In recent years anesthesiologists have developed a more active role in the entire peri-operative period-from the decision for surgery, through recovery, discharge and beyond. In addition, the core training curriculum of anesthesiology has changed significantly to now include many non-operating room anesthesia rotations.General anesthesiology texts include varying degrees of perioperative management information, and a few titles are devoted specifically to the area. However, none combines a problem-based approach with review questions and answers with explanations.
Following the format of the Anesthesiology Problem-Based Learning Approach series, each chapter in Perioperative Medicine describes a specific condition or situation and a virtual case presented through a series of questions and answers. With 48 chapters covering a broad array of conundrums encountered in clinical perioperative medicine, the text focuses on preoperative optimization of patients with different comorbidities, such as coronary artery disease, heart failure, chronic obstructive pulmonary disease, obstructive sleep apnea, diabetes mellitus, cirrhosis, substance use disorder, and anemia. Sections on how to choose preoperative tests, medication management, and handling ethical issues, like informed consent, DNR, and uncomfortable conversations with patients, are discussed in detail.
Perioperative Medicine: A Problem-Based Learning Approach provides an up-to-date compendium of topics commonly presenting in daily practice and serves as a unique learning opportunity for the busy perioperative clinician approaching a new case and for clinicians in training who need to learn the basics.
PART I PREOPERATIVE ASSESSMENT
1: Maureen Keshock and Kenneth Cummings: Preoperative Process: Phone Triage, Preoperative Clinic, or Virtual Patient Visits
2: Eileen Campbell and Janine Limoncelli: Perioperative Surgical Home Care Model: Utopia or Bureaucracy?
3: Jay S. Kersh and BobbieJean Sweitzer: Choosing Wisely: How to Advise the Patient on Preoperative Testing
4: Barbara Rogers and Wiebke Ackermann: My 79-Year-Old Patient for Right Inguinal Hernia Repair Has No Labs on File
5: Julio Montejano and Angela Selzer: Medication Management: Drug-Eluting Stent 2 Months AgoÂÂ
6: Thomas Hickey and Shafik Boyaji: Perioperative Management of Medications for Substance Use Disorders
7: Deborah C. Richman: Indications for Preoperative C-Spine Imaging for Elective Procedures
8: Olivia Belloni, Rashwan Gogue, Luigi Beretta, and Enrico Maria Minnella: Prehabilitation Before Total Hip Replacement
9: Paris Dove, Emily Traer, Hilmy Ismail, and Bernhard Riedel: Cardiopulmonary Exercise Testing
PART II AGE
10: Joseph P. Resti and Bettina Smallman: Ex-Premie for Interval Hernia Repair at 11 Weeks
11: Kaitlin Willham and Heather E. Nye: Geriatric Assessment: "The Get Up and Go, Got Up and Left"
PART III ORGAN SYSTEMS
12: Samuel Papke, Michael Benson, and Joshua Zimmerman: AHA Guidelines Application
13: Jing Tao and Adriana D. Oprea: Perioperative Atrial Fibrillation and Anticoagulation Management
14: Elvera L. Baron and Menachem M. Weiner: Severe Aortic Stenosis: Candidate for a Surgicenter?
15: Michael Curtis, Nathaen Weitzel, and Miklos D. Kertai: Does Your Cataract Surgeon Know You Were Admitted for Heart Failure Last Week?
16: Debra D. Pulley and Anand Lakshminarasimhachar: Echo Shows Elevated Pulmonary Artery Pressure
17: Caroline R. Gross and Zdravka Zafirova: Shoulder Replacement in Patient Who Had a Heart and Lung Transplant
18: Wesley Rajaleelan and Jean Wong: COPD: Still Smoking, Still Wheezing
19: Sean Love, Chelsey Santino, and Tina Tran: Severe OSA in the Ambulatory Setting
20: Robert Fong: COVID-19
21: Sofia S. Jakab and Adriana D. Oprea: Cirrhosis and Truly Elective Major Surgery
22: Ramanjot S. Kang, Ashley Mathew, and Shirley Avraham: Patient Has Seizures and Needs "Clearance"
23: Samuel N. Blacker: Clinical Application of Perioperative Brain Health
24: Shilpa Rao: Restrictive Lung Disease from Parkinson's Disease Rigidity: Is It Real?
25: Debra D. Pulley: A 56-Year-Old with a Recent CVA for Elective Surgery: How Soon Is Too Soon? 291
26: Emily Y. Xue, David Moore, and Alexander F. Arriaga: Avoiding Exacerbation of Chronic Kidney Disease
27: Kenneth Cummings: Preoperative Anemia Management: Evaluation and Treatment
28: Nicole Verdecchia and Khoa Nguyen: Prolonged PTT in a Healthy Patient
29: Lindsay E. Carafone, Colin E. Bauer, Joshua D. Miller, and Steven D. Wittlin: Elevated Glucose on Admission Fingerstick: How High Can We Go?
30: Zyad J. Carr, Andrea Farela, and Adriana D. Oprea: Pheochromocytoma and MEN Syndromes
PART IV WOMEN'S HEALTH
31: Nayema K. Salimi and Kristen L. Fardelmann: Pregnant Patient for Non-Obstetric Surgery
32: Evan Jin, Sangeeta Kumaraswami, and Garret Weber: Older Primigravida with Twin Pregnancy for Elective Cesarean Delivery
PART V SURGICAL CONSIDERATIONS
33: Lesley Bennici, Morgane Factor, Sunitha Singh, and Ana Costa: Minimally Invasive Surgery and Other Elements of Enhanced Recovery Protocols
34: Seth Perelman and Christian Mabry: Blood Conservation
PART VI ETHICS AND SHARED DECISION-MAKING
35: Joseph F. Kras: When DNR Stands in the OR: Who Benefits? Who Decides?
36: Stephen Harden and Nicholas Sadovnikoff: Informed Consent: Do We Really Do This Correctly?
37: Jeanna D. Blitz: Can I Refuse to Anesthetize This Patient?
38: Laura J. Ostapenko and Katherine A. Hill: Difficult Conversations
PART VII MISCELLANEOUS
39: Debra D. Pulley: This Patient Has 17 Allergies: Including "General Anesthesia"
40: Jonathan Bacon and Ralph Epstein: Nonverbal Autistic 30-Year-Old for Full Mouth Dental Rehabilitation with Malignant Hyperthermia
41: Meredith Whitacre and Loreta Grecu: Patient with AAA with Implanted Spinal Cord (Neuro) Stimulator
42: Paula Trigo Blanco and Adriana D. Oprea: Patient with Pacemaker-Dependent ICD for Renal Cryoablation
43: Adam Adler and Arvind Chandrakantan: My Friend's Son Requests Surgery for Gynecomastia Caused by the Drugs He Uses for Bodybuilding
44: Cory W. Helder and Alessia Pedoto: Perioperative Care of the Cancer Patient
PART VIII PACU
45: Jonathan L. Wong and Mana Saraghi: Discharge Criteria in Developmentally Disabled Patient with OSA
46: Ramon E. Abola: My Patient Is Twitching Like a Fish Out of Water: Avoiding the Risks of Residual Paralysis
47: Joy Steadman: My Patient in the PACU Is Not Making Any Sense
48: Avi Dobrusin and Muthuraj Kanakaraj: The HR Monitor Is Alarming in the PACU: Postoperative Arrhythmias
Height:282
Width:222
Spine:32
Weight:2096.00