ANNIE AMIN, MD Department of Anesthesiology, The University of Chicago, Chicago, Illinois

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Anesthesia Outside the Operating Room CONSULTING EDITOR LEE A. FLEISHER, MD, FACC, FAHA Robert D. Dripps Professor and Chair of Anesthesiology and Critical Care, Professor of Medicine, Perelman School of Medicine Health System, University of, EDITORS MARK S. WEISS, MD Assistant Professor of Anesthesiology and Critical Care, Director, Inpatient Endoscopy Anesthesia, Hospital of the University of, Philadelphia, WENDY L. GROSS, MD, MHCM Vice Chair, Planning and Analytics, Director, Non-OR Services, Faculty, Division of Cardiac Anesthesia, Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women s Hospital, Boston, AUTHORS ANNIE AMIN, MD Department of Anesthesiology, The University of Chicago, Chicago, Illinois SAIF ANWARUDDIN, MD, FACC, FSCAI Assistant Professor of Medicine, Perelman School of Medicine University of, Co-Director, Transcatheter Valve Program, Hospital of the University of, PHILIP D. BAILEY Jr, DO, MBA Assistant Professor, Department of Anesthesiology and Critical Care Medicine, Perelman School of Medicine University of, The Children s Hospital of Philadelphia, SHARATH K. BHAGAVATULA, MD Department of Radiology, Brigham and Women s Hospital, Harvard Medical School, Boston, STEVEN BOGGS, MD, FASA, MBA Professor and Vice Chair, Clinical and Research Affairs, Department of Anesthesiology, University of Tennessee College of Medicine, UTHSC/Regional One Health, Memphis, Tennessee

iv JASON T. BOUHENGUEL, MD, MS Anesthesiology Resident, Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, VINAY CHANDRASEKHARA, MD, Assistant Professor of Medicine, Gastroenterology Division, Perelman School of Medicine University of, LEBRON COOPER, MD, FASA Professor and Chair, Department of Anesthesiology, University of Tennessee College of Medicine, UTHSC/Regional One Health, Memphis, Tennessee THOMAS CUTTER, MD, MAEd Department of Anesthesiology, The University of Chicago, Chicago, Illinois DAVID M. DIBARDINO, MD Assistant Professor of Clinical Medicine, Section of Interventional Pulmonology, Division of Pulmonary, Allergy and Critical Care, University of, Philadelphia, KAREN B. DOMINO, MD, MPH Professor and Vice Chair for Clinical Research, Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, Washington PAUL N. FIORILLI, MD Fellow, Interventional Cardiology, Cardiovascular Division, Department of Anesthesiology and Critical Care, Hospital of the University of, Philadelphia, DAVID S. FRANKEL, MD Electrophysiology Section, Cardiovascular Division, Perelman School of Medicine University of, GREGORY G. GINSBERG, MD Director of Endoscopic Services, Gastroenterology Division, Professor of Medicine, Perelman School of Medicine University of, Penn Medicine, Abramson Cancer Center, Ruth & Raymond Perelman Center for Advanced Medicine, Philadelphia, BARBARA GOLD, MD, MS Professor, Anesthesiology, Anesthesiology Administration, Executive Vice President Medical Affairs, University of Minnesota Health, Minneapolis, Minnesota WENDY L. GROSS, MD, MHCM Vice Chair, Planning and Analytics, Director, Non-OR Services, Faculty, Division of Cardiac Anesthesia, Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women s Hospital, Boston, ANDREW R. HAAS, MD, PhD Associate Professor of Medicine, Section of Interventional Pulmonology, Division of Pulmonary, Allergy and Critical Care, University of, Philadelphia,

