Pre-operative management of the patient with chronic disease:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia, Pa.
Elsevier
2013
|
| Schriftenreihe: | Medical clinics of North America
97,6 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | Includes bibliographical references and index Preface: Pre-operative management of the patient with chronic disease / Ansgar M. Brambrink, Peter Rock, and Jeffrey R. Kirsch -- Patients with disease of brain, cerebral vasculature, and spine / Joshua W. Sappenfield and Douglas G. Martz Jr -- Patients with neuromuscular disorder / Palak Turakhia, Brian Barrick, and Jeffrey Berman -- Patients with ischemic heart disease / Patrick N. Odonkor and Alina M. Grigore -- Patients with pacemaker or implantable cardiverter-defibrillator / Peter M. Schulman, ... et al. -- Patients with vascular disease / Anne-Marie Manley and Sarah E. Reck -- Patients with chronic pulmonary disease / Caron M. Hong and Samuel M. Galvagno Jr -- Patients with chronic kidney disease / Alicia Gruber Kalamas and Claus U. Niemann -- Patients with chronic endocrine disease / Mary Josephine Njoku -- Patients with immunodeficiency / Michael J. Hannaman and Melissa J. Ertl -- Patients with disorders of thrombosis and hemostasis / Andrea Orfanakis and Thomas DeLoughery -- Patients requiring perioperative nutritional support / T. Miko Enomoto, Dawn Larson, and Robert G. Martindale -- Patients with chronic pain / Joseph Salama-Hanna and Grace Chen |
| Beschreibung: | XVII S., S. 993 - 1230 Ill., graph. Darst. 24 cm |
| ISBN: | 9780323242295 0323242294 |
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| 245 | 1 | 0 | |a Pre-operative management of the patient with chronic disease |c ed. Ansgar M. Brambrink ; Peter Rock ; Jeffrey R. Kirsch |
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| 490 | 1 | |a Medical clinics of North America |v 97,6 | |
| 490 | 0 | |a Clinics review articles | |
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| 500 | |a Preface: Pre-operative management of the patient with chronic disease / Ansgar M. Brambrink, Peter Rock, and Jeffrey R. Kirsch -- Patients with disease of brain, cerebral vasculature, and spine / Joshua W. Sappenfield and Douglas G. Martz Jr -- Patients with neuromuscular disorder / Palak Turakhia, Brian Barrick, and Jeffrey Berman -- Patients with ischemic heart disease / Patrick N. Odonkor and Alina M. Grigore -- Patients with pacemaker or implantable cardiverter-defibrillator / Peter M. Schulman, ... et al. -- Patients with vascular disease / Anne-Marie Manley and Sarah E. Reck -- Patients with chronic pulmonary disease / Caron M. Hong and Samuel M. Galvagno Jr -- Patients with chronic kidney disease / Alicia Gruber Kalamas and Claus U. Niemann -- Patients with chronic endocrine disease / Mary Josephine Njoku -- Patients with immunodeficiency / Michael J. Hannaman and Melissa J. Ertl -- Patients with disorders of thrombosis and hemostasis / Andrea Orfanakis and Thomas DeLoughery -- Patients requiring perioperative nutritional support / T. Miko Enomoto, Dawn Larson, and Robert G. Martindale -- Patients with chronic pain / Joseph Salama-Hanna and Grace Chen | ||
| 650 | 4 | |a Chronically ill / Surgery | |
| 650 | 4 | |a Chronically ill / Surgery / Complications | |
| 650 | 4 | |a Chronically ill / Surgery / Risk factors | |
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Datensatz im Suchindex
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| adam_text | Titel: Pre-operative management of the patient with chronic disease
Autor: Brambrink, Ansgar
Jahr: 2013
Contents
Preface: Pre operative Management of the Patient with Chronic Disease
Ansgar M. Brambrink, Peter Rock, and Jeffrey R. Kirsch
xv
Dedication
xvii
Patients with Disease of Brain, Cerebral Vasculature, and Spine
993
Joshua W. Sappenfield and Douglas G. Martz Jr
Several structural abnormalities involving the brain and surrounding struc-
tures have perioperative implications. This article reviews the pre-operative
assessment and preparation of patients with intracranial masses, vascular
lesions, cerebrospinal fluid abnormalities, traumatic injuries, and dementia.
Until definitive treatment of the underlying condition occurs, prevention of
secondary injury to the patient s brain is the goal of medical management
and final functional outcome.
Patients with Neuromuscular Disorder 1015
Palak Turakhia, Brian Barrick, and Jeffrey Berman
This article describes the pre-operative preparation of patients with neu-
romuscular disorders. These entities are a relatively rare and diverse
group of diseases that can affect various organ systems in addition to
the central nervous system. The anesthetic implications for the various
comorbidities are varied and can be profound. These patients should
be optimized before surgery, with the involvement of a multidisciplinary
team of specialists.
