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.

Essential Surgery is part of a nine volume series for Disease Control Priorities which focuses on health interventions intended to reduce morbidity and mortality. The Essential Surgery volume focuses on four key aspects including global financial responsibility, emergency procedures, essential services organization and cost analysis.

An authoritative account of all aspects of perioperative care for surgical patients.

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.

Practical resource for all healthcare professionals involved in day-to-day management of operating rooms of all sizes and complexity.

Quality and Safety in Anesthesia and Perioperative Care offers practical suggestions for improving quality of care and patient safety in the perioperative setting. Chapters are organized into sections on clinical foundations and practical applications, and emphasize strategies that support reform at all levels, from operating room practices to institutional procedures. Written by leading experts in their fields, chapters are based on accepted safety, human performance, and quality management science and they illustrate the benefits of collaboration between medical professionals and human factors experts. The book highlights concepts such as situation awareness, staff resource management, threat and error management, checklists, explicit practices for monitoring, and safety culture. Quality and Safety in Anesthesia and Perioperative Care is a must-have resource for those preparing for the quality and safety questions on the American Board of Anesthesiology certification examinations, as well as clinicians and trainees in all practice settings.

This revised and expanded second edition presents the most recent evidence-based facts on perioperative fluid management and discusses fluid management from basic sciences to clinical applications and the patients’ outcomes. Recent advances in understanding the Revised Starling principle with new concepts in tissue perfusion and the most recent techniques of perioperative goal directed fluid management are described. The endothelial glycocalyx functions and the influence of fluid management on its integrity are covered in detail; moreover, the techniques for its protection are also discussed. The dilemma of perioperative use of hydroxyethyl starch solutions and the resurgence of interest in using human albumin as an alternative colloid is explored. The problems of using unbuffered solutions during the perioperative period and comparison between restrictive versus liberal fluid management are discussed in full. Lastly, case scenarios for every possible clinical situation describe the most up-to-date fluid management for the corresponding clinical problem. Perioperative Fluid Management, Second Edition is of interest to anesthesiologists and also intensivists.

Extensively revised to cover recent advances in cardiac surgery, the fourth edition of Bojar's Manual of Perioperative Care in Adult Cardiac Surgery remains the gold standard for management of adult patients undergoing cardiac surgery. The easily referenced outline format allows health practitioners of all levels to understand and apply basic concepts to patient care—perfect for cardiothoracic and general surgery residents, physician assistants, nurse practitioners, cardiologists, medical students, and critical care nurses involved in the care of both routine and complex cardiac surgery patients. This comprehensive guide features: Detailed presentation addressing all aspects of perioperative care for adult cardiac surgery patients Outline format allowing quick access to information Chronological approach to patient care starting with diagnostic tests then covering preoperative, intraoperative, and postoperative care issues Additional chapters discussing bleeding, the respiratory, cardiac, and renal subsystems in depth, and aspects of care specific to recovery on the postoperative floor Completely updated references Extensive illustrations, including NEW figures depicting operative techniques 14 helpful appendices covering order and flow sheets, protocols, commonly used drug dosages, and procedures Practical and accessible, the Manual of Perioperative Care in Adult Cardiac Surgery is the essential reference guide to cardiac surgical patient care.

Provides a comprehensive evidence-based guide to the management of the growing population of patients who require perioperative care Perioperative Medicine: Medical Consultation and Co-Management is the first comprehensive reference text developed specifically for hospitalists but envisioned also to help internists, anesthesiologists, allied health professionals, fellows, residents, and medical students manage various aspects of the medical care of the surgical patient. The book features both the preoperative and postoperative medical management of the surgical patient. It focuses on systems, operations, quality of perioperative care, and preoperative assessment of the patient, all in consideration with system-specific risk and evidence-based strategies that minimize risk. It places special emphasis on care of the older hospitalized surgical patient and offers a thorough discussion of post-operative conditions and their management. Chapters cover vital topics such as: Hospitalist as a Medical Consultant Co-Management of the Surgical Patient Preoperative Evaluation Improving the Quality and Outcomes of Perioperative Care Developing, Implementing, and Operating a Preoperative Clinic Assessing and Managing Risk of Major Organ Systems Assessing and Managing Disorders for Surgery Postoperative Care and Co-Management by Surgery Type Managing Common Postoperative Conditions With the core responsibilities of perioperative care falling more and more on the shoulders of hospitalists, internists, and allied health professionals, Perioperative Medicine is a much-needed guide for managing the clinical and operational issues associated with caring for hospitalized surgical patients.

Advanced Perioperative Crisis Management is a high-yield, clinically-relevant resource for understanding the epidemiology, pathophysiology, assessment, and management of a wide variety of perioperative emergencies. Three introductory chapters review a critical thinking approach to the unstable or pulseless patient, crisis resource management principles to improve team performance and the importance of cognitive aids in adhering to guidelines during perioperative crises. The remaining sections cover six major areas of patient instability: cardiac, pulmonary, neurologic, metabolic/endocrine, and toxin-related disorders, and shock states, as well as specific emergencies for obstetrical and pediatric patients. Each chapter opens with a clinical case, followed by a discussion of the relevant evidence. Case-based learning discussion questions, which can be used for self-assessment or in the classroom, round out each chapter. Advanced Perioperative Crisis Management is an ideal resource for trainees, clinicians, and nurses who work in the perioperative arena, from the operating room to the postoperative surgical ward.