Perioperative Practice: Fundamentals of Homeostasis / Edition 1

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Written by experienced nurse lecturers and a theatre nurse, Perioperative Practice highlights and explains the biological processes which can be disrupted by a major surgical procedure. Using the concept of homeostasis as a framework, the authors look at issues common to all surgical procedures such as the influence of anesthesia on the nervous system or perioperative pain management.
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Product Details

  • ISBN-13: 9780415233101
  • Publisher: Taylor & Francis
  • Publication date: 7/1/2002
  • Edition number: 1
  • Pages: 304
  • Product dimensions: 6.90 (w) x 9.90 (h) x 0.90 (d)

Table of Contents

List of figures
List of tables
List of boxes
About this book
1 The human body and principles of homeostasis 1
The basic needs of the human body and activities of daily living 11
Levels of organization 13
Homeostasis: the link with health and ill-health 15
Homeostasis and ill-health 22
2 The surgical approach and endoscopic procedures 28
'Open' surgery: gaining access 28
Minimal access surgery: endoscopy 45
3 Perioperative influences on body fluid homeostasis 57
Body fluids and their distribution 59
Electrolyte composition of intracellular and extracellular fluids 65
Perioperative influences on water and electrolyte homeostasis 73
Infusates and the support of body fluid compartments 85
4 Perioperative influences on immunological homeostasis and wound healing 91
Introduction: immunological homeostasis 91
The specific immune response 99
An overview of the homeostatic responses involved in wound healing 111
Details of the stages involved in wound healing 119
5 Perioperative influences on cardiovascular homeostasis 137
Introduction: relation of the cardiovascular system to cellular homeostasis 137
Overview of the anatomy and physiology of the cardiovascular system 137
Cardiac output, peripheral resistance and blood pressure 152
Shock: a failure to maintain cardiovascular homeostasis 163
6 Perioperative influences on respiratory homeostasis 177
Principles of blood gas homeostasis 180
The respiratory system in the perioperative period 193
Ventilation therapy as a homeostatic mechanism 205
7 Anaesthesia, stress and surgery 212
Surgical stress I: anxiety 218
Surgical stress II: general anaesthesia 219
Surgical stress III: responses to trauma 226
8 Pain and pain relief in the perioperative patient 237
Pain perception: an overview 238
Details of the neurophysiology associated with pain perception 240
The subjectivity of pain 248
Perioperative pain management 251
Pharmacological pain management 251
Non-pharmacological pain techniques 261
Index 271
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