Perioperative Medicine
Oxford University Press (Verlag)
978-0-19-921173-9 (ISBN)
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Many patients undergoing surgery have a chronic medical disorder unrelated to the surgical problem. These can present major difficulties for inexperienced surgical house staff and junior anaesthetists working unsupervised, most of whom will have had little or no experience in dealing with such problems. Perioperative medicine provides practical guidelines on the management of all the common medical conditions likely to be encountered in routine surgical and anaesthetic practice. The first section addresses a range of general issues that can arise on surgical wards when patients with complex medical problems are being prepared for operation, such as obtaining informed consent. The book then provides simple protocols for the safe care of patients with underlying medical problems on surgical wards, with special focus on the risks that various conditions pose for surgery and anaesthesia. The third part of the book looks at the diagnosis and management of medical complications in the post-operative period. References for further reading are provided throughout. This will prove an essential book for junior surgeons and anaesthetists to keep by their sides at all times.
Introduction; Why we use guidelines; PART 1: MEDICAL ISSUES IN PERIOPERATIVE CARE; What about evidence-based protocols?; Risk management; NCEPOD; The ASA classification of perioperative risk; Preparing patients for elective and emergency surgery; Day surgery; Patient consent; Resuscitation decisions; Preoperative optimisation of high-risk patients; Postoperative care after major surgery; The prophylaxis of venous thromboembolism; The management of acure pain; Postoperative nausea and vomiting; Fluid balance; Prevention and management of infection in the surgical patient; Nutritional support; Universal precautions against blood-borne viruses; Medical causes of the acute abdomen; Principles of physiotherapy; Palliative care; PART 2: CARE OF SURGICAL PATIENTS WITH CHRONIC MEDICAL DISORDERS; Teamwork on the surgical ward; Cardiovascular disorders; Respiratory disorders; Endocrine and metabolic disorders; Renal disorders; Neurological disorders; Bone and joint disorders; Gastroenterological disorders; Haematological disorders; The geriatric patient; Alcohol intoxication and chronic alcoholism; PART 3: MEDICAL EMERGENCIES IN SURGICAL PATIENTS; Misuse of drugs; Recognizing and managing seriously ill patients; Cardiorespiratory arrest; Hypotension; Chest pain; Uncontrolled postoperative hypertension; Cardiac arrhythmias; The breathless patient; Haemoptysis; Oliguria and renal failure; Electrolyte imbalance; Postoperative diarrhoea; Drowsiness, coma, and delirium; Postoperative seizures; Headache in surgical patients; Fever; The swollen leg; Perioperative prescribing information
| Erscheint lt. Verlag | 1.7.2006 |
|---|---|
| Co-Autor | Iain H. Wilson |
| Zusatzinfo | numerous figures and tables |
| Verlagsort | Oxford |
| Sprache | englisch |
| Themenwelt | Medizin / Pharmazie ► Medizinische Fachgebiete ► Chirurgie |
| Medizin / Pharmazie ► Medizinische Fachgebiete ► Schmerztherapie | |
| ISBN-10 | 0-19-921173-6 / 0199211736 |
| ISBN-13 | 978-0-19-921173-9 / 9780199211739 |
| Zustand | Neuware |
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