Anesthesia and Co-Existing Disease Textbook 2026-2027

Know Exactly What Each Chronic Disease Changes About Your Anesthetic Most patients presenting for surgery today carry chronic illness, and the difficulty rarely comes from the anesthetic itself. It comes from the narrowed physiologic margin the anesthetic is delivered into. This textbook works through thirty organ-system chapters, from ischemic heart disease and pulmonary hypertension to cirrhosis, neuromuscular disease, and pregnancy complicated by chronic illness, grounding every recommendation in mechanism and current guideline practice rather than numbers to be memorized. It is written for anesthesiology residents, nurse anesthesia trainees, anesthesiologist assistants, and clinicians running busy preoperative clinics. Ninety named collision points across the book state, for each disease, which reserve has been lost, how to measure what remains, and the single change the case demands. Inside this edition you will find: Preoperative evaluation, targeted testing, and optimization windows - decide on evidence when to proceed, delay, or cancel Chronic medication management by drug class, including antithrombotic interruption and newer glucose-lowering agents - stop and restart therapy on schedule rather than by habit Cardiovascular coverage spanning coronary disease, heart failure, valvular lesions, pulmonary hypertension, arrhythmias, implanted devices, and adult congenital disease - set hemodynamic targets lesion by lesion Respiratory chapters from asthma and COPD through sleep apnea and interstitial disease - build ventilation and airway strategy around the specific limitation Renal, hepatic, and gastrointestinal failure - match drug selection, fluid strategy, and aspiration precautions to the failing organ Endocrine, metabolic, and obesity chapters with weight-descriptor dosing and glycemic strategy - head off the crises that follow surgical stress Neurologic, neuromuscular, psychiatric, hematologic, oncologic, and immune disease - anticipate the drug and physiologic interactions that make these patients unpredictable The Master Collision Index, gathering all ninety decisions by organ system for lookup in the minutes before a case Add this reference to your preoperative workflow and meet the patient with chronic disease already knowing what has to change.