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The Perioperative Medicine Consult Handbook
Jackson, Mookherjee, Hamlin
Editore
Springer
Anno
2015
Pagine
318
ISBN
9783319093659
50,00 €
I prezzi indicati possono subire variazioni poiché soggetti all'oscillazione dei cambi delle valute e/o agli aggiornamenti effettuati dagli Editori.
  • About this book

  • Serves as a concise, easy-to-use reference for residents and consult physicians treating pre- and post-surgery patients
  • Provides comprehensive guidelines for diagnosis and treatment of a vast array of medical conditions
  • New edition includes chapters on management of thyroid disease, sickle cell disease, surgery in advanced age, and malnutrition
Patients with a range of medical conditions undergo surgeries of varying levels of risk, and the evolving field of consult medicine aims to address their needs, whether pre- or post-surgery. This new edition of The Perioperative Medicine Consult Handbook provides useful information, advice, and guidelines based on a combination of clinical experience and evidence-based medicine. It covers topics in many major clinical areas (anesthesiology, cardiology, pulmonology, gastroenterology, rheumatology, endocrinology, and many others) and puts critical surgery information at a consult physician's fingertips. New to this edition are chapters on thyroid disease, restrictive lung disease, sickle cell disease, inflammatory bowel disease, nutrition, and perioperative care of elderly patients. The entire volume has been streamlined for a more precise presentation of essential perioperative management guidelines. Originally created by the Medicine Consult Service team at the University of Washington Medical Center, and now fully updated into a comprehensive second edition, this quick reference is sure to be indispensable for residents and consult physicians alike.

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

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