图书简介
It is well known that certain diseases and patient conditions are associated with increased perioperative risk. The aim of this book is to define and identify the clinical factors that warrant a broader and more detailed assessment of pre-operative surgical risk in difficult and unusual clinical settings. One of the sections is dedicated to the main pathway of peri- and post-surgical critical care based on the patient-specific deterioration risk and associated diseases; here, a panel of selected experts describes the correct patient-oriented pathways for complex or unscheduled surgical operations in order to reduce the operative risk. In addition, the book describes the latest trends in minimally invasive surgical techniques that are associated with peri- and post-operative risk reduction, and provides an overview of recent advances in surgical simulation, focusing on perspectives in surgical research to increase patient safety.Guidance is also provided on extracorporeal membrane oxygenation (ECMO), Left Ventricular Assist Devices (LVADs), and their management in patients requiring emergency surgery. The book will help surgical trainees recognize cases with the highest surgical risk and identify the most common complications at an early stage.
Defining the high-risk surgical patient.- The frail patient in the operating room: practical steps to reduce the operative risk.- The high risk surgical patients: the pathophysiologic perspective.- Monitoring and interpretation of vital signs in the high risk surgical patients.- Evaluation and critical care management of the burn patients.- Acid-base abnormalities in surgical patients admitted to intensive care unit.- Pre-operative cardiovascular risk assessment in non-cardiac general surgery.- Post-operative liver failure and pre-operative evaluation of the risk of surgery in patients with liver disease.- Radiology for surgeons: improving the diagnostic accuracy in the high risk surgical patient.- Oncologic emergencies in patients undergoing major surgery.- The paediatric high risk surgical patients.- Difficult intubation in high-risk surgical patients.- Recognition and early management of sepsis in frail patients.- Preoperative evaluation for complex pulmonary surgery: how can we balance the risk?.- Assessment of pre-operative risk in complex cardiac surgery.- Patient safety in surgery: strategies to achieve the best outcomes in high-risk surgical patients.- Strategies to reduce the risk of post-operative pulmonary complications.- Prevention and management of perioperative neurological complications in high-risk surgical patients.- Acute aortic syndrome: a high-risk missed diagnosis in ED.- Percutaneous Interventional Treatment of Structural Heart Diseases (Non-coronary).- New technologies in urologic surgery: Robotic and minimally invasive procedures.- New Trends in vascular surgery: less open and more endovascular procedures.- New trends in laparoscopic procedures in the emergency abdominal surgery.- New trends in the treatment of severe acute pancreatitis.- Point of Care US in the preoperative evaluation of the high-risk surgical patient requiring urgent non-cardiac surgery.- Perioperative monitoring in the high-risk surgical patients: a step-by-step approach.- High-risk pancreatic anastomosis: Prediction, mitigation, and management of postoperative pancreatic fistula?.- Anaesthesia in high-risk surgical patients with uncommon diseases.- Perioperative management and surgical challenges in patients with spinal cord dysfunction.- Non-invasive ventilation in the high-risk surgical patients.- Extracorporeal membrane oxygenation (ECMO) for critically ill patients in the emergency department.- Perioperative management of major bleeding and coagulopathy in high-risk surgical patients.- The endovascular management of post-operative bleeding.- Evaluation and management of malnutrition in the high-risk surgical patient.- The role of selective drug therapy in reducing mortality in the high- risk surgical patients.- Mechanical Circulatory Support Strategies in Cardiogenic Shock.- Evaluation and management of patients with Left Ventricular Assist Device (LVAD) requiring non-cardiac surgical procedures.- Rescue surgery and failure to rescue.- Endoscopic Mucosal Resection and Endoscopic Submucosal Dissection for GI neoplasms in frail patients.- Advanced therapeutic endoscopy for acute pancreatic and biliary diseases in frail patients.- Appropriate perioperative therapy in patients with chronic heart failure undergoing surgery.- Robot-assisted pancreatic surgery: safety and feasibility.- Advanced laparoscopic liver surgery: a safe therapeutic option.- Major complications in hepatobiliary and pancreatic surgery.- Major complications after oesophageal, gastrointestinal and bariatric surgery.- Major complications of vascular surgery.- Major complications of urologic surgery.- Major complications
