Filled with clinical information and practical advice, this second edition of the Oxford Handbook of Perioperative Practice has been substantially updated to reflect changes in the field. Taking a logical sequence to follow the journey of the patient from anaesthesia to surgery, then on to the post-anaesthetic recovery area, it provides guidance on all aspect of patient care and support. Specialty surgery, such as bariatric surgery, has been included in a new chapter to cover developments in the field and the increase in NHS provision of these services since the first edition was published. This has been reflected in covering the pre-surgical requirements to newer types of surgery, including psychological interventions and implications for practitioners who need to cover anaesthetics, surgery, and post-anaesthetic care separately. With easy to access information about essential information and various medical conditions, this volume has been written by expert teaching staff and clinicians who work within the speciality. Unique and indispensable, this book gives a wealth of practical information at your fingertips.

A thoroughly revised second edition providing the knowledge and evidence-base needed for the perioperative practitioner, clarifying the underlying principles needed for an understanding of anaesthetic, surgical, and recovery practice. This book defines the level of knowledge required for perioperative practitioners and provides a comprehensive reference to the principles and practice of modern operating department practice. Featuring a diverse range of topics, it offers a multidisciplinary overview of new techniques and technologies, changes in medico-legal requirements, changes to professional accountability, and requirements for continuous professional development. Twelve new chapters cover healthcare ethics and professional regulation, health and safety, infection prevention and control, basic patient monitoring, human factors, and perioperative care of the paediatric patient. Incorporating a new focus on the provision of evidence-based practice and holistic care in all areas of perioperative care, this invaluable book is essential reading for anyone working in this sector, in both education and practice.

Monitoring in Anesthesia and Perioperative Care is a practical and comprehensive resource documenting the current art and science of perioperative patient monitoring, addressing the systems-based practice issues that drive the highly regulated health care industry of the early twenty-first century. Initial chapters cover the history, medicolegal implications, validity of measurement, and education issues relating to monitoring. The core of the book addresses the many monitoring modalities, with the majority of the chapters organized in a systematic fashion to describe technical concepts, parameters monitored, evidence of utility complications, credentialing and monitoring standards, and practice guidelines. Describing each device, technique, and principle of clinical monitoring in an accessible style, Monitoring in Anesthesia and Perioperative Care is full of invaluable advice from the leading experts in the field, making it an essential tool for every anesthesiologist.

Older patients carry some of the highest risks of suffering an adverse event or death following anesthesia and surgery. They are inherently vulnerable, presenting with numerous comorbidities and reduced physiological reserve, requiring 'gero-centric' perioperative care for everything from routine eye surgery to major cardiac surgeries. Dementia, frailty, and the need for palliative care and pain management for the orthopedic patient are important areas requiring special consideration in this group. This book provides a general overview of these topics for those healthcare providers who may not have extensive knowledge of this patient population, while at the same time offering practical tips for the more experienced clinician. Chapters cover the spectrum of perioperative care including preoperative management of comorbid conditions, intraoperative anesthetic management, postoperative pain control, and a primer on advanced directive discussions. This book is appropriate not only for anesthesiologists but for any perioperative physician caring for the older patient.

* Covers essential, must-know facts * Content presented in an easy-to-follow streamlined, bulleted format ensures quick comprehension of key concepts * Expert, up-to-date coverage of the most critical, need-to-know concepts in perioperative care, from preoperative risk assessment to postoperative follow-up and much more * Complete coverage of co-existing diseases, assessment and implications for surgical care Logically organized, easy-to-follow chapters help focus your study and provide rapid access to specific subjects Patients undergoing surgery often have medical problems that may influence their perioperative risk. Optimal management involves collaboration of the health care team members including the medical consultant, anesthesiologist, and surgeon. Perioperative Medicine brings together the principles and practice of all phases of perioperative care -- preoperative, intraoperative, and postoperative. This book is a concise, yet comprehensive, review of perioperative medicine written and edited by leading experts in internal medicine, hospital medicine, and anesthesiology. It reviews the practical aspects of perioperative patient care, primarily from a medical view, and uses a bulleted format that condenses and highlights the key concepts for easy reference. It covers perioperative care from risk assessment to postoperative follow-up, including the role of the consultant, preoperative testing and risk assessment, perioperative medication management, and prophylactic measures, surgery-specific risks, and postoperative complications. The editor has over 25 years of experience in perioperative medical consultation at a large, academic medical center, and has used his expertise to focus on information useful to practicing clinicians. The target audience is generalists as well as specialists who are involved in perioperative patient care, including internists, hospitalists, anesthesiologists, surgeons, physicians' assistants, nur

