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This volume is a comprehensive, state-of-the-art review for
clinicians with an interest in the peri-operative nutritional
management of all surgical patients. The text reviews normal
physiology, the pathophysiology of starvation and surgical
stressors, and focuses on appropriate nutritional repletion for
various common disease states. Specifically, the text addresses the
severe metabolic demands created by systemic inflammation,
infection, and major insults such as trauma and burns. In addition,
the book addresses the growing problem of obesity in surgical
populations, including appropriate strategies directed towards the
metabolic management of these patients. The text is designed for
clinicians across levels of training and provides clear and concise
evidence based guidelines for the metabolic management and
nutritional support of the surgical patient. Written by experts in
the field, Surgical Metabolism: The Metabolic Care of the Surgical
Patient is a valuable resource for all clinicians involved in the
care of the critically ill.
This issue of Anesthesiology Clinics covers Medically Complex
Patients. Topics: The Anesthesia Patient with Concomitant Cardiac
and Pulmonary Disease; Anesthesia for the Patient with Concomitant
Hepatic and Renal Impairment; Anesthesia for Patients with
Concomitant Cardiac and Hematologic Disorders; Surgical Critical
Care for the Trauma Patient with Cardiac Disease; Surgical Critical
Care for the Patient with Sepsis and Multiple Organ Dysfunction;
Anesthesia for Patients with Concomitant Cardiac and Renal
Dysfunction; Anesthesia for Medically Complex Patients with Anemia;
and more!
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.
One of the anesthesiologist's greatest challenges is managing
high-risk patients with acute or severe conditions.? This issue
brings the anesthesiologist up to date on the most important and
latest approaches to management of the sickest of patients.? Topics
covered include managing the patient with sepsis or septic shock;
anesthetic considerations for patients in respiratory failure;
anesthetic concerns in patients presenting with renal failure;
perioperative management of patients with liver failure; management
of acute coronary syndrome in the OR; intraoperative concerns in
patients presenting with sever aortic stenosis, aortic
insufficiency, mitral regurgitation, or mitral stenosis;
intraoperative management of patients with cardiac tamponade;
anesthetic concerns in trauma victims requiring operative
intervention; patients presenting with acute toxin indigestion;
anesthetic concerns in patients with known neurologic
insufficiency; management of endocrine insufficiency in the OR; and
management of patients with mediastinal mass or tracheal stenosis.
This issue of Anesthesiology Clinics, guest edited by Drs. Ranjit
Deshpande and Stanley Rosenbaum, is focused on Anesthesia at the
Edge of Life. This issue is one of four each year selected by the
series Consulting Editor, Dr. Lee Fleisher. Articles in this issue
include but are not limited to: Anesthesia for major surgery in the
neonate; Anesthesia for the patient on mechanical circulatory
support; Anesthesia for the patient with severe liver failure;
Anesthesia for the patient on renal replacement therapy; Anesthesia
for neurosurgical emergencies; Anesthesia for obstetrical
disasters; Anesthesia for the patient in septic shock; Anesthesia
for a patient with extensive trauma; Anesthesia for endocrine
emergencies; Anesthetic management in malignant hyperthermia;
Anesthesia for electroconvulsive therapy; Anesthesia for the
morbidly obese patient; Anesthesia for the frail geriatric patient;
Emergency anesthesia in resource-limited areas; and Organ donation
and ethics in anesthesiology.
This easy-to-use resource details all of the complications likely
to be encountered in clinical practice. The scope has been expanded
to include the critical care setting. Internationally renowned
authorities explain the nature, likelihood, and causes of each
problem, and then guide you through the appropriate treatment
measures. Each type of complication is discussed in its own concise
chapter making it easier to quickly locate and research specific
topics of interest. Presents content in an updated, logical
organization covering various types of complications (drugs,
testing, intubation, line insertion, surgical procedures, etc.)
followed by differential diagnosis and treatment of signs of
complications (intraoperative, such as hypoxia or hypotension; and
postoperative, such as MI). Follows a problem-based,
practice-oriented approach throughout; case synopses are followed
by concise coverage of recognition, risk assessment, implications,
management, and prevention. Allows you to review the case reports,
contemplate the implications, then check your response against what
the experts have to say. Includes numerous photographs, diagrams,
flow charts, and tables that illustrate key concepts. Ideal as a
clinical reference and as a study tool when preparing for oral
boards. Brings you up to date with new safety standards and the
latest ASA guidelines. Expert ConsultT eBook version included with
purchase. This enhanced eBook experience allows you to search all
of the text, figures, and references from the book on a variety of
devices.
Quality and Safety in Anesthesia and Perioperative Care offers
practical suggestions for improving quality of care and patient
safety in the perioperative setting. Chapters are organized into
sections on clinical foundations and practical applications, and
emphasize strategies that support reform at all levels, from
operating room practices to institutional procedures. Written by
leading experts in their fields, chapters are based on accepted
safety, human performance, and quality management science and they
illustrate the benefits of collaboration between medical
professionals and human factors experts. The book highlights
concepts such as situation awareness, staff resource management,
threat and error management, checklists, explicit practices for
monitoring, and safety culture. Quality and Safety in Anesthesia
and Perioperative Care is a must-have resource for those preparing
for the quality and safety questions on the American Board of
Anesthesiology certification examinations, as well as clinicians
and trainees in all practice settings.
Neurosurgical procedures are becoming more common and are taking
place in the operating room and in interventional suites.
Procedures that used to be performed only at major academic
institutions are also being done in small community hospitals, and
anesthesiologists in private practice are being asked to care for
these patients. In many cases, treatment options are controversial
or rapidly evolving. Close cooperation between the anesthesiologist
and neurosurgeon is essential to achieve optimal outcomes and early
recognition of any adverse events so appropriate therapy can be
implemented. Fundamentals of Neuroanesthesia is a comprehensive
guide to neuroanesthesia that discusses neurophysiology,
neuroanatomy, and neurosurgical procedures and offers practical
approaches and solutions to administering neuroanesthesia and
providing perioperative care for neurosurgical patients. Chapters
emphasize clinical management of neurosurgical problems that may be
encountered in community practice as well as major academic medical
centers. Highlighted key points, figures, algorithms, and
management procedures supplement the text. This book is a must-have
volume for general anesthesiologists, anesthesiology fellows, and
subspecialists.
This volume is a comprehensive, state-of-the-art review for
clinicians with an interest in the peri-operative nutritional
management of all surgical patients. The text reviews normal
physiology, the pathophysiology of starvation and surgical
stressors, and focuses on appropriate nutritional repletion for
various common disease states. Specifically, the text addresses the
severe metabolic demands created by systemic inflammation,
infection, and major insults such as trauma and burns. In addition,
the book addresses the growing problem of obesity in surgical
populations, including appropriate strategies directed towards the
metabolic management of these patients. The text is designed for
clinicians across levels of training and provides clear and concise
evidence based guidelines for the metabolic management and
nutritional support of the surgical patient. Written by experts in
the field, Surgical Metabolism: The Metabolic Care of the Surgical
Patient is a valuable resource for all clinicians involved in the
care of the critically ill.
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