BOOK
Management of Peri-operative Complications, An Issue of Surgical Clinics - E-Book
Stanley H. Rosenbaum | Lewis J. Kaplan
(2012)
Additional Information
Book Details
Abstract
Management of Peri-operative Complications is examined in the issue of Surgical Clinics, guest edited Drs. Lewis Kaplan and Stanley Rosenbaum. Topics include: fluids and electrolytes, hypoperfusion, shock states and ACS, surgical prophylaxis and complication avoidance bundles, NSQIP, SCIP and TQIP, post-operative malnutrition and probiotic therapy, post-operative malnutrition and probiotic therapy, damage control for intra-abdominal sepsis, multi-drug resistant organisms and antibiotic management, pneumonia and acute pulmonary failure, organ failure avoidance and mitigation strategies, delirium, EtOH withdrawal and polypharmacy withdrawal states, cellular and molecular physiology of nerve injury and persistent post-operative pain, acute pain management following operation: preventing chronic post-operative pain, massive transfusion and related issues, post-op ileus, SBO and colonic dysmotility, GI hemorrhage, and in-hospital rescue therapies.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Management of Peri-Operative Complications\r | i | ||
| Copyright Page\r | ii | ||
| Table of Contents | vii | ||
| Contributors | iii | ||
| Foreword: Management of Peri-operative Complications | xiii | ||
| Preface: Management of Peri-operative Complications | xv | ||
| Chapter 1. Fluid and Electrolyte Management for the Surgical Patient | 189 | ||
| FLUIDS AND GOALS | 190 | ||
| SPECIFIC FLUID TYPES | 191 | ||
| SPECIFIC ELECTROLYTE ABNORMALITIES | 194 | ||
| DISORDERS OF SODIUM BALANCE | 194 | ||
| DISORDERS OF POTASSIUM BALANCE | 196 | ||
| DISORDERS OF CALCIUM BALANCE | 197 | ||
| DISORDERS OF MAGNESIUM BALANCE | 199 | ||
| DISORDERS OF PHOSPHATE BALANCE | 199 | ||
| DISORDERS OF CHLORIDE BALANCE | 200 | ||
| SPECIAL CONSIDERATIONS | 201 | ||
| A UNIFYING APPROACH | 202 | ||
| SUMMARY | 203 | ||
| REFERENCES | 204 | ||
| Chapter 2. Hypoperfusion, Shock States, and Abdominal Compartment Syndrome (ACS) | 207 | ||
| DEFINITIONS | 207 | ||
| EPIDEMIOLOGY OF IAH/ACS | 207 | ||
| MEASUREMENT OF IAP | 208 | ||
| PHYSIOLOGY | 208 | ||
| CLINICAL PRACTICE | 212 | ||
| SUMMARY | 216 | ||
| REFERENCES | 216 | ||
| Chapter 3. Massive Transfusion of Blood in the Surgical Patient | 221 | ||
| DEFINITION | 222 | ||
| HISTORICAL PERSPECTIVE | 222 | ||
| STORAGE AND COMPATIBILITY CONSIDERATIONS | 223 | ||
| TEMPERATURE, BASE DEFICIT, AND pH | 225 | ||
| WHOLE BLOOD | 226 | ||
| BLOOD PRODUCTS BY COMPONENT AND RATIOS DATA | 227 | ||
| TRANSFUSION-RELATED ACUTE LUNG INJURY | 227 | ||
