Anesthesia In High Risk Patients

This book describes the approach to anesthetic and perioperative management in different categories of high-risk patient scheduled to undergo elective noncardiac surgery. Individual sections focus on patients with conditions entailing cardiac and hemodynamic risks, respiratory risks, renal and metabolic risks, neurological risks, and other forms of risk. For each condition, up-to-date guidance is provided on risk evaluation, risk stratification, and intraoperative and postoperative anesthetic management. This is the first time that such different clinical situations have been gathered together in a single textbook of anesthesiology. All of the authors are international experts with extensive clinical experience. The aim is to provide trainee anesthesiologists with clear guidance that will prove invaluable when managing a wide range of patients with serious illnesses or conditions that pose a significant anesthetic risk. The book will also serve as a valuable reference for more experienced anesthesiologists and intensivists.

This book provides practical information on the management of high risk patients presenting for surgery as well as sufficient background information to enable an understanding of the principles and rationale behind their anaesthetic management. The content reflects the needs of a broad readership and presents information not readily available in similar books (e.g. a summary of all CEPOD reports, perioperative renal failure, the role of the cardiology consult and indications for admission to ICU and HDU). The format of each chapter is designed to provide rapid access to important information, with key facts and advice presented concisely. Important references that highlight controversies within a subject, and suggestions for useful further reading are also presented. The book will be useful not only as an 'aide memoire' for the FRCA and other examinations in anaesthesia but also as a useful quick reference for all operating theatre, ICU, CCU and HDU-based personnel.

The second edition of this successful text discusses the complete range of high risk situations likely to be encountered in anesthetic practice, providing practical advice on pre-, intra- and post-operative management for both elective and emergency surgery. The introductory section gives background information on risks and complications, enabling the reader to accurately and quickly assess patients. Emphasis is placed on cardiovascular risk, cardiac disease and cardiac management, but all key risks are assessed. The second section covers specific surgical scenarios such as managing the critically ill patient, the elderly patient and those with cardiac co-morbidities. Written in a concise, practical style by an international team of experienced practitioners, this is a user-friendly guide to the perioperative management of all high risk patients, and is an invaluable resource for all anesthetists, intensivists and hopsitalists.

A concise summary of perioperative management of high-risk surgical patients, bridging the gap between the operating theatre and ICU.

Essential Surgery is part of a nine volume series for Disease Control Priorities which focuses on health interventions intended to reduce morbidity and mortality. The Essential Surgery volume focuses on four key aspects including global financial responsibility, emergency procedures, essential services organization and cost analysis.

The first textbook on the subject, this is a practical, clinically comprehensive guide to ethical issues in surgical practice, research, and education written by some of the most prominent figures in the fields of surgery and bioethics. Discussions of informed consent, confidentiality, and advance directives--core concepts integral to every surgeon-patient relationship--open the volume. Seven chapters tackle the ethical issues in surgical practice, covering the full range of surgical patients--from emergency, acute, high-risk, and elective patients, to poor surgical risk and dying patients. The book even considers the special relationship between the surgeon and patients who are family members or friends. Chapters on surgical research and education address innovation, self-regulation in practice and research, and the prevention of unwarranted bias. Two chapters focus on the multidisciplinary nature of surgery, including the relationships between surgery and other medical specialties and the obligations of the surgeon to other members of the surgical team. The economic dimensions of surgery, especially within managed care, are addressed in chapters on the surgeons financial relationships with patients, conflicts of interest, and relationships with payers and institutions. The authors do not engage in abstract discussions of ethical theory; instead, their discussions are always directly relevant to the everyday concerns of practicing surgeons. This well-integrated volume is intended for practicing surgeons, medical educators, surgical residents, bioethicists, and medical students.

The clinical practice of anesthesia has undergone many advances in the past few years, making this the perfect time for a new state-of-the-art anesthesia textbook for practitioners and trainees. The goal of this book is to provide a modern, clinically focused textbook giving rapid access to comprehensive, succinct knowledge from experts in the field. All clinical topics of relevance to anesthesiology are organized into 29 sections consisting of more than 180 chapters. The print version contains 166 chapters that cover all of the essential clinical topics, while an additional 17 chapters on subjects of interest to the more advanced practitioner can be freely accessed at www.cambridge.org/vacanti. Newer techniques such as ultrasound nerve blocks, robotic surgery and transesophageal echocardiography are included, and numerous illustrations and tables assist the reader in rapidly assimilating key information. This authoritative text is edited by distinguished Harvard Medical School faculty, with contributors from many of the leading academic anesthesiology departments in the United States and an introduction from Dr S. R. Mallampati. This book is your essential companion when preparing for board review and recertification exams and in your daily clinical practice.