Perioperative Medicine: Managing surgical patients with medical problems

Paperback | June 29, 2006

EditorAnthony Nicholls, Iain Wilson

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Many patients undergoing surgery have a chronic medical disorder unrelated to the surgical problem. These can present major difficulties for inexperienced surgical house staff and junior anaesthetists working unsupervised, most of whom will have had little or no experience in dealing with suchproblems. Perioperative medicine provides practical guidelines on the management of all the common medical conditions likely to be encountered in routine surgical and anaesthetic practice. The first section addresses a range of general issues that can arise on surgical wards when patients withcomplex medical problems are being prepared for operation, such as obtaining informed consent. The book then provides simple protocols for the safe care of patients with underlying medical problems on surgical wards, with special focus on the risks that various conditions pose for surgery andanaesthesia. The third part of the book looks at the diagnosis and management of medical complications in the post-operative period. References for further reading are provided throughout. This will prove an essential book for junior surgeons and anaesthetists to keep by their sides at alltimes.

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Many patients undergoing surgery have a chronic medical disorder unrelated to the surgical problem. These can present major difficulties for inexperienced surgical house staff and junior anaesthetists working unsupervised, most of whom will have had little or no experience in dealing with suchproblems. Perioperative medicine provides p...

Anthony Nicholls is a Consultant Physician/Nephrologist at the Royal Devon and Exeter Hospital. Iain Wilson is a Consultant in Anaesthetics and Intensive Care at the Royal Devon and Exeter Hospital.

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Format:PaperbackDimensions:400 pages, 7.72 × 5.08 × 0.91 inPublished:June 29, 2006Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0199211736

ISBN - 13:9780199211739

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Table of Contents

IntroductionWhy we use guidelinesPart 1: Medical issues in perioperative careWhat about evidence-based protocols?Risk managementNCEPODThe ASA classification of perioperative riskPreparing patients for elective and emergency surgeryDay surgeryPatient consentResuscitation decisionsPreoperative optimisation of high-risk patientsPostoperative care after major surgeryThe prophylaxis of venous thromboembolismThe management of acure painPostoperative nausea and vomitingFluid balancePrevention and management of infection in the surgical patientNutritional supportUniversal precautions against blood-borne virusesMedical causes of the acute abdomenPrinciples of physiotherapyPalliative carePart 2: Care of surgical patients with chronic medical disordersTeamwork on the surgical wardCardiovascular disordersRespiratory disordersEndocrine and metabolic disordersRenal disordersNeurological disordersBone and joint disordersGastroenterological disordersHaematological disordersThe geriatric patientAlcohol intoxication and chronic alcoholismPart 3: Medical emergencies in surgical patientsMisuse of drugsRecognizing and managing seriously ill patientsCardiorespiratory arrestHypotensionChest painUncontrolled postoperative hypertensionCardiac arrhythmiasThe breathless patientHaemoptysisOliguria and renal failureElectrolyte imbalancePostoperative diarrhoeaDrowsiness, coma, and deliriumPostoperative seizuresHeadache in surgical patientsFeverThe swollen legPerioperative prescribing information