The second edition of this successful text discusses the complete range of high risk situations likely to be encountered in anesthetic practice, providing practical advice on pre-, intra- and post-operative management for both elective and emergency surgery. The introductory section gives background information on risks and complications, enabling the reader to accurately and quickly assess patients. Emphasis is placed on cardiovascular risk, cardiac disease and cardiac management, but all key risks are assessed. The second section covers specific surgical scenarios such as managing the critically ill patient, the elderly patient and those with cardiac co-morbidities. Written in a concise, practical style by an international team of experienced practitioners, this is a user-friendly guide to the perioperative management of all high risk patients, and is an invaluable resource for all anesthetists, intensivists and hopsitalists.
Indice testuale
Foreword D. Cheng; Preface; 1. Risk and risk assessment N. Moreland and A. Adams; 2. Lessons from anaesthetic audits R. Sharma, C. Dunkley and I. McConachie; 3. Assessment of cardiovascular risk N. Moreland and A. Adams; 4. Perioperative use of cardiac medications in the high risk patient C. Railton; 5. Pharmaco-physiological approaches to the high risk surgical patient M. Cutts; 6. Respiratory risk and complications J. Granton; 7. Analgesia for the high risk patient C. Clarke and P. Morley Foster; 8. Regional anaesthesia for the high risk patient S. Dhir; 9. Anaemia, coagulopathy and blood transfusion I. McConachie; 10. The obese or malnourished patient S. Balasubramanian and P. S. Hegde; 11. Smoking, alcohol and recreational drug abuse G. Evans and I. McConachie; 12. Identification of deterioration in the perioperative period P. Dean, J. Cupitt and I. McConachie; 13. Perioperative renal insufficiency and failure R. Kishen; 14. The critically ill patient undergoing surgery I. McConachie; 15. The elderly patient S. Vaughan, I. McConachie and N. Imasogie; 16. The patient with cardiac disease undergoing non cardiac surgery C. Harle; 17. Vascular surgery D. Sebastian and I. McConachie; 18. Gastrointestinal surgery T. Turkstra and P. Jones; Index.
