Ramon C. Henson MD
Every Anesthetic Decision, One Recognizable Pattern at a Time Built for the trainee who has to select the induction agent, run the airway algorithm, and recognize a developing crisis before the monitor confirms it, this handbook connects the pharmacokinetics and physiology of anesthesia to the decisions made at induction, in the field, and in recovery. It moves from receptor pharmacology and minimum alveolar concentration through airway management, neuraxial and peripheral regional technique, and organ-system-specific anesthetic care, into the special-population adjustments and highest-acuity emergencies that define the specialty. The Anesthesia Checkpoint System threads all twenty-one chapters, turning dense mechanism into a repeatable decision pattern you can apply under real time pressure. Inside, You Will Learn How To • Titrate induction and maintenance agents - MAC adjustment, propofol dosing, and agent selection for the hemodynamically unstable patient, built on receptor-level pharmacology.• Run the difficult airway algorithm - mask ventilation optimization, device selection, laryngospasm management, and the can’t-intubate-can’t-ventilate escalation in sequence.• Place and troubleshoot neuraxial and peripheral blocks - spinal level selection, epidural test-dose interpretation, and local anesthetic systemic toxicity recognition.• Manage the cardiac, pulmonary, renal, and hepatic patient - aortic stenosis hemodynamics, one-lung ventilation, and hepatic-independent drug selection in one framework.• Adapt technique across populations - pediatric induction, geriatric titration, obstetric hemodynamics, and opioid-tolerant perioperative planning.• Recognize and run the highest-acuity emergencies - malignant hyperthermia’s earliest capnography signature, anaphylaxis, and OR-specific cardiac arrest management.• Apply the Anesthesia Checkpoint System - eighty-four cross-referenced clinical decision points consolidated into one Master Index for rapid pre-case review. Open it before your next case - the reasoning behind every anesthetic decision, in one reference.