Minimize risk for every surgery-bound patient with this concise, high-yield clinical reference “The accuracy and readability of this [book] is excellent... the writing style is appropriate, informative, and suitable for the primary care clinician. The topics are well researched [and] the clinical recommendations reflect the most current guidelines.”—Robert C. Lavender, MD, FACP “The editor and contributing authors are all highly credible authorities and experienced clinicians... This is an extremely well-written, evidence-based text that fills a real gap. It should be useful not only to its intended audience, but also to surgeons and surgical trainees who often provide the initial management of these situations in the absence of consultants.”—Doody’s Review Service With new surgical advances and innovations, more older, sicker, higher-risk patients are undergoing surgery. Expertly assessing and managing patients with comorbidities who are undergoing surgical procedures is an absolutely critical task today—and Decision Making in Perioperative Medicine: Clinical Pearls will ensure that you make the right decisions through every step of the process. Which risk calculator should you use? How long should you delay surgery after percutaneous coronary intervention? Should the patient continue taking aspirin? How long before surgery should you stop a direct-acting oral anticoagulant? Decision Making in Perioperative Medicine: Clinical Pearls answers your questions when it comes to perioperative care. Filled with algorithms, tables, and clinical pearls, this practical resource is organized into three sections: Key takeaways on preoperative evaluation, testing, anesthesia, and medication management Expert guidance on evaluating the effect of comorbidities on surgical outcome and providing strategies for medical optimization to minimize risk Review of common postoperative medical complications and treatment Whether you’re a hospitalist, internist, family physician, anesthesiologist, physician assistant, or nurse practitioner, Decision Making in Perioperative Medicine: Clinical Pearls provides the evidence-based information and insights you need to make sure every surgery-bound patient receives the quality of care and management they deserve.

This comprehensive third edition provides robust support to clinicians providing perioperative care for patients. Patients with a range of medical conditions undergo surgeries of varying levels of risk, and the evolving field of consult medicine aims to address their needs, whether pre- or post-surgery. This book offers evidence and experience-based information, advice, and guidelines on all aspects of perioperative medicine. Care around surgeries in many major clinical areas are included, including cardiology, pulmonology, gastroenterology, rheumatology, endocrinology, and so on. This new edition has been updated throughout with the latest literature, more visual content (tables and algorithms), and eleven new chapters on topics such as: chronic pain, congestive heart failure, hormone therapy and transgender patients, and postoperative hypoxemia. This new edition focuses on high value care in order to improve outcomes, including minimizing complications and readmissions. It also provides streamlined key points for caring for patients with medical diagnoses that may be especially complicated around surgery. This resource is invaluable for practicing physicians (including medical consultants, surgeons, and anesthesiologists) and other professionals who aim to optimize care of surgical patients.

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.

"The Fenway Guide to Lesbian, Gay, Bisexual, and Transgender Health is the first truly comprehensive clinical reference to enhancing the health care and wellness of LGBT patients. Written by leading experts in the field and created in conjunction with Fenway Community Health of Boston, one of America's most respected community-based research and treatment centers, this one-of-a kind resource examines the unique issues faced by sexual minority patients and provides readers with clear and authoritative guidance." -- Book Jacket.

Thoroughly updated for its Second Edition, this practical, portable handbook provides comprehensive, up-to-date information for all clinicians who need to perform preoperative assessments. The book provides a thorough understanding of the pathophysiology of disease states relevant to anesthesiology and surgery and offers guidelines on history taking, physical examination, recommended diagnostic tests, and preoperative management. A chapter of case studies in preoperative evaluation is included. New chapters in this edition cover evaluation of the pregnant patient for non-obstetric surgery and preoperative assessment for specific procedures and locations, particularly out-of-OR and ambulatory procedures. This edition's more user-friendly format includes bullet lists and tables to facilitate quick reference.

