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.

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

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!

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.

Surgical patients are increasingly undergoing operative procedures that require complex post-operative care followed by prolonged rehabilitation in the community, and few leave surgery without a wound, tube, line or drain. The care of these surgical adjuncts is undertaken either in hospital by ward staff or away from the hospital in the community, where GPs and practice nurses are expected to take over the day-to-day management of this care. The ABC of Tubes, Drains, Lines and Frames is a practical guide that provides a clear account of the key issues involved in the assessment and management of surgical wounds, tubes, drains, lines and stomas - from the operating theatre to the Critical Care unit and from the ward into the community. It highlights common pitfalls and includes 'trouble shooting' sections that provide an understanding of the issues at all stages of post-operative care. This new ABC is an invaluable resource for all GPs, practice nurses, surgical nurses, junior doctors, and community paramedics.

This issue of Medical Clinics of North America, guest edited by Drs. David A. Sass and Alden M. Doyl, is devoted to Care of the Liver and Kidney Transplant Recipient. Articles in this issue include: Liver and kidney transplantation: a half-century historical perspective; From Child's-Pugh to MELD: Deciding who really needs a liver transplant; When to consider renal transplantation in your advanced CKD patients; Management of the liver transplant recipient: approach to allograft dysfunction; Acute and chronic allograft dysfunction in renal transplant recipients; The ABC's of Immunosuppression: a primer for the primary care physician; Managing cardiovascular risk in the post solid organ transplant recipient; Diabetes care after transplant: definitions, risk factors, and clinical management; De novo malignancies after transplantation: risk and surveillance strategies; Metabolic bone disease in the post-transplant population: preventative and therapeutic measures; Infectious complications and vaccinations in the post-transplant population; Selection and post-operative care of the living donor; and Long-term functional recovery, quality of life and pregnancy following solid organ transplantation.

"Microbiology for Surgical Infections: Diagnosis, Prognosis and Treatment" explores current trends in etiology and antibiotic resistance of pathogens responsible for devastating and complex surgical infections. Clinicians and researchers report the most recent advances in diagnostic approaches to bacterial and non-bacterial surgical infections, including invasive fungal infections. Current guidelines for prophylaxis of community-acquired and nosocomial infections, complications in surgery, and improvement of diagnosis and treatment of these devastating surgical infections are also discussed.

The work gives specific attention to intra-abdominal and wound infections, as well as infections in cardiac surgery and neurosurgery. Taken together, these explorations inform the work of specialists in different surgical arenas, as well as those working in microbiology.

"Microbiology for Surgical Infections" provides a resource to those working to improve outcomes in this complicated arena by discussing prospects for future study and identifying targets for future research.
Provides a multi-dimensional view of myriad topics pertinent to surgical infections, including questions of etiology, pathogenesis, host-microbial interactions, diagnosis, prognosis, treatment and prophylaxisDelivers cutting-edge commentary from eminent surgeons, microbiologists, and infectious disease specialists, with global contributions from both the developed and developing worldsPresents comprehensive research informed by the most recent technological and scientific advances in the field

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.

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.

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.

Surgical Palliative Care describes the principles and practice of surgery in the context of palliative and supportive care. Surgery is often considered too invasive to be useful in palliation and clinicians instinctively turn to radiotherapy, chemotherapy, and other drugs. Surgery, with increasingly minimal access techniques, may be simpler and less invasive than other treatments and produces excellent palliation. Indeed, most types of surgery are not curative and the aim of this book is to alert all concerned with palliative care to the usefulness and appropriateness of a surgical option. The text is divided into two sections; the first dealing with general issues, varying from quality of life measurement to spirituality, and the second illustrating their application in different specialties of surgery ranging from neurosurgery to urology. The book ends with a challenge to surgeons to change their perspective from curative surgery, in terms of simply cure or failure, to improvement in quality of life and relief of symptoms. Aimed primarily at palliative medicine and pain consultants, this book will also appeal to surgeons who increasingly need to know more about palliative care.

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.

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.

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

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.

"Breast Implant Imaging" is the first definitive reference on the use of MR imaging, ultrasound, and mammography to detect breast implant failure. The book details the capabilities and limitations of each modality, the imaging features of various implant types, the signs of implant rupture and soft-tissue silicone, and the pitfalls and artifacts encountered. Coverage includes a chapter on breast cancer imaging in patients who have had implants or silicone fluid injections. More than 600 illustrations complement the text. A bound-in CD-ROM contains over 300 images not found in the book. Included on the CD are a searchable breast implant catalogue, color versions of eleven color-critical black-and-white images found in the book, and AVI movie files of MR imaging studies from the book.

Complications in Surgery, Second Edition offers authoritative recommendations for preventing and managing complications in all current general surgery procedures. The opening sections discuss institutional risk management issues and risks common to all operations, such as wound healing problems, infection, shock, and complications in immunosuppressed patients. Subsequent sections focus on complications of specific procedures in thoracic, vascular, gastric, endocrine, breast, and oncologic surgery, as well as organ transplantation and pediatric surgery. This edition includes new information on surgical quality assessment and patient safety and updated information in the organ-specific chapters.

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.

Prevention and Management of Post-Operative Complications is reviewed extensively in this important Thoracic Surgery Clinics of North America issue. Articles include: Cardiovascular complications following thoracic surgery; Pain management following thoracic surgery; Persistent air leak and pleural space management following pulmonary resection; Bronchopleural fistula and empyema after anatomic lung resection; Postoperative respiratory failure; Complications following carinal surgery and bronchial sleeve resection; Anastomotic leak following esophagectomy; Management of conduit necrosis following esophagectomy; Functional conduit disorders complicating esophagectomy; Complications following surgery for achalasia and anti-reflux disease; Complications following tracheal and laryngotracheal resection; Management of thoracic nerve injury; Chest wall resection and reconstruction: management of complications; Management of chylothorax; and more!

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.