Miller's Anesthesia

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Miller's Anesthesia is an authoritative textbook on anesthesiology.

Contents

History

First published in 1981 by Churchill Livingstone, it was originally catered to an American audience due to technical differences in anesthesia procedures among European and American practitioners. The first edition was co-authored by many contributors at the University of California. The book soon became a huge success, and it was frequently cited by research groups and clinical departments across the United States. [1]

The second edition appeared in 1986, with total content filling more than 2400 pages spread over three separate volumes. Although it was criticized for lack of cross-referencing and noticeable differences in writing styles due to a higher number of contributors, Miller's Anesthesia soon became the "standard encyclopedic textbook of anesthesia". [1] In 1991, the third edition was released in two volumes with the involvement of more international contributors. [1] The sixth edition was noted for its illustrations of technical procedures such as ultrasound-guided peripheral venous access, caudal block in pediatric populations and anesthesia for robot-assisted surgery. [2] New video segments were created for the accompanying CD demonstrations of techniques such as tracheal intubation and needle cricothyrotomy. [3] In 2010, the seventh edition was released with a downloadable video library for extra anesthesia procedures. [4]

In 2015, the eight edition was released with more than 3200 pages in two volumes and nine main sections. Major updates include ten new chapters covering robot-administered anesthesia, non-operating room anesthesia, non-opioid analgesics, and anesthetic neurotoxicity. [5]

The American Society of Anesthesiologists has recommended Miller's Anesthesia as an essential textbook for preparations for a career in anesthesiology. [6]

Companion texts

Further reading

Related Research Articles

<span class="mw-page-title-main">Anesthesia</span> State of medically-controlled temporary loss of sensation or awareness

Anesthesia or anaesthesia is a state of controlled, temporary loss of sensation or awareness that is induced for medical or veterinary purposes. It may include some or all of analgesia, paralysis, amnesia, and unconsciousness. An individual under the effects of anesthetic drugs is referred to as being anesthetized.

<span class="mw-page-title-main">Isoflurane</span> General anaesthetic given via inhalation

Isoflurane, sold under the brand name Forane among others, is a general anesthetic. It can be used to start or maintain anesthesia; however, other medications are often used to start anesthesia, due to airway irritation with isoflurane. Isoflurane is given via inhalation.

<span class="mw-page-title-main">General anaesthesia</span> Medically induced loss of consciousness

General anaesthesia (UK) or general anesthesia (US) is a method of medically inducing loss of consciousness that renders a patient unarousable even with painful stimuli. This effect is achieved by administering either intravenous or inhalational general anaesthetic medications, which often act in combination with an analgesic and neuromuscular blocking agent. Spontaneous ventilation is often inadequate during the procedure and intervention is often necessary to protect the airway. General anaesthesia is generally performed in an operating theater to allow surgical procedures that would otherwise be intolerably painful for a patient, or in an intensive care unit or emergency department to facilitate endotracheal intubation and mechanical ventilation in critically ill patients. Depending on the procedure, general anaesthesia may be optional or required. Regardless of whether a patient may prefer to be unconscious or not, certain pain stimuli could result in involuntary responses from the patient that may make an operation extremely difficult. Thus, for many procedures, general anaesthesia is required from a practical perspective.

<span class="mw-page-title-main">Anesthesiology</span> Medical specialty concerned with anesthesia and perioperative care

Anesthesiology, anaesthesiology, or anaesthesia is the medical specialty concerned with the total perioperative care of patients before, during and after surgery. It encompasses anesthesia, intensive care medicine, critical emergency medicine, and pain medicine. A physician specialized in anesthesiology is called an anesthesiologist, anaesthesiologist, or anaesthetist, depending on the country. In some countries the terms are synonymous, while in other countries they refer to different positions and anesthetist is only used for non-physicians, such as nurse anesthetists.

<span class="mw-page-title-main">Anesthetic</span> Drug that causes anesthesia

An anesthetic or anaesthetic is a drug used to induce anesthesia ⁠— ⁠in other words, to result in a temporary loss of sensation or awareness. They may be divided into two broad classes: general anesthetics, which result in a reversible loss of consciousness, and local anesthetics, which cause a reversible loss of sensation for a limited region of the body without necessarily affecting consciousness.

