In this vignette-based companion to the highly popular Anesthesia Secrets, Dr. James Duke and colleagues present a wealth of real-patient cases and focus on the important preoperative, intraoperative, and postoperative anesthetic considerations. For each case, a scenario of a classic or difficult patient problem is introduced, and the reader is challenged to formulate the anesthetic management. The authors then answer the questions they have posed, and each chapter concludes with three or four key 'Secrets' distilled from the case.