Perioperative Care Of The Orthopedic Patient

Although a number of comprehensive texts pertaining to perioperative medicine are available, this remains the only one that focuses specifically on the patient undergoing orthopedic surgery, now in a revised and expanded second edition. Beginning with chapters covering preoperative evaluations and general principles and practices of perioperative medicine, the book then considers anesthesiologic management in orthopedic surgery and the role of postoperative pain management. This is followed by a section on medical management in specific clinical settings, discussing patients with connective tissue disease, cardiac disease, chronic pulmonary and renal diseases, diabetes and neurological diseases, among others. A fourth section covers specific perioperative problems in orthopedic surgery, such as care of the elderly patient, venous thromboembolism, infection, nutrition, compartment syndrome and bone health. Finally, the role of allied services, quality improvement and ethics are highlighted. Selected case studies are included to illustrate real-world perioperative issues and management strategies in orthopedic surgery, now moved to their respective chapters for ease of use and reference. The shaded key points and chapter objectives boxes at the beginning of each chapter, and the summary points at the end of each chapter, have been retained and updated within a full-color interior. Written by experts at the top-ranked Hospital for Special Surgery in New York, Perioperative Care of the Orthopedic Patient, 2e will be a comprehensive, multidisciplinary manual providing preoperative considerations, postoperative complications, and guidelines for the anesthetic and medical management of patients undergoing orthopedic surgery. It will be an valuable resource for orthopedic surgeons, sports medicine specialists and allied professionals involved in orthopedic surgery.

Written by experts at the top-ranked Hospital for Special Surgery in New York, Perioperative Care of the Orthopedic Patient is a comprehensive, multidisciplinary manual providing preoperative considerations, postoperative complications, and guidelines for the anesthetic and medical management of patients undergoing orthopedic surgery. Beginning with chapters covering preoperative evaluations and general principles and practices of perioperative medicine, the book then considers anesthesiologic management in orthopedic surgery and the role of postoperative pain management. This is followed by a section on medical management in specific clinical settings, discussing patients with connective tissue disease, cardiac disease, chronic pulmonary and renal diseases, diabetes and psychiatric and neurological diseases. A fourth section covers specific perioperative problems in orthopedic surgery, such as care of the elderly patient, venous thromboembolism, infection, nutrition, compartment syndrome, and bone health. Finally, the role of allied services, quality improvement and ethics are highlighted, and selected case studies are included to illustrate real-world perioperative issues and management strategies in orthopedic surgery. A comprehensive yet concise reference, Perioperative Care of the Orthopedic Patient will be an invaluable resource for orthopedic surgeons, sports medicine specialists and any professional involved in orthopedic surgery.

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.

Guest edited by Dr. Jeffrey Shook, this issue of Clinics in Podiatric Medicine and Surgery will cover several key areas of interest related to Perioperative Considerations in the Surgical Patient. This issue is one of four selected each year by our series Consulting Editor, Dr. Thomas Chang. Articles in this issue include, but are not limited to: Surgical Consent, Medical Consultation, Prevention of Deep Venous Thromboembolism, Prophylactic Antibiosis, Preoperative Assessment and Perioperative Management of Pulmonary Disease, Preoperative Evaluation of the Pediatric Patient, The Geriatric Patient, Postoperative Convalescence, Perioperative pain management, Preoperative Evaluation and Management of Peripheral Arterial Disease, Preoperative Assessment of the Cardiac Patient, Surgery in the Patient with Renal Disease, and Evaluation and Perioperative Management of the Diabetic Patient.

This handbook provides easily accessible information on orthopaedics and trauma, clearly presenting the salient features of a range of conditions and their treatment, and enabling junior doctors and students to confidently apply the knowledge to clinical activities.

This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care. Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy. There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users. This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care.

Perioperative care of the patient with a multisystem inflammatory (rheumatic) disease has become increasingly complex and perioperative medicine has evolved into its own subspecialty. Physicians who have expertise in managing patients with rheumatic disease infrequently spend significant time also managing patients undergoing surgical procedures, and the reverse is equally true. Despite the burgeoning literature on the medical management of the surgical patient, scant data have been generated regarding patients with complex rheumatic disease. Perioperative Management of Patients with Rheumatic Disease fills a conspicuous gap in the literature and aims at providing a paved path for rheumatologists--who infrequently manage surgical problems--and medical consultants--who only seldom encounter patients with rheumatic diseases--to tread as they care for patients in the perioperative period. The book addresses discrete management issues from the perspective of the medical subspecialist and also offers concise descriptions of surgical procedures. Written from the surgical perspective for the internist, the surgical procedure chapters include a brief description of relative contraindications, time to recovery, rehabilitation suggestions, and comments regarding common and severe procedure specific postoperative complications.

All physicians are involved in the management of pain at some level or the other, but of the various specialties and health professions, orthopedic surgeons are at the frontline of delivering perioperative pain care for a wide variety of problems that range from skeletal trauma, joint replacement procedures, bone tumors and spinal conditions. Perioperative Pain Management for Orthopedic and Spine Surgery offers a concise yet comprehensive overview of the surgical spine pain management field to help practitioners effectively plan and enhance perioperative pain control. Chapters provide guidance on solving common dilemmas facing surgeons who are managing patients with pain related problems and clinical decision-making, and explore essential topics required for the trainee and practitioner to quickly assess the patient with pain, to diagnose pain and painful conditions, determine the feasibility and safety of surgical procedure needed, and arrange for advanced pain management consults and care if needed. This text also explores the latest evolving techniques and appropriate utilization of modern equipment and technology to safely provide care. Highly accessible and written by experts in the field, Perioperative Pain Management for Orthopedic and Spine Surgery is an ideal resource for practicing orthopedic and spine surgeons, anesthesiologists, critical care personnel, residents, medical students.