Awareness under anesthesia, also referred to as intraoperative awareness or accidental awareness during general anesthesia (AAGA), is a rare complication of general anesthesia where patients regain varying levels of consciousness during their surgical procedures. While anesthesia awareness is possible without resulting in any long-term memory of the experience, it is also possible for victims to have awareness with explicit recall, where they can remember the events related to their surgery.

<span class="mw-page-title-main">Desflurane</span> Chemical compound

Desflurane (1,2,2,2-tetrafluoroethyl difluoromethyl ether) is a highly fluorinated methyl ethyl ether used for maintenance of general anesthesia. Like halothane, enflurane, and isoflurane, it is a racemic mixture of (R) and (S) optical isomers (enantiomers). Together with sevoflurane, it is gradually replacing isoflurane for human use, except in economically undeveloped areas, where its high cost precludes its use. It has the most rapid onset and offset of the volatile anesthetic drugs used for general anesthesia due to its low solubility in blood.

<span class="mw-page-title-main">Bupivacaine</span> Local anaesthetic drug

Bupivacaine, marketed under the brand name Marcaine among others, is a medication used to decrease feeling in a specific area. In nerve blocks, it is injected around a nerve that supplies the area, or into the spinal canal's epidural space. It is available mixed with a small amount of epinephrine to increase the duration of its action. It typically begins working within 15 minutes and lasts for 2 to 8 hours.

Minimum alveolar concentration or MAC is the concentration, often expressed as a percentage by volume, of a vapour in the alveoli of the lungs that is needed to prevent movement in 50% of subjects in response to surgical (pain) stimulus. MAC is used to compare the strengths, or potency, of anaesthetic vapours. The concept of MAC was first introduced in 1965.

The ASA physical status classification system is a system for assessing the fitness of patients before surgery. In 1963 the American Society of Anesthesiologists (ASA) adopted the five-category physical status classification system; a sixth category was later added. These are:

  1. Healthy person.
  2. Mild systemic disease.
  3. Severe systemic disease.
  4. Severe systemic disease that is a constant threat to life.
  5. A moribund person who is not expected to survive without the operation.
  6. A declared brain-dead person whose organs are being removed for donor purposes.

Emery Neal Brown is an American statistician, neuroscientist, and anesthesiologist. He is the Warren M. Zapol Professor of Anesthesia at Harvard Medical School and at Massachusetts General Hospital (MGH), and a practicing anesthesiologist at MGH. At MIT he is the Edward Hood Taplin Professor of Medical Engineering and professor of computational neuroscience, the associate director of the Institute for Medical Engineering and Science, and the Director of the Harvard–MIT Program in Health Sciences and Technology.

Cardiothoracic anesthesiology is a subspeciality of the medical practice of anesthesiology, devoted to the preoperative, intraoperative, and postoperative care of adult and pediatric patients undergoing cardiothoracic surgery and related invasive procedures.

Neurosurgical anesthesiology, neuroanesthesiology, or neurological anesthesiology is a subspecialty of anesthesiology devoted to the total perioperative care of patients before, during, and after neurological surgeries, including surgeries of the central (CNS) and peripheral nervous systems (PNS). The field has undergone extensive development since the 1960s correlating with the ability to measure intracranial pressure (ICP), cerebral blood flow (CBF), and cerebral metabolic rate (CMR).

<span class="mw-page-title-main">History of general anesthesia</span>

Throughout recorded history, attempts at producing a state of general anesthesia can be traced back to the writings of ancient Sumerians, Babylonians, Assyrians, Egyptians, Indians, and Chinese. Despite significant advances in anatomy and surgical technique during the Renaissance, surgery remained a last-resort treatment largely due to the pain associated with it. However, scientific discoveries in the late 18th and early 19th centuries paved the way for the development of modern anesthetic techniques.

