Non ci sono recensioni
Table of Contents
Preface ................................................................................. vii
Acknowledgments ............................................................... ix
Contributors ........................................................................ xxiii
1 Introduction ............................................................ 1
• General Guidelines ............................................ 1
• Communication Is Vital! ................................... 2
• Documentation in the Medical Record
Is Essential! ....................................................... 4
• “Comanagement” Versus “Consultation” ......... 5
2 Styles of Medical Consultation .............................. 7
3 The Preoperative Evaluation ................................. 9
• Background ....................................................... 9
• Evaluation ......................................................... 9
• Assessment ........................................................ 15
• References ......................................................... 16
4 Perioperative Medication Management ................ 17
• Background ....................................................... 17
• Preoperative Evaluation ................................... 17
• Perioperative Management............................... 18
• Specifi c Medicine Considerations .................... 21
• References ......................................................... 24
5 Anesthesia Pearls .................................................... 27
• Background ....................................................... 27
• Perioperative Management............................... 27
• Pearls to Consider ............................................. 28
• Medicine Consult Notes .................................... 29
• When to Consider Involving Subspecialty
Anesthesiologist ................................................ 30
• Anesthesiology Terminology ............................. 31
• References ......................................................... 31
6 Cardiovascular Risk Stratifi cation......................... 33
• Background ....................................................... 33
• Preoperative Evaluation ................................... 33
• References ......................................................... 41
7 Ischemic Heart Disease .......................................... 43
• Background ....................................................... 43
• Preoperative Evaluation ................................... 43
• Perioperative Management............................... 45
• References ......................................................... 46
8 Perioperative Beta-Blockers................................... 49
• Background ....................................................... 49
• Preoperative Evaluation ................................... 50
• Perioperative Management............................... 51
• References ......................................................... 51
9 Atrial Fibrillation .................................................... 53
• Background ....................................................... 53
• Preoperative Evaluation ................................... 53
• Perioperative Management............................... 54
• References ......................................................... 60
10 Hypertension .......................................................... 63
• Background ....................................................... 63
• Preoperative Evaluation ................................... 63
• Perioperative Management............................... 63
• References ......................................................... 66
11 Valvular Heart Disease ........................................... 67
• Background ....................................................... 67
• Aortic Stenosis .................................................. 67
• Mitral Stenosis .................................................. 69
• Aortic Regurgitation ......................................... 70
• Mitral Regurgitation ......................................... 70
• Prosthetic Heart Valves ..................................... 71
• References ......................................................... 73
12 Implantable Cardiac Electronic Devices ............... 75
• Background ....................................................... 75
• Preoperative Evaluation ................................... 77
• Intraoperative Management ............................. 79
• Postoperative Management .............................. 80
• References ......................................................... 81
13 Diabetes Mellitus .................................................... 83
• Background ....................................................... 83
• Preoperative Evaluation ................................... 83
• Perioperative Management............................... 84
• References ......................................................... 90
14 Stress-Dose Steroids ............................................... 93
• Background ....................................................... 93
• Preoperative Evaluation ................................... 93
• Perioperative Management............................... 94
• References ......................................................... 96
15 Thyroid Disease ...................................................... 97
• Background ....................................................... 97
• Preoperative Evaluation ................................... 97
• Perioperative Management............................... 98
• References ......................................................... 105
16 Liver Disease and Perioperative Risk .................... 107
• Background ....................................................... 107
• Preoperative Evaluation ................................... 108
• Perioperative Management............................... 109
• References ......................................................... 113
17 Infl ammatory Bowel Disease ................................. 115
• Background ....................................................... 115
• Preoperative Evaluation ................................... 115
• Perioperative Management............................... 116
• References ......................................................... 118
18 Chronic Anticoagulation ........................................ 119
• Background ....................................................... 119
• Preoperative Evaluation ................................... 119
• Perioperative Management............................... 120
• References ......................................................... 125
19 Disorders of Hemostasis ........................................ 127
• Background ....................................................... 127
• Preoperative Evaluation ................................... 127
• Perioperative Management............................... 129
• References ......................................................... 134
20 Thrombocytopenia ................................................. 135
• Background ....................................................... 135
• Perioperative Management............................... 135
• References ......................................................... 138
21 Heparin-Induced Thrombocytopenia.................... 139
• Background ....................................................... 139
• Perioperative Management............................... 139
• References ......................................................... 142
22 Anemia .................................................................... 143
• Background ....................................................... 143
• Preoperative Evaluation ................................... 143
• Perioperative Management............................... 144
• References ......................................................... 148
23 Sickle Cell Disease .................................................. 151
• Background ....................................................... 151
• Preoperative Evaluation ................................... 151
• Perioperative Management............................... 152
24 Cerebrovascular Disease ........................................ 155
• Background ....................................................... 155
• Preoperative Evaluation ................................... 155
• Perioperative Management............................... 156
• References ......................................................... 157
25 Epilepsy and Seizure Disorders ............................. 159