Liver Anesthesiology and Critical Care Medicine emphasizes all aspects of this broad and important area and is the definitive textbook for anybody involved in the perioperative care of liver patients. The book is divided into three sections: Physiology and Pathophysiology, Anesthesiology, and Critical Care Medicine. The anesthesiology section contains information about liver transplantation and other liver surgeries and provides detailed practical direction and concise background information of all aspects of the anesthetic management of these patients based on the most recent evidence. The critical care section describes basic critical care management as it relates to liver surgical patients and addresses specific postoperative issues relevant for liver resection and liver transplant patients. The book combines practical guidance to the perioperative management with extensive background and clinical evidence to allow the reader gain an in -depth understanding of this complex and fascinating topic.

The literature increasingly supports the position that elective surgery on poorly prepared chronic pain patients is not smart and ultimately in no-one's best interest. Just as patients with ischemic heart disease, obstructive lung disease, or diabetes can and need to be optimized prior to surgery, so too should chronic pain patients. The complex dynamics of chronic pain require a priori intervention - targeting enhanced recovery before surgery. Preoperative Optimization of the Chronic Pain Patient is a groundbreaking collaborative effort written by medical and psychological experts in the field of pain management with a specific interest in the perioperative arena. The modern emphasis on biopsychosocial-spiritual care is as important here as anywhere in medicine as comprehensive mind-body preparation is essential to optimize outcomes. That preparation entails replacing toxic thoughts (e.g., anxiety and pain catastrophizing) and behaviors (e.g., tobacco and opioid dependence; poor sleep, nutrition and exercise patterns) with beneficial ones. Such replacement of maladaptive cognitive-behavioral patterns requires the enhancement of patients' motivation and the cultivation of healthy habits. This book provides the framework for an evidence-based synthesis of counseling and intervention for preoperative optimization of chronic pain patients. Clinicians will learn to improve health and economic outcomes affecting their patient, health care team, and institution; to identify and target relevant issues, utilizing a holistic yet focused approach to optimization; and to collaborate with the patient and requisite multidisciplinary care team in a streamlined, efficient, and effective manner.

With medication errors in healthcare an internationally recognised problem, this much-needed book delivers a comprehensive approach to understanding medication safety in the perioperative period. It reviews what medication adverse events are, and how often and where these errors occur, as well as exploring human cognitive psychology and explaining why things can go wrong at any time in a complex system. Detailed discussions around mistakes, judgement errors, slips and lapses, and violations, are presented alongside real-life examples of the indistinct line between negligence and inevitable error. The co-authors bring a wide and practical perspective to the theories and interventions that are available to improve medication safety, including legal and regulatory actions that further or impede safety. Essential reading for anesthesiologists, nurses, pharmacists and other perioperative team members committed to improving medication safety for their patients, and also an invaluable resource for those who fund, manage and regulate healthcare.

Part of the popular Core Topics series, this book provides a practical guide to pre-operative assessment for consultants and trainee anaesthetists. Chapters cover comprehensive evidence-based guidance for assessing and managing patients with particular conditions, as well as perioperative risk stratification and challenges of pre-assessment. The chapters have been written by specialists in the respective clinical fields, while all content has been edited by anaesthetists to assure it is relevant and accessible to the anaesthetist in the everyday pre-operative clinic. Written specifically for anaesthetists, this resource will allow every reader to contribute effectively in a multidisciplinary approach when assessing and risk stratifying patients to ensure that they are optimised before surgery.