The following outline is provided as an overview of and topical guide to anesthesia:

Preanesthetic assessment is a medical check-up and laboratory investigations done by an anesthesia provider or a registered nurse before an operation, to assess the patient's physical condition and any other medical problems or diseases the patient might have. The goal of the assessment is to identify factors that significantly increase the risk of complications, and modify the procedure appropriately. The aim is to identify the appropriate anesthetic techniques to be used, to ensure the safety of perioperative care, optimal resource use, improved outcomes, and patient satisfaction, while considering the individual and person related risk factors and circumstances. The preanesthetic assessment involves the consideration of information from various sources that include the past medical records, interview, physical examination, as well as results from medical and laboratory tests.

Obstetric anesthesia or obstetric anesthesiology, also known as ob-gyn anesthesia or ob-gyn anesthesiology, is a sub-specialty of anesthesiology that provides peripartum pain relief (analgesia) for labor and anesthesia for cesarean deliveries ('C-sections').

<span class="mw-page-title-main">Robert M. Epstein</span> American anesthesiologist

Robert Marvin Epstein is an American anesthesiologist, a member of the National Academy of Medicine, and the Harold Carron Professor of Anesthesiology (emeritus) at the University of Virginia.

<span class="mw-page-title-main">Alex Bekker</span> Physician, author and academic

Alex Bekker is a physician, author and academic. He is a professor and chair at the Department of Anesthesiology, Rutgers New Jersey Medical School. He is also professor at the Department of Physiology, Pharmacology & Neurosciences. He serves as the Chief of Anesthesiology Service at the University Hospital in Newark.

<span class="mw-page-title-main">Talmage Egan</span> American academic

Talmage D. Egan is an anesthesiologist, academic, entrepreneur, and author. He is a professor and chair in the department of anesthesiology, and an adjunct professor in the departments of pharmaceutics, bioengineering, and neurosurgery at the University of Utah School of Medicine.

References

  1. 1 2 3 Blazier, Kenneth L.; McPeek, Bucknam (16 May 1991). "Book Review Anesthesia Third edition. Edited by Ronald D. Miller, with Roy F. Cucchiara, Edward D. Miller, Jr., J.G. Reves, Michael F. Roizen, and John J. Savarese. 2420 pp. in two volumes, illustrated. New York, Churchill Livingstone, 1990. $175". New England Journal of Medicine . 324 (20): 1442–1443. doi:10.1056/NEJM199105163242019.
  2. ↑ Johnstone, Robert (December 2005). "Anesthesia. 6th ed". Anesthesia & Analgesia . 101 (6): 1895. doi: 10.1097/00000539-200512000-00087 .
  3. ↑ Egan, Talmage (September 2005). "Miller's Anesthesia, 6th Edition". Anesthesiology. 103 (3): 673. doi: 10.1097/00000542-200509000-00044 . Retrieved 2 May 2015.
  4. ↑ Kalra, Praveen (January 2010). "Millerʼs Anesthesia, Volumes 1 and 2, 7th Edition". Anesthesiology . 112 (1): 260–261. doi: 10.1097/ALN.0b013e3181c5dc06 .
  5. ↑ Lalonde, Geneviève (9 January 2015). "Miller's Anesthesia, Eighth Edition". Canadian Journal of Anesthesia. 62 (5): 558–559. doi: 10.1007/s12630-015-0311-5 .
  6. ↑ "How to Prepare for a Career in Anesthesiology". American Society of Anesthesiologists . Retrieved 2 May 2015. An easy way to determine if you have an interest in medicine and anesthesiology is to read more about it. Most colleges and universities have subscriptions to popular anesthesia journals and texts in their collection. One key book to read is Miller's Anesthesia.
  7. ↑ Miller, Lorraine M. Sdrales, Ronald D. (2013). Miller's anesthesia review (2nd ed.). Philadelphia, PA: Elsevier/Saunders. ISBN   9781437727937.{{cite book}}: CS1 maint: multiple names: authors list (link)
  8. ↑ Maze, Alex S. Evers; Mervyn (2004). Anesthetic pharmacology: physiologic principles and clinical practice : a companion to Miller's Anesthesia. Philadelphia, Pa.: Churchill Livingstone. ISBN   9780443065798.{{cite book}}: CS1 maint: multiple names: authors list (link)
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