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The High-risk Surgical Patient
Aseni, Massimiliano, Leppäniemi, Chiara
Editore
Springer
Anno
2023
Pagine
471
ISBN
9783031172724
230,00 €

DA SCONTARE

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It is well known that certain diseases and patient conditions are associated with increased perioperative risk. The aim of this book is to define and identify the clinical factors that warrant a broader and  more detailed assessment of pre-operative surgical risk in difficult and unusual clinical settings. One of the sections is dedicated to the main pathway of peri- and post-surgical critical care based on the  patient-specific deterioration risk and associated diseases; here, a panel of selected  experts describes the correct patient-oriented pathways for complex or unscheduled surgical operations in order to reduce the operative risk. In addition, the book describes the latest trends in minimally invasive surgical techniques that are associated with peri- and post-operative risk reduction,  and provides  an overview of recent advances in surgical simulation, focusing on  perspectives in surgical research to increase patient safety.

Guidance is also provided on extracorporeal membrane oxygenation (ECMO), Left Ventricular Assist Devices (LVADs), and   their management in patients requiring emergency surgery. 

 

The book will help surgical trainees recognize cases with  the highest surgical risk and identify the most common complications at an early stage.

  1. Front Matter

    Pages i-xxvi

    PDF

  2. Identification and Characterisation of High-Risk Surgical Patients

    1. Front Matter

      Pages 1-1

      PDF

    2. Defining the High-Risk Surgical Patient

      • Lucrezia Rovati, Sergio Arlati, Paolo Aseni

      Pages 3-7

    3. The Frail Patient in the Operating Room: Practical Steps to Reduce the Operative Risk

      • Andrea De Gasperi, Elena Roselli, Ombretta Amici

      Pages 9-17

    4. The High Risk Surgical Patients: The Pathophysiologic Perspective

      • Sergio Arlati

      Pages 19-40

    5. Monitoring and Interpretation of Vital Signs in the High-Risk Surgical Patients

      • Sergio Arlati

      Pages 41-63

    6. Evaluation and Critical Care Management of the Burn Patient

      • Franz W. Baruffaldi Preis, Antonella M. Citterio

      Pages 65-76

    7. Acid–Base Abnormalities in Surgical Patients Admitted to Intensive Care Unit

      • Fabio Daniel Masevicius, Arnaldo Dubin

      Pages 77-93

    8. Pre-operative Cardiovascular Risk Assessment in Non-cardiac General Surgery

      • Andrea Farina, Mauro Zago, Stefano Savonitto

      Pages 95-106

    9. Post-operative Liver Failure and Pre-operative Evaluation of the Risk of Surgery in Patients with Liver Disease

      • Federico Tomassini, Anna Mariani, Paolo Aseni, Roberto Ivan Troisi

      Pages 107-116

    10. Radiology for Surgeons: Improving the Diagnostic Accuracy in the High-Risk Surgical Patient

      • Diana Artioli, Francesco Rizzetto, Angelo Vanzulli

      Pages 117-124

    11. Oncologic Emergencies in Patients Undergoing Major Surgery

      • Annabella Curaba, Pietro Di Masi, Katia B. Bencardino, Andrea Sartore-Bianchi, Salvatore Siena

