This issue of Anesthesiology Clinics, guest edited by Drs. Gabriella Iohom and Girish P. Joshi, focuses on Perioperative Monitoring. This is one of four issues each year selected by the series consulting editor, Dr. Lee Fleisher. Articles in this issue include, but are not limited to: Clinician monitoring, Ventilation monitoring, Measurement of pulmonary mechanics, Hemodynamic monitoring, Tissue perfusion monitoring, Neuromuscular blockade monitoring, Depth of anesthesia monitoring, Antinociception monitoring, Cerebral perfusion monitoring - Brain oxygen saturation monitoring, Coagulation, Ultrasound - the new stethoscope (POCUS), Mobile and Remote monitoring, smart phone use, AI, machine learning, deep learning, and closed loop devices and Telemedicine for anesthesiologists.

In this issue of Anesthesiology Clinics, guest editor Ashley M. Shilling brings her considerable expertise to the topic of Sports Anesthesia. The issue is composed of several articles that pertain to the perioperative management of the orthopedic patient, including patients undergoing knee procedures, foot and ankle surgery, shoulder surgery, and more. - Contains 12 relevant, practice-oriented topics including regional anesthesia complications and contraindications; continuous catheter techniques; Local Anesthetics, Local Anesthetic Systemic Toxicity (LAST), and Liposomal Bupivacaine; and more. - Provides in-depth clinical reviews on orthopedic anesthesia, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

The volume of elderly patients requiring anesthesia and surgery is growing rapidly. Thirty-five percent of surgeries are performed on patients older than 65 years, and in general, these patients have higher morbidity and mortality rates after anesthesia compared with their younger counterparts. One of the major challenges of treating elderly patients is the heterogeneity of the geriatric population—and the need to individualize care for each patient to provide the best outcome.

Guest editors Nabil M. Elkassabany and Edward R. Mariano have assembled an expert team of authors on the topic of Orthopedic Anesthesia. Articles include: Evidence-Based Medicine for Ultrasound-Guided Regional Anesthesia,Role of Regional Anesthesia in Orthopedic Trauma, Which Outcomes Related to Regional Anesthesia Are Most Important for Orthopedic Surgery Patients?,Optimizing Perioperative Care for Patients with Hip Fracture, Regional Anesthesia-Analgesia: Relationship to Cancer Recurrence and Infection, Developing a Multidisciplinary Fall Reduction Program for Lower-Extremity Joint Arthroplasty Patients, Optimizing Perioperative Management of Total Joint Arthroplasty, and more!

This issue of Anesthesiology Clinics, guest edited by Drs. Ranjit Deshpande and Stanley Rosenbaum, is focused on Anesthesia at the Edge of Life. This issue is one of four each year selected by the series Consulting Editor, Dr. Lee Fleisher. Articles in this issue include but are not limited to: Anesthesia for major surgery in the neonate; Anesthesia for the patient on mechanical circulatory support; Anesthesia for the patient with severe liver failure; Anesthesia for the patient on renal replacement therapy; Anesthesia for neurosurgical emergencies; Anesthesia for obstetrical disasters; Anesthesia for the patient in septic shock; Anesthesia for a patient with extensive trauma; Anesthesia for endocrine emergencies; Anesthetic management in malignant hyperthermia; Anesthesia for electroconvulsive therapy; Anesthesia for the morbidly obese patient; Anesthesia for the frail geriatric patient; Emergency anesthesia in resource-limited areas; and Organ donation and ethics in anesthesiology.

This issue of Anesthesiology Clinics, edited by Dr. Elizabeth Whitlock and Dr. Robert Whittington, in collaboration with Consulting Editor Lee Fleisher, focuses on Geriatric Anesthesia. Topics in this issue include: The Growing Challenge of the Elderly Population; The Perioperative Period; Preoperative Assessment of the Geriatric Patient; Prehabilitation: Optimizing Elders Undergoing Elective Surgery; The Ethics of Surgery at the End of the Life; Perioperative Geriatric Physiology and the Frailty Syndrome; Geriatric Pharmacology; Emergency Surgery in the Elderly; Management of Acute Pain in the Elderly; Special Considerations for the Elderly Brain: Delirium and Perioperative Cognitive Change; Special Challenges of the Geriatric Critical Care Patient; Chronic Pain Management in the Elderly; Providing Patient- Focused Care: Treatment Burdens, Difficult Conversations, and Symptom Management; and Future Directions for Geriatric Anesthesiology.

Airway management is the medical process of ensuring there is an open pathway between a patient’s lungs and the outside world, as well as reducing the risk of aspiration. Airway management is a primary consideration in cardiopulmonary resuscitation, anesthesia, emergency medicine, intensive care medicine and first aid. Difficult airway (defined as more than three attempts, or taking longer than 10 minutes) is the major factor in anesthesia morbidity.