This book will answer the questions frequently asked by newly qualified nurses or nurses entering the specialty of cardiac surgery. It identifies the needs of the adult patient recovering from cardiac surgery, and focuses on the more common procedures of coronary artery bypass graft and valve surgery. The information provided will enable evidence based nursing care to support interventions in the meeting of those needs.

This text will allow nurses in this specialist area to concentrate on a high basic standard of nursing care, ensuring that the needs of the patient are not neglected in the pursuit of technological advancement. It discusses the main complications that may occur and how these can be dealt with.

Source control is the key to the management of surgical infections. Surgical decision making is based on the marriage of evidence from clinical studies, inferences from biology, and the elusive component of surgical experience; this book combines these three elements. We have recruited an international group of authors who are acknowledged leaders in the field of surgical infectious diseases. We have challenged them to integrate evidence with experience and an understanding of biology so as to create overviews that will help the clinician who must make the difficult decisions. And we have kept them honest by asking a second group of equally eminent commentators to provide supporting or alternative views - in essence, to recreate the kind of dialogue that takes place between clinicians discussing a difficult problem. This is THE manual for the authoritative management of surgical infections!

From the publishers of the market-leading at a Glance series comes this new title on all aspects of caring for patients in the perioperative environment. From pre-operative care, through the anaesthetic and surgical phases to post-operation and recovery, this easy-to-read, quick-reference resource uses the unique at a Glance format to quickly convey need-to-know information in both images and text, allowing vital knowledge to be revised promptly and efficiently. * Brings together all aspects of perioperative practice in one easy-to-read book * Moves through the patient journey, providing support to perioperative practitioners in all aspects of their role * Covers key information on perioperative emergencies * Includes material on advanced skills to support Advanced Practitioners * Each topic is covered in two pages, allowing for easy revision and reference This is a must-have resource for operating department practitioners and students, theatre nurses and nursing students, and trainee surgeons and anaesthetists.

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.

Caring for the Perioperative Patient is a practical, evidence-based and innovative book that identifies and discusses the essential core skills and knowledge required by perioperative practitioners to care for their patients. Divided into two sections, the first explores core perioperative issues, such as pharmacology, communication, homeostasis, and equipment. The second part of the book looks at more specific perioperative practice issues, including enhanced competence, patient preparation, and care of the patient during anaesthesia, surgery, and recovery. This updated new edition is skills-focused and uses examples of techniques or procedures to illustrate how skills can be applied in perioperative practice. It is essential reading for nurses or operating department practitioners (ODPs) who perform scrub, circulating, anaesthetic and recovery roles whilst caring for perioperative patients, as well as nursing and ODP students working in perioperative care. * New edition of a successful text for perioperative practitioners and students * Emphasises holistic patient centred care * Focused on key skills and knowledge required by practitioners * Explores the evidence-base for safe and effective practice

This practical text offers a comprehensive guide to perioperative temperature management for anaesthetists, surgeons and nurses. The physiological basics of thermoregulation and heat exchange are covered, before the changes that occur during general and regional anaesthesia are outlined. The relevant adverse scenarios associated with perioperative hypothermia, including morbid cardiac events, impairment of coagulation, increased blood loss and surgical site infections are discussed, before the methods of measuring core temperature and the equipment and techniques to keep patients warm are described. Richly illustrated and clearly structured for quick reference, Perioperative Temperature Management is an essential daily resource to help ensure safe, effective practice.

This case book is the ideal text for Operating Department Practitioners (ODPs), as well as student ODPs and nurses preparing to work in perioperative care. Delivering individualised, holistic and evidence-based care can be challenging in the perioperative setting, requiring the practitioner to apply specialist clinical knowledge to each individual patient. This text presents 20 interactive case studies that will support the reader in assimilating a wide range of professional knowledge in order to develop a comprehensive plan of care for patients they encounter. The practical cases: * Demonstrate how care will vary depending on the patient's physiological assessment and their personal, social, cultural and emotional needs * Will consolidate the reader's learning around pathophysiology, pharmacology, assessment skills and clinical skills * Include common clinical procedures as well as those that are more complex and require a deeper analysis of the evidence in order to improve patient care. * Use "Stop and Think" boxes to encourage readers to reflect on key points within the case study, in order to develop their own knowledge and assist in their CPDThis text will support all learners, at both pre- and post-registration level as they develop their knowledge of perioperative care. Its goal is to help the practitioner deliver excellent and confident care in perioperative practice and in other healthcare settings."Although clearly targeted at the student Operating Department Practitioner, Abbott and Wordsworth have produced a learning resource that any learner in the perioperative environment will find both informative and a useful learning aid. The editors have set out the twenty patient case studies in a sequence that allows the student to work through them as their course and competence progresses, although students can dip into the case studies in any order that supports their current clinical placement. The section introducing perioperative care is essential reading for any perioperative practitioner, with an up-to-date introduction to the latest concepts of teamwork and human factors in patient safety. Coupled with the patient-centred focus of the case studies this provides any reader with an understanding of the changing approach to patient care in the perioperative environment." Bill Kilvington, President, College of Operating Department Practitioners, UK "I have read this book several times and found that the chapter contents are excellent. This book will be useful for ODPs and theatre nurses, it will enhance their knowledge and skills and may also enhance their abilities to work in operating departments and care well for patients. The book covers preoperative care, intraoperative care and postoperative care which is essential for all practitioners working in operating departments. The content of this book is very informative and will be of great use to both students and qualified practitioners. I find it very impressive and I envisage it to be very useful to all theatre practitioners!" Paul Wicker, formerly Head of Perioperative Studies, Edge Hill University, UK and Visiting Professor, Nanjing University, China.

