Perioperative Medicine: Medical Consultation and Co–management

Provides a comprehensive evidence–based guide to the management of the growing population of patients who require perioperative care

Perioperative Medicine: Medical Consultation and Co–Management is the first comprehensive reference text developed specifically for hospitalists but envisioned also to help internists, anesthesiologists, allied health professionals, fellows, residents, and medical students manage various aspects of the medical care of the surgical patient. The book features both the preoperative and postoperative medical management of the surgical patient. It focuses on systems, operations, quality of perioperative care, and preoperative assessment of the patient, all in consideration with system–specific risk and evidence–based strategies that minimize risk. It places special emphasis on care of the older hospitalized surgical patient and offers a thorough discussion of post–operative conditions and their management.

Chapters cover vital topics such as:

Hospitalist as a Medical Consultant Co–Management of the Surgical Patient Preoperative Evaluation Improving the Quality and Outcomes of Perioperative Care Developing, Implementing, and Operating a Preoperative Clinic Assessing and Managing Risk of Major Organ Systems Assessing and Managing Disorders for Surgery Postoperative Care and Co–Management by Surgery Type Managing Common Postoperative Conditions

With the core responsibilities of perioperative care falling more and more on the shoulders of hospitalists, internists, and allied health professionals, Perioperative Medicine is a much–needed guide for managing the clinical and operational issues associated with caring for hospitalized surgical patients.

PREFACE xi

CONTRIBUTORS xiii

PART I SYSTEMS OF CARE, QUALITY, AND PRACTICE MANAGEMENT

1 HOSPITALIST AS A MEDICAL CONSULTANT 3
Siva S. Ketha and Amir K. Jaffer

2 CO–MANAGEMENT OF THE SURGICAL PATIENT 11
Eric Siegal

3 IMPROVING THE QUALITY AND OUTCOMES OF PERIOPERATIVE CARE 21
Mihaela Stefan and Peter K. Lindenauer

4 THE PREOPERATIVE EVALUATION: HISTORY, PHYSICAL EXAM, AND THE ROLE OF TESTING 35
Paul J. Grant

5 PERIOPERATIVE MEDICATION MANAGEMENT 47
Christopher Whinney

6 DEVELOPING, IMPLEMENTING, AND OPERATING A PREOPERATIVE CLINIC 63
Seema Chandra, Daniel Fleisher, and Amir K. Jaffer

7 DEVELOPING, IMPLEMENTING, AND OPERATING A MEDICAL CONSULTATION SERVICE 75
Joshua D. Lenchus and Kurt Pfeifer

8 PERIOPERATIVE MEDICINE: CODING, BILLING, AND REIMBURSEMENT ISSUES 85
Jessica Zuleta and Seema Chandra

PART II ASSESSING AND MANAGING RISK BY ORGAN SYSTEM OR SPECIAL POPULATION

9 ASSESSING AND MANAGING CARDIOVASCULAR RISK 97
Vineet Chopra and James B. Froehlich

10 ASSESSING AND MANAGING PULMONARY RISK 115
Gerald W. Smetana

11 ASSESSING AND MANAGING ENDOCRINE DISORDERS 131
David Wesorick

12 ASSESSING AND MANAGING HEPATOBILIARY DISEASE 149
Aijaz Ahmed and Paul Martin

13 ASSESSING AND MANAGING HEMATOLOGIC DISORDERS 163
M. Chadi Alraies and Ajay Kumar

14 RENAL DISEASE AND ELECTROLYTE MANAGEMENT 185
Maninder S. Kohli

15 ASSESSING AND MANAGING NEUROVASCULAR, NEURODEGENERATIVE, AND NEUROMUSCULAR DISORDERS 201
Peter G. Kallas

16 ASSESSING AND MANAGING RHEUMATOLOGIC DISORDERS 215
Gregory C. Gardner and Brian F. Mandell

17 ASSESSING AND MANAGING PSYCHIATRIC DISEASE 231
Elias A. Khawam, Anjala V. Tess, and Leo Pozuelo

18 THE PREGNANT SURGICAL PATIENT 251
Michael P. Carson

19 THE PATIENT WITH CANCER 267
Sunil K. Sahai and Marc A. Rozner

PART III POSTOPERATIVE CARE AND CO–MANAGEMENT BY SURGERY TYPE

20 CARDIAC SURGERY 285
Uzma Abbas and Andres F. Soto

21 INTRA–ABDOMINAL AND PELVIC SURGERY 301
M. Chadi Alraies and Franklin Michota

22 MAJOR ORTHOPEDIC SURGERY 309
Barbara Slawski

23 TRAUMA SURGERY 325
Fahim A. Habib, Nikolay Buagev, and Mark G. McKenney

24 NEUROSURGERY 339
Christina Gilmore Ryan, Kamal S. Ajam, and Rachel E. Thompson

25 BARIATRIC SURGERY 357
Donna L. Mercado, Mihaela Stefan, and Xiao Liu

26 OPHTHALMIC SURGERY 373
Jessica Zuleta and Aldo Pavon Canseco

PART IV COMMON POSTOPERATIVE CONDITIONS

27 SEPSIS 385
Lena M. Napolitano

28 POSTOPERATIVE CARDIAC COMPLICATIONS 407
Efren C. Manjarrez, Karen F. Mauck, and Steven L. Cohn

29 POSTOPERATIVE NAUSEA AND VOMITING 425
Tina P. Le and Tong J. Gan

30 DELIRIUM 439
Dimitriy Levin and Jeffrey J. Glasheen

31 POSTOPERATIVE FEVER 451
James C. Pile

32 VENOUS THROMBOEMBOLISM 463
Darrell W. Harrington and Katayoun Mostafaie

33 SURGICAL SITE INFECTIONS 485
Emily K. Shuman and Carol E. Chenoweth

34 POSTOPERATIVE KIDNEY INJURY 499
Charuhas V. Thakar

35 PERIOPERATIVE PAIN 517
Daniel Berland and Naeem Haider

INDEX 537

This unique book is a must–have for any hospitalist,surgeon, resident, or fellow who is involved in the medical care ofsurgical patients. Using evidence–based medicine, it discussesassessment of preoperative risk, strategies that minimize risk, andmanagement of common postoperative conditions.  (Doody s, 4 January 2013)