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.

This Surgical Clinics issue is Part 2 of a special two part issue on nutrition and metabolism of the surgical patient, co-guest edited by Dr. Stanley Dudrick, a pioneer in total parenteral nutrition. Part 2, guest edited by Dr. Dudrick and Dr. Juan Sanchez present topics on nutrition and metabolism for the chronically ill patient. Topics will include: nutrition management of acute and chronic pancreatitis, surgical treatment of patients with diabetes mellitus, nutrition management of geriatric surgical patients, nutrients, routes of delivery and immunocompetence, immunologic functions and aspects of the alimentary tract related to feeding, overview of enteral and parenteral feeding access techniques, dietary, metabolic and surgical management of obese patients, historical highlights of the development of total parenteral nutrition, nutrition support of patients with cardiovascular disease, genomic and epigenomic aspects of nutrition and metabolism in surgical? patients, nutrition support of patients with inflammatory bowel disorders of the small intestine, colon and rectum, nutrition support of patients with cancer, home parenteral nutrition for intestinal failure, and more.

This issue of Perioperative Nursing Clinics, Guest Edited by George Allen, features subject topics such as: OR Attire's Potential for Infection Transmission; Strategies for Preventing Sharps Injuries; Managing Patients with MDROs - Implementing Isolation Procedures in the Perioperative Setting; Anesthesia Care Providers - Identifying/Mitigating Potential for Infection Transmission; Urinary Catheter Insertion and Care in the Perioperative Setting; Hand Hygiene and the Surgical Team; Outlining Effective Strategies for Preventing SSI; Environmental Sanitation - Review of New Technologies; Reprocessing Instruments: Focus on Eye Surgery and TASS (Toxic Anterior Segment Syndrome); Skin Prepping to Maximize Positive Outcomes; Improving the process of supplying instruments from central processing to the OR using the LEAN method; Using Performance Improvement Methodology in Finding the Cause of Increase Biological Cultures in the Operating Room and Solutions for Corrections.

Topics include: Pre and Intra-operative Maneuvers to Optimize Surgical Outcomes;? Pre-operative CT evaluation to optimize surgical outcomes; Complications in the use of systemic steroids for sinusitis; Post-operative management for the prevention of complications after sinus surgery; Prevention and management of Lacrimal Duct Injury; Prevention and management of Orbital Hematoma; Prevention and management of Medial Rectus Injury; Prevention and management of skull base injury; Prevention and management of arterial injuries in sinus and skull base surgery; Prevention and management of complications in frontal sinus surgery; Prevention and management of complications in sphenoidotomy; Prevention and management of complications in ethmoidectomy; Prevention and management of complications in maxillary surgery; Prevention and management of complications in endoscopic skull base surgery; Prevention and management of complications following septoplasty; Medicolegal issues in endoscopic sinus surgery; Informed Consent Process and Patient Communication after Complications in Sinus Surgery; Malpractice claims in nasal and sinus surgery - a review of cases; 10 Pearls for Safe Endoscopic Sinus Surgery; 10 Pearls for Safe Endoscopic Skull Base Surgery

Preoperative consultation and preparation, and perioperative management of surgical patients are extremely important responsibilities of the internist. This issue of the Medical Clinics of North America provides new insights and recommendations on how to handle the following situations: emergency and urgent surgery; perioperative management of the ambulatory surgery patient; perioperative anticoagulation management; surgery in the patient with liver disease; surgery in the patient with renal dysfunction; hematological problems in the preoperative patient; obesity, the metabolic syndrome, and the surgical patient; identification and evaluation of the patient with lung disease; noncardiac surgery in the patient with heart disease; preoperative preparation in the patient for cardiac surgery; preoperative preparation of the surgical patient with neurological disease; and preoperative evaluation of the oncology patient.

This innovative, comprehensive book covers the key elements of perioperative management of older patients. The book's chapter structure coincides with the clinical path patients tread during their treatment, from preoperative evaluation to post-hospital care. Epidemiological aspects and aging processes are illustrated, providing keys to understanding the quick expansion of geriatric surgery and defining the clinical profile of older surgical patients in a cybernetic perspective. Preoperative evaluation and preparation for surgery, including medication reconciliation and pre-habilitation, are developed in the light of supporting decision-making about surgery in an evidence-based and patient-focused way. Intra- and postoperative management are discussed, aiming to tailor anesthetic, surgical and nursing approaches to specific patients' needs, in order to prevent both general and age-related complications. This volume also addresses issues relevant to geriatric surgery, from different organizational models to clinical risk management and systems engineering applied to hospital organization.

Periprosthetic Joint Infection of the Hip and Knee is a practical reference for the diagnosis and treatment of total joint infections following hip and knee arthroplasty. In addition to useful chapters presenting common tests and algorithms used for diagnosis, the book gives background on the epidemiology, risk factors, and prevention strategies of periprosthetic joint infection. Additionally, practical clinical information is given, including antibiotic treatment strategies and delivery methods and medical optimization techniques for physicians to follow for patient care and follow-up. Covering a topic that is currently underrepresented in the medical literature, Periprosthetic Joint Infection of the Hip and Knee will be useful to orthopedic surgeons, rheumatologists, and other physicians involved in the care of patients with hip and knee prosthetic implants.

The kidneys participate in all vital processes of the body to maintain overall homeostasis and health. When kidneys are injured during surgical interventions, metabolic and hemodynamic control is disrupted, leading to dysfunction associated with greater mortality, length of hospital stay and cost.

