This comprehensive third edition provides robust support to clinicians providing perioperative care for patients. Patients with a range of medical conditions undergo surgeries of varying levels of risk, and the evolving field of consult medicine aims to address their needs, whether pre- or post-surgery. This book offers evidence and experience-based information, advice, and guidelines on all aspects of perioperative medicine. Care around surgeries in many major clinical areas are included, including cardiology, pulmonology, gastroenterology, rheumatology, endocrinology and so on. This new edition has been updated throughout with the latest literature, more visual content (tables and algorithms), and eleven new chapters on topics such as: chronic pain, congestive heart failure, hormone therapy and transgender patients, and postoperative hypoxemia. This new edition focuses on high value care in order to improve outcomes, including minimizing complications and readmissions. It also provides streamlined key points for caring for patients with medical diagnoses that may be especially complicated around surgery. This resource is invaluable for practicing physicians (including medical consultants, surgeons, and anesthesiologists) and other professionals who aim to optimize care of surgical patients.

Autorentext

Molly Blackley Jackson, MD is an Associate Professor of General Internal Medicine at the University of Washington.

Ronald Huang, MD is a Clinical Assistant Professor of General Internal Medicine at the University of Washington.

Elizabeth Kaplan, MD is an Assistant Professor of General Internal Medicine at the University of Washington.

Somnath Mookherjee, MD is an Associate Professor of General Internal Medicine at the University of Washington.

Inhalt
Introduction.- The Preoperative Evaluation.- Perioperative Medication Management.- Anesthesia Fundamentals.- Cardiovascular Risk Stratification.- Ischemic Heart Disease.- Congestive Heart Failure.- Atrial Fibrillation.- Hypertension.- Valvular Heart Disease.- Implantable Cardiac Devices.- Diabetes.- Stress Dose Steroids.- Thyroid Disease.- Hormone Therapy and Transgender Patients.- Liver Disease.- Inflammatory Bowel Disease.- Chronic Anticoagulation.- Disorders of Hemostasis.- Thrombophilias.- Thrombocytopenia.- Anemia.- Sickle Cell Disease.- Venous Thromboembolic Disease.- Cerebrovascular Disease.- Epilepsy and Seizure Disorders.- Parkinson's Disease.- Spinal Cord Injury.- Chronic Pain.- Pulmonary Risk Assessment and Management.- Asthma and COPD.- Obstructive Sleep Apnea / Obesity Hypoventilation Syndrome.- Pulmonary Hypertension.- Special Topics in Lung Disease: Restrictive, Myesthenia Gravis.- Chronic Kidney Disease.- Acute Kidney Injury.- Rheumatoid Arthritis.- Systemic Lupus Erythematosus.- Gout and Pseudogout.- Decision-Making Capacity.- Elderly Patients and Frailty.- Nutrition.- Patients with Solid Organ Transplant.- Substance Use and Dependence.- Postoperative Evaluation and Care.- Postoperative Fever.- Postoperative Delirium.- Postoperative Ileus.- Postoperative Hypoxemia.- Postoperative Tachycardia.- Postoperative Emergencies.- Postoperative Electrolyte Abnormalities.- Acute Pain Management Pearls.- Surgical Procedures Overview.