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Anesthesia Acumen
A Guide to Clinical Excellence and Patient Safety
Alessandro De Camilli (Author)
9781394424184, Wiley
Hardback, published 23 June 2026
256 pages
22.9 x 15.2 x 1.6 cm, 0.512 kg
Build clinical judgment for high-stakes anesthesia decisions from day one Transitioning from textbook knowledge to real-time operating room decision-making challenges even the most prepared trainees. Anesthesia Acumen: A Guide to Clinical Excellence and Patient Safety provides the mental framework anesthesiology trainees need to think, reason, and communicate effectively during high-stakes clinical scenarios. Written by a dual board-certified anesthesiologist and intensivist, this book focuses on developing clinical intuition rather than memorizing protocols. Anesthesia Acumen delivers structured mental models for common intraoperative crises including hypotension, hemorrhage, hypoxia, and airway compromise. Covering the complete perioperative continuum, this book offers practical communication scripts, organ system-based considerations, and guidance on avoiding cognitive pitfalls when balancing patient safety with efficiency. Readers will also find: Ideal for CA-1 and early CA-2 anesthesiology residents, senior medical students on anesthesia rotations, student registered nurse anesthetists, and anesthesia assistant students, this book provides the roadmap for navigating uncertainty, crises, and complex communication with clarity and confidence during the critical first years of training.
TARGET AUDIENCE, SCOPE, AND AUTHOR'S NOTE xiii Part 1 Introduction 1 1 Laid Back Until It Isn't: The Myth and Reality of Anesthesia Training 3 Part 2 The Preoperative Phase: Setup for Success 45 9 Know Everything: The Preoperative Deep Dive 47 Part 3 The Intraoperative Phase 83 14 Introduction 85 Part 4 Anesthetic Considerations by Organ System 153 31 Neurologic 155 Part 5 Subspecialties of Anesthesia 185 36 Neurosurgery 187 Part 6 Final Words 225 REFERENCES 227
2 Invest in Your Own Learning 5
3 Four Key Principles in the OR 7
4 Communicate Small Problems Before They Become Big Problems 13
5 Core Anesthesiology Skills 15
6 Early Identification of Complications 30
7 Thinking Beyond "Prop-Sux-Tube" 39
8 Maslow in the OR: Building a Foundation for Clinical Growth 41
10 Synthesize, Prioritize, Execute 54
11 Preoperative Red Flags 61
12 The In-person Patient Evaluation 68
13 Room Setup: Finding the Balance 79
15 Tailoring Induction to the Patient 88
16 The Anatomy of Expert Airway Management 90
17 IV Skills 95
18 Central Line Placement 97
19 Arterial Lines 100
20 Preventing Position-related Injury 103
21 Maintenance of Anesthesia 106
22 Emergence 101 112
23 Critical Portions of the Case 116
24 Reacting to Common Intraoperative Events 118
25 Hypertension 123
26 Hypoxia 127
27 Loss of Airway 130
28 Intraoperative Arrhythmias 133
29 Intraoperative Hemorrhage 139
30 Intraoperative Cardiac Arrest 150
32 Trauma 160
33 Cardiovascular 164
34 Respiratory Diseases 178
35 Endocrine 181
37 Head and Neck Surgery 197
38 Anesthesia for Cardiac Surgery 202
39 Anesthesia for Thoracic Surgery 211
40 Pediatric Anesthesia 215
41 Non-OR Anesthesia 218
42 Anesthesiology Education 222
INDEX 229
Subject Areas: Medicine: general issues [MB]