| FACTOR VIIa | 229 | ||
| SUMMARY | 231 | ||
| REFERENCES | 231 | ||
| Chapter 4. Postoperative Gastrointestinal Hemorrhage | 235 | ||
| INCIDENCE | 236 | ||
| CAUSES | 236 | ||
| SRMD | 237 | ||
| GENERAL APPROACH TO POSTOPERATIVE GI BLEEDING | 238 | ||
| LOCALIZATION OF THE BLEEDING SOURCE | 239 | ||
| CONTROL OF HEMORRHAGE | 240 | ||
| IDENTIFICATION OF DISORDER CONTRIBUTING TO THE BLEEDING SOURCE | 241 | ||
| REFERENCES | 241 | ||
| Chapter 5. Damage Control for Intra-Abdominal Sepsis | 243 | ||
| HISTORY AND EVOLUTION OF DAMAGE CONTROL | 243 | ||
| INDICATIONS FOR DAMAGE CONTROL | 244 | ||
| DAMAGE-CONTROL SEQUENCE FOR ABDOMINAL SEPSIS | 244 | ||
| COMPLICATIONS | 248 | ||
| SUMMARY | 249 | ||
| REFERENCES | 249 | ||
| Chapter 6. Pathogenesis and Clinical and Economic Consequences of Postoperative Ileus | 259 | ||
| FISCAL BURDEN OF POI | 259 | ||
| PATHOGENESIS OF POI | 260 | ||
| DIAGNOSIS AND TREATMENT OF POI | 261 | ||
| EPSBO | 262 | ||
| ACUTE COLONIC PSEUDO-OBSTRUCTION (OGILVIE SYNDROME) | 264 | ||
| ENHANCED RECOVERY AFTER SURGERY | 265 | ||
| POTENTIAL ROLE OF ALVIMOPAN | 266 | ||
| MEDICATIONS UNDER INVESTIGATION FOR POI | 266 | ||
| SUMMARY | 266 | ||
| REFERENCES | 267 | ||
| Chapter 7. Perioperative Nutritional Support: Immunonutrition, Probiotics, and Anabolic Steroids | 273 | ||
| MEASUREMENT OF MALNUTRITION | 274 | ||
| PHYSIOLOGIC CHANGES WITH GASTROINTESTINAL TRACT DISUSE | 274 | ||
| DETERMINATION OF NUTRITIONAL SUPPORT | 274 | ||
| ENTERAL VERSUS PARENTERAL NUTRITIONAL SUPPORT | 275 | ||
| TIMING OF ENTERAL NUTRITION SUPPORT | 276 | ||
| IMMUNONUTRITION | 276 | ||
| PROBIOTICS | 278 | ||
| ANABOLIC STEROIDS AND GROWTH FACTOR THERAPY | 278 | ||
| SUMMARY | 279 | ||
| REFERENCES | 279 | ||
| Chapter 8. Surgical Prophylaxis and Other Complication Avoidance Care Bundles | 285 | ||
| DEVELOPMENT AND IMPLEMENTATION OF CARE BUNDLES | 286 | ||
| VAP BUNDLE | 286 | ||
| CVC BUNDLE | 288 | ||
| SEPSIS BUNDLES | 290 | ||
| SSI PREVENTION BUNDLES | 294 | ||
| SUMMARY | 298 | ||
| REFERENCES | 299 | ||
| Chapter 9. Organ Failure Avoidance and Mitigation Strategies in Surgery | 307 | ||
| ORGAN FAILURE AND MULTIORGAN DYSFUNCTION SYNDROME | 307 | ||
| CURRENT STRATEGIES FOR PREVENTION AND MITIGATION | 308 | ||
| GENERALIZED PREVENTION | 308 | ||
| ONCE MODS SETS IN, WHAT THERAPIES ARE AVAILABLE TO THE PATIENT? | 309 | ||
| STRATEGIES BY ORGAN SYSTEM | 309 | ||
| THE FUTURE | 314 | ||
| SUMMARY | 314 | ||
| REFERENCES | 314 | ||
| Chapter 10. Postoperative Pulmonary Complications: Pneumonia and Acute Respiratory Failure | 321 | ||
| POSTOPERATIVE PULMONARY COMPLICATIONS | 321 | ||
| PREVENTION OF POSTOPERATIVE PULMONARY COMPLICATIONS | 322 | ||