• Background ....................................................... 159
• Preoperative Evaluation ................................... 159
• Perioperative Management............................... 160
• References ......................................................... 162
26 Parkinson’s Disease ................................................ 163
• Background ....................................................... 163
• Preoperative Evaluation ................................... 163
• Perioperative Management............................... 164
• References ......................................................... 166
27 Pulmonary Risk Assessment
and Management .................................................... 167
• Background ....................................................... 167
• Preoperative Evaluation ................................... 167
• Perioperative Management............................... 169
• References ......................................................... 170
28 Asthma and COPD .................................................. 171
• Background ....................................................... 171
• Preoperative Evaluation ................................... 171
• Perioperative Management............................... 172
• References ......................................................... 173
29 Obstructive Sleep Apnea and Obesity
Hypoventilation Syndrome .................................... 175
• Background ....................................................... 175
• Preoperative Evaluation ................................... 176
• Perioperative Management............................... 177
• References ......................................................... 177
30 Pulmonary Hypertension ....................................... 179
• Background ....................................................... 179
• Preoperative Evaluation ................................... 179
• Perioperative Management............................... 181
• References ......................................................... 184
31 Venous Thromboembolic Disease ......................... 185
• Background ....................................................... 185
• Preoperative Evaluation ................................... 185
• Perioperative Management............................... 188
• References ......................................................... 196
32 Restrictive Lung Disease ........................................ 199
• Background ....................................................... 199
• Preoperative Evaluation ................................... 199
• Postoperative Management .............................. 201
• References ......................................................... 201
33 Chronic Kidney Disease ......................................... 203
• Background ....................................................... 203
• Preoperative Evaluation ................................... 203
• Perioperative Management............................... 204
• References ......................................................... 206
34 Acute Kidney Injury ............................................... 209
• Background ....................................................... 209
• Preoperative Evaluation ................................... 209
• Perioperative Management............................... 210
• References ......................................................... 213
35 Rheumatoid Arthritis ............................................. 215
• Background ....................................................... 215
• Preoperative Evaluation ................................... 215
• Perioperative Management............................... 217
• References ......................................................... 220
36 Systemic Lupus Erythematosus ............................ 221
• Background ....................................................... 221
• Preoperative Evaluation ................................... 221
• Perioperative Management............................... 222
• References ......................................................... 223
37 Gout and Pseudogout ............................................. 225
• Background ....................................................... 225
• Preoperative Evaluation ................................... 225
• Perioperative Management............................... 226
• References ......................................................... 227
38 Bariatric Surgery .................................................... 229
• Background ....................................................... 229
• Preoperative Evaluation ................................... 229
• Perioperative Management............................... 232
• References ......................................................... 236
39 Decision-Making Capacity ..................................... 239
• Background ....................................................... 239
• Risk Factors for Loss of Decision-Making
Capacity ............................................................. 239
• Assessment and Management .......................... 240
• References ......................................................... 242
40 Perioperative Care of Elderly Patients .................. 243
• Background ....................................................... 243
• Preoperative Evaluation ................................... 243
• Perioperative Management............................... 248
• References ......................................................... 249
41 Nutrition ................................................................. 251
• Background ....................................................... 251
• Preoperative Evaluation ................................... 251
• Perioperative Management............................... 252
• References ......................................................... 256
42 Patients with a Solid Organ Transplant ................ 257
• Background ....................................................... 257
• Preoperative Evaluation ................................... 257
• Perioperative Management............................... 258
• References ......................................................... 260
43 Substance Abuse and Dependence ........................ 261
• Background ....................................................... 261
• Preoperative Evaluation ................................... 261
• Perioperative Management............................... 262
• References ......................................................... 264
44 The Postoperative Evaluation ................................ 265
• Background ....................................................... 265
• Post-anesthesia Care Unit Assessment ............ 265
• Daily Postoperative Evaluation ........................ 267
• New Postoperative Consults ............................. 267
45 Postoperative Fever ................................................ 269
• Background ....................................................... 269
• Perioperative Management............................... 269
• References ......................................................... 272
46 Postoperative Delirium .......................................... 273
• Background ....................................................... 273
• Preoperative Evaluation ................................... 273
• Perioperative Management............................... 274
• References ......................................................... 277
47 Postoperative Ileus ................................................. 279
• Background ....................................................... 279
• Preoperative Evaluation ................................... 280
• Perioperative Management............................... 280
• References ......................................................... 284
48 Surgical Procedures Overview ............................... 287
• Background ....................................................... 287
• Orthopedic Surgery ........................................... 287
• General Surgery ................................................ 291
• Gynecology and Gynecology–Oncology
Surgery .............................................................. 294
• Urologic Surgery/Procedures ........................... 296
• Vascular Surgery ............................................... 299
• Head and Neck Surgery .................................... 301
• Neurosurgery ..................................................... 302
• Ophthalmologic Surgery .................................. 303
Index .................................................................................... 305
Sei sicuro di voler eseguire questa azione?