This fully updated third edition of this popular handbook provides a concise summary of perioperative management of high-risk surgical patients. Written by an international group of senior clinicians, chapters retain the practical nature of previous editions, with concise text in a bulleted format offering rapid access to key facts and advice. Several new chapters cover topics including: anesthetic mortality; cardiopulmonary exercise testing; perioperative optimization; obstructive sleep apnea and obesity hypoventilation syndrome; smoking, alcohol and recreational drug abuse; intraoperative ventilatory management; the role of simulation in managing the high-risk patient; anesthesia, surgery and palliative care; anesthesia and cancer surgery; neurotrauma and other high-risk neuro cases; anesthesia for end-stage renal and liver disease; and transplant patients. Essential reading for trainee anesthesiologists managing seriously ill patients during surgery or studying for postgraduate examinations, this is also a valuable refresher for anesthesiologists and intensivists looking for an update on the latest evidence-based care.

All physicians are involved in the management of pain at some level or the other, but of the various specialties and health professions, surgeons are at the frontline of delivering perioperative pain care. Perioperative Pain Management for General and Plastic Surgery offers a concise yet comprehensive overview of the surgical pain management field to help practitioners effectively plan and enhance perioperative pain control. Chapters provide guidance on solving common dilemmas facing surgeons who are managing patients with pain related problems and clinical decision-making, and explore essential topics required for the trainee and practitioner to quickly assess the patient with pain, to diagnose pain and painful conditions, determine the feasibility and safety of surgical procedure needed, and arrange for advanced pain management consults and care if needed. This text also explores the latest evolving techniques and appropriate utilization of modern equipment and technology to safely provide care. Highly accessible and written by experts in the field, Perioperative Pain Management for General and Plastic Surgery is an ideal resource for practicing surgeons, anesthesiologists, critical care personnel, residents, medical students.

Gastric and Oesophageal Surgery serves as a detailed, evidence- based guide to benign and malignant oesophageal and gastric surgery, covering in a practical and accessible manner the myriad surgical conditions that trainees and consultants in the area will face. Whilst its compact size allows it great portability as a 'pocket guide', its succinct writing style gives the reader excellent ease of reference and a thorough 'how-to' on all major surgical processes. A comprehensive, highly topical evidence base is supplemented by a wealth of expert advice, which is easily accessed as practical tips within clearly laid out chapters. This makes the book an ideal revision aid for the FRCS General Surgery exit examinations, although its breadth and depth of coverage will benefit new consultant surgeons as well as junior surgical trainees. Highly illustrated with over 110 line drawings and photographs, it is the ideal volume to refresh the memory and consolidate knowledge in clinic or before surgery.

Practical, portable, and accessible, this new addition to the LWW Handbook Series covers all facets of care given to patients postoperatively, both early on in the PACU and later on the floor. A multidisciplinary team of residents, fellows, and faculty at the highly esteemed Massachusetts General Hospital employ an easy-to-use outline format to cover topics such as patient care, postoperative complications, special considerations, CPR in the PACU, ethico-legal issues, and PACU administration.Key Features Covers the wide variety of patients encountered in the PACU (such as patients just out of thoracic surgery vs. those coming from genitourinary surgery). Presents the combined experience and knowledge of anesthesiologists, surgeons, and perianesthesia nurses, mirroring the team structure of care given postoperatively. Discusses the considerations necessary for special patient populations such as obese patients or substance abuse patients. Addresses PACU organization and management, quality assurance, infection control, legal and ethical issues, and more. Your book purchase includes a complimentary download of the enhanced eBook for iOS, Android, PC & Mac. Take advantage of these practical features that will improve your eBook experience: The ability to download the eBook on multiple devices at one time - providing a seamless reading experience online or offline Powerful search tools and smart navigation cross-links that allow you to search within this book, or across your entire library of VitalSource eBooks Multiple viewing options that enable you to scale images and text to any size without losing page clarity as well as responsive design The ability to highlight text and add notes with one click

Postoperative nausea and vomiting is an increasingly common and distressing problem faced by patients undergoing anesthesia that negatively affects their recovery and wellbeing and can result in significant increases in healthcare costs. Effective treatment strategies and relevant, up-to-date guidance are essential to manage postoperative nausea and vomiting in the perioperative setting. This practical, concise guide to the subject offers information on the history and mechanisms of postoperative nausea and vomiting, assessing and identifying risk factors, providing appropriate pharmacological and non-pharmacological treatment options, and implementing successful management strategies to tackle this issue. As a uniquely comprehensive study of the topic that provides much more detail than a chapter in a general anaesthesia textbook, this is an invaluable resource for anesthetists and physicians managing patients post-surgery.

