Anesthesia in High-Risk Patients
This book describes the approach to anesthetic and perioperative management in different categories of high-risk patient scheduled to undergo elective noncardiac surgery. Individual sections focus on patients with conditions entailing cardiac and hemodyna
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Anesthesia in High-Risk Patients
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Anesthesia in High-Risk Patients
Jean-Luc Fellahi • Marc Leone Editors
Anesthesia in High-Risk Patients
Editors Jean-Luc Fellahi Department of Anaesthesiology and Critical Care Medicine Louis Pradel Hosp, Hospices Civils Lyon Lyon, Rhône France
Marc Leone Service d'Anesthésie-Réanimation Hôpital Nord Marseille cedex 20 France
ISBN 978-3-319-60803-7 ISBN 978-3-319-60804-4 (eBook) https://doi.org/10.1007/978-3-319-60804-4 Library of Congress Control Number: 2017954493 © Springer International Publishing AG 2018 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Foreword
The practice of anaesthesiology (which in the definition of the European Society of Anaesthesiology includes anaesthesia, intensive care and perioperative medicine as well as pain therapy) has profoundly changed since the year 2000. Anaesthesiologists are not only those specialists who are in charge of providing analgesia and comfort to those patients who undergo surgery or invasive procedures. Anaesthesiologists are now those specialists who manage patients with comorbidities so that postoperative morbidity and mortality is as low as possible. A recent European study [1] has revealed that postoperative mortality is slightly below 4%, orders of magnitude higher than the previously documented mortality associated with the practice of anaesthesia. It seems clear from this data that the practice of anaesthesiology has become the practice of perioperative medicine with new challenges: taking the patients and their comorbidities through the perioperative period so the intervention does not worsen the natural history of their comorbid
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