Medical Management Of The Surgical Patient

This practical handbook delivers complete, to-the-point, evidence-based guidance on the preoperative, perioperative, and post-operative medical care of surgical patients. Each chapter focuses on a particular area of clinical concern, with concise presentations of pathophysiology, assessment and management options, the latest drug treatment information, and essential information on risk stratification and quality improvement. The result is an invaluable source on the management of surgical patients with co-existing medical problems that may be affected by surgery, as well as how to approach medical complications that may occur during or following surgical procedures. Comprehensive discussions at the beginning of each chapter emphasize consultation in surgical patient management. A concise, bulleted format lets you absorb key information at a glance. Extensively updated chapters. Easy-to-read tables present key information on each disorder, including classification, causes, risk factors and indexes, drug treatment information, mortality rates, laboratory findings, and postoperative complications. Recommendations accompanied by an assessment of the quality of supportive evidence, including randomized controlled trials, population based reviews, and consensus guidelines. A topical index takes you immediately to the answers you need. A new, smaller design makes the book easy to carry with you anywhere.

This comprehensive textbook, now fully revised, rewritten and updated in its fourth edition, provides an authoritative account of all aspects of perioperative care for surgical patients. All areas of medical disease are discussed with clear recommendations for work up and management in the perioperative period. Basic discussions of surgical procedures are included to help non-surgeons understand the procedures and their implications for patient care. This definitive account includes numerous contributions from leading experts at national centers of medical excellence. It will serve as a significant work of reference for internists, anesthesiologists and surgeons.

Now in its fifth edition, Medical Management of the Surgical Patient: A Textbook of Perioperative Medicine has been fully revised and updated and continues to provide an authoritative account of all aspects of perioperative care for surgical patients. Including recommended plans which aid accurate treatment of patients, it provides an evidence-based approach for consulting physicians to care for patients with underlying medical conditions that will affect their surgical management. The latest minimally invasive surgical techniques are included, with new chapters on thoracic aortic disease, reconstruction after cancer ablation, lung transplantation, esophagomyotomy, vasectomy and thyroid malignancies, amongst others. With detailed descriptions of nearly one-hundred operations, highlighting their usual course as well as their common complications, the book encourages learning from experience. This definitive account includes numerous contributions from leading experts at national centers of excellence. It will continue to serve as a significant reference work for internists, hospitalists, anesthesiologists and surgeons.

Medical Management of the Thoracic Surgery Patient, by Michael I. Lewis, MD and Robert J. McKenna, Jr., MD, is a comprehensive pulmonary and thoracic reference that takes a practical approach to the diagnosis, workup and care of the thoracic surgery patient. It is geared towards pulmonary and critical care physicians and their trainees as well as all other specialties with whom thoracic surgeons consult and interact. It outlines the principles for understanding the underlying disease entities as well as the clinical implications and complications of surgery, and interprets key surgical concepts such as correlative and functional anatomy for non-surgeons. Contributions from today’s authorities...“at-a-glance detailed key information, as well as summary bullets...and a multidisciplinary perspective, combine to offer essential guidance for confident patient management. As an Expert Consult title it includes convenient online access to the complete contents of the book—fully searchable—along with video clips of thoracic procedures, patient information sheets, all of the images downloadable for your personal use, and references linked to Medline at www.expertconsult.com. Includes access to a companion website at expertconsult.com where you can search the complete contents of the book, watch video clips of thoracic procedures, print out patient information sheets, download all of the images, and review references linked to Medline...providing you with a powerful resource for convenient consultation anytime, anywhere. Features ‘real world’ illustrative cases presented in a brief, bulleted format that facilitates easy access to and retention of the material. Examines every aspect of diagnosis and management for pre-, peri-, and postoperative care for an all-encompassing reference to respond to unique surgical problems. Provides coverage of individual topics supplemented by a brief case-based presentation, where appropriate, that lend a real-life perspective to the material. Contains all of the “need-to-know facts for a complete, thorough consultation in diagnosis and treatment of patients who undergo thoracic surgery. Offers practical information that utilizes the experience of today’s leaders while based on evidence in the literature for coverage you can trust. Examines current clinical controversies, providing you with an arena for discussion of sensitive topics and guidance on preferred approaches when relevant. Presents pearls, pitfalls, key points, and other learning elements in each chapter, to help you locate summaries of essential information “at-a-glance. Features chapters written by specialists of various disciplines, to equip you with a balanced perspective on each condition.

This book focuses exclusively on the surgical patient and on the perioperative environment with its unique socio-technical and cultural issues. It covers preoperative, intraoperative, and postoperative processes and decision making and explores both sharp-end and latent factors contributing to harm and poor quality outcomes. It is intended to be a resource for all healthcare practitioners that interact with the surgical patient. This book provides a framework for understanding and addressing many of the organizational, technical, and cultural aspects of care to one of the most vulnerable patients in the system, the surgical patient. The first section presents foundational principles of safety science and related social science. The second exposes barriers to achieving optimal surgical outcomes and details the various errors and events that occur in the perioperative environment. The third section contains prescriptive and proactive tools and ways to eliminate errors and harm. The final section focuses on developing continuous quality improvement programs with an emphasis on safety and reliability. Surgical Patient Care: Improving Safety, Quality and Value targets an international audience which includes all hospital, ambulatory and clinic-based operating room personnel as well as healthcare administrators and managers, directors of risk management and patient safety, health services researchers, and individuals in higher education in the health professions. It is intended to provide both fundamental knowledge and practical information for those at the front line of patient care. The increasing interest in patient safety worldwide makes this a timely global topic. As such, the content is written for an international audience and contains materials from leading international authors who have implemented many successful programs.

This work deals with all aspects of the preoperative, perioperative and postoperative medical care of the surgical patient.

Provides a comprehensive evidence-based guide to the management of the growing population of patients who require perioperative care Perioperative Medicine: Medical Consultation and Co-Management is the first comprehensive reference text developed specifically for hospitalists but envisioned also to help internists, anesthesiologists, allied health professionals, fellows, residents, and medical students manage various aspects of the medical care of the surgical patient. The book features both the preoperative and postoperative medical management of the surgical patient. It focuses on systems, operations, quality of perioperative care, and preoperative assessment of the patient, all in consideration with system-specific risk and evidence-based strategies that minimize risk. It places special emphasis on care of the older hospitalized surgical patient and offers a thorough discussion of post-operative conditions and their management. Chapters cover vital topics such as: Hospitalist as a Medical Consultant Co-Management of the Surgical Patient Preoperative Evaluation Improving the Quality and Outcomes of Perioperative Care Developing, Implementing, and Operating a Preoperative Clinic Assessing and Managing Risk of Major Organ Systems Assessing and Managing Disorders for Surgery Postoperative Care and Co-Management by Surgery Type Managing Common Postoperative Conditions With the core responsibilities of perioperative care falling more and more on the shoulders of hospitalists, internists, and allied health professionals, Perioperative Medicine is a much-needed guide for managing the clinical and operational issues associated with caring for hospitalized surgical patients.