v MICHAEL HALL, MD Assistant Professor of Anesthesiology, Department of Anesthesiology and Critical Care, Hospital of the University of, HANSOL KIM, MD Resident, Department of Radiology, Division of Angiography and Interventional Radiology, Brigham and Women s Hospital, Harvard Medical School, Boston, MICHAEL L. KOCHMAN, MD, AGAF, FASGE Wilmott Family Professor of Medicine, Director, Center for Endoscopic Innovation, Research, and Training, Gastroenterology Division, Perelman School of Medicine University of, JASON LANE, MD, MPH Associate Professor of Clinical Anesthesiology, Associate Professor of Clinical Radiology and Radiological Sciences, Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee MEGHAN B. LANE-FALL, MD, MSHP Assistant Professor, Department of Anesthesiology and Critical Care, Perelman School of Medicine University of, KELLY LEBAK, MD Senior Clinical Instructor, Case Western Reserve University School of Medicine, The MetroHealth System, Brecksville Ambulatory Surgery Center Medical Director, Cleveland, Ohio JEFF E. MANDEL, MD, MS Department of Anesthesiology and Critical Care, Perelman School of Medicine University of, SHIVAN J. MEHTA, MD, MBA Assistant Professor, Division of Gastroenterology, Perelman School of Medicine University of, RICHARD C. MONTH, MD Assistant Professor, Department of Anesthesiology and Critical Care, University of, OLIVIA NELSON, MD Pediatric Anesthesiology Fellow, Department of Anesthesiology and Critical Care Medicine, The Children s Hospital of Philadelphia, DAVID A. PREISS, MD, PhD Assistant Professor, Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, ROLF SCHLICHTER, MD Associate Professor, Department of Anesthesiology and Critical Care, University of, Hospital of the University of, JOHN P. SCOTT, MD Director of Pediatric Liver Transplant Anesthesia, Associate Professor, Anesthesiology, Division of Pediatric Anesthesiology, Associate Professor, Pediatrics, Division of Pediatric Critical Care, Associate Medical Director, Pediatric Intensive Care Unit, Children s Hospital of Wisconsin, Medical College of Wisconsin, Milwaukee, Wisconsin

vi RONAK SHAH, MD Assistant Professor, Adult Cardiothoracic Anesthesiology, Department of Anesthesiology and Critical Care, Hospital of the University of, Philadelphia, CHRISTOPHER D. SHARP, MD, MS Assistant Professor, Associate Medical Director of Outpatient Surgery, Center Director of Medical Student Clerkship, The University of Tennessee Health Science Center, Memphis, Tennessee PAUL SHYN, MD Department of Radiology, Brigham and Women s Hospital, Harvard Medical School, Boston, SHAZIA MEHMOOD SIDDIQUE, MD Fellow, Division of Gastroenterology, Perelman School of Medicine University of, MICHAEL S. STECKER, MD Assistant Professor, Department of Radiology, Division of Angiography and Interventional Radiology, Brigham and Women s Hospital, Harvard Medical School, Boston, WILLIAM G. STEVENSON, MD Electrophysiology Section, Cardiovascular Division, Brigham and Women s Hospital, Harvard Medical School, Boston, RICHARD TAUS, MD SMG Radiology, Morton Hospital, Taunton, EZEKIEL TAYLER, DO Intensivist, Anesthesiologist, Cardiothoracic ICU, Lankenau Medical Center, Wynnewood, JOHN MICHAEL TRUMMEL, MD, MPH Assistant Professor, Anesthesiology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire RICHARD D. URMAN, MD, MBA, FASA Associate Professor, Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women s Hospital, Center for Perioperative Research, Brigham and Women s Hospital, Harvard Medical School, Boston, STYLIANOS VOULGARELIS, MD Assistant Professor of Anesthesiology, Divisions of Pediatric and Adult Cardiac Anesthesiology, Medical College of Wisconsin, Milwaukee, Wisconsin MARK S. WEISS, MD Assistant Professor of Anesthesiology and Critical Care, Director, Inpatient Endoscopy Anesthesia, Hospital of the University of,

vii ZACHARY G. WOODWARD, MD Resident in Anesthesia, Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, ELIZABETH ZHOU, MD Assistant Professor, Adult Cardiothoracic Anesthesiology, Department of Anesthesiology and Critical Care, Hospital of the University of,