Preoperative Assessment

This book uses a case-based approach to provide current information on a range of medical issues with the goal of enhancing preoperative evaluation and optimization. It meets the market need for a resource that concisely encapsulates current knowledge on the medical management of specific topics in a setting relevant to the preoperative clinic. In so doing the book aims to improve patient care and safety, enhance resource use, facilitate appropriate and timely management of preexisting conditions and diminish patient concerns.

Organized into sections according to body system, each section consists of chapters delineating a specific disorder. Each chapter starts with a clinical vignette followed by a question-and-answer style investigation of the relevant issues. These questions attempt to address commonly encountered clinical dilemmas where opinion often differs between, and occasionally within, medical sub-specialties. Expertly written chapters are also supplemented bya number of chapters which address special considerations such as the frail patient and chronic opioid use.

Preoperative Assessment: A Case-Based Approach is an invaluable reference for all physicians involved in preoperative assessment including anesthesiologists, surgeons, internists, family doctors and residents in these fields. Nurse practitioners and other allied heath professionals involved in preoperative evaluation may also find this a book a valuable and timely resource.

Aims to improve patient care and safety, enhance the efficiency of hospital resources, and diminish patient concerns by comprehensively addressing any harbored fears Authored by two anesthesiologists who work in a university hospital with extensive experience in a large anesthesia-led preoperative evaluation clinic Each section consists of chapters delineating a specific disorder, including special chapters dealing with topics such as pregnancy, surgery in the chronic opioid user and the frail patient

Autorentext

Derek Dillane, MB BCh BAO MMedSci FCARCSI

Department of Anesthesiology & Pain Medicine

University of Alberta

Edmonton, Alberta

Canada

Barry A. Finegan, MB BCh BAO FRCPC

Zusammenfassung

Inhalt

1. Preoperative Assessment and Optimization.- PART I CARDIAC.- 2. The Cardiac Patient Undergoing Non-Cardiac Surgery.- 3. The Adult Congenital Cardiac Patient for Non-Cardiac Surgery.- 4. Hypertension.- 5. Cardiac Failure.- 6. Atrial Arrhythmias.- 7. Aortic Stenosis.- 8. Pulmonary Hypertension.- 9.Cardiac Implantable Electronic Devices.- PART II VASCULAR.- 10. Carotid Endarterectomy.- 11. Abdominal Aortic Aneurysm.- 12. Marfan Syndrome.- PART III PULMONARY.-13. Obstructive Sleep Apnea.- 14. Chronic Obstructive Pulmonary Disease (COPD).- 15. Asthma.- 16. Restrictive Lung Disease.- PART IV ENDOCRINE.- 17. Diabetes Mellitus.- 18. Hyperthyroidism.- 19. Adrenal Insufficiency.-20. Pituitary Adenoma.-21. Pheochromocytoma.- PART V HEPATOBILIARY.- 22. Liver Dysfunction.-23. The Patient Presenting for Liver Transplantation.- PART VI GASTROINTESTINAL.-24. Crohn's Disease.- 25. Carcinoid Tumor.- PART VII RENAL.- 26. Chronic Kidney Disease and the Dialysis Patient.- 27. Non-transplant Surgeryfor the Transplant Patient.-PART VIII MUSCULOSKELETAL.- 28. Systemic Sclerosis.- 29. Rheumatoid Arthritis.- 30. Systemic Lupus Erythematosus.- 31. Duchenne Muscular Dystrophy.- IX NEUROLOGICAL.- 32.- Myasthenia Gravis.- 33. Ischemic Stroke.- 34. Parkinson Disease.- 35. Multiple Sclerosis.- 36. Intracranial Mass.- X HEMATOLOGICAL.- 37. Easy Bruising.- 38. Thrombocytopenia.- 39. Long Term Anticoagulation.- 40. Venous Thromboembolic Disease.- 41. Anemia.- 42. Sickle Cell Disease.- XI MISCELLANEOUS.- 43. The Pregnant Patient.- 44. The Psychiatric Patient.- 45. The Obese Patient Undergoing Non-Bariatric Surgery.- 46. The Frail Patient.- 47. The Opioid Tolerant Patient.- 48. Substance Abuse Disorder.- 49. Amyloidosis