coll. - Clinical Anesthesia Procedures of the Massachusetts

NINTH EDITION

NINTH EDITION

Senior Editor

Richard M. Pino, MD, PhD, FCCM

Associate Editors

Meredith A. Albrecht, MD

Edward A. Bittner, MD, PhD, FCCP, FCCM

Hovig V. Chitilian, MD

Wilton C. Levine, MD

Susan A. Vassallo, MD

Department of Anesthesia, Critical Care, and Pain Medicine
Massachusetts General Hospital
Harvard Medical School
Boston, Massachusetts

Acquisitions Editor: Keith Donnellan

Product Development Editor: Nicole Dernoski

Editorial Assistant: Kathryn Leyendecker

Marketing Manager: Dan Dressler

Production Project Manager: Bridgett Dougherty

Design Coordinator: Teresa Mallon

Senior Manufacturing Coordinator: Beth Welsh

Prepress Vendor: SPi Global

9th Edition

Copyright 2016 Wolters Kluwer

All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above mentioned copyright. To request permission, please contact Wolters Kluwer at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at (products and services).

9 8 7 6 5 4 3 2 1

Printed in China

Library of Congress Cataloging-in-Publication Data

Handbook of clinical anesthesia procedures of the Massachusetts General Hospital / [edited by] Richard M. Pino ; associate editors, Edward A. Bittner, Hovig V. Chitilian, Wilton C. Levine, Susan A. Vassallo. 9th edition.

p. ; cm.

Includes bibliographical references.

ISBN 978-1-4511-9515-6

I. Pino, Richard M., editor.II. Bittner, Edward A., 1967- , editor.III. Chitilian, Hovig V., editor.IV. Levine, Wilton C., editor.V. Vassallo, Susan A., editor.VI. Massachusetts General Hospital.

[DNLM: 1. AnesthesiamethodsHandbooks.2. Anestheticsadministration & dosageHandbooks.3. Perioperative CaremethodsHandbooks. WO 231]

RD82.2

617.9'6dc23

2015015460

This work is provided as is, and the publisher disclaims any and all warranties, express or implied, including any warranties as to accuracy, comprehensiveness, or currency of the content of this work.

This work is no substitute for individual patient assessment based upon healthcare professionals examination of each patient and consideration of, among other things, age, weight, gender, current or prior medical conditions, medication history, laboratory data and other factors unique to the patient. The publisher does not provide medical advice or guidance and this work is merely a reference tool. Healthcare professionals, and not the publisher, are solely responsible for the use of this work including all medical judgments and for any resulting diagnosis and treatments.

Given continuous, rapid advances in medical science and health information, independent professional verification of medical diagnoses, indications, appropriate pharmaceutical selections and dosages, and treatment options should be made and healthcare professionals should consult a variety of sources. When prescribing medication, healthcare professionals are advised to consult the product information sheet (the manufacturers package insert) accompanying each drug to verify, among other things, conditions of use, warnings and side effects and identify any changes in dosage schedule or contraindications, particularly if the medication to be administered is new, infrequently used or has a narrow therapeutic range. To the maximum extent permitted under applicable law, no responsibility is assumed by the publisher for any injury and/or damage to persons or property, as a matter of products liability, negligence law or otherwise, or from any reference to or use by any person of this work.

LWW.com

Paul H. Alfille, MD

Chief, Division of Thoracic, Vascular and Neuroanesthesia
Department of Anesthesia, Critical Care, and Pain Medicine
Massachusetts General Hospital
Boston, Massachusetts

Richard W. Anderson, MD

Resident in Anesthesia
Department of Anesthesia, Critical Care, and Pain Medicine
Massachusetts General Hospital
Boston, Massachusetts

Keith Baker, MD, PhD

Associate Professor of Anesthesia
Department of Anesthesia, Critical Care, and Pain Medicine
Massachusetts General Hospital
Harvard Medical School
Boston, Massachusetts

Xiaodong Bao, MD, PhD

Instructor in Anesthesia
Department of Anesthesia, Critical Care, and Pain Medicine
Massachusetts General Hospital
Boston, Massachusetts

Peter L. Bekker, MD

Resident in Anesthesia
Department of Anesthesia, Critical Care, and Pain Medicine
Massachusetts General Hospital
Clinical Fellow
Harvard Medical School
Boston, Massachusetts

William Benedetto, MD

Instructor in Anesthesia
Harvard Medical School
Department of Anesthesia, Critical Care, and Pain Medicine
Massachusetts General Hospital
Boston, Massachusetts

Sheri Berg, MD

Instructor of Anesthesia
Harvard Medical School
Assistant Anesthetist
Department of Anesthesia, Critical Care, and Pain Medicine
Massachusetts General Hospital
Boston, Massachusetts

Somaletha Bhattacharya, MD, FFARCSI

Instructor in Anesthesia
Harvard Medical School
Assistant in Anesthesia
Department of Anesthesia, Critical Care, and Pain Medicine
Massachusetts General Hospital
Boston, Massachusetts

Edward A. Bittner, MD, PhD, FCCP, FCCM

Assistant Professor of Anesthesia
Harvard Medical School
Assistant Anesthetist
Department of Anesthesia, Critical Care, and Pain Medicine
Program Director, Critical Care-Anesthesiology Fellowship
Associate Director, Surgical Intensive Care Unit
Massachusetts General Hospital
Boston, Massachusetts

Emery N. Brown, MD

Warren M. Zapol Professor of Anesthesia
Department of Anesthesia, Critical Care, and Pain Medicine
Massachusetts General Hospital
Harvard Medical School
Edward Hood Taplin Professor of Medical Engineering
Institute for Medical Engineering and Science
Professor of Computational Neuroscience
Department of Brain and Cognitive Sciences
Massachusetts Institute of Technology
Cambridge, Massachusetts

Jessie L. Cassada, MD

Resident in Anesthesia
Department of Anesthesia, Critical Care, and Pain Medicine
Massachusetts General Hospital
Boston, Massachusetts

Khan Chaichana, MD

Resident in Anesthesia
Department of Anesthesiology, Critical Care, and Pain Medicine
Massachusetts General Hospital
Boston, Massachusetts

Jonathan E. Charnin, MD

Instructor in Anesthesia
Harvard Medical School
Assistant in Anesthesia
Department of Anesthesia, Critical Care, and Pain Medicine
Massachusetts General Hospital
Boston, Massachusetts

Hovig V. Chitilian, MD

Assistant Professor of Anesthesia