Perioperative Medicine: Managing for Outcome

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Overview

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.

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Editorial Reviews

Doody's Review Service
Reviewer: Zdravka Zafirova, MD (University of Chicago Pritzker School of Medicine)
Description: This book explores the practice of perioperative medicine from the unique perspective of maintenance of homeostasis and organ system function. The book provides evidence-based guidance to the management in the perioperative period, enriched with well designed algorithms.
Purpose: The authors have reviewed the current medical research and identified strategies for improvement of perioperative outcomes with emphasis on preoperative optimization and intra- and postoperative protection of the physiologic function in the setting of surgical interventions. It fulfills its purpose admirably and underscores the importance of a comprehensive, multidisciplinary approach to patient care that is supported by existing medical knowledge.
Audience: This is an invaluable resource for all practitioners involved in perioperative patient care. It is an essential reading for healthcare professionals of all levels of expertise and in a wide range of specialties, including anesthesiologists, surgeons, general practitioners, and critical care physicians. The editors and the authors represent a notable collection of experts in various fields who contribute essential insight.
Features: The book starts with review of scientific principles pertinent to perioperative care followed by discussions on preoperative assessment with a focus on organ-system optimization. Evidence-based approaches to perioperative management designed to maintain the physiologic functions comprise the third part. The book concludes with discussions of postoperative care topics. It is well referenced and contains broad array of excellent illustrations. Unique features include detailed algorithms based on the current medical literature and the focus on application of scientific knowledge aimed at organ protection and improvement of outcomes in the perioperative setting.
Assessment: This is an important contribution to the field of perioperative medicine and provides invaluable insight into the strategies for perioperative outcome improvement.
From the Publisher
"It fulfills its purpose admirably and underscores the importance of a comprehensive, multidisciplinary approach to patient care that is supported by existing medical knowledge."
- Doody Enterprises

"It is an essential reading for healthcare professionals of all levels of expertise and in a wide range of specialties, including anesthesiologists, surgeons, general practitioners, and critical care physicians."
- Doody Enterprises

"This is an important contribution to the field of perioperative medicine and provides invaluable insight into the strategies for perioperative outcome improvement."
- Doody Enterprises

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Product Details

  • ISBN-13: 9781416024569
  • Publisher: Elsevier Health Sciences
  • Publication date: 10/12/2007
  • Pages: 752
  • Product dimensions: 8.20 (w) x 11.10 (h) x 1.30 (d)

Meet the Author

Merael H. Harmel Professor and Chairman, Department of Anesthesiology; Professor of Medicine, Duke University School of Medicine; Medical Director, Global Perioperative Research Organization (GPRO), Duke University Medical Center, Durham, NC

Robert D. Dripps Professor and Chair, Department of Anesthesiology and Critical Care; Professor, Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA

Watson Professor of Surgery, University of Pittsburgh School of Medicine; Chair and Professor, Department of Critical Care Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

