This book addresses those aspects of anaesthetic practice in perioperative medicine which have a significant impact on both the immediate and the long-term outcome for the surgical patient. Perioperative Medicine is the natural evolution of anaesthesia from a main focus on the patient in the operating room to a responsibility for the care of the patient from the time that the decision to operate is made, through to discharge from hospital. The contributors, well-respected authors in their field, discuss the role of the perioperative medicine specialist in areas ranging from pre-operative assessment and physiological optimization via pre-habilitation, to intra-operative anaesthetic management, and post-operative care. Controversial topics discussed include fluid therapy, anaesthesia and cancer outcomes, pharmacological management of cardiac risk, and the evolution of acute to chronic pain. Developments in regional anaesthesia, quality of recovery scoring, and lung ultrasound, are described.
It is hoped that the chapters contained in this book will help to define the nascent specialty that is Perioperative Medicine, and encourage further debate, research, and expansion of this vital new frontier in anaesthetic care.
Spis treści
Perioperative medicine: defining the anaesthesiologist’s role in shaping perioperative outcomes.- Prehabilitation.- Impact of co-morbidities, physiological status and age on survival.- Transthoracic echocardiography in the preoperative clinic.- Defining postoperative quality of recovery.- Enhanced recovery for colorectal surgery.- Perioperative beta-blockade: the pros and cons. The story of beta-blockade and cardiac protection.- Perioperative management of the diabetic patient.- Perioperative management of non-diabetic patients with hyperglycaemia (stress-induced hyperglycaemia).- Postoperative Pulmonary Complications.- Haemostatic resuscitation for perioperative bleeding.- Fluid therapy in trauma.- Role of multimodal monitoring in the perioperative period: improving outcomes in high-risk surgical patients.- Can perioperative interventions during cancer surgery affect recurrence or metastasis?.- Transverseabdominis plane block: evolution and current understanding.- Future ultrasound technologies for the perioperative physician.- Lung ultrasound in anaesthesia and critical care medicine.- The acute pain team.- The transition of acute post-operative pain to acute persistent pain to chronic pain: assessing and managing the risks.
O autorze
Karen Stuart-Smith was born and raised in Glasgow, Scotland, and graduated in Physiology and Medicine from the University of Glasgow. She is a Fellow of the Royal College of Anaesthetists and has enjoyed a long career as a clinical anaesthetist. Early training in cardiorespiratory research led to an enthusiasm for applying scientific methodology to clinical practice, and she is also a passionate believer in the role of clinical audit in assessing the quality of patient care. Karen presently resides in New Zealand, where she continues to practice as an anaesthetist and enjoys the outdoor lifestyle in her spare time.
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