      Pages 125-134

    12. The High-Risk Pediatric Surgical Patient

      • Carine Foz, James A. DiNardo, Viviane G. Nasr

      Pages 135-150

    13. Difficult Intubation in the High-Risk Surgical Patient

      • Michal Barak, Daniel Braunold, Aeyal Raz

      Pages 151-162

    14. Recognition and Early Management of Sepsis in Frail Patients

      • Andrea Beltrame, Marco Anselmo

      Pages 163-167

    15. Preoperative Evaluation for Complex Pulmonary Surgery: How Can We Balance the Risk?

      • Alessandro Rinaldo, Luca Pogliani, Massimo Torre

      Pages 169-178

    16. Assessment of Pre-operative Risk in Complex Cardiac Surgery

      • Antonino Massimiliano Grande, Antonio Fiore, Antonio Salsano

      Pages 179-194

  3. Strategies to Improve the Outcome in High-Risk Surgical Patients

    1. Front Matter

      Pages 195-195

      PDF

    2. Patient Safety in Surgery: Strategies to Achieve the Best Outcome in the High-Risk Surgical Patient

      • Robyn Clay-Williams, John Cartmill

      Pages 197-202

    3. Strategies to Reduce the Risk of Post-operative Pulmonary Complications

      • Andrew B. Lumb, Victoria Boardman

      Pages 203-211

    4. Prevention and Management of Perioperative Neurological Complications in High-Risk Surgical Patients

      • Rachele Tortorella

      Pages 213-220

    5. Acute Aortic Syndrome (AAS): A High-Risk Missed Diagnosis in the Emergency Department

      • Paola Tracanelli, Paolo Aseni

      Pages 221-237

    6. Trans-Catheter Interventional Treatment of Structural Heart Diseases

      • Giuseppe Bruschi, Bruno Merlanti, Aldo Cannata, Claudio F. Russo

      Pages 239-248

    7. New Technologies in Urologic Surgery: Robotic and Minimally Invasive Procedures

      • Francesca Ambrosini, Paolo Dell’Oglio, Aldo Massimo Bocciardi, Antonio Galfano

      Pages 249-255

    8. New Trends in Vascular Surgery: Less Open and More Endovascular Procedures

      • Maria Teresa Occhiuto, Nicola Monzio Compagnoni, Antonietta Cuccì, Erika De Febis, Matteo Cazzaniga, Valerio Stefano Tolva

      Pages 257-267

    9. New Trends in Laparoscopic Procedures in the Emergency Abdominal Surgery

      • Chiara Maria Ranucci, Quirino Lai, Silvia Quaresima, Alessandro Maria Paganini, Serena Celani, Massimo Rossi et al.

      Pages 269-278

    10. New Trends in the Treatment of Severe Acute Pancreatitis

      • Ari Leppäniemi, Matti Tolonen

      Pages 279-286

    11. Point-of-Care Ultrasound in the Preoperative Evaluation of the High-Risk Surgical Patient Requiring Urgent Non-cardiac Surgery

      • Enrico Storti, Michele Introna

      Pages 287-299

    12. Perioperative Monitoring in High-Risk Surgical Patients: A Step-by-Step Approach

      • Agostino Roasio

      Pages 301-310

    13. High-Risk Pancreatic Anastomosis: Prediction, Mitigation, and Management of Postoperative Pancreatic Fistula

      • Andrea Caravati, Giampaolo Perri, Giovanni Marchegiani, Claudio Bassi

      Pages 311-319

  4. New Trends in Acute Care of High-Risk Surgical Patients

    1. Front Matter

      Pages 321-321

      PDF

    2. Anesthesia in High-Risk Surgical Patients with Uncommon Disease

      • Andrew K. Gold, Tal Mandelbaum, Lee A. Fleisher

      Pages 323-343

    3. Perioperative Management and Surgical Challenges in Patients with Spinal Cord Dysfunction

      • Gianluca Sampogna, Antonello Forgione, Giorgio Chevallard, Michele Spinelli

      Pages 345-354

    4. Non-invasive Ventilation in the High-Risk Surgical Patients

      • Massimo Zacchino, Andrea Bellone, Giampaolo Casella

      Pages 355-360

    5. Extracorporeal Life Support (ECLS) for Critically Ill Patients in the Emergency Department

      • Fabio Sangalli, Silvia Mariani, Roberto Fumagalli

      Pages 361-368

    6. Perioperative Management of Severe Bleeding and Coagulopathy in High-Risk Surgical Patients

      • Sibylle A. Kietaibl

      Pages 369-377

    7. Endovascular Management of Post-Operative Bleeding

      • Fabiane Barbosa, Francesco Morelli, Angea Alfonsi, Pietro Brambillasca, Alcide Alessando Azzena, Pietro Gemma et al.