To reduce transfusion-related morbidity and mortality, it is recommended that an integrated approach to blood management is employed using all available tools to reduce a patient's exposure to donor blood. Meeting the need for a book covering the concepts of blood management as a trend towards multidisciplinary blood management, this new edition is an important resource, providing healthcare professionals with a tool to develop background knowledge in blood management, its organization, methods and tools. Practicing clinicians will be fully prepared to successfully start and run blood management programs.

"Manual of Perioperative Care" is a comprehensive manual of principles of care designed to support the clinical practice of perioperative practitioners, whether they are nurses or operating department practitioners. This book meets the needs of those studying perioperative practice as well as those who would like an up-to-date comprehensive reference on their bookshelf. It covers the fundamentals of perioperative practice, placing them within the wider context of modern surgical care.

With a practical, accessible focus, aided by full colour illustrations, this book follows the journey that the patient makes through their surgical care, with sections on: The foundation for safe and effective perioperative careInfection prevention and controlPatient safety and managing risksDifferent patient care groupsApproaches to surgery

This book is essential reading for all students on perioperative courses, as well as newly qualified perioperative nurses and operating department practitioners.

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

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.

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.

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.

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.

Part of the Neurosurgery by Example series, this volume on cerebrovascular neurosurgery presents exemplary cases in which renowned authors guide readers through the assessment and planning, decision making, surgical procedure, after care, and complication management of common and uncommon disorders. The cases explore the spectrum of clinical diversity and complexity within cerebrovascular neurosurgery, including aneurysms, ischemic/occlusive disease, arteriovenous malformation, dural arteriovenous fistula, and more. Each chapter also contains 'pivot points' that illuminate changes required to manage patients in alternate or atypical situations, and pearls for accurate diagnosis, successful treatment, and effective complication management. Containing a focused review of medical evidence and expected outcomes, Cerebrovascular Neurosurgery is appropriate for neurosurgeons who wish to learn more about a subspecialty, and those preparing for the American Board of Neurological Surgery oral examination.

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 comprehensive third edition provides robust support to clinicians providing perioperative care for patients. 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 book offers evidence and experience-based information, advice, and guidelines on all aspects of perioperative medicine. Care around surgeries in many major clinical areas are included, including cardiology, pulmonology, gastroenterology, rheumatology, endocrinology, and so on. This new edition has been updated throughout with the latest literature, more visual content (tables and algorithms), and eleven new chapters on topics such as: chronic pain, congestive heart failure, hormone therapy and transgender patients, and postoperative hypoxemia. This new edition focuses on high value care in order to improve outcomes, including minimizing complications and readmissions. It also provides streamlined key points for caring for patients with medical diagnoses that may be especially complicated around surgery. This resource is invaluable for practicing physicians (including medical consultants, surgeons, and anesthesiologists) and other professionals who aim to optimize care of surgical patients.

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.

Procedure induced anxiety affects the majority of children undergoing medical intervention and has been directly linked to behaviour disturbances, psychological trauma, phobias and symptoms of PTSD. Despite this, there is currently no formal training relating to the management of procedure induced anxiety for medical personnel caring for children. A distillation of more than eighty years of research, this textbook examines the nature, prevalence and consequences of anxiety in children, alongside evidence-based strategies for its effective management. Designed as a training manual, it includes a comprehensive account of positive and negative aspects of behaviour that contribute to the successful management of anxious children. Chapters cover topics such as non-verbal and verbal communication, enhanced communication management strategies, support of children with autistic spectrum disorder, ADHD, learning difficulties, the use of premedication and the role that families play. Essential reading for anaesthetists and paediatricians and a valuable resource for any practitioner working with children.