Perioperative Medicine – Current Controversies

This book addresses those aspects of anaestheticpractice in perioperative medicine which have a significant impact on both theimmediate and the long-term outcome for the surgical patient. PerioperativeMedicine is the natural evolution of anaesthesia from a main focus on thepatient in the operating room to a responsibility for the care of the patientfrom the time that the decision to operate is made, through to discharge fromhospital. The contributors, well-respected authors in their field, discuss therole of the perioperative medicine specialist in areas ranging frompre-operative assessment and physiological optimization via pre-habilitation,to intra-operative anaesthetic management, and post-operative care. Controversial topics discussed include fluid therapy, anaesthesia and canceroutcomes, pharmacological management of cardiac risk, and the evolution ofacute to chronic pain. Developments in regional anaesthesia, quality ofrecovery scoring, and lung ultrasound, are described. It is hoped that the chapters contained in this bookwill help to define the nascent specialty that is Perioperative Medicine, andencourage further debate, research, and expansion of this vital new frontier inanaesthetic care.

This book addresses those aspects of anaesthetic practice in perioperative medicine which have a significant impact on both the immediate and the long-term outcome for the surgical patient. Perioperative Medicine is the natural evolution of anaesthesia from a main focus on the patient in the operating room to a responsibility for the care of the patient from the time that the decision to operate is made, through to discharge from hospital. The contributors, well-respected authors in their field, discuss the role of the perioperative medicine specialist in areas ranging from pre-operative assessment and physiological optimization via pre-habilitation, to intra-operative anaesthetic management, and post-operative care. Controversial topics discussed include fluid therapy, anaesthesia and cancer outcomes, pharmacological management of cardiac risk, and the evolution of acute to chronic pain. Developments in regional anaesthesia, quality of recovery scoring, and lung ultrasound, are described.

It is hoped that the chapters contained in this book will help to define the nascent specialty that is Perioperative Medicine, and encourage further debate, research, and expansion of this vital new frontier in anaesthetic care.

1. Perioperative medicine: defining the anaesthesiologist’s role in shaping perioperative outcomes; Stundner O and Memtsoudis SG.

2. Prehabilitation; Durrand J, Hackett R, Yates D, Danjoux G.

3. Impact of co-morbidities, physiological status and age on survival; Carlisle J.

4. Transthoracic echocardiography in the preoperative clinic; Canty DJ and Royse CF.

5. Defining postoperative quality of recovery; Bowyer A and Royse CF.

6. Enhanced recovery for colorectal surgery; Fawcett WJ.

7. Perioperative beta-blockade: the pros and cons. The story of beta-blockade and cardiac protection; Higham H and Foëx P.

8. Perioperative management of the diabetic patient; Soldevila D, Lucas AM, Zavala R, Mauricio D.

9. Perioperative management of non-diabetic patients with hyperglycaemia (stress-induced hyperglycaemia); Giménez-Pérez G, Salinas I, Puig-Domingo M and Mauricio D.

10. Postoperative Pulmonary Complications; Forrest P.

11. Haemostatic resuscitation for perioperative bleeding; Spinella PC, Pidcoke HF and Cap AP.

12. Fluid therapy in trauma; James MFM and Chappell DPD.

13. Role of multimodal monitoring in the perioperative period: improving outcomes in high-risk surgical patients; Green D.

14. Can perioperative interventions during cancer surgery affect recurrence or metastasis?; Abdelrahman D and Buggy DJ.

15. Transverse abdominis plane block: evolution and current understanding; O’Leary R-A and McDonnell JG.

16. Future ultrasound technologies for the perioperative physician; McLeod G.

17. Lung ultrasound in anaesthesia and critical care medicine; Canty DJ, Haji K, Denault A and Royse, A.

18. The acute pain team; Edwards DA, Kent M, Le-Wendling L and Tighe PJ.

19. The transition of acute post-operative pain to acute persistent pain to chronic pain: assessing and managing the risks; Shipton EA.