Authors should be proud whenever a book is sufficiently successful to
require a new edition. This is especially true when a book's consistent
popularity over time leads to the succession of the original authors by a
new set of authors. This latter circumstance is the case for the fifth
edition of what most of us call “Morgan and Mikhail.” We hope
that you the reader will find this new edition as readable and useful as you
have found the preceding four editions of the work.
This fifth edition, while retaining essential elements of its predecessors,
represents a significant revision of the text. Only those who have written a
book of this size and complexity will understand just how much effort was
involved. Entirely new subjects (eg, Perioperative Pain Management and
Enhanced Outcomes) have been added, and many other topics that previously
lived in multiple chapters have been moved and consolidated. We have tried
to eliminate redundancies and contradictions. The number of illustrations
devoted to regional anesthesia and analgesia has been greatly increased to
adequately address the rapidly growing importance of this perioperative
management topic. The clarity of the illustrations is also enhanced by the
widespread use of color throughout the book. We hope the product of this
endeavor provides readers with as useful an exercise as was experienced by
the authors in composing it.
are listed at the beginning of each chapter and a corresponding
numbered icon identifies the section(s) within the chapter in which each
concept is discussed. These should help the reader focus on important
concepts that underlie the core of anesthesiology.
deal with clinical problems of current interest and are
intended to stimulate discussion and critical thinking.
suggested reading has been revised and updated to include pertinent Web
addresses and references to clinical practice guidelines and practice
parameters. We have not tried to provide a comprehensive list of references:
we expect that most readers of this text would normally perform their own
literature searches on medical topics using Google, PubMed, and other
electronic resources. Indeed, we expect that an ever-increasing segment of
our readers will access this text in one of its several electronic forms.
• Multiple new illustrations and images have been added to this
Nonetheless, our goal remains the same
as that of the first edition: “to provide a concise, consistent
presentation of the basic principles essential to the modern practice of
We would like to thank Brian
Belval, Harriet Lebowitz, and Marsha Loeb for their invaluable assistance.
Despite our best intentions, various errors may have made
their way into the fifth edition. We will be grateful to readers who report
these to us at firstname.lastname@example.org
so that we can correct them in reprints and future editions.
John F. Butterworth IV, MD
David C. Mackey, MD
John D. Wasnick, MD, MPH