Description: This book presents an extremely practical approach for residents and internal medicine specialists to answer specific consultation requests concerning patients being prepared for surgery.
Purpose: As medicine has evolved over time, the preoperative consultation has also evolved from the simple question of, "Is the patient cleared for surgery?" to the more important question of, "Are there any issues that need work-up prior to surgery?" This book provides a very systematic way to answer the work-up question.
Audience: All consultants and residents can learn much from this book. The authors and contributors are highly experienced clinicians who have lived through the evolution of the perioperative consultation era and have been attentive to the lessons of the period. This is a unique mentoring book one rarely finds.
Features: The book begins with a minimal, but well written history of the situation. While the authors recognize that readers understand the basics of obtaining a history and performing a physical examination, they point out the most salient points that must be remembered and move on to the format of the consultation specifically medication management and anesthesia concerns. This is followed by a succinct review of the literature on the preoperative workup and perioperative considerations in cardiology, pulmonary medicine and the other organ systems. There is a very good update on special populations, such as patients readying for bariatric surgery or transplant, and patients with substance abuse concerns.
Assessment: This is clearly one of the best books on perioperative management. I highly recommend this to clinicians, attending consultants, residents, OR, ICU, and postoperative nurses, and others such as pump technicians. There are numerous pearls for all.