Patients with a wide range of medical conditions undergo surgeries of varying levels of risk, and the evolving field of consult medicine aims to address the needs of these patients whether pre- or post-surgery. Creating a differential diagnosis, weighing risks and benefits, providing timely treatment–these skills are equally applicable to the internist whether he or she is in an office or in a perioperative setting.
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. This book was originally created by the Medicine Consult Service team at the University of Washington Medical Center and has already gained traction as a handy resource in the field. Now fully updated and expanded with new topics (including substance abuse and obesity), this quick reference is sure to be indispensible for residents and consult physicians alike.
Table des matières
Introduction.- Styles of Medical Consultation.- The Preoperative Evaluation.- Perioperative Medication Management.- Anesthesia Pearls.- Cardiovascular Risk Stratification.- Ischemic Heart Disease.- Perioperative Beta Blockers.- Atrial Fibrillation.- Hypertension.- Valvular Heart Disease.- Implantable Cardiac Devices.- Perioperative Pulmonary Risk Assessment.- Asthma and COPD.- Obstructive Sleep Apnea.- Pulmonary Hypertension.- Venous Thromboembolic Disease.- Chronic Kidney Disease.- Acute Kidney Injury.- Liver Disease and Perioperative Risk.- Perioperative Diabetes Management.- Stress Dose Steroids.- Anticoagulation.- Preoperative Evaluation and Treatment of Disorders of Hemostasis.- Postoperative Thrombocytopenia.- Perioperative Management of Anemia.- Parkinson’s Disease.- Epilepsy and Seizure Disorders.- Cerebrovascular Disease.- Perioperative Management of the Patient with Rheumatological Disease.- Gout and Pseudogout.- Perioperative Care of the Bariatric Patient.- Perioperative Care of the Patient with a Solid Organ Transplant.- Decision-Making Capacity.- Substance Abuse and Dependence.- Postoperative Evaluation.- Postoperative Fever.- Postoperative Delirium.- Postoperative Ileus.- Surgical Procedures Overview.