Perioperative Medicine for the Junior Clinician

Perioperative Medicine for the Junior Clinician is the first easy–to–read resource, featuring a digital component, on how to manage a diverse range of patients in the perioperative period, providing up–to–date practical knowledge and advice from a broad range of medical specialists caring for surgical patients.

Perioperative Medicine for the Junior Clinician provides a guide to perioperative care, covering principles and practices of care; risk assessment; laboratory investigations; medication management; specific medical conditions and complications; postoperative care and pain management. It also features bite–size videos explaining the key concepts, as well as case studies, investigations and quizzes.

Ideal for final year medical students and junior clinicians, this digital and print resource will be an invaluable tool when working in this multidisciplinary, team–based specialty.

Perioperative Medicine for the Junior Clinician:

Is based on a sell–out course run at the Alfred Hospital and Monash University in Melbourne, Australia Is a practical resource available in a flexible and portable content Features bite–size videos which further explain concepts in the written text, and clinically relevant case studies, all found on the companion website Is structured around guidelines and protocols

The video materials, case studies, self–assessment quizzes and fully explained answers can be viewed on the companion website at www.wiley.com/go/symons/perioperativemedicine

Foreword
Monty Mythen

Preface
Paul Myles

Acknowledgements

Abbreviations

Notes on Contributors

Part I: INTRODUCTION

1 The Role of the Perioperative Medicine Physician
Mike Grocott

2 The Role of the Pre–admission Clinic
James Tomlinson

3 Consent
Justin Burke

4 The Early Postoperative Round
Debra Devonshire and Paul Myles

5 Quality Improvement and Patient Safety
Stuart Marshall

6 Intraoperative and Postoperative Monitoring
Philip Peyton

7 Drugs Used for Anaesthesia and Sedation
Alex Konstantatos

8 The Recovery Room
Arvinder Grover

9 Perioperative Genomics
Christopher Bain and Andrew Shaw

Part II: PREOPERATIVE RISK ASSESSMENT

10 Perioperative Medication Management
Paul Myles

11 The Cardiac Patient for Non–cardiac Surgery
Howard Machlin

12 Cardiovascular Risk Assessment in Cardiac Surgery
Christopher Duffy

13 Options for Preoperative Cardiac Testing
Joshua Martin and Peter Bergin

14 Airway Assessment and Planning
Pierre Bradley and Joel Symons

15 Pulmonary Risk Assessment
David Daly

16 Preoperative Cardiopulmonary Exercise Testing (CPET)
Chris Snowden and Serina Salins

17 Anaemia
Amanda Davis and Angus Wong

18 Central Nervous System Risk Assessment
Richard Stark

19 Risk Assessment for Perioperative Renal Dysfunction
David McIlroy

20 Medical Futility and End–of–Life Care
Mark Shulman and Matthew Richardson

21 The Surgical Safety Checklist
Pedro Guio–Aguilar and Russell Gruen

PART III: PERIOPERATIVE INVESTIGATIONS

22 Preoperative Investigations (Non–cardiac Surgery)
Arvinder Grover

23 Postoperative Investigations
Arvinder Grover

PART IV: SPECIFIC MEDICATION MANAGEMENT AND PROPHYLAXIS

24 Thromboprophylaxis
Amanda Davis

25 Anticoagulants and Antiplatelet Agents
David Daly

26 Diabetes Medication
Shane Hamblin

27 Steroid Medication
Shane Hamblin

28 Opioids and Opioid Addiction
Meena Mittal and Nicholas Christelis and David Lindholm

29 Antibiotic Prophylaxis
Allen Cheng

30 Antibiotic Prophylaxis for Endocarditis
Denis Spelman

PART V: PERIOPERATIVE MANAGEMENT OF ORGAN DYSFUNCTION AND SPECIFIC POPULATION GROUPS

31 Coronary Artery Disease and Coronary Stents
Sesto Cairo

32 Hypertension
Steven Fowler and Terry Loughnan

33 Arrhythmias
Andrew Robinson

34 Pacemakers and Implanted Defibrillators
Andrew Robinson

35 Heart Failure
Vanessa van Empel and Dion Stub

36 Aortic Stenosis
Rishi Mehra

37 Pulmonary Hypertension
Mark Buckland

38 Myocarditis, Endocarditis and Cardiomyopathy
Enjarn Lin

39 Acute Lung Injury
Paul Nixon and David Tuxen

40 Obstructive Sleep Apnoea
