): Aman Mahajan, Christopher Wray


      PubDate: 2017-08-05T23:03:18Z
      DOI: 10.1016/s1932-2275(17)30063-0
       
  • Overview of Immunosuppressive Therapy in Solid Organ Transplantation
    • Authors: Curtis D. Holt
      Pages: 365 - 380
      Abstract: Publication date: September 2017
      Source:Anesthesiology Clinics, Volume 35, Issue 3
      Author(s): Curtis D. Holt
      Teaser Mechanisms of rejection, new pharmacologic approaches, and genomic medicine are major foci for current research in transplantation. It is hoped that these new agents and personalized immunosuppression will provide for less toxic regimens that are effective in preventing both acute and chronic allograft rejection. Until new agents are available, practitioners must use various combinations of currently approved agents to find the best regimens for improved long-term outcomes.

      PubDate: 2017-08-05T23:03:18Z
      DOI: 10.1016/j.anclin.2017.04.001
       
  • Pharmacology
    • Authors: Alan D. Kaye
      Abstract: Publication date: June 2017
      Source:Anesthesiology Clinics, Volume 35, Issue 2
      Author(s): Alan D. Kaye


      PubDate: 2017-05-17T18:16:24Z
      DOI: 10.1016/s1932-2275(17)30033-2
       
  • Pharmacology
    • Authors: Lee A. Fleisher
      Abstract: Publication date: June 2017
      Source:Anesthesiology Clinics, Volume 35, Issue 2
      Author(s): Lee A. Fleisher


      PubDate: 2017-05-17T18:16:24Z
      DOI: 10.1016/j.anclin.2017.03.002
       
  • The Future of Pharmacology in Anesthesia Practice
    • Authors: Alan D. Kaye
      Abstract: Publication date: June 2017
      Source:Anesthesiology Clinics, Volume 35, Issue 2
      Author(s): Alan D. Kaye


      PubDate: 2017-05-17T18:16:24Z
      DOI: 10.1016/j.anclin.2017.03.001
       
  • Forthcoming Issues
    • Abstract: Publication date: December 2017
      Source:Anesthesiology Clinics, Volume 35, Issue 4


      PubDate: 2017-11-05T07:26:36Z
       
  • Copyright-Page
    • Abstract: Publication date: September 2017
      Source:Anesthesiology Clinics, Volume 35, Issue 3


      PubDate: 2017-08-05T23:03:18Z
       
  • Forthcoming Issues
    • Abstract: Publication date: September 2017
      Source:Anesthesiology Clinics, Volume 35, Issue 3


      PubDate: 2017-08-05T23:03:18Z
       
  • Organ Transplantation: A Systematic Review
    • Authors: Aman Mahajan; Christopher Wray
      Abstract: Publication date: Available online 10 July 2017
      Source:Anesthesiology Clinics
      Author(s): Aman Mahajan, Christopher Wray


      PubDate: 2017-07-21T22:52:39Z
      DOI: 10.1016/j.anclin.2017.06.001
       
  • Anesthesia for Kidney and Pancreas Transplantation
    • Authors: Aaron M. Mittel; Gebhard Wagener
      Abstract: Publication date: Available online 10 July 2017
      Source:Anesthesiology Clinics
      Author(s): Aaron M. Mittel, Gebhard Wagener
      Teaser Kidney transplants are the most common solid organ abdominal transplant and are occasionally performed simultaneously with pancreas transplants in diabetic patients. Preoperative evaluation of potential transplant recipients should focus on the potential for occult cardiovascular disease while also screening for other signs of end-organ dysfunction. Intraoperatively, it is of utmost importance to ensure adequate graft perfusion to limit the risk of postoperative graft dysfunction or rejection. Postoperative care of the kidney or pancreas transplant patient should focus on ensuring normalization of volume status, electrolyte concentrations, and glycemic control.

      PubDate: 2017-07-21T22:52:39Z
      DOI: 10.1016/j.anclin.2017.04.005
       
  • Anesthetic Management of Pediatric Liver and Kidney Transplantation
    • Authors: Nicholas R. Wasson; Jeremy D. Deer; Santhanam Suresh
      Abstract: Publication date: Available online 10 July 2017
      Source:Anesthesiology Clinics
      Author(s): Nicholas R. Wasson, Jeremy D. Deer, Santhanam Suresh
      Teaser Pediatric patients with liver dysfunction and renal failure may exhibit many comorbidities. There are often associated congenital syndromes to be taken into account. Liver and renal transplantation offer a solution and substantial improvement in quality of life. Anesthetic management of pediatric liver and renal transplantation has not been well-described. There are key differences between adults and children undergoing these procedures, and acknowledgment of some key principles provide a solid foundation to optimize perioperative outcomes. This article provides an overview of the perioperative management and considerations in pediatric patients undergoing liver and renal transplantation.