      Pages 379-384

    8. Evaluation and Management of Malnutrition in the High-Risk Surgical Patient

      • Biljana Andonovska, Alan Andonovski

      Pages 385-393

    9. The Role of Selective Drug Therapy in Reducing Mortality in the High-risk Surgical Patients (Tranexamic Acid, Selective Bowel Tract Decontamination, Levosimendan, Beta-blockers, Insulin, Aprotinin, and Statins)

      • Giovanni Landoni, Martina Baiardo Redaelli, Alberto Zangrillo

      Pages 395-404

    10. Strategies for Advanced Mechanical Circulatory Support in Refractory Cardiogenic Shock

      • Aldo Cannata, Massimiliano Carrozzini, Alessandro Costetti, Marco Lanfranconi, Claudio Francesco Russo

      Pages 405-414

    11. Evaluation and Management of Patients with Left Ventricular Assist Device (LVAD) Requiring Noncardiac SurgicalProcedures

      • Michele G. Mondino, Emanuela Paradiso, Sandra Nonini

      Pages 415-424

    12. Rescue Surgery and Failure to Rescue

      • Ari Leppäniemi, Matti Tolonen

      Pages 425-428

    13. Endoscopic Submucosal Dissection for Early Malignant Epithelial Neoplasms of the Digestive Tract in Frail and Elderly Patients

      • Pietro Gambitta, Camilla Ciscato, Venerina Imbesi, Antonio Armellino, Paolo Aseni

      Pages 429-436

    14. Advanced Therapeutic Endoscopy for Acute Pancreatic and Biliary Diseases in Frail Patients

      • Massimiliano Mutignani, Lorenzo Dioscoridi

      Pages 437-445

    15. Appropriate Perioperative Therapy in Patients with Chronic Heart Failure Undergoing Surgery

      • Boris Cox, Valerie Smit-Fun, Wolfgang F. Buhre

      Pages 447-452

    16. Robot-Assisted Pancreatic Surgery: Safety and Feasibility

      • Lapo Bencini, Irene Urciuoli, Luca Moraldi

      Pages 453-463

    17. Safety of Minimally Invasive Laparoscopic Approach in Major Liver Surgery

      • Mariano Cesare Giglio, Gianluca Cassese, Roberto Ivan Troisi

      Pages 465-471

  5. Improving Patients’ Safety and Prevention of Major Complications

    1. Front Matter

      Pages 473-473

      PDF

    2. Major Complications in Hepatobiliary and Pancreatic Surgery

      • Anna Mariani, Matteo Tripepi, Iacopo Mangoni, Paolo Aseni

      Pages 475-490

    3. Major Complications After Esophageal, Gastric, and Bariatric Surgery

      • Monica Gualtierotti

      Pages 491-497

    4. Major Complications of Vascular Surgery

      • Pierantonio Rimoldi, Alfredo Lista, Maria Teresa Occhiuto, Antonietta Cuccì, Ilenia D’Alessio, Valerio Stefano Tolva

      Pages 499-510

    5. Major Complications of Urologic Surgery

      • Angelo Naselli, Isabella Oliva, Pierpaolo Graziotti

      Pages 511-525

    6. Major Complications of Thoracic Surgery

      • Joseph Seitlinger, Antonio Fiore, Antonino Massimiliano Grande, Stéphane Renaud

      Pages 527-536

    7. Major Complications of Cardiac Surgery

      • Antonio Fiore, Antonino Massimiliano Grande, Giuseppe Gatti

      Pages 537-550

    8. Major Complications of Abdominal Organ Transplantation Surgery

      • Anna Mariani, Matteo Tripepi, Iacopo Mangoni, Paolo Aseni

      Pages 551-565

    9. Corticosteroid Insufficiency in High-Risk Surgical Patients

      • Djillali Annane, Karim Asehnoun

      Pages 567-578

    10. The Rationale Use of Antimicrobials in Septic Surgical Patients

      • Sandro Luigi Di Domenico, Paolo Aseni, Elena Clerici, Carloandrea Orcese

      Pages 579-594

    11. Major Complications of Heart Transplant Surgery

      • Antonino Massimiliano Grande, Antonio Fiore

      Pages 595-607

    12. Major Complications of Lung Transplant Surgery

      • Antonino Massimiliano Grande, Alessia Alloni, Antonio Fiore

      Pages 609-620

    13. 3D Printing Technology in Medicine: A Personalised Approach Towards a Safer Surgical Practice

      • Giulia Mazzoleni, Tommaso Santaniello, Federico Pezzotta, Fabio Acocella, Francesco Cavaliere, Nicolò Castelli et al.

