Preoperative Assessment: A Case-Based Approach

by Derek Dillane (Editor), Barry A. Finegan (Editor)

Overview

This book uses a case-based approach to provide current information on a range of medical issues with the goal of enhancing preoperative evaluation and optimization. It meets the market need for a resource that concisely encapsulates current knowledge on the medical management of specific topics in a setting relevant to the preoperative clinic. In so doing the book aims to improve patient care and safety, enhance resource use, facilitate appropriate and timely management of preexisting conditions and diminish patient concerns.

Organized into sections according to body system, each section consists of chapters delineating a specific disorder. Each chapter starts with a clinical vignette followed by a question-and-answer style investigation of the relevant issues. These questions attempt to address commonly encountered clinical dilemmas where opinion often differs between, and occasionally within, medical sub-specialties. Expertly written chapters are also supplemented bya number of chapters which address special considerations such as the frail patient and chronic opioid use.

Preoperative Assessment: A Case-Based Approach is an invaluable reference for all physicians involved in preoperative assessment including anesthesiologists, surgeons, internists, family doctors and residents in these fields. Nurse practitioners and other allied heath professionals involved in preoperative evaluation may also find this a book a valuable and timely resource.

Product Details

ISBN-13:	9783030588441
Publisher:	Springer International Publishing
Publication date:	02/24/2021
Edition description:	1st ed. 2021
Pages:	326
Product dimensions:	8.27(w) x 10.98(h) x (d)

About the Author

Derek Dillane, MB BCh BAO MMedSci FCARCSI

Department of Anesthesiology & Pain Medicine

University of Alberta

Edmonton, Alberta

Canada

Barry A. Finegan, MB BCh BAO FRCPC

Department of Anesthesiology & Pain Medicine

University of Alberta

Edmonton, Alberta

Canada

Table of Contents

1. Preoperative Assessment and Optimization.- PART I CARDIAC.- 2. The Cardiac Patient Undergoing Non-Cardiac Surgery.- 3. The Adult Congenital Cardiac Patient for Non-Cardiac Surgery.- 4. Hypertension.- 5. Cardiac Failure.- 6. Atrial Arrhythmias.- 7. Aortic Stenosis.- 8. Pulmonary Hypertension.- 9.Cardiac Implantable Electronic Devices.- PART II VASCULAR.- 10. Carotid Endarterectomy.- 11. Abdominal Aortic Aneurysm.- 12. Marfan Syndrome.- PART III PULMONARY.-13. Obstructive Sleep Apnea.- 14. Chronic Obstructive Pulmonary Disease (COPD).- 15. Asthma.- 16. Restrictive Lung Disease.- PART IV ENDOCRINE.- 17. Diabetes Mellitus.- 18. Hyperthyroidism.- 19. Adrenal Insufficiency.-20. Pituitary Adenoma.-21. Pheochromocytoma.- PART V HEPATOBILIARY.- 22. Liver Dysfunction.-23. The Patient Presenting for Liver Transplantation.- PART VI GASTROINTESTINAL.-24. Crohn’s Disease.- 25. Carcinoid Tumor.- PART VII RENAL.- 26. Chronic Kidney Disease and the Dialysis Patient.- 27. Non-transplant Surgeryfor the Transplant Patient.-PART VIII MUSCULOSKELETAL.- 28. Systemic Sclerosis.- 29. Rheumatoid Arthritis.- 30. Systemic Lupus Erythematosus.- 31. Duchenne Muscular Dystrophy.- IX NEUROLOGICAL.- 32.- Myasthenia Gravis.- 33. Ischemic Stroke.- 34. Parkinson Disease.- 35. Multiple Sclerosis.- 36. Intracranial Mass.- X HEMATOLOGICAL.- 37. Easy Bruising.- 38. Thrombocytopenia.- 39. Long Term Anticoagulation.- 40. Venous Thromboembolic Disease.- 41. Anemia.- 42. Sickle Cell Disease.- XI MISCELLANEOUS.- 43. The Pregnant Patient.- 44. The Psychiatric Patient.- 45. The Obese Patient Undergoing Non-Bariatric Surgery.- 46. The Frail Patient.- 47. The Opioid Tolerant Patient.- 48. Substance Abuse Disorder.- 49. Amyloidosis

Editorial Reviews

Reviewer: Jessica Miranda, MD (Yale School of Medicine)
Description: This book presents a case-based approach to perioperative evaluation and optimization. It is divided into sections according to body system and each section consists of chapters detailing the most common disorders found in the practice of anesthesiology. Its unique approach with clinical scenarios renders the reading easy and extremely practical providing evidence-based guidance for preoperative assessment including updated algorithms.
Purpose: The purpose of the book is to provide guidance for perioperative assessment enabling the reader to successfully evaluate the patient who presents for preoperative optimization. Focusing on reduction of perioperative risk and successful outcomes, it highlights common clinical scenarios representing the growing surgical population with multiple comorbidities.
Audience: The intended audience is all anesthesia practitioners including residents, although any individual providing preoperative care will find the book helpful and interesting. The authors show expertise in the subject providing accurate guidance for perioperative assessment based on current evidence.
Features: The book discusses the current perioperative management of 48 common medical problems in the practice of anesthesiology. Each chapter begins with a clinical scenario of a specific disorder being discussed followed by a question-and-answer type investigation of pertinent issues. These questions address frequently encountered clinical situations based on the best evidence and related guidelines. Relevant data including EKGs and imaging are exhibited. Each section closes with the outcome of the initial case presented after appropriate interventions, followed by true/false questions providing a review of the key points discussed previously. The book also incorporates additional resources for the readers to explore.
Assessment: Along the growing incidence of comorbidities in the surgical population and the recognition of the preoperative optimization importance for risk reduction and better postoperative outcomes, this book comes as a helpful tool with an entertaining approach for preoperative optimization. The book is well written and extremely useful for those proving preoperative care for patients, while the case-based approach renders the reading pleasant and practical. Currently there are no other titles available using this method.

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