Patients with ischemic Heart Disease 1033
Patrick N. Odonkor and Alina M. Grigore
Ischemic heart disease (IHD) occurs when myocardial oxygen supply is not
adequate for myocardial oxygen demand. Patients with I HD who are
undergoing surgery are at risk for development of perioperative cardiac
events (PCEs), and this risk depends on the type of surgery, the presence
of clinical risk factors, and functional status of the patients. Appropriate
perioperative management of medications such as dual antiplatelet ther-
apy and ß-blockers has a significant impact on outcomes. Perioperative
management decisions should be communicated clearly between the
surgeon, cardiologist, and anesthesiologist in charge of the patient. Appro-
priate perioperative management reduces the incidence of PCEs.
Patients with Pacemaker or Implantable Cardioverter-Defibrillator 1051
Peter M. Schulman, Marc A. Rozner, Valerie Sera, and Eric C. Stecker
The preparation of patients with a cardiac implantable electronic device
(CIED) for the perioperative period necessitates familiarity with recommen-
dations from the American Society of Anesthesiologists and Heart Rhythm
Society. Even clinicians who are not CIED experts should understand the
indications for implantation, as well as the basic functions, operations, and
limitations of these devices. Before any scheduled procedure, proper
CIED function should be verified and a specific CIED prescription
obtained. Acquiring the requisite knowledge base and developing the sys-
tems to competently manage the CIED patient ensures safe and efficient
perioperative care.
Patients with Vascular Disease 1077
Ann-Marie Manley and Sarah E. Reck
When conducting a pre-operative evaluation of a patient with vascular dis-
ease, it is crucial to compile a detailed history and perform a thorough
physical examination. One must assess for other comorbidities as well
as the extent of the disease, as patients with vascular disease often have
coexisting ischemic heart disease, hypertension, cerebrovascular disease,
or chronic renal insufficiency. The goal of the preoperative evaluation is to
identify modifiable risk factors, coordinate a treatment plan with other
members of the perioperative care team, and optimize the patient s med-
ical condition to shift the balance of risk/benefit ratio before proceeding
with nonemergent surgery.
Patients with Chronic Pulmonary Disease 1095
Caron M. Hong and Samuel M. Galvagno Jr
Chronic pulmonary disease is common among the surgical population and
the importance of a thorough and detailed pre-operative assessment is
monumental for minimizing morbidity and mortality and reducing the risk
of perioperative pulmonary complications. These comorbidities contribute
to pulmonary postoperative complications, including atelectasis, pneumo-
nia, and respiratory failure, and can predict long-term mortality. The impor-
tant aspects of the pre-operative assessment for patients with chronic
pulmonary disease, and the value of pre-operative testing and smoking
cessation, are discussed. Specifically discussed are pre-operative pulmo-
nary assessment and management of patients with chronic obstructive
pulmonary disease, asthma, restrictive lung disease, obstructive sleep
apnea, and obesity.
Patients with Chronic Kidney Disease 1109
Alicia Gruber Kalamas and Claus U. Niemann
Chronic kidney disease (CKD) is a major public health problem worldwide.
Roughly 1 in 10 adult Americans has CKD. These patients are at significant
risk for excessive morbidity and mortality during the perioperative period.
Given the health and cost burden of end-stage renal disease (ESRD), pre-
venting or avoiding progression of CKD to ESRD is critical. Therefore,
identifying risk factors and implementing risk mitigation strategies to pre-
vent further deterioration of renal function during the perioperative period
is of paramount importance. This article reviews patient risk stratification,
pre-operative evaluation and management, and perioperative interven-
tions for renal protection.
Patients with Chronic Endocrine Disease
1123
Mary Josephine Njoku
This article summarizes the key features and clinical considerations related
to pre-operative management and planning for the care of patients of com-
mon endocrine disorders (diabetes mellitus, adrenal insufficiency, thyroid
disease), a less common disorder but one that has significant periopera-
tive implications (acromegaly), and two disorders for which pre-operative
management is essential to good postoperative outcomes (pheochromo-
cytoma and carcinoid syndrome). There are few evidence-based guide-
lines for pre-operative management of chronic endocrine disease;
hence, this review is based on recent subspecialty society consensus
guidelines and professional society clinical practice recommendations.
Patients with Immunodeficiency 1139
Michael J. Hannaman and Melissa J. Ertl
Patients presenting in an immunocompromised state merit special consid-
eration when being evaluated for fitness to undergo surgery. A variety of
immunodeficient conditions and their respective therapies, including
human immunodeficiency virus, cancer, and transplantation, exert numer-
ous systemic effects that may lead to multiorgan dysfunction. Understand-
ing the potential impact of these disease manifestations, and their proper
evaluation, is essential in achieving optimal perioperative outcomes for
these patients.
