Modern anesthesia: A multidisciplinary approach to pain relief

The Division of Vascular Anesthesiology at University of California, Los Angeles (UCLA) handles over 1,000 patients annually, providing specialized care for a range of vascular procedures in an aging society where vascular diseases are prevalent. The division's anesthesiologists are skilled in managing postoperative care for various vascular surgeries, including carotid endarterectomy, atrioventricular (AV) fistula formation, and endovascular treatments for peripheral arterial disease and aortic aneurysms. Advances in stent technology and catheterization allow many procedures to be performed with sedation instead of general anesthesia, reducing risks and hospital stays. Collaboration between vascular anesthesiologists and surgeons ensures optimal patient outcomes. This book discusses advancements in neuraxial, regional, and general anesthesia for vascular surgery, covering topics like vascular anatomy, typical therapies, and anesthesia techniques. The book also addresses preoperative monitoring, postoperative care, and complications. The anesthetic management of patients with high comorbidity and acetylsalicylic acid (ASA) classification undergoing major vascular surgery is emphasized, highlighting the frequent presence of coronary artery disease in this population. Complications related to vascular anesthesia and strategies for managing anesthetic challenges are explored, along with the importance of understanding potential complications, such as malignant hyperthermia and postoperative infections. The choice between local, regional, and general anesthesia is debated, with evidence suggesting that all methods are comparably safe, ultimately depending on patient preference and clinical judgment. The Division of Vascular Anesthesiology at UCLA manages a substantial patient volume, addressing complex vascular conditions prevalent in an aging population. Their expertise spans a range of procedures, from carotid endarterectomy to advanced endovascular interventions. The rapid evolution of stent technology and minimally invasive techniques has significantly reduced the need for general anesthesia, enabling safer, shorter hospital stays. The book details modern approaches in neuraxial, regional, and general anesthesia, emphasizing the importance of preoperative monitoring and postoperative care.