Perioperative Medicine A Problem-Based Learning Approach

by Richman, Deborah C.; Pulley, Debra D.; Oprea, Adriana D.

• ISBN13: 9780190902001
• ISBN10: 0190902000
• eBook ISBN(s): 9780197523599
• Format: Hardcover
• Copyright: 2025-01-24
• Publisher: Oxford University Press
• More Book Details

Summary

In recent years anesthesiologists have developed a more active role in the entire peri-operative period-from the decision for surgery, through recovery, discharge and beyond. In addition, the core training curriculum of anesthesiology has changed significantly to now include many non-operating room anesthesia rotations.General anesthesiology texts include varying degrees of perioperative management information, and a few titles are devoted specifically to the area. However, none combines a problem-based approach with review questions and answers with explanations.

Following the format of the Anesthesiology Problem-Based Learning Approach series, each chapter in Perioperative Medicine describes a specific condition or situation and a virtual case presented through a series of questions and answers. With 48 chapters covering a broad array of conundrums encountered in clinical perioperative medicine, the text focuses on preoperative optimization of patients with different comorbidities, such as coronary artery disease, heart failure, chronic obstructive pulmonary disease, obstructive sleep apnea, diabetes mellitus, cirrhosis, substance use disorder, and anemia. Sections on how to choose preoperative tests, medication management, and handling ethical issues, like informed consent, DNR, and uncomfortable conversations with patients, are discussed in detail.

Perioperative Medicine: A Problem-Based Learning Approach provides an up-to-date compendium of topics commonly presenting in daily practice and serves as a unique learning opportunity for the busy perioperative clinician approaching a new case and for clinicians in training who need to learn the basics.

Table of Contents

PART I PREOPERATIVE ASSESSMENT1. Preoperative Process: Phone Triage, Preoperative Clinic, or Virtual Patient Visits, Maureen Keshock and Kenneth Cummings2. Perioperative Surgical Home Care Model: Utopia or Bureaucracy?, Eileen Campbell and Janine Limoncelli3. Choosing Wisely: How to Advise the Patient on Preoperative Testing, Jay S. Kersh and BobbieJean Sweitzer4. My 79-Year-Old Patient for Right Inguinal Hernia Repair Has No Labs on File, Barbara Rogers and Wiebke Ackermann5. Medication Management: Drug-Eluting Stent 2 Months AgoÂÂ, Julio Montejano and Angela Selzer6. Perioperative Management of Medications for Substance Use Disorders, Thomas Hickey and Shafik Boyaji7. Indications for Preoperative C-Spine Imaging for Elective Procedures, Deborah C. Richman8. Prehabilitation Before Total Hip Replacement, Olivia Belloni, Rashwan Gogue, Luigi Beretta, and Enrico Maria Minnella9. Cardiopulmonary Exercise Testing, Paris Dove, Emily Traer, Hilmy Ismail, and Bernhard RiedelPART II AGE10. Ex-Premie for Interval Hernia Repair at 11 Weeks, Joseph P. Resti and Bettina Smallman11. Geriatric Assessment: "The Get Up and Go, Got Up and Left", Kaitlin Willham and Heather E. NyePART III ORGAN SYSTEMS12. AHA Guidelines Application, Samuel Papke, Michael Benson, and Joshua Zimmerman13. Perioperative Atrial Fibrillation and Anticoagulation Management, Jing Tao and Adriana D. Oprea14. Severe Aortic Stenosis: Candidate for a Surgicenter?, Elvera L. Baron and Menachem M. Weiner15. Does Your Cataract Surgeon Know You Were Admitted for Heart Failure Last Week?, Michael Curtis, Nathaen Weitzel, and Miklos D. Kertai16. Echo Shows Elevated Pulmonary Artery Pressure, Debra D. Pulley and Anand Lakshminarasimhachar17. Shoulder Replacement in Patient Who Had a Heart and Lung Transplant, Caroline R. Gross and Zdravka Zafirova18. COPD: Still Smoking, Still Wheezing, Wesley Rajaleelan and Jean Wong19. Severe OSA in the Ambulatory Setting, Sean Love, Chelsey Santino, and Tina Tran20. COVID-19, Robert Fong21. Cirrhosis and Truly Elective Major Surgery, Sofia S. Jakab and Adriana D. Oprea22. Patient Has Seizures and Needs "Clearance", Ramanjot S. Kang, Ashley Mathew, and Shirley Avraham23. Clinical Application of Perioperative Brain Health, Samuel N. Blacker24. Restrictive Lung Disease from Parkinson's Disease Rigidity: Is It Real?, Shilpa Rao25. A 56-Year-Old with a Recent CVA for Elective Surgery: How Soon Is Too Soon? 291, Debra D. Pulley26. Avoiding Exacerbation of Chronic Kidney Disease, Emily Y. Xue, David Moore, and Alexander F. Arriaga27. Preoperative Anemia Management: Evaluation and Treatment, Kenneth Cummings28. Prolonged PTT in a Healthy Patient, Nicole Verdecchia and Khoa Nguyen29. Elevated Glucose on Admission Fingerstick: How High Can We Go?, Lindsay E. Carafone, Colin E. Bauer, Joshua D. Miller, and Steven D. Wittlin30. Pheochromocytoma and MEN Syndromes, Zyad J. Carr, Andrea Farela, and Adriana D. OpreaPART IV WOMEN'S HEALTH31. Pregnant Patient for Non-Obstetric Surgery, Nayema K. Salimi and Kristen L. Fardelmann32. Older Primigravida with Twin Pregnancy for Elective Cesarean Delivery, Evan Jin, Sangeeta Kumaraswami, and Garret WeberPART V SURGICAL CONSIDERATIONS33. Minimally Invasive Surgery and Other Elements of Enhanced Recovery Protocols, Lesley Bennici, Morgane Factor, Sunitha Singh, and Ana Costa34. Blood Conservation, Seth Perelman and Christian MabryPART VI ETHICS AND SHARED DECISION-MAKING35. When DNR Stands in the OR: Who Benefits? Who Decides?, Joseph F. Kras36. Informed Consent: Do We Really Do This Correctly?, Stephen Harden and Nicholas Sadovnikoff37. Can I Refuse to Anesthetize This Patient?, Jeanna D. Blitz38. Difficult Conversations, Laura J. Ostapenko and Katherine A. HillPART VII MISCELLANEOUS39. This Patient Has 17 Allergies: Including "General Anesthesia", Debra D. Pulley40. Nonverbal Autistic 30-Year-Old for Full Mouth Dental Rehabilitation with Malignant Hyperthermia, Jonathan Bacon and Ralph Epstein41. Patient with AAA with Implanted Spinal Cord (Neuro) Stimulator, Meredith Whitacre and Loreta Grecu42. Patient with Pacemaker-Dependent ICD for Renal Cryoablation, Paula Trigo Blanco and Adriana D. Oprea43. My Friend's Son Requests Surgery for Gynecomastia Caused by the Drugs He Uses for Bodybuilding, Adam Adler and Arvind Chandrakantan44. Perioperative Care of the Cancer Patient, Cory W. Helder and Alessia PedotoPART VIII PACU45. Discharge Criteria in Developmentally Disabled Patient with OSA, Jonathan L. Wong and Mana Saraghi46. My Patient Is Twitching Like a Fish Out of Water: Avoiding the Risks of Residual Paralysis, Ramon E. Abola47. My Patient in the PACU Is Not Making Any Sense, Joy Steadman48. The HR Monitor Is Alarming in the PACU: Postoperative Arrhythmias, Avi Dobrusin and Muthuraj Kanakaraj