Perioperative Medicine

by Newman, Mark F.

• ISBN13: 9781416024569
• ISBN10: 1416024565
• Edition: 1st
• Format: Hardcover
• Copyright: 2007-10-01
• Publisher: SAUNDERS W B CO

Summary

Recognized authorities in anesthesiology and surgical critical care present you with today's best management approaches for achieving optimal perioperative outcomes. They review the potential risks to all major organ systems by examining the incidence and significance of organ dysfunction...assessing the etiology of particular organ dysfunctions...defining the preoperative and intraoperative risk factors...and offering perioperative protection strategies to minimize potential complications. A consistent chapter format - combined with color-coded algorithms, summary tables and boxes - enable you to quickly locate specific guidance. Top evidence- and outcome-based strategies from leading world authorities enable you to avoid and manage complications. A consistent format allows you to easily and efficiently access the very latest research and clinical practice guidelines. Color-coded algorithms, as well as abundant summary tables and boxes, save you valuable time in locating the best management approaches.

Table of Contents

Introduction and Background

Implications of Perioperative Morbidity on Long-Term Outcomes

Ischemia and Ischemia-Reperfusion-Induced Organ Injury

The Inflammatory Response in Organ Injury

The Coagulation Cascade in Perioperative Organ Injury

Preoperative Assessment

The Value of Preoperative Assessment

Cardiac Risk Assessment in Noncardiac Surgery

Cardiovascular Risk Assessment in Cardiac Surgery

Central Nervous System Risk Assessment

Renal Risk Assessment, Christina Mora-Mangano

Pulmonary Risk Assessment, Maurizio Cereda

Hematologic Risk Assessment

Preservation of Organ Function and Prevention and Management of Perioperative Organ Dysfunction

Cardiovascular System

Prevention of Ischemic Injury in Cardiac Surgery

Prevention of Ischemic Injury in Noncardiac Surgery

Treatment of Perioperative Ischemia, Infarction, and Ventricular Failure in Cardiac Surgery

Perioperative Management of Valvular Heart Disease

Prevention and Management of Perioperative Dysrhythmias

Renal System

Preservation of Renal Function

Treatment of Acute Oliguria

Perioperative Management of the Patient with Renal Failure

Pulmonary System

Prevention and Treatment of Pulmonary Dysfunction

Central Nervous System

Carotid and Intracranial Surgery

Protecting the Central Nervous System during Surgery

Preservation of Spinal Cord Function

Perioperative Management of Acute Central Nervous System Injury

Gastrointestinal System

Prevention and Treatment of Gastrointestinal Morbidity

Hematology and Coagulation

Prevention and Management of Deep Vein Thrombosis and Pulmonary Embolism

Perioperative Management of Bleeding and Transfusion

Infections

Prevention of Perioperative and Surgical Site Infection

Obstetric

Perioperative Protection of the Pregnant Woman

Preservation of Fetal Viability in Noncardiac Surgery

Early Postoperative Care

Specific Operations

Cardiac Surgery

General Thoracic Surgery

Major Abdominal Surgery

Major Orthopaedic Surgery

Solid Organ Transplantation

Multisystem Trauma

Neurosurgery

Specific Problems

Sepsis and Septic Shock

Acute Respiratory Failure

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