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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:

  • Crisis management frameworks offering simple mental models for rapid decision-making during hypotension, hemorrhage, and airway emergencies
  • Communication strategies with practical scripts and approaches for effective interdisciplinary dialogue within the operating room team
  • Clinical reasoning guidance to build intuition, recognize complications early, and avoid common cognitive traps during anesthesia care
  • System-level thinking for addressing subspecialty considerations and integrating professionalism with technical expertise throughout training
  • Structured approaches for prioritizing critical steps when facing multiple competing inputs during complex perioperative scenarios

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
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

Part 2 The Preoperative Phase: Setup for Success 45

9 Know Everything: The Preoperative Deep Dive 47
10 Synthesize, Prioritize, Execute 54
11 Preoperative Red Flags 61
12 The In-person Patient Evaluation 68
13 Room Setup: Finding the Balance 79

Part 3 The Intraoperative Phase 83

14 Introduction 85
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

Part 4 Anesthetic Considerations by Organ System 153

31 Neurologic 155
32 Trauma 160
33 Cardiovascular 164
34 Respiratory Diseases 178
35 Endocrine 181

Part 5 Subspecialties of Anesthesia 185

36 Neurosurgery 187
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

Part 6 Final Words 225

REFERENCES 227
INDEX 229

Subject Areas: Medicine: general issues [MB]

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