Based on the most current evidence and best practices, Perioperative Medicine: Managing for Outcome, 2nd Edition, is an easy-to-follow, authoritative guide to achieving optimal outcomes in perioperative care. Written and edited by recognized authorities in anesthesiology and surgical critical care, this fully updated edition helps you think critically about complex, long-term issues surrounding the care of the surgical patient, providing decision trees that define strategies to enhance the medical outcome of care.

Key Features

Focuses on what anesthesiologists, surgeons, and intensivists need to know in order to improve outcomes through evidence- and outcome-based approaches.

Provides practical guidance on potential risks to all major organ systems, the etiology of particular organ dysfunctions, preoperative and intraoperative risk factors, and perioperative protection strategies to minimize potential complications.

Features a consistent chapter format - with even more color-coded algorithms, summary tables, and boxes - that enables you to quickly explore and determine the best management approaches.

Includes six all-new chapters: Perioperative Fluid Management; Delirium and POCD; Role of Palliative Care/ICU; Value-Based Care: The UK Model; CFO Perspective on Value; Hospital to Home (Perioperative Transitions of Care)

Discusses timely topics such as quality improvement, pay-for-performance, preexisting disease and comorbid conditions in anesthesiology, and the team-based model of care.

Features two new editors, surgeon Clifford Ko, MD, and Perioperative Summit leader, Michael (Monty) Mythen, MD.

Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

PART I: INTRODUCTION AND BACKGROUND

01. Implications of Perioperative Morbidity on Long-Term Outcomes, Lee A. Fleisher and Mark F. Newman

02. Ischemia and Ischemia-Reperfusion-Induced Organ Injury (Pathology), Mitchell P. Fink Henrik

03. The Inflammatory Response in Organ Injury, Benjamin Kohl and Clifford S. Deutschman

04. The Coagulation Cascade in Perioperative Organ Injury, M. S. Carraway and Claude Piantidosi

05. Analgesia, Fleisher

06. Fluid Management, Monty

PART II: PREOPERATIVE ASSESSMENT

07. The Value of Preoperative Assessment, Stanlkey H. Rosenbaum and David G. Silverman

08. Cardiac Risk Assessment in Noncardiac Surgery, Edward Kwon, Lee A. Fleisher, and Kim Eagle

09. Cardiovascular Risk Assessment in Cardiac Surgery, Robert G. Johnson

10. Central Nervous System Risk Assessment, Katja Hindler and Nancy Nussmeier

11. Renal Risk Assessment, Christina Mora-Mangano,Charles C. Hill, and John L. Chow

12. Pulmonary Risk Assessment, Maurizio Cereda

13. Hematologic Risk Assessment, Carlos Marcucci, Pierre-Guy Chassot, Lars M. Asmis, and Donat R. Spahn

PART III: PRESERVATION OF ORGAN FUNCTION AND PREVENTION AND MANAGEMENT OF PERIOPERATIVE ORGAN DYSFUNCTION

CARDIOVASCULAR SYSTEM

14. Prevention of Ischemic Injury in Cardiac Surgery, Matthew Agnew, Christopher Salerno, and Edward D. Verrier

15. Prevention of Ischemic Injury in Noncardiac Surgery, Don Poldermans

16. Treatment of Perioperative Ischemia, Infarction, and Ventricular Failure in Cardiac Surgery, Brian Lima and Carmelo A. Milano

17. Perioperative Management of Valvular Heart Disease, Igor Izrailtyan and Joseph P. Mathew

18. Prevention and Management of Perioperative Dysrhythmias, Martin Slodzinski

RENAL SYSTEM

19. Preservation of Renal Function, Mark Stafford-Smith

20. Treatment of Acute Oliguria, John A. Kellum

21. Perioperative Management of the Patient with Renal Failure, Per-Olof Jarnberg

PULMONARY SYSTEM

22. Prevention and Treatment of Pulmonary Dysfunction, Christine A. Doyle, and Ronald G. Pearl

CENTRAL NERVOUS SYSTEM

23. Carotid and Intracranial Surgery, Frederick W. Lombard,Michael L. James, John C. Keifer, David McDonagh, David Warner, and Cecil O. Borel

24. Protecting the Central Nervous System during Surgery, Hilary P. Grocott

25. Preservation of Spinal Cord Function, Michael M. McGarvey, Albert T. Cheung

26. Perioperative Management of Acute Central Nervous System Injury, W. Andrew Kofke

GASTROINTESTINAL SYSTEM

27. Prevention and Treatment of Gastrointestinal MorbidityDuane Funk and Tong J. Gan

HEMATOLOGY AND COAGULATION

28. Prevention and Management of Deep Vein Thrombosis and Pulmonary Embolism, Jagajan Karmacharya and Edward Y. Woo

29. Perioperative Management of Bleeding and Transfusion, Steven E. Hil and Richard C. D`Alonzo

INFECTIONS

30. Prevention of Perioperative and Surgical Site Infection, Carlene A. Muto and Marian Pokrywska

OBSTETRIC

31. Perioperative Protection of the Pregnant Woman, Theodore G. Cheek

32. Preservation of Fetal Viability in Noncardiac Surgery, Robert R. Gaiser and Mary K. McHugh

PART IV: EARLY POSTOPERATIVE CARE

SPECIFIC OPERATIONS

33. Cardiac Surgery, G. Burkhard Mackensen

34. General Thoracic Surgery, Todd W. Sarge and Alan Lisbon

35. Major Abdominal Surgery, Patrick J. Neligan and Jacob Gutsche

36. Major Orthopaedic Surgery, Babak Sarani, David T. Huang, and Robin West

37. Solid Organ Transplantation, David C. Kaufman and Carolyn E. Jones

38. Multisystem Trauma, Patrick K. Kim.and Patrick M. Reilly

39. Neurosurgery, Michael L. James and Cecil O. Borel

SPECIFIC PROBLEMS

40. Sepsis and Septic Shock, Michael D. Malinzak and Laura E. Niklason

41. Acute Respiratory Failure, S. Rob Todd Gary A. Vercruysse,, and Frederick A. Moore

42. Endocrine and Electrolyte Disorders, Eugene W. Moretti, and Duane Funk

43. Pain, Delirium, and Anxiety, Winston C. V. Parris and Lesco Rogers

PART V: CONFLICTING OUTCOMES

44. Economic Analysis of Perioperative Optimization, Tom Archer,Steve Mannis, and .Alex Maccario

45. Pay for Performance: An Incentive for Better Outcomes, Ronald A. Gabel

NEW PALLIATIVE CARE IN THE ICU

NEW PALLIATIVE CARE AT THE END OF LIFE

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