      PubDate: 2017-07-21T22:52:39Z
      DOI: 10.1016/j.anclin.2017.05.001
       
  • Anesthesia for Liver Transplantation
    • Authors: Dieter Adelmann; Kate Kronish; Michael A. Ramsay
      Abstract: Publication date: Available online 10 July 2017
      Source:Anesthesiology Clinics
      Author(s): Dieter Adelmann, Kate Kronish, Michael A. Ramsay
      Teaser The provision of anesthesia for a liver transplant program requires a dedicated team of anesthesiologists. Liver transplant anesthesiologists must have an understanding of liver physiology and anatomy; the spectrum of clinical disease associated with liver dysfunction; the impact of warm and cold ischemia times, surgical techniques in liver transplantation, the impact of ischemia–reperfusion syndrome; and optimal practices to protect the liver. The team must provide a 24-hour service, be actively involved in the selection committee process, and stay current with advances in the subspecialty.

      PubDate: 2017-07-21T22:52:39Z
      DOI: 10.1016/j.anclin.2017.04.006
       
  • Transfusion Medicine and Coagulation Management in Organ Transplantation
    • Authors: Jaswanth Madisetty; Cynthia Wang
      Abstract: Publication date: Available online 10 July 2017
      Source:Anesthesiology Clinics
      Author(s): Jaswanth Madisetty, Cynthia Wang
      Teaser Organ transplantation recipients present unusual challenges with regard to blood transfusion. Although this patient population requires a larger proportion of blood product resources, liberal transfusion of allogeneic blood products can lead to a plethora of complications. Recent trends suggest that efforts to minimize bleeding, conserve products, and target transfusion to specific deficits and needs are increasingly becoming the standard practice. This must all occur with optimization of graft function and preservation in mind. With newer monitoring modalities and factor concentrates, the approach toward transfusion and bleeding in organ transplantation has rapidly improved in recent years.

      PubDate: 2017-07-21T22:52:39Z
      DOI: 10.1016/j.anclin.2017.04.004
       
  • Anesthesia for Lung Transplantation
    • Authors: Alina Nicoara; John Anderson- Dam
      Abstract: Publication date: Available online 5 July 2017
      Source:Anesthesiology Clinics
      Author(s): Alina Nicoara, John Anderson- Dam
      Teaser Perioperative management of patients undergoing lung transplantation is challenging and requires constant communication among the surgical, anesthesia, perfusion, and nursing teams. Although all aspects of anesthetic management are important, certain intraoperative strategies (mechanical ventilation, fluid management, extracorporeal mechanical support deployment) have tremendous impact on the subsequent evolution of the lung transplant recipient, especially with respect to allograft function and should be carefully considered. This review highlights some of the intraoperative anesthetic challenges and opportunities during lung transplantation.

      PubDate: 2017-07-10T22:25:24Z
      DOI: 10.1016/j.anclin.2017.05.003
       
  • Anesthesia for Heart Transplantation
    • Authors: Davinder Ramsingh; Reed Harvey; Alec Runyon; Michael Benggon
      Abstract: Publication date: Available online 5 July 2017
      Source:Anesthesiology Clinics
      Author(s): Davinder Ramsingh, Reed Harvey, Alec Runyon, Michael Benggon
      Teaser This review seeks to evaluate current practices in heart transplantation. The goals of this article were to review current practices for heart transplantation and its anesthesia management. The article reviews current demographics and discusses the current criteria for candidacy for heart transplantation. The process for donor and receipt selection is reviewed. This is followed by a review of mechanical circulatory support devices as they pertain to heart transplantation. The pre-anesthesia and intraoperative considerations are also discussed. Finally, management after transplantation also is reviewed.

