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, nonecombines 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, chronicobstructive 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 indetail.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; Preoperative Process: Phone Triage, Preoperative Clinic, or Virtual Patient Visits; Perioperative Surgical Home Care Model: Utopia or Bureaucracy?; Choosing Wisely: How to Advise the Patient on Preoperative Testing; My 79-Year-Old Patient for Right Inguinal Hernia Repair Has No Labs on File; Medication Management: Drug-Eluting Stent 2 Months Ago; Perioperative Management of Medications for Substance Use Disorders; Indications for Preoperative C-Spine Imaging for Elective Procedures; Prehabilitation Before Total Hip Replacement; Cardiopulmonary Exercise Testing; PART II AGE; Ex-Premie for Interval Hernia Repair at 11 Weeks; Geriatric Assessment: The Get Up and Go, Got Up and Left; PART III ORGAN SYSTEMS; AHA Guidelines Application; Perioperative Atrial Fibrillation and Anticoagulation Management; Severe Aortic Stenosis: Candidate for a Surgicenter?; Does Your Cataract Surgeon Know You Were Admitted for Heart Failure Last Week?; Echo Shows Elevated Pulmonary Artery Pressure; Shoulder Replacement in Patient Who Had a Heart and Lung Transplant; COPD: Still Smoking, Still Wheezing; Severe OSA in the Ambulatory Setting; COVID-19; Cirrhosis and Truly Elective Major Surgery; Patient Has Seizures and Needs Clearance; Clinical Application of Perioperative Brain Health; Restrictive Lung Disease from Parkinsons Disease Rigidity: Is It Real?; A 56-Year-Old with a Recent CVA for Elective Surgery: How Soon Is Too Soon? 291; Avoiding Exacerbation of Chronic Kidney Disease; Preoperative Anemia Management: Evaluation and Treatment; Prolonged PTT in a Healthy Patient; Elevated Glucose on Admission Fingerstick: How High Can We Go?; Pheochromocytoma and MEN Syndromes; PART IV WOMENS HEALTH; Pregnant Patient for Non-Obstetric Surgery; Older Primigravida with Twin Pregnancy for Elective Cesarean Delivery; Minimally Invasive Surgery and Other Elements of Enhanced Recovery Protocols; Blood Conservation; PART VI ETHICS AND SHARED DECISION-MAKING; When DNR Stands in the OR: Who Benefits? Who Decides?; Informed Consent: Do We Really Do This Correctly?; Can I Refuse to Anesthetize This Patient?; Difficult Conversations; This Patient Has 17 Allergies: Including General Anesthesia; Nonverbal Autistic 30-Year-Old for Full Mouth Dental Rehabilitation with Malignant Hyperthermia; Patient with AAA with Implanted Spinal Cord (Neuro) Stimulator; Patient with Pacemaker-Dependent ICD for Renal Cryoablation; My Friends Son Requests Surgery for Gynecomastia Caused by the Drugs He Uses for Bodybuilding; Perioperative Care of the Cancer Patient; PART VIII PACU; Discharge Criteria in Developmentally Disabled Patient with OSA; My Patient Is Twitching Like a Fish Out of Water: Avoiding the Risks of Residual Paralysis; My Patient in the PACU Is Not Making Any Sense; The HR Monitor Is Alarming in the PACU: Postoperative Arrhythmias;
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