Recent Strategies in High Risk Surgery

• Autore: Faintuch Joel
• Pubblicazione: Cham : , : Springer International Publishing AG, , 2024; ©2024
• Edizione: 1st ed.
• Descrizione fisica: 1 online resource (745 pages)
• Altri autori: FaintuchSalomao
• Nota di contenuto: Intro -- Preface -- References -- Contents -- Part I: Preoperative Evaluation and Management -- Chapter 1: Surgical Risk in Distressed or Underserved Populations -- Introduction -- Cardiothoracic and Vascular Surgeries -- Surgical Oncology -- Trauma and Emergency General Surgery -- The Interplay Between Race, Neighborhood, and Socioeconomic Status -- Low SES -- Neighborhood/Environment -- Access -- Hospital Quality and Volume -- Race -- Race as a Marker -- Addressing SDOH -- Solutions at the Level of the Individual Surgeon -- Systemic Solutions -- References -- Chapter 2: Implementation and Utilization of Checklists in Surgical Patient Safety -- Introduction -- What Is a Checklist? -- Deliberate Design -- Workflow Integration -- Effectiveness -- A Role for Checklists in Surgery -- Motives: Patient Safety -- Adverse Events in Surgery -- Antecedents for Checklist Interventions -- Central Line Infections -- Universal Protocol -- Additional Early Surgical Checklists -- The SURPASS Checklist -- The World Health Organization Surgical Safety Checklist (SSC) -- Development of the SSC -- Global SSC Adoption -- Checklist Outcomes in the Real World -- Implementation Matters -- Behavioral Change -- Best Practices for Implementation -- Pre-Implementation: Explore and Prepare -- Grounded in Theory -- Understanding the Local Context -- Implementation -- Customization -- Multi-Level Leadership -- Implementation Support -- Post-Implementation: Sustain -- Next Steps -- SSC in Low and Middle-Income Countries -- Slow Progress -- The Clean Cut Program -- Beyond the WHO SSC -- Technology Tools -- References -- Chapter 3: Controversies in Antibiotic Prophylaxis in Orthopaedic Surgery -- Introduction -- Early Experience -- Current Epidemiology and Microbiology -- Vancomycin-Resistant Enterococci -- Fungal Infections -- General Recommendations -- Practical Guidelines. ; Current Practice -- Timing and Duration -- Closed Fractures and Clean Elective or Semi-Elective Surgery -- Clostridioides Difficile -- Open Fractures -- Immunocompromised Patients -- Local Antibiotics -- Future Developments -- Conclusion -- References -- Chapter 4: Perioperative Hemodynamic Monitoring for High Risk Surgical Patients -- Introduction -- Defining High-Risk Patients -- Risk Index Calculators -- American Society of Anesthesiologists Physical Status (ASA-PS) -- Revised Cardiac Risk Index (RCRI) -- American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) -- Physiological and Operative Severity Score for the Enumeration of Mortality and Morbidity (POSSUM) -- Surgical Apgar Score (SAS) -- Functional Capacity Assessment -- Biomarkers -- Standard ASA Monitors -- Oxygenation -- Plethysmographic Waveform -- Ventilation -- Circulation -- Temperature -- Pulse Contour Analysis Devices -- Customized Information -- Cerebral Hemodynamics -- Invasive Arterial Pressure -- Central Venous Pressure -- Systolic Pressure Variation (SPV)/Pulse Pressure Variation (PPV) -- Stroke Volume Variation -- Pulmonary Capillary Wedge Pressure -- Mixed Venous Oxygen Saturation -- Echocardiography -- References -- Part II: Lifestyle Interventions -- Chapter 5: Prehabilitation for Gastrointestinal Cancer Surgery -- Prehabilitation: What Does It Mean in Healthcare Contexts? -- What Should Prehabilitation Comprise of? -- Exercise -- Diminished Oxidative Stress -- Nutrition -- Commercial Supplements -- Psycho-Social Support -- Cessation of Smoking and Alcohol -- Obesity Reduction -- Management of Other Medical Conditions and Pharmacological Treatments -- How Long Should Prehabilitation Be? -- Cancer 4-6 Week Protocols -- What Protocols are Typically Employed for Prehabilitation? -- Who Should Deliver Prehabilitation? -- Prehabilitation Clinics. ; How Could We Facilitate Remote Prehabilitation? -- Principles of Telehealth -- How Can We Harness New Technologies to Facilitate Remote Prehabilitation? -- Limitations to Widespread Adoption of Prehabilitation -- Should All Gastrointestinal Cancer Patients Be Enrolled? -- What are the Outcomes of Prehabilitation? -- References -- Chapter 6: Efficacy of Prehabilitation in Abdominal Cancer Surgery -- Introduction -- Whole Body Prehabilitation -- Randomised Trials -- Respiratory Prehabilitation -- Inspiratory Muscle Training (IMT) -- Who Needs Prehabilitation? -- The "Higher-Risk" Surgical Patient -- The Impact of Neo-Adjuvant Cancer Treatments -- Stepped Care -- Controversies in Prehabilitation -- Case Reports -- Conclusions and Future Directions -- References -- Chapter 7: Elective Surgery for Patients with Substance Use Disorder or Recent Substance Misuse -- Introduction -- Consumption Screening -- Commonly Misused Substances -- Alcohol -- Identification -- Implications for Surgery -- Management Strategies -- Tobacco -- Identification -- Implications for Surgery -- Management Strategies -- Marijuana -- Identification -- Implications for Surgery -- Management Strategies -- Inhalants -- Nitrous Oxide -- Paint Solvents -- Anesthetic Gases -- Identification -- Implications for Surgery -- Management Strategies -- CNS Depressants -- Opioids -- Identification -- Implications for Surgery -- Management Strategies -- CNS Stimulants -- Cocaine and Methamphetamines -- Identification -- Implications for Surgery -- Management Strategies -- Hallucinogens -- Lysergic Acid Diethylamide (LSD), Psilocybin, and Phencyclidine -- Identification -- Implications for Surgery -- Management Strategies -- Conclusion -- References -- Chapter 8: Illicit Drugs and Candidates for Endoscopy and Surgery -- Introduction -- Scope of the Problem -- Current Practices. ; Anesthetic Considerations -- Cannabis -- Physiologic Effects and Pharmacodynamics -- Procedural Considerations -- Anesthetic Interactions -- Perioperative Recommendations -- Cocaine -- Physiologic Effects and Pharmacodynamics -- Procedural Considerations -- Anesthetic Interactions -- Perioperative Recommendations -- Methamphetamines -- Physiologic Effects and Pharmacodynamics -- Procedural Considerations -- Anesthetic Interactions -- Perioperative Recommendations -- Opioids -- Physiologic Effects and Pharmacodynamics -- Procedural Considerations -- Anesthetic Considerations -- Perioperative Recommendations -- Alcohol -- Physiologic Effects and Pharmacodynamics -- Procedural Considerations -- Anesthetic Considerations -- Perioperative Recommendations -- References -- Chapter 9: Nutritional Care in Gastrointestinal Surgery -- Introduction -- Malnutrition, Sarcopenia, Sarcopenic Obesity -- Prognostic Implications -- Metabolic Risk -- Malnutrition According to GLIM Criteria -- Measurement of Muscle Mass -- Sarcopenic Obesity -- Nutritional Assessment in the Preoperative Period -- Indication for Nutrition Therapy -- Immune Enhancement -- Prehabilitation -- Perioperative Nutrition Therapy -- Enteral Feeding-Jejunostomy and Nasojejunal Tube -- Gastrointestinal Complaints -- Parenteral Nutrition -- Supplemented Parenteral Nutrition Mixtures -- Complicated Course/Intensive Care Unit -- Late Postoperative Period, After Discharge -- The Bariatric Effect -- References -- Part III: Surgical Specialties -- Chapter 10: Risk Reduction in Diabetic Patients Undergoing Orthopaedic Surgery -- Introduction -- Diabetic Organ System Disease -- Hospitalist Co-management -- The Hard Stops -- Blood Sugar/Hemoglobin A1C -- Morbid Obesity -- Anemia -- Hypertension/Elevated Diastolic Blood Pressure -- The Soft Stops -- The Perioperative Period -- Perioperative Glucose Management. ; Perioperative Hypertension -- Antibiotic Prophylaxis -- Venous Thromboembolism (VTE) Prophylaxis -- Medical Optimization of Patients Undergoing Urgent or Emergent Orthopaedic Surgery -- Medical Optimization of Patients Undergoing Urgent Orthopaedic Surgery -- Medical Optimization of Patients Undergoing Elective Orthopaedic Surgery -- References -- Chapter 11: Advanced Trauma Life Support -- Initial Assessment -- A, B, C, D, E -- Primary Survey -- Shock Prevention -- Glasgow Score -- Imaging Procedures -- Secondary Inspection -- Airway and Ventilation Management -- Aspiration of Gastric Contents -- Anesthetics and Vasoactive Interactions -- Intubation and Ventilation -- Moderate Ventilation Peaks -- Shock -- Fluid Replenishment -- Tissue Perfusion and Coagulation -- Neurogenic Circulatory Shock -- Thoracic Trauma -- Rib Fractures -- Tension Pneumothorax -- Major Hemothorax -- Aortic Damage -- Cardiac Damage and Pericardial Tamponade -- Penetrating Abdominal Trauma (Gunshot or Stab Wound), Unstable -- Penetrating Abdominal Trauma, Gunshot, Stable -- Penetrating Abdominal Trauma, Stab Wound, Stable -- Penetrating Flank/Back Trauma, Stab Wound, Stable -- Penetrating Pelvic Trauma -- Blunt Abdominal Trauma, Unstable -- Blunt Abdominal Trauma, Stable -- Blunt Pelvic Trauma -- Head Trauma -- Spine and Spinal Cord Trauma -- Primary Neurogenic Shock -- Musculoskeletal Trauma -- Thermal Injuries -- Burn Shock -- Electrical Injuries -- Pediatric Trauma -- Ventilatory Assistance and Shock -- Central Nervous System Trauma -- Endotracheal Intubation -- Challenges in Diagnosis of Shock -- Geriatric Trauma -- Brain Trauma -- Reversal of Anticoagulants -- Bones and Joints -- Mandatory Legal Reporting -- Trauma in Pregnancy -- Transferring to Definitive Care -- References -- Chapter 12: Severe Traumatic Brain Injury: A Review for the General and Trauma Surgeon. ; Introduction.
• Titolo autorizzato: Recent Strategies in High Risk Surgery
• ISBN: 3-031-56270-4
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Lingua di pubblicazione: Inglese
• Record Nr.: 9910864201003321
• Lo trovi qui: Univ. Federico II