      PubDate: 2017-07-10T22:25:24Z
      DOI: 10.1016/j.anclin.2017.05.002
       
  • Anesthesia for Intestinal Transplantation
    • Authors: Christine Nguyen-Buckley; Melissa Wong
      Abstract: Publication date: Available online 5 July 2017
      Source:Anesthesiology Clinics
      Author(s): Christine Nguyen-Buckley, Melissa Wong
      Teaser The diagnosis of irreversible intestinal failure confers significant morbidity, mortality, and decreased quality of life. Patients with irreversible intestinal failure may be treated with intestinal transplantation. Intestinal transplantation may include intestine only, liver–intestine, or other visceral elements. Intestinal transplantation candidates present with systemic manifestations of intestinal failure requiring multidisciplinary evaluation at an intestinal transplantation center. Central access may be difficult in intestinal transplantation candidates. Intestinal transplantation is a complex operation with potential for hemodynamic and metabolic instability. Patient and graft survival are improving, but graft failure remains the most common postoperative complication.

      PubDate: 2017-07-10T22:25:24Z
      DOI: 10.1016/j.anclin.2017.04.007
       
  • Transplantation Anesthesia: The Role of the Anesthesiologist
    • Authors: Lee A. Fleisher
      Abstract: Publication date: Available online 5 July 2017
      Source:Anesthesiology Clinics
      Author(s): Lee A. Fleisher


      PubDate: 2017-07-10T22:25:24Z
      DOI: 10.1016/j.anclin.2017.06.002
       
  • Anesthetic Considerations in Transplant Recipients for Nontransplant
           Surgery
    • Authors: Joshua Herborn; Suraj Parulkar
      Abstract: Publication date: Available online 5 July 2017
      Source:Anesthesiology Clinics
      Author(s): Joshua Herborn, Suraj Parulkar
      Teaser As solid organ transplantation increases and patient survival improves, it will become more common for these patients to present for nontransplant surgery. Recipients may present with medical problems unique to the transplant and important considerations are necessary to keep the transplanted organ functioning. A comprehensive preoperative examination with specific focus on graft functioning is required, and the anesthesiologist needs pay close attention to considerations of immunosuppressive regimens, blood product administration, and the risk benefits of invasive monitoring in these immunosuppressed patients. This article reviews the posttransplant physiology and anesthetic considerations for patients after solid organ transplantation.

      PubDate: 2017-07-10T22:25:24Z
      DOI: 10.1016/j.anclin.2017.04.009
       
  • Anesthesia and Perioperative Care in Reconstructive Transplantation
    • Authors: Raymond M. Planinsic; Jay S. Raval; Vijay S. Gorantla
      Abstract: Publication date: Available online 5 July 2017
      Source:Anesthesiology Clinics
      Author(s): Raymond M. Planinsic, Jay S. Raval, Vijay S. Gorantla
      Teaser Reconstructive transplantation of vascularized composite allografts (VCAs), such as upper extremity, craniofacial, abdominal, lower extremity, or genitourinary transplants, has emerged as a cutting-edge specialty with more than 50 programs in the United States and 30 programs across the world performing these procedures. Most VCAs involve complicated technical planning and preparation, protracted surgery, and complex immunosuppressive or immunomodulatory protocols, each associated with unique anesthesiology challenges. This article outlines key procedural, patient, and protocol-related aspects of VCA relevant to anesthesiology management with the goal of ensuring patient safety and optimizing surgical, immunologic, and functional outcomes.

      PubDate: 2017-07-10T22:25:24Z
      DOI: 10.1016/j.anclin.2017.04.008
       
  • Anesthesia Management of Organ Donors
    • Authors: Victor W. Xia; Michelle Braunfeld
      Abstract: Publication date: Available online 5 July 2017
      Source:Anesthesiology Clinics
      Author(s): Victor W. Xia, Michelle Braunfeld
      Teaser The shortage of suitable organs is the biggest obstacle for transplants. At present, most organs for transplant in the United States are from donation after neurologic determination of death (brain death). Potential organs for transplant need to maintain their viability during a series of insults, including the original disease, physiologic derangements during the dying process, ischemia, and reperfusion. Proper donor management before, during, and after procurement has potential to increase the number and quality of organs from donors. Anesthesiologists need to understand the physiologic derangements associated with brain death and the updated donor management during the periprocurement period.

      PubDate: 2017-07-10T22:25:24Z
      DOI: 10.1016/j.anclin.2017.04.003
       
  • Forthcoming Issues
    • Abstract: Publication date: June 2017
      Source:Anesthesiology Clinics, Volume 35, Issue 2


      PubDate: 2017-05-17T18:16:24Z
       
 
 
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