It is essential that medical professionals in the operating room regularly undertake emergency drills. This unique book takes what can be an onerous task for leaders and operating room physicians, and makes it easy. Chapters cover drills ranging from medical emergencies such as cardiac arrest and malignant hyperthermia, to non-medical emergencies such as an active shooter and evacuation of a medical facility. Each chapter includes at least three scenarios for a specific type of drill, with expected actions and educational material for debriefing. The latest specialty guidelines and algorithms are included throughout and key learning points are highlighted for each drill, removing the need for further detailed research in advance of each exercise. Written and edited by leading experts in the field and endorsed by the Society for Ambulatory Anesthesia, this manual enables every reader to lead a meaningful drill with educational value for all participants.

Pre- and post-operative care of transplant patients is an aspect of Critical Care Medicine in which most ICU physicians and nurses have received little or no formal training and are left to cope with this complex population with only incomplete 'on-the-job experience' as a guide. In response to this clinical knowledge gap, ICU Care of Abdominal Organ Transplant Patients provides a concise bedside resource fo intensivists, surgeons, and nurses caring for abdominal organ transplant patients before and after surgery. In a concise, practical style, the authors offer concrete solutions to questions and situations confronted by ICU clinicians. Chapters address general principles of immunosuppression, infectious complications, management, and nursing considerations, plus indications, approach to anesthesia, transplant procedure, and post-operative care for liver, kidney, pancreas, islet cell, and small bowel and multivisceral transplantation.

50 Studies Every Anesthesiologist Should Know presents key studies that have shaped the practice of anesthesiology. Selected using a rigorous methodology, the studies cover topics ranging from pain medicine, critical care, cardiothoracic anesthesiology to general anesthesiology. For each study, a concise summary is presented with an emphasis on the results and limitations of the study, and its implications for practice. Brief information on other relevant studies is provided, and an illustrative clinical case concludes the review. This book is a must-read for health care professionals in anesthesiology and pain medicine, and anyone who wants to learn more about the data behind clinical practice in anesthesiology, pain medicine, critical care and its broad subspecialties.

Perioperative Management in Robotic Surgery covers perioperative considerations for robot-assisted surgery (RAS), from preoperative through to postoperative. This is the first extensive, evidence-based, clinical work covering the perioperative management of commonly performed and emerging RAS. Included inside are discussions of surgical procedures, preoperative evaluation, patient selection, common emergencies, complications, pain management and recovery (including same day surgery). There are also reviews of patient management, the basics of various procedures and techniques, useful patient care protocols, as well as an overview of the perioperative issues that are unique to any given RAS procedure. The book is written for anesthesiologists, surgeons, and other perioperative physicians - as well as allied health professionals, nurses, and physician assistants who assist during RAS procedures and help manage patients during the perioperative period.

The field of colorectal surgery has undergone tremendous developments in recent decades. Surgery has become less invasive, new perspectives and insights have improved perioperative management and novel outcome measures have been defined. At the same time, the limits of surgical technique and perioperative care are being challenged by more complex patients. In order to realize the immense potential for excellent outcomes in colorectal surgery, coordinated multifaceted care must be delivered within a context of limited resources. Accordingly, there is a pressing need to streamline processes and heighten clinical productivity. Excellent communication and collaboration are required, with constant attention to detail and precision within an environment of learning, research and innovation. This book discusses in depth the transdisciplinary integration of different components of care in colorectal surgery. Pertinent background information on the complexities of current management in colorectal surgery is first provided, followed by discussion of the role of design thinking in care integration. Subsequent chapters focus on a range of issues associated with surgical and perioperative care in patients undergoing colorectal surgery, with emphasis on how the multiple facets of care can be integrated through a transdisciplinary approach. Each chapter provides helpful take-home messages in bullet point form and numerous informative figures and tables are also included. The authors are surgeons, physicians, anesthetists, oncologists, nurses, and allied health professionals with extensive experience in the field.