      Pages 621-638

    14. Multiorgan Procurement for Transplantation as a Way to Improve Surgical Education

      • Paolo Aseni, Alessandro Giacomoni

      Pages 639-645

    15. From “See One, Do One, Teach One” to Hands-On Simulation and Objective Assessment in Surgical Training

      • Antonello Forgione, Gianluca Sampogna

      Pages 647-656

    16. New Trends in Surgical Education and Mentoring by Immersive Virtual Reality: An Innovative Tool for Patient’s Safety

      • Francesco Rizzetto, Sofia Rantas, Federico Vezzulli, Simone Cassin, Paolo Aseni, Maurizio Vertemati

      Pages 657-667

    17. Artificial Intelligence in the Management of Difficult Decisions in Surgery and Operating Room Optimization

      • Elena Bignami, Valentina Bellini, Emanuele Paolo Rafano Carnà

      Pages 669-675

    18. Home

    19.  
    20. Book
    21. Editors:

    22. Paolo Aseni,
    23. Antonino Massimiliano Grande,
    24. Ari Leppäniemi,
    25. Osvaldo Chiara
    26. Reports on pre-operative surgical risk in difficult clinical settings for patients on mechanical circulatory support

    27. Describes trends in mini-invasive surgical techniques and offers an overview of recent advances in surgical simulation

    28. Focuses on peculiar clinical situations requiring special treatments, such as REBOA and ECMO for trauma support

    29. 77k Accesses

    30. 1 Citations

    31. 14 Altmetric

    32. Sections

    33. Table of contents
    34. About this book
    35. Keywords
    36. Editors and Affiliations
    37. About the editors
    38. Bibliographic Information
    39. This is a preview of subscription content, access via your institution.

      Table of contents (83 chapters)

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    44. Improving Patients’ Safety and Prevention of Major Complications

      1. Multiorgan Procurement for Transplantation as a Way to Improve Surgical Education

        • Paolo Aseni, Alessandro Giacomoni

        Pages 639-645

      2. From “See One, Do One, Teach One” to Hands-On Simulation and Objective Assessment in Surgical Training

        • Antonello Forgione, Gianluca Sampogna

        Pages 647-656

      3. New Trends in Surgical Education and Mentoring by Immersive Virtual Reality: An Innovative Tool for Patient’s Safety

        • Francesco Rizzetto, Sofia Rantas, Federico Vezzulli, Simone Cassin, Paolo Aseni, Maurizio Vertemati

        Pages 657-667

      4. Artificial Intelligence in the Management of Difficult Decisions in Surgery and Operating Room Optimization

        • Elena Bignami, Valentina Bellini, Emanuele Paolo Rafano Carnà

        Pages 669-675

    45. Identifying the High-Risk Trauma Patient

      1. Front Matter

        Pages 677-677

        PDF

      2. Trauma Surgeons Training Programs

        • Stefania Cimbanassi, Roberto Bini, Osvaldo Chiara

        Pages 679-682

      3. Telemedicine for Prehospital Trauma Care: A Promising Approach

        • Patrick Andreas Eder, Asarnusch Rashid

        Pages 683-689

      4. New Trends in Critical Care Assessment and Management of the Trauma Patient

        • Melike N. Harfouche, Thomas M. Scalea

        Pages 691-697

      5. Potentially Preventable Trauma Deaths: A Challenge for Trauma Care Systems

        • Stefania Cimbanassi, Roberto Bini, Osvaldo Chiara

        Pages 699-702

      6. Updates in the Management of Complex Pancreatic Trauma

        • Ari Leppäniemi, Matti Tolonen

        Pages 703-707

      7. Updates in the Management of Complex Liver Trauma

        • Federico Coccolini, Dario Tartaglia, Riccardo Guelfi, Camilla Cremonini, Enrico Cicuttin, Massimo Chiarugi

