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.

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.?

This issue on sex and gender comes at an opportune time, as the DSM-IV is being revised, and in particular sex and gender issues are being reconsidered. This issue focuses on research in the area of gender variant children and transgender adolescents, assessment of several scenarios and clear information on practice parameters. Therapy for gender variant children and transgender adolescents is discussed in detail, as well as parents' perspectives, ethical legal, and non-discrimination issues, and education on these subjects. International standards of care are also discussed.

In this issue of Anesthesiology Clinics, guest editors Drs. Matthew M. McEvoy and James Abernathy III bring their considerable expertise to the topic of Perioperative Safety Culture. Safety culture is the product of individual and group values, attitudes, perceptions, competencies, and patterns of behavior that determine an organization’s health and safety management. In this issue, top experts discuss topics such as patient safety and clinician wellness; handoffs and In-hospital care transitions; team dynamics in the operating room: how is team performance optimized?; anesthesiology operating room medication delivery; OR design: state-of-the-art design concepts to help mitigate errors and improve safety; and more. Contains 16 practice-oriented topics including perioperative safety culture: principles, practices, and pragmatic approaches; what do we know about the system and what are the best practices to stop errors in healthcare; coaching to improve performance; systems of care delivery and optimization in the preoperative arena, operating room, ICU, and postoperative care wards; and more. Provides in-depth clinical reviews on perioperative safety culture, 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.

This issue of Anesthesiology Clinics covers essential topics in the post anesthesia care unit. Management of pain, delirium, acute renal failure, arrhythmias, and several post anesthesia complications are covered. Both adult and pediatric issues are addressed.

This cutting-edge issue of Anesthesiology Clinics is divided into two sections. The first covers topics in perioperative clinical information systems (IS), including the following. The anatomy of an anesthesia information management system; vendor and market landscape; impact of lexicons on adoption of an IS; clinical research using an IS, real-time alerts and reminders using an IS; shortcomings and challenges of IS adoption; creating a real return-on-investment for IS implementation (life after HITECH); Quality improvement using automated data sources and reporting; and opportunities and challenges of implementing an enterprise IS in the OR. Section 2 is devoted to computers and covers the following topics. Advanced integrated real-time clinical displays; enhancing point-of-care vigilance using computers; and computers in perioperative simulation and education.

Ambulatory anesthesia is used for surgical procedures where the patient does not need to stay overnight in the hospital. The same anesthetics that are used in the operating room setting are used in the ambulatory setting, including general, regional and local anesthetics. Sedation anesthetics are also given in the ambulatory setting. This issue will cover best practices and procedures for perioperative care, regional anesthesia, pediatric anesthesia, administering office anesthesia, and more.