Perioperative Medicine uses a concise, highly practical, bulleted format designed to ensure rapid comprehension of key concepts and reinforce the reader's understanding of complex topics in perioperative medicine. It contains authoritative, up-to-date coverage of the most essential concepts in perioperative care from preoperative risk assessment to postoperative follow-up. The Editor and his contributors use their expert insight and experience to provide an in-depth review of comorbid conditions, patient and surgery-specific risk assessment, and common postoperative complications. This new book reviews recent developments in the field, including published guidelines, and emphasizes an evidence-based, cost-effective approach designed to ensure quality, patient safety, and optimal outcomes. It is intended for use by hospitalists, general internists and subspecialists as well as anesthesiologists, surgeons, and residents in training who are caring for patients before and after surgery.

All anesthesiologists eventually face the fear of a “near miss,” when a patient’s life has been put at risk. Learning from the experience is crucial to professionalism and the ongoing development of expertise. Drawing on forty-plus years of practice in major metropolitan hospitals in the United States, Norway, and South Africa, John Brock-Utne, MD presents 80 carefully selected cases that provide the basis for lessons and tips to prevent potential disaster. The cases emphasize problem-centered learning and span a broad range of topics—from an outbreak of operating room infection (could it be the anesthesia equipment?), complications of fiberoptic intubations, and problems with epidural drug pumps, to performing an urgent tracheostomy for the first time, working with an aggressive surgeon, and what to do when a patient falls off the operating table during surgery. 80 true-story clinical “near misses” never before published, ideal for problem-centered learning, recommendations, references, and discussions accompany most cases, rich basis for teaching discussions both in or out of the operating room, settings include sophisticated as well as rudimentary anesthetic environments, complements the author’s other case book, Clinical Anesthesia: Near Misses and Lessons Learned (Springer, 2008).

Unique decision-tree format provides rapid decision-making tool covering a wide range of musculoskeletal injuries Few if any medical fields share the complexity of injuries and the number of available treatments that exist in orthopaedic trauma. Deciding on the most efficacious treatment can often be difficult. In this digital age with a tsunami of medical information and conflicting data on numerous approaches, practitioners who treat orthopaedic trauma often find it problematic to make "evidence-based" choices. Decision Making in Orthopaedic Trauma is the largest compendium of orthopaedic trauma algorithms assembled to date. The decision trees cover a broad spectrum of cases - from simple isolated fractures - to severe, life-threatening conditions. The decisions on which action to perform in each situation are largely based on the personal experiences of the individual authors, all members of the University of California, San Francisco (UCSF) / Zuckerberg San Francisco General (ZSFG) Orthopaedic Trauma Institute. When the decisions are supported by published scientific literature, the relevant publications are cited. Visually appealing, easy-to-comprehend decision trees detail underlying pathologies, suspected diagnoses, required imaging studies, possible treatment approaches, rehabilitation, expected outcomes, and postsurgical care. The format is more conducive to swiftly acquiring knowledge and making informed decisions than traditional texts and websites. Key Features Management of a wide range of emergencies including compartment syndrome, open fractures, peripheral nerve injuries, mangled extremities, and multiple trauma Perioperative care - from acute and chronic pain management - to venous thromboembolism prevention and the use of regional anesthesia Major sections organized by anatomic region cover upper extremity, lower extremity, pelvic, hip, and spine trauma Clinical pearls on the management of osteoporotic, neoplastic, and periprosthetic fractures and fracture complications Impacted anatomy, differential diagnoses, and possible approaches visualized through high-quality color illustrations and radiographs Consistent color scheme differentiates actions, imaging, and rehabilitation guidelines Appendices provide a quick reference on imaging, bracing, and rehabilitation recommendations This uniquely formatted, visually rich book will enable surgeons, physicians, and residents to understand and apply critical decisions to a wide range of fractures, dislocations, nerve injuries, and musculoskeletal complications.

Confidently meet the demands of transitioning students into practice-ready nurses with Medical-Surgical Nursing: Focus on Clinical Judgment, 3rd Edition. Expertly curated by experienced clinician and nursing educator Dr. Linda Honan, this practical approach distills complex concepts down to need-to-know details through the perspective of practicing nurses, establishing a comprehensive foundation in medical-surgical nursing by way of the most commonly encountered conditions and situations. Extensive updates throughout this 3rd Edition broaden your students’ perspectives, cultivate their clinical judgment, and prepare them for success from the Next Generation NCLEX® to the day-to-day challenges of today’s medical-surgical nursing practice.