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Table of Contents

PART I: INTRODUCTION AND BACKGROUND

01. Implications of Perioperative Morbidity on Long-Term Outcomes, Lee A. Fleisher and Mark F. Newman

02. Ischemia and Ischemia-Reperfusion-Induced Organ Injury, Mitchell P. Fink

03. The Inflammatory Response in Organ Injury, Benjamin Kohl and Clifford S. Deutschman

04. The Coagulation Cascade in Perioperative Organ Injury, M. S. Carraway and Claude Piantidosi

PART II: PREOPERATIVE ASSESSMENT

05. The Value of Preoperative Assessment, Stanlkey H. Rosenbaum and David G. Silverman

06. Cardiac Risk Assessment in Noncardiac Surgery, Edward Kwon, Lee A. Fleisher, and Kim Eagle

07. Cardiovascular Risk Assessment in Cardiac Surgery, Robert G. Johnson

08. Central Nervous System Risk Assessment, Katja Hindler and Nancy Nussmeier

09. Renal Risk Assessment, Christina Mora-Mangano,Charles C. Hill, and John L. Chow

10. Pulmonary Risk Assessment, Maurizio Cereda

11. Hematologic Risk Assessment, Carlos Marcucci, Pierre-Guy Chassot, Lars M. Asmis, and Donat R. Spahn

PART III: PRESERVATION OF ORGAN FUNCTION AND PREVENTION AND MANAGEMENT OF PERIOPERATIVE ORGAN DYSFUNCTION

CARDIOVASCULAR SYSTEM

12. Prevention of Ischemic Injury in Cardiac Surgery, Matthew Agnew, Christopher Salerno, and Edward D. Verrier

13. Prevention of Ischemic Injury in Noncardiac Surgery, Don Poldermans

14. Treatment of Perioperative Ischemia, Infarction, and Ventricular Failure in Cardiac Surgery, Brian Lima and Carmelo A. Milano

15. Perioperative Management of Valvular Heart Disease, Igor Izrailtyan and Joseph P. Mathew

16. Prevention and Management of Perioperative Dysrhythmias, Martin Slodzinski

RENAL SYSTEM

17. Preservation of Renal Function, Mark Stafford-Smith

18. Treatment of Acute Oliguria, John A. Kellum

19. Perioperative Management of the Patient with Renal Failure, Per-Olof Jarnberg

PULMONARY SYSTEM

20. Prevention and Treatment of Pulmonary Dysfunction, Christine A. Doyle, and Ronald G. Pearl

CENTRAL NERVOUS SYSTEM

21. Carotid and Intracranial Surgery, Frederick W. Lombard,Michael L. James, John C. Keifer, David McDonagh, David Warner, and Cecil O. Borel

22. Protecting the Central Nervous System during Surgery, Hilary P. Grocott

23. Preservation of Spinal Cord Function, Michael M. McGarvey, Albert T. Cheung

24. Perioperative Management of Acute Central Nervous System Injury, W. Andrew Kofke

GASTROINTESTINAL SYSTEM

25. Prevention and Treatment of Gastrointestinal MorbidityDuane Funk and Tong J. Gan

HEMATOLOGY AND COAGULATION

26. Prevention and Management of Deep Vein Thrombosis and Pulmonary Embolism, Jagajan Karmacharya and Edward Y. Woo

27. Perioperative Management of Bleeding and Transfusion, Steven E. Hil and Richard C. D’Alonzo

INFECTIONS

28. Prevention of Perioperative and Surgical Site Infection, Carlene A. Muto and Marian Pokrywska

OBSTETRIC

29. Perioperative Protection of the Pregnant Woman, Theodore G. Cheek

30. Preservation of Fetal Viability in Noncardiac Surgery, Robert R. Gaiser and Mary K. McHugh

PART IV: EARLY POSTOPERATIVE CARE

SPECIFIC OPERATIONS

31. Cardiac Surgery, G. Burkhard Mackensen

32. General Thoracic Surgery, Todd W. Sarge and Alan Lisbon

33. Major Abdominal Surgery, Patrick J. Neligan and Jacob Gutsche

34. Major Orthopaedic Surgery, Babak Sarani, David T. Huang, and Robin West

35. Solid Organ Transplantation, David C. Kaufman and Carolyn E. Jones

36. Multisystem Trauma, Patrick K. Kim.and Patrick M. Reilly

37. Neurosurgery, Michael L. James and Cecil O. Borel

SPECIFIC PROBLEMS

38. Sepsis and Septic Shock, Michael D. Malinzak and Laura E. Niklason

39. Acute Respiratory Failure, S. Rob Todd Gary A. Vercruysse,, and Frederick A. Moore

40. Endocrine and Electrolyte Disorders, Eugene W. Moretti, and Duane Funk

41. Pain, Delirium, and Anxiety, Winston C. V. Parris and Lesco Rogers

PART V: CONFLICTING OUTCOMES

42. Economic Analysis of Perioperative Optimization, Tom Archer,Steve Mannis, and .Alex Maccario

43. Pay for Performance: An Incentive for Better Outcomes, Ronald A. Gabel

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