        Pages 709-713

      8. Updates in the Management of Complex Renal Trauma

        • Paul Gravestock, Arjun Nambiar, Rajan Veeratterapillay, Phil Haslam, Andrew Thorpe

        Pages 715-726

      9. Updates in the Management of Complex Chest Trauma

        • Aris Koryllos, Klaus-Marius Bastian, Corinna Ludwig

        Pages 727-735

      10. Updates in the Management of Complex Cardiac Injuries

        • Riyad Karmy-Jones, Megan R. Lundeberg, William B. Long III

        Pages 737-754

      11. The Ongoing Dilemma of Thoracoabdominal Injuries: Which Cavity and When?

        • Juan A. Asensio, John J. Kessler, Parinaz J. Dabestani, Miguel A. Cubano

        Pages 755-765

      12. Subclavian Vessel Injuries: An Anatomic and Surgical Challenge to the Surgeon

        • Juan A. Asensio, John J. Kessler, Parinaz J. Dabestani, Miguel A. Cubano

        Pages 767-782

      13. Management of Complex Laryngotracheal Injuries: A Challenging Surgical Emergency

        • Raja Kalaiarasi, Kushwaha Akshat, Ramasamy Karthikeyan

        Pages 783-794

      14. Complex Duodenal Injuries

        • Areg Grigorian, Kazuhide Matsushima, Demetrios Demetriades

        Pages 795-802

      15. Abdominal and Peripheral Vascular Injuries: Critical Decisions in Trauma

        • Alfredo Lista, Pierantonio Rimoldi, Erika De Febis, Nicola Monzio Compagnoni, Giulia Lerva, Valerio Tolva

        Pages 803-814

      16. Updates in the Management of Complex Craniofacial Injuries

        • Gabriele Canzi, Giorgio Novelli, Giuseppe Talamonti, Davide Sozzi

        Pages 815-838

        1. Non-Operative Management of Blunt Traumatic Injuries

          • Stefania Cimbanassi, Roberto Bini, Osvaldo Chiara

          Pages 839-844

        2. Recent Advances in Minimally Invasive Surgery for Spinal Trauma

          • Daniel Cavanaugh, Ivan Ye, Alexandra E. Thomson, Steven Ludwig

          Pages 845-851

        3. Current Perspectives of Interventional Radiology in Trauma

          • Francesco Morelli, Fabiane Barbosa, Marco Solcia, Angela Alfonsi, Pietro Brambillasca, Pietro Gemma et al.

          Pages 853-866

        4. Strategies to Control Hemorrhage in the Trauma Patient

          • Joshua Dilday, John B. Holcomb

          Pages 867-881

        5. Selective Use of Anesthetics in Patients with Major Trauma

          • Christopher R. Parrino, Justin E. Richards, Bianca M. Conti

          Pages 883-900

        6. Lifesaving and Emergency Surgical Procedures in Trauma Patients

          • Paolo Aseni, Sharon Henry, Antonino Massimiliano Grande, Antonio Fiore, Thomas M. Scalea

          Pages 901-945

        7. Extracorporeal Membrane Oxygenation (ECMO) in Trauma Patients

          • Silvia Mariani, Anne Willers, Roberto Fumagalli, Fabio Sangalli

          Pages 947-955

        8. The Role of Trauma Surgeon in Mass Casualties

          • Nikolaos Pararas, Andreas Pikoulis, Panagis M. Lykoudis, Emmanouil Pikoulis

          Pages 957-966

      17. Correction to: Anesthesia in High-Risk Surgical Patients with Uncommon Disease

        • Andrew K. Gold, Tal Mandelbaum, Lee A. Fleisher

        Pages C1-C1

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