Matthew Naughton

41 Asthma
Alan Young

42 Chronic Obstructive Pulmonary Disease
Jeremy Wrobel and Trevor Williams

43 Non–Small Cell Lung Cancer
Robert Stirling

44 Gastrointestinal Disease
Lauren Beswick and William Kemp

45 Hepatic Disease
Lauren Beswick and William Kemp

46 Oliguria
Paul Myles

47 Acute Kidney Injury
Lloyd Roberts and Owen Roodenburg

48 Renal Transplantation
Solomon Menahem

49 Diabetes Mellitus
David Story

50 Thyroid Disorders
Shane Hamblin

51 Parathyroid Disorders
Shane Hamblin

52 Adrenal Disorders
Jonathan Serpell

53 Carcinoid Syndrome
Alexandra Evans

54 Intracranial Surgery
Hilary Madder

55 Carotid Surgery
Matthew Claydon

56 Epilepsy
Richard Stark

57 Neuromuscular Disease
Erik Andersen and Andrew Kornberg

58 Trauma– Pre–theatre Management
John Moloney

59 Traumatic Brain Injury
Winifred Burnett

60 Maxillofacial Injuries
Joel Symons and Charles Baillieu

61 Spinal Injuries (excluding cervical spine)
Susan Liew

62 Cervical Spine Injury
Peter Hwang and Jin Tee

63 Chest Injuries
Silvana Marasco

64 Abdominal Injuries
Katherine Martin

65 Burns
Jamie Smart

66 Bleeding Disorders
Paul Coughlan

67 Human Immunodeficiency Virus (HIV) Infection
Anna Pierce

68 Exposure to Blood Borne Viruses
Anna Pierce

69 The Patient with Psychiatric Illness
Steven Ellen

70 Obstetric Patients having Non–obstetric Surgery
Maggie Wong

71 The Elderly Patient
Yana Sunderland

72 Allergies and Anaphylaxis
Helen Kolawole

73 Obesity
Jennifer Carden

74 Goal Directed Therapy
Andrew Toner and Mark Hamilton

75 Fluids and Electrolytes
David Story

76 Electrolyte Abnormalities
Lloyd Roberts and Carlos Scheinkestel

77 Blood Transfusion
Amanda Davis

78 Organ donation
Steve Philpot and Joshua Ihle

PART VI: EARLY POSTOPERATIVE CARE

79 Postoperative Nausea and Vomiting
Joel Symons

80 Postoperative Fluid Therapy
Dashiell Gantner

81 Ventilation Strategies
John Botha

82 Sepsis and the Inflammatory Response to Surgery
Tomas Corcoran and Kajari Roy

83 Nutritional Support
Craig Walker

84 Postoperative Surgical Complications
Katherine Martin

85 Postoperative Chest Pain
Shane Nanayakkara and Peter Bergin

86 Postoperative Shortness of Breath
KJ Farley and Deirdre Murphy

87 Postoperative Hypotension
Steven Fowler

88 Myocardial Injury after Non–cardiac Surgery (MINS)
Fernando Botto and Philip Devereaux

89 Aspiration
Alan Kakos

90 Postoperative Delirium and Postoperative Cognitive Dysfunction
Brendan Silbert and Lisbeth Evered

91 Postoperative Hyperthermia
Glenn Downey

92 Perioperative Hypothermia
John Monagle and Shashikanth Manikappa

PART VII: PAIN MANAGEMENT

93 Acute Pain
Alex Konstantatos

94 Neuropathic Pain
Tim Hucker

95 The Chronic Pain Patient
Carolyn Arnold

PART VIII: CASE STUDIES (ONLINE ONLY)

96 Case Study 1– COPD and Heart Failure
Rishi Mehra

97 Case Study 2– Trauma
Mark Fitzgerald and Emma Sim

98 Case Study 3 – Catheter–related Bloodstream Infection
Tim Leong

99 Case Study 4– Opioid Withdrawal
Meena Mittal and David Lindholm

100 Case Study 5– Delirium Tremens
Meena Mittal and David Lindholm

101 Case Study 6– Difficulty Breating in the Recovery Room
Benedict Waldron

102 Case Study 7– Addisonian Crisis
Craig Noonan

103 Case Study 8– Cardiomyopathy
Christopher Bain and Enjarn Lin

104 Case Study 9– Medical Futility
Matthew Richardson and Mark Shulman

105 Case Studies 10– Miscellaneous
Terry Loughnan, Dashiell Gantner, Helen Kolawole, Matthew Naughton, Paul Nixon and David Tuxen

PART IX: INVESTIGATION INTERPRETATION (ONLINE ONLY)

106 Blood Gas Interpretation
David Story, David Brewster and John Reeves

107 Interpreting Haematology Investigations
David Brewster and John Reeves

108 Interpreting Biochemistry Investigations
David Brewster and John Reeves

109 Interpreting Lung Function Tests
David Brewster and John Reeves

110 Interpreting Radiological Investigations
David Brewster and John Reeves

111 ECG Interpretation
Benedict Waldron

Appendix A Unit Conversions

Appendix B Basic Airway Management including bag–mask ventilation

Appendix C Opioid Conversion Table