| PNEUMONIA | 325 | ||
| ACUTE RESPIRATORY FAILURE | 337 | ||
| SUMMARY | 339 | ||
| REFERENCES | 339 | ||
| Chapter 11. Multidrug-Resistant Organisms and Antibiotic Management | 345 | ||
| CAUSES OF ANTIBIOTIC RESISTANCE | 346 | ||
| MECHANISMS OF BACTERIAL RESISTANCE | 348 | ||
| FLUOROQUINOLONE RESISTANCE | 355 | ||
| TETRACYCLINE AND GLYCYLCYCLINE RESISTANCE | 356 | ||
| AMINOGLYCOSIDE RESISTANCE | 356 | ||
| VANCOMYCIN RESISTANCE | 357 | ||
| LINEZOLID RESISTANCE | 357 | ||
| DAPTOMYCIN RESISTANCE | 357 | ||
| RESISTANCE TO POLYMYXINS | 358 | ||
| RESISTANCE IN SPECIFIC BACTERIA | 358 | ||
| LABORATORY DETECTION OF ESBL-PRODUCING BACTERIA | 361 | ||
| EPIDEMIOLOGY OF MDR INFECTIONS | 362 | ||
| PRINCIPLES OF ANTIBIOTIC THERAPY | 365 | ||
| SPECTRA OF ANTIBIOTIC ACTIVITY USEFUL FOR MDR ORGANISMS | 371 | ||
| DURATION OF THERAPY | 378 | ||
| MANAGING THE MICROBIAL ECOLOGY OF THE UNIT | 378 | ||
| REFERENCES | 380 | ||
| Chapter 12. Prevention of Chronic Pain After Surgical Nerve Injury: Amputation and Thoracotomy | 393 | ||
| ACUTE POSTSURGICAL PAIN | 393 | ||
| CHRONIC POSTSURGICAL PAIN: AMPUTATION | 394 | ||
| CHRONIC POSTSURGICAL PAIN: THORACOTOMY | 394 | ||
| RISK FACTORS FOR DEVELOPING CHRONIC POSTSURGICAL PAIN | 395 | ||
| ACUTE PAIN MANAGEMENT TECHNIQUES | 395 | ||
| EPIDURAL ANALGESIA: AMPUTATION | 396 | ||
| EPIDURAL ANALGESIA: THORACOTOMY | 396 | ||
| REGIONAL ANALGESIA: AMPUTATION | 397 | ||
| REGIONAL ANALGESIA: THORACOTOMY | 397 | ||
| SYSTEMIC MULTIMODAL ANALGESIA | 398 | ||
| SUMMARY AND FUTURE DIRECTIONS | 400 | ||
| ACKNOWLEDGMENTS | 400 | ||
| REFERENCES | 400 | ||
| Chapter 13. Postoperative Complications: Delirium | 409 | ||
| CAUSES OF DELIRIUM | 410 | ||
| PATHOPHYSIOLOGY OF DELIRIUM | 411 | ||
| EVALUATION OF THE PATIENT | 414 | ||
| RISK FACTORS | 415 | ||
| PREOPERATIVE | 415 | ||
| OPERATIVE | 416 | ||
| POSTOPERATIVE | 417 | ||
| PREVENTION AND TREATMENT | 421 | ||
| SUMMARY | 425 | ||
| REFERENCES | 425 | ||
| Chapter 14. Rescue Therapies in the Surgical Patient | 433 | ||
| MEDICAL EMERGENCY TEAMS | 433 | ||
| RESPIRATORY EVENTS | 434 | ||
| CARDIAC EVENTS | 436 | ||
| NEUROLOGIC EVENTS | 437 | ||
| SUMMARY | 438 | ||
| REFERENCES | 438 | ||
| Chapter 15. The American College of Surgeons Trauma Quality Improvement Program | 441 | ||
| WHY EVOLVE? A HISTORY OF TRAUMA PERFORMANCE IMPROVEMENT AND A PLACE FOR ACS TQIP | 441 | ||
| A CASE FOR ACS TQIP | 443 | ||
| FROM ACS NSQIP TO TQIP | 445 | ||
| CHALLENGES TO THE DEVELOPMENT AND IMPLEMENTATION OF ACS TQIP | 445 | ||
| CURRENT STATE OF ACS TQIP | 448 | ||
| FUTURE INITIATIVES IN ACS TQIP | 451 | ||
| SUMMARY | 453 | ||
| REFERENCES | 453 | ||
| Index | 455 |