Monitoring in Anesthesia and Perioperative Care is a practical and comprehensive resource documenting the current art and science of perioperative patient monitoring, addressing the systems-based practice issues that drive the highly regulated health care industry of the early twenty-first century. Initial chapters cover the history, medicolegal implications, validity of measurement and education issues relating to monitoring. The core of the book addresses the many monitoring modalities, with the majority of the chapters organized in a systematic fashion to describe technical concepts, parameters monitored, evidence of utility complications, credentialing and monitoring standards, and practice guidelines. Describing each device, technique and principle of clinical monitoring in an accessible style, Monitoring in Anesthesia and Perioperative Care is full of invaluable advice from the leading experts in the field, making it an essential tool for every anesthesiologist. Features • Consistent chapter structure allows reader to understand principles more easily • Extensive coverage of all available devices, scales and assessment tools • Covers both intraoperative and postoperative techniques: PACU and ICU monitoring modalities are included Edited by: Ronald A. Kahn Edited by: Andrew B. Leibowitz Edited by: Alexander J. C. Mittnacht Edited by: Marc E. Stone Edited by: James B. Eisenkraft Table of Contents Foreword C. L. Lake Preface D. L. Reich 1. The history of anesthesia and perioperative monitoring David L. Reich 2. Medicolegal implications of monitoring Jeffrey M. Feldman 3. Validity, accuracy, and repeatability of monitoring variables Daniel M. Thys and Jung Kim 4. Teaching monitoring skills Samuel DeMaria, Adam I. Levine and Yasuharu Okuda 5. Electrocardiography Alexander J. C. Mittnacht and Martin London 6. Arterial pressure monitoring Alexander J. C. Mittnacht and Tuula S. O. Kurki 7. Central venous and pulmonary artery catheterization Deborah Dubensky and Alexander J. C. Mittnacht 8. Cardiac output and intravascular volume Mukul Kapoor and Marc Stone 9. Gastric tonometry Elliot Bennett-Guerrero 10. Oxygen delivery, transport and tissue oxygen tension: critical monitoring in the ICU Jayashree Raikhelkar and Peter J. Papadakos 11. Transeosophageal echocardiography Ronald A. Kahn and Gregory W. Fischer 12. Ultrasound guidance of vascular catheterization Andrew B. Leibowitz and Jonathan Elmer 13. Ultrasound guidance for regional anesthesia procedures Christina L. Jeng and Meg A. Rosenblatt 14. Respiratory gas monitoring James B. Eisenkraft 15. Monitoring pressure, volume, and flow in the anesthesia breathing system James B. Eisenkraft 16. Pulse oximetry Tuula S. O. Kurki and James B. Eisenkraft 17. Neurological intraoperative electrophysiologic monitoring Michael L. McGarvey and Albert T. Cheung 18. Level of consciousness monitoring Marc J. Bloom 19. Transcranial doppler Dean B. Andropoulos 20. Multi-modality monitoring in critically ill neurological patients Jennifer A. Frontera 21. Near infrared spectroscopy Dean B. Andropoulos 22. Perioperative monitoring of neuromuscular function Aaron F. Kopman 23. Critical care testing in the operating room: electrolytes, glucose, acid-base, blood gases Lakshmi V. Ramanathan, Judit Tolnai and Michael S. Lewis 24. Laboratory-based tests of blood clotting Nathaen Weitzel, Tamas Seres and Glenn P. Gravlee 25. Coagulation and hematologic point-of-care testing Liza J. Erniquez and Linda Shore-Lesserson 26. Cardiac biomarkers for perioperative management Anoushka Afonso and Eric Adler 27. Endocrine testing in the operating room Lakshmi V. Ramanathan and Michael S. Lewis 28. Temperature monitoring David Wax and Justin Lipper 29. Fetal heart rate monitoring Howard H. Bernstein 30. Pain scales Jonathan Epstein, Diana Mungall and Yaakov Beilin 31. Neurological clinical scales Jennifer A. Frontera 32. Post-anesthesia care unit assessment scales David Bronheim and Richard S. Gist 33. Delirium monitoring: scales and assessments Brigid Flynn and Corey Scurlock 34. Intensive care unit (ICU) risk scoring Adel Bassily-Marcus and Roopa Kohli-Seth 35. Computers and monitoring: information management systems, alarms and drug delivery David Wax and Matthew Levin Appendix. Monitoring recommendations for common types of surgical procedures Samuel DeMaria, Timothy Mooney and Jenny Kam.