Perioperative Medicine
Patients undergoing surgery often have medical problems that may influence their perioperative risk. Optimal management involves collaboration of the health care team members including the medical consultant, anesthesiologist, and surgeon. Perioperative M
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Steven L. Cohn (Editor)
Perioperative Medicine
Editor Steven L. Cohn Director – Medical Consultation Service Kings County Hospital Center Clinical Professor of Medicine SUNY Downstate Brooklyn, NY
ISBN 978-0-85729-497-5 e-ISBN 978-0-85729-498-2 DOI 10.1007/978-0-85729-498-2 Springer London Dordrecht Heidelberg New York British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Control Number: 2011931531 © Springer-Verlag London Limited 2011 Apart from any fair dealing for the purposes of research or private study, or criticism or review, as permitted under the Copyright, Designs and Patents Act 1988, this publication may only be reproduced, stored or transmitted, in any form or by any means, with the prior permission in writing of the publishers, or in the case of reprographic reproduction in accordance with the terms of licenses issued by the Copyright Licensing Agency. Enquiries concerning reproduction outside those terms should be sent to the publishers. The use of registered names, trademarks, etc., in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant laws and regulations and therefore free for general use. Product liability: The publisher can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature. Cover design: eStudioCalamar, Figueres/Berlin Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)
Preface
Preoperative risk assessment and perioperative management are important aspects of c linical practice in internal medicine. Whereas surgeons and anesthesiologists spend most of their time caring for patients in the perioperative period, many primary-care physicians and hospitalists may feel inadequately trained or uncomfortable in this setting. The goal of this book is to provide a streamlined approach to the medical aspects of perioperative care, limiting content to make it an easily readable and clinically useful guide. It is intended for use by hospitalists, general internists and specialists, anesthesiologists, surgeons, and residents in training who are involved in the care of patients before and after surgery. The book is divided into four parts. The first part addresses general aspects of perioperative care, preoperative testing, medication management, and prophylaxis (surgical site infection, venous thromboembolism, endocarditis). The second part highlights aspects specific to various types of surgery, including patient- and surgery-specific risk factors and procedural complications. The third part reviews preoperative evaluation and perioperative management of coexisting medical conditions that affect surgical risk. The last part covers evaluation and management of some of the more frequently encountered postoperative complications. Bec
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