Perioperative Medicine
1. Part I: Introduction and Background - p. page_xiii 2. 1: Implications of Perioperative Morbidity for Long-Term Outcomes - p. page_2 3. 2: The Inflammatory Response to Surgery - p. page_9 4. 3: The Coagulation Cascade in Perioperative Organ Injury - p. page_16 5. Part II: Preoperative Assessment - p. page_23 6. 4: The Value of Preoperative Assessment - p. page_26 7. 5: Perioperative Cardiac Risk Assessment in Noncardiac Surgery - p. page_36 8. 6: Cardiovascular Risk Assessment in Cardiac Surgery - p. page_46 9. 7: Central Nervous System Risk Assessment: Preventing Postoperative Brain Injury - p. page_57 10. 8: Risk Assessment and Perioperative Renal Dysfunction - p. page_67 11. 9: Pulmonary Risk Assessment - p. page_83 12. 10: Hematologic Risk Assessment - p. page_101 13. Part III: Preservation of Organ Function and Prevention and Management of Perioperative Organ Dysfunction - p. page_120 14. Section 1: Cardiovascular System - p. page_120 15. 11: Prevention of Ischemic Injury in Cardiac Surgery - p. page_123 16. 12: Prevention of Ischemic Injury in Noncardiac Surgery - p. page_143 17. 13: Treatment of Perioperative Ischemia, Infarction, and Ventricular Failure in Cardiac Surgery - p. page_154 18. 14: Perioperative Management of Valvular Heart Disease - p. page_181 19. 15: Prevention and Management of Perioperative Dysrhythmias - p. page_191 20. Section 2: Renal System - p. page_206 21. 16: Perioperative Fluid Management - p. page_208 22. 17: Preservation of Renal Function - p. page_222 23. 18: Evaluation and Treatment of Acute Oliguria - p. page_251 24. 19: Perioperative Management of Renal Failure and Renal Transplant - p. page_259 25. Section 3: Pulmonary System - p. page_275 26. 20: Prevention and Treatment of Postoperative Pulmonary Complications - p. page_277 27. Section 4: Central Nervous System - p. page_288 28. 21: Carotid and Intracranial Surgery - p. page_290 29. 22: Protecting the Central Nervous System During Cardiac Surgery - p. page_311 30. 23: Preservation of Spinal Cord Function - p. page_335 31. 24: Perioperative Management of Acute Central Nervous System Injury - p. page_355 32. Abstract - p. page_355 33. Introduction - p. page_355 34. Monitoring Neurologic Examination - p. page_355 35. Mental Status, Cranial Nerves, Motor and Sensorial Function, and Reflexes - p. page_355 36. Intracranial Hypertension - p. page_357 37. Factors That Exacerbate Intracranial Hypertension - p. page_358 38. Two Types of Intracranial Hypertension - p. page_358 39. Presentation - p. page_359 40. ICP Monitoring - p. page_359 41. Waveform Analysis - p. page_361 42. Treatment of Intracranial Hypertension - p. page_362 43. Intracranial Hypertension/Cerebral Herniation Treatment Algorithm - p. page_362 44. Hyperventilation - p. page_363 45. Hyperosmolar Therapy - p. page_366 46. Efficacy of HTS for Reduction of ICP - p. page_368 47. CSF Drainage - p. page_369 48. CBV Decreasing Drugs - p. page_369 49. Decompressive Craniectomy - p. page_370 50. Airway Evaluation and Management - p. page_372 51. Cardiovascular - p. page_383 52. Perioperative Management of Adults With Acute Spinal Cord Injury - p. page_390 53. Section 5: Gastrointestinal System - p. page_409 54. 25: Prevention and Treatment of Gastrointestinal Morbidity - p. page_411 55. Section 6: Hematology and Coagulation - p. page_426 56. 26: Prevention and Management of Deep Vein Thrombosis and Pulmonary Embolism - p. page_428 57. 27: Perioperative Management of Bleeding and Transfusion - p. page_435 58. Section 7: Infections - p. page_442 59. 28: Prevention of Perioperative Surgical Site Infection - p. page_444 60. Section 8: Obstetric - p. page_457 61. 29: Perioperative Protection of the Pregnant Woman - p. page_459 62. 30: Preservation of Fetal Viability During Noncardiac Surgery - p. page_475 63. Part IV: Early Postoperative Care - p. page_484 64. Section 9: Specific Operations - p. page_484 65. 31: Cardiac Surgery - p. page_487 66. 32: General Thoracic Surgery - p. page_505 67. 33: Major Abdominal Surgery - p. page_511 68. 34: Major Orthopedic Surgery - p. page_521 69. 35: Solid Organ Transplantation - p. page_530 70. 36: Multisystem Trauma - p. page_543 71. 37: Neurosurgery - p. page_552 72. Section 10: Specific Problems - p. page_562 73. 38: Sepsis and Septic Shock - p. page_564 74. 39: Acute Respiratory Failure - p. page_576 75. 40: Endocrine and Electrolyte Disorders - p. page_587 76. 41: Improving Pain and Outcomes in the Perioperative Setting - p. page_607 77. 42: Postoperative Cognitive Dysfunction and Delirium - p. page_613 78. 43: Role of Palliative Care - p. page_628 79. Part V: Conflicting Outcomes Value Based Care - p. page_636 80. 44: Economic Analysis of Perioperative Optimization - p. page_638 81. 45: Improving Health-Care Quality Through Measurement - p. page_645 82. 46: Delivering Value Based Care: The UK Perspective - p. page_659 83. 47: Transitions From Hospital to Home - p. page_668 84. Index - p. page_672
