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Preface to the 7th Edition

The 7th edition of The McGraw-Hill Board Review of Anesthesiology is timed to coincide with the most substantial changes ever made by the American Board of Anesthesiology in the certification examination process. Beginning with the group of residents that begin anesthesiology training in 2013, the written examination is being divided into two parts. Residents will take the examination on Basic Topics following the first year of residency training, and will take the examination on Advanced Topics two years later following completion of the residency. Thus, this book has been completely redesigned and rewritten to conform to these changes implemented by the Board.

Once again, the subspecialty areas within anesthesiology were written by colleagues with special expertise in these fields. We are pleased by the addition of several new contributors. Drs. Brian Sites and John Antonakakis wrote the chapters on regional anesthesia, Dr. Stavros Memtsoudis on respiration, Dr. Christian Müller on cardiothoracic anesthesia, Dr. Rebecca Zanconato on pediatric anesthesia, Dr. Salahadin Abdi on acute and chronic pain, and Dr. Eleanor M. Duduch on a new chapter on anesthesia for miscellaneous procedures. As in the last edition, Dr. Ronald Rubin, one of the few physicians in the United States fully trained and certified in both anesthesiology and obstetrics & gynecology wrote the chapter on anesthesia for obstetrics, Dr. Ted Alston on circulation, Dr. John Marota on the nervous system, Dr. Renée Goetzler, an internist, on the hepatic, renal, metabolic, and hematologic systems, and Dr. Rae Allain on critical care, this time accompanied by Dr. Robin Guillory.

The reference list was expanded and most of the references are also available online via the website AccessAnesthesiology ( Because of the supreme importance of pharmacology to the practice of anesthesiology, we believe every anesthesiologist should own a comprehensive reference. In the United States, the clear choice is Goodman and Gilman, now in its 12th edition and edited by Brunton, et al. Thus the majority of the pharmacological questions in this book are referenced to it. Pediatric and obstetric anesthesia remain important parts of every resident's training and a large portion of many persons' practices. Because the pediatric and obstetric sections in the major references are abbreviated, many of the pediatric and obstetric questions are referenced to the textbooks edited by Coté, et al. and Chestnut, et al., respectively.

For this edition, the Introduction was also extensively rewritten to include new information from the American Board of Anesthesiology on the aforementioned changes in the certification process as well as on the Maintenance of Certification in Anesthesiology (MOCA) process. MOCA is mandatory for diplomates with time-limited certificates issued after 2000 who wish to maintain their certification.

This book contains 1500 questions and answers and many more references. There will be errors despite the best efforts of the authors and the editors to prevent them. We are very grateful to those persons who previously contacted us to report errors they had found in previous editions. Once again, we would very much appreciate having any and all mistakes brought to our attention, and we have listed our email addresses below to facilitate communication.

We would like to acknowledge the contributors to previous editions of this book: Drs. Paul Alfille, Thomas Beach, William Denman, Peter Foley, Philippa Groves, Grace Harrell, and Bobbie Jean Sweitzer. We would also like to thank our families for tolerating our absences necessitated by the preparation of this latest edition.

Mark Dershwitz
J. Matthias Walz
Worcester, Massachusetts
April, 2013

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