"Peri-operative Kidney Injury" presents the epidemiology, risk factors, diagnosis, treatment and outcomes associated with kidney injury during the peri-operative period. Concepts and principles of care to prevent kidney complications during surgical procedures are provided to equip health care professionals along with strategies to manage acute kidney injury and associated challenges when they occur. Chapters detail diverse surgical settings, ranging from the more common, such as abdominal, cardiac and vascular surgeries, to the intricately complex, including the use of the left ventricular assist device and organ transplants. This practical and comprehensive text blends the evidence-based standards of care with cutting edge advances in the field, while also providing the reader with a peek into innovations on the horizon.

Periprosthetic Joint Infection of the Hip and Knee is a practical reference for the diagnosis and treatment of total joint infections following hip and knee arthroplasty. In addition to useful chapters presenting common tests and algorithms used for diagnosis, the book gives background on the epidemiology, risk factors, and prevention strategies of periprosthetic joint infection. Additionally, practical clinical information is given, including antibiotic treatment strategies and delivery methods and medical optimization techniques for physicians to follow for patient care and follow-up. Covering a topic that is currently underrepresented in the medical literature, Periprosthetic Joint Infection of the Hip and Knee will be useful to orthopedic surgeons, rheumatologists, and other physicians involved in the care of patients with hip and knee prosthetic implants.

Perioperative care of the patient with a multisystem inflammatory (rheumatic) disease has become increasingly complex and perioperative medicine has evolved into its own subspecialty. Physicians who have expertise in managing patients with rheumatic disease infrequently spend significant time also managing patients undergoing surgical procedures, and the reverse is equally true. Despite the burgeoning literature on the medical management of the surgical patient, scant data have been generated regarding patients with complex rheumatic disease. Perioperative Management of Patients with Rheumatic Disease fills a conspicuous gap in the literature and aims at providing a paved path for rheumatologists--who infrequently manage surgical problems--and medical consultants--who only seldom encounter patients with rheumatic diseases--to tread as they care for patients in the perioperative period. The book addresses discrete management issues from the perspective of the medical subspecialist and also offers concise descriptions of surgical procedures. Written from the surgical perspective for the internist, the surgical procedure chapters include a brief description of relative contraindications, time to recovery, rehabilitation suggestions, and comments regarding common and severe procedure specific postoperative complications.

This book is the first of its kind - a comprehensive reference for anesthesia and perioperative clinicians involved in aortic surgery. With a primary focus on anesthesia for various aortic surgical procedures, including endovascular aortic surgery, the title also provides expanded coverage of CNS monitoring and protection, intraoperative transesophageal echocardiography, renal and spinal cord protection during surgery, management of aortic trauma, and postoperative care. Written by top cardiac anesthesiologists, surgeons, and intensivists, this indispensable reference provides everything you need to know about the burgeoning field of aortic surgery in one handy volume.

Manual of Fast Track Recovery for Colorectal Surgery provides a broad overview on enhanced recovery, with expert opinions from leaders in the field regarding elements of enhanced recovery care that are generic and specific to colorectal surgery. This book covers the patient journey through such a programme, commencing with optimisation of the patient's condition, patient education and conditioning of their expectations. Manual of Fast Track Recovery for Colorectal Surgery investigates the metabolic response to surgery, anaesthetic contributions and optimal fluid management, after surgery. It also details examples of enhanced recovery pathways and practical tips on post-operative pain control, feeding, mobilisation and criteria for discharge. Manual of Fast Track Recovery for Colorectal Surgery is a valuable reference tool for colorectal surgeons, anaesthetists, ward nurses and other members of the team involved in perioperative care: pain control specialists, physiotherapists, dietitians, specialist therapists (such as colorectal and stoma nurses), and outpatient nurses.

"Perioperative Addiction" addresses an issue that every anesthesiologist will encounter many times during the course of his or her career: the patient who arrives for operative care under the influence of legal or illegal drugs. The editors and contributors provide expert guidance on how to identify and manage the addicted patient, approaching the subject from the vantage points of the specific drug and of special patient populations.

Features:

Guidance for spotting and managing addicted patients

All common and important drugs of addiction, from opioids, cocaine, club drugs, and alcohol, to tobacco, marijuana, nitrous oxide, inhalants, and propofol

Special populations, including pregnant women, pain patients, adolescents, older patients, and healthcare professionals

Fascinating overview of the long history of addiction

Genetic basis of addiction, and the range of pharmacological treatments for addiction

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!

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.

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

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.

Most of the developments in perioperative medicine the 20th century were focused on the establishment of standard monitors, biomarkers, and outcomes measures for the cardiovascular and respiratory systems, with marked improvements in perioperative safety. The fields of anesthesiology and perioperative medicine have now shifted to the consideration of the nervous system. Complications such as delirium, cognitive decline, anesthetic neurotoxicity, stroke and other devastating nervous system events are only now developing significant scientific and clinical attention. Yet there has been no single reference to serve as a guide for the clinician or the investigator in this area. Neurologic Outcomes of Surgery and Anesthesia fills this gap in perioperative medicine literature and provides a concise yet thorough overview of adverse outcomes involving the brain, spine, and peripheral nerves. Rather than being organized by type of operation, each chapter in this invaluable resource is devoted to a specific adverse outcome. Every outcome is reviewed in an easy-to-follow format that includes an introduction to the clinical problem, a section on incidence, prevalence, and outcomes, an assessment of risk factors, discussions of preventive strategies, treatment, and current recommendations, a conclusion, and references.

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.

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.

* 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

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.