Perioperative Medicine
1. Part I: Introduction and Background - p. page_xiii 2. 1: Implications of Perioperative Morbidity for Long-Term Outcomes - p. page_2 3. 2: The Inflammatory Response to Surgery - p. page_9 4. 3: The Coagulation Cascade in Perioperative Organ Injury - p. page_16 5. Part II: Preoperative Assessment - p. page_23 6. 4: The Value of Preoperative Assessment - p. page_26 7. 5: Perioperative Cardiac Risk Assessment in Noncardiac Surgery - p. page_36 8. 6: Cardiovascular Risk Assessment in Cardiac Surgery - p. page_46 9. 7: Central Nervous System Risk Assessment: Preventing Postoperative Brain Injury - p. page_57 10. 8: Risk Assessment and Perioperative Renal Dysfunction - p. page_67 11. 9: Pulmonary Risk Assessment - p. page_83 12. 10: Hematologic Risk Assessment - p. page_101 13. Part III: Preservation of Organ Function and Prevention and Management of Perioperative Organ Dysfunction - p. page_120 14. Section 1: Cardiovascular System - p. page_120 15. 11: Prevention of Ischemic Injury in Cardiac Surgery - p. page_123 16. 12: Prevention of Ischemic Injury in Noncardiac Surgery - p. page_143 17. 13: Treatment of Perioperative Ischemia, Infarction, and Ventricular Failure in Cardiac Surgery - p. page_154 18. 14: Perioperative Management of Valvular Heart Disease - p. page_181 19. 15: Prevention and Management of Perioperative Dysrhythmias - p. page_191 20. Section 2: Renal System - p. page_206 21. 16: Perioperative Fluid Management - p. page_208 22. 17: Preservation of Renal Function - p. page_222 23. 18: Evaluation and Treatment of Acute Oliguria - p. page_251 24. 19: Perioperative Management of Renal Failure and Renal Transplant - p. page_259 25. Section 3: Pulmonary System - p. page_275 26. 20: Prevention and Treatment of Postoperative Pulmonary Complications - p. page_277 27. Section 4: Central Nervous System - p. page_288 28. 21: Carotid and Intracranial Surgery - p. page_290 29. 22: Protecting the Central Nervous System During Cardiac Surgery - p. page_311 30. 23: Preservation of Spinal Cord Function - p. page_335 31. 24: Perioperative Management of Acute Central Nervous System Injury - p. page_355 32. Abstract - p. page_355 33. Introduction - p. page_355 34. Monitoring Neurologic Examination - p. page_355 35. Mental Status, Cranial Nerves, Motor and Sensorial Function, and Reflexes - p. page_355 36. Intracranial Hypertension - p. page_357 37. Factors That Exacerbate Intracranial Hypertension - p. page_358 38. Two Types of Intracranial Hypertension - p. page_358 39. Presentation - p. page_359 40. ICP Monitoring - p. page_359 41. Waveform Analysis - p. page_361 42. Treatment of Intracranial Hypertension - p. page_362 43. Intracranial Hypertension/Cerebral Herniation Treatment Algorithm - p. page_362 44. Hyperventilation - p. page_363 45. Hyperosmolar Therapy - p. page_366 46. Efficacy of HTS for Reduction of ICP - p. page_368 47. CSF Drainage - p. page_369 48. CBV Decreasing Drugs - p. page_369 49. Decompressive Craniectomy - p. page_370 50. Airway Evaluation and Management - p. page_372 51. Cardiovascular - p. page_383 52. Perioperative Management of Adults With Acute Spinal Cord Injury - p. page_390 53. Section 5: Gastrointestinal System - p. page_409 54. 25: Prevention and Treatment of Gastrointestinal Morbidity - p. page_411 55. Section 6: Hematology and Coagulation - p. page_426 56. 26: Prevention and Management of Deep Vein Thrombosis and Pulmonary Embolism - p. page_428 57. 27: Perioperative Management of Bleeding and Transfusion - p. page_435 58. Section 7: Infections - p. page_442 59. 28: Prevention of Perioperative Surgical Site Infection - p. page_444 60. Section 8: Obstetric - p. page_457 61. 29: Perioperative Protection of the Pregnant Woman - p. page_459 62. 30: Preservation of Fetal Viability During Noncardiac Surgery - p. page_475 63. Part IV: Early Postoperative Care - p. page_484 64. Section 9: Specific Operations - p. page_484 65. 31: Cardiac Surgery - p. page_487 66. 32: General Thoracic Surgery - p. page_505 67. 33: Major Abdominal Surgery - p. page_511 68. 34: Major Orthopedic Surgery - p. page_521 69. 35: Solid Organ Transplantation - p. page_530 70. 36: Multisystem Trauma - p. page_543 71. 37: Neurosurgery - p. page_552 72. Section 10: Specific Problems - p. page_562 73. 38: Sepsis and Septic Shock - p. page_564 74. 39: Acute Respiratory Failure - p. page_576 75. 40: Endocrine and Electrolyte Disorders - p. page_587 76. 41: Improving Pain and Outcomes in the Perioperative Setting - p. page_607 77. 42: Postoperative Cognitive Dysfunction and Delirium - p. page_613 78. 43: Role of Palliative Care - p. page_628 79. Part V: Conflicting Outcomes Value Based Care - p. page_636 80. 44: Economic Analysis of Perioperative Optimization - p. page_638 81. 45: Improving Health-Care Quality Through Measurement - p. page_645 82. 46: Delivering Value Based Care: The UK Perspective - p. page_659 83. 47: Transitions From Hospital to Home - p. page_668 84. Index - p. page_672