The high-risk surgical patient

The high-risk surgical patient / Paolo Aseni, Antonino Massimiliano Grande, Ari Leppäniemi, Osvaldo Chiara, editors.

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 set...

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Bibliographic Details
Other Authors: Aseni, Paolo (Editor), Grande, Antonino M. (Editor), Leppäniemi, Ari (Editor), Chiara, Osvaldo (Editor)
Format: eBook
Language:English
Published: Cham : Springer, [2023]
Subjects:
Surgery > Risk factors.
Operations, Surgical.
Operations, Surgical
Surgery > Risk factors
Online Access:Click for online access
Table of Contents:
  • Intro
  • Foreword
  • Preface
  • Contents
  • Contributors
  • Part I: Identification and Characterisation of High-Risk Surgical Patients
  • 1: Defining the High-Risk Surgical Patient
  • References
  • 2: The Frail Patient in the Operating Room: Practical Steps to Reduce the Operative Risk
  • 2.1 Introduction
  • 2.2 Frailty and Surgery: The Game Changer
  • 2.3 Frail Assessment Tools: In Need for Feasibility to Expand the Recognition
  • 2.4 Frailty, Ageing, and the High-Risk Surgical Patient
  • 2.5 Frailty and Surgery in Elderly Patients: The New Comprehensive Paradigm
  • 2.6 How to Improve the Outcomes of the Older Frail Surgical Patients
  • 2.7 Physical Performance
  • 2.8 Nutrition
  • 2.9 Mental Health and Cognitive Dysfunction
  • 2.10 Solid Organ Transplant Surgery and Frailty: Times Are (a)Changing
  • 2.11 Conclusions
  • References
  • 3: The High Risk Surgical Patients: The Pathophysiologic Perspective
  • 3.1 Anemia
  • 3.2 Pathophysiology of Oxygen Debt
  • 3.3 Conclusions
  • References
  • 4: Monitoring and Interpretation of Vital Signs in the High-Risk Surgical Patients
  • 4.1 Heart Rate
  • 4.1.1 Heart Rate and Circulating Blood Volume
  • 4.1.2 Heart Rate and Increased O2 Demand
  • 4.2 Blood Pressure
  • 4.3 Respiratory Rate
  • 4.4 Body Temperature
  • 4.4.1 Effector Organs Response to Increased Body Temperature
  • 4.4.2 Effector Organ Responses to Decreased Body Temperature
  • 4.4.3 Effects of Body Temperature Changes
  • 4.5 Pulse Oximetry
  • References
  • 5: Evaluation and Critical Care Management of the Burn Patient
  • 5.1 Introduction
  • 5.2 Burn Category
  • 5.3 Burn Extention Measurement
  • 5.4 Pathophysiology of Wound Healing [2-5]
  • 5.5 Shock: Ebb and Flow Phase
  • 5.6 Sepsis
  • 5.7 Inhalation Injury
  • 5.8 First-Line Treatment
  • 5.9 On Admittance
  • 5.9.1 Primary Survey
  • 5.9.2 Secondary Survey
  • 5.10 Resuscitation from Burn Shock
  • 5.10.1 Standard Monitoring Criteria
  • 5.11 Nutrition [5, 8, 9, 12]
  • 5.12 Wound Covering [4, 5, 8-10, 12]
  • 5.13 Surgical Management
  • 5.14 Criteria for Transfer a Patient to a Burn Centre [8, 9]
  • 5.15 Clinical Scenario
  • 5.15.1 Put the Actions in Order
  • 5.15.2 Choose the Most Correct Answer
  • 5.15.2.1 Choose the Correct Answer
  • 5.15.3 Choose the Correct Solution
  • References
  • 6: Acid-Base Abnormalities in Surgical Patients Admitted to Intensive Care Unit
  • 6.1 Introduction
  • 6.2 Metabolic Acid-Base Disorders in Surgical Patients
  • 6.2.1 Metabolic Acidosis
  • 6.2.1.1 Clinical Manifestations
  • Lactic Acidosis
  • Lactate Metabolism
  • Mechanisms of Anaerobic Lactate Production
  • Mechanisms of Aerobic Lactate Production
  • Treatment of Lactic Acidosis
  • Unmeasured Anion Acidosis
  • Ketoacidosis
  • Post-surgical Euglycemic Diabetic Ketoacidosis
  • Hyperchloremic Metabolic Acidosis

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