Patients with Disorders of Thrombosis and Hemostasis 1161
Andrea Orfanakis and Thomas DeLoughery
Surgery, by definition, is a challenge to the hemostatic system. In addition,
a surgical procedure may provoke inappropriate venous or arterial
thrombosis, such as is suggested historically by Virchow s Triad. For these
reasons, proper functioning of the hematologic system is integral in a
successful and safe perioperative period. Patients with a disorder of either
coagulation or hemostasis, therefore, present an exciting challenge to the
pre-operative physician. Diagnosis of a hematologic disorder may be more
or less occult. A proper bleeding and clotting history can serve to elucidate
such a disorder and is therefore paramount to the pre-operative workup.
For those patients with a previously diagnosed disorder of the hematologic
system, appropriate laboratory investigation and a concise therapeutic
plan for the day of surgery can help to minimize risks in the perioperative
period.
Patients Requiring Perioperative Nutritional Support 1181
T. Miko Enomoto, Dawn Larson, and Robert G. Martindale
One of the most important factors affecting outcome and recovery from
surgical trauma is pre-operative nutritional status. Research in periopera-
tive nutritional support has suffered from a lack of consensus as to the
definition of malnutrition, no recognition of which nutrients are important
to surgical healing, and a paucity of well-designed studies. In the past
decade, there has been some activity to address this situation, recognizing
the importance of nutrition as a therapy before surgery, after surgery, and
possibly even during surgery.
Patients with Chronic Pain 1201
Joseph Salama-Hanna and Grace Chen
Pre-operative evaluation of patients with chronic pain is important be-
cause it may lead to multidisciplinary pre-operative treatment of patients
pain and a multimodal analgesia plan for effective pain control. Pre-oper-
ative multidisciplinary management of chronic pain and comorbid condi-
tions, such as depression, anxiety, deconditioning, and opioid tolerance,
can improve patient satisfaction and surgical recovery. Multimodal analge-
sia using pharmacologic and nonpharmacologic strategies shifts the bur-
den of analgesia away from simply increasing opioid dosing. In more
complicated chronic pain patients, multidisciplinary treatment, including
pain psychology, physical therapy, judicious medication management,
and minimally invasive interventions by pain specialists, can improve pa-
tients satisfaction and surgical outcome.
Index
1217
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| series | Medical clinics of North America |
| series2 | Medical clinics of North America Clinics review articles |
| spelling | Pre-operative management of the patient with chronic disease ed. Ansgar M. Brambrink ; Peter Rock ; Jeffrey R. Kirsch Philadelphia, Pa. Elsevier 2013 XVII S., S. 993 - 1230 Ill., graph. Darst. 24 cm txt rdacontent n rdamedia nc rdacarrier Medical clinics of North America 97,6 Clinics review articles Includes bibliographical references and index Preface: Pre-operative management of the patient with chronic disease / Ansgar M. Brambrink, Peter Rock, and Jeffrey R. Kirsch -- Patients with disease of brain, cerebral vasculature, and spine / Joshua W. Sappenfield and Douglas G. Martz Jr -- Patients with neuromuscular disorder / Palak Turakhia, Brian Barrick, and Jeffrey Berman -- Patients with ischemic heart disease / Patrick N. Odonkor and Alina M. Grigore -- Patients with pacemaker or implantable cardiverter-defibrillator / Peter M. Schulman, ... et al. -- Patients with vascular disease / Anne-Marie Manley and Sarah E. Reck -- Patients with chronic pulmonary disease / Caron M. Hong and Samuel M. Galvagno Jr -- Patients with chronic kidney disease / Alicia Gruber Kalamas and Claus U. Niemann -- Patients with chronic endocrine disease / Mary Josephine Njoku -- Patients with immunodeficiency / Michael J. Hannaman and Melissa J. Ertl -- Patients with disorders of thrombosis and hemostasis / Andrea Orfanakis and Thomas DeLoughery -- Patients requiring perioperative nutritional support / T. Miko Enomoto, Dawn Larson, and Robert G. Martindale -- Patients with chronic pain / Joseph Salama-Hanna and Grace Chen Chronically ill / Surgery Chronically ill / Surgery / Complications Chronically ill / Surgery / Risk factors Brambrink, Ansgar Sonstige (DE-588)114778299 oth Rock, Peter Sonstige oth Kirsch, Jeffrey R. 1957- Sonstige (DE-588)104364993X oth Medical clinics of North America 97,6 (DE-604)BV000003310 97,6 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=026991450&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Pre-operative management of the patient with chronic disease Medical clinics of North America Chronically ill / Surgery Chronically ill / Surgery / Complications Chronically ill / Surgery / Risk factors |
| title | Pre-operative management of the patient with chronic disease |
| title_auth | Pre-operative management of the patient with chronic disease |
| title_exact_search | Pre-operative management of the patient with chronic disease |
| title_full | Pre-operative management of the patient with chronic disease ed. Ansgar M. Brambrink ; Peter Rock ; Jeffrey R. Kirsch |
| title_fullStr | Pre-operative management of the patient with chronic disease ed. Ansgar M. Brambrink ; Peter Rock ; Jeffrey R. Kirsch |
| title_full_unstemmed | Pre-operative management of the patient with chronic disease ed. Ansgar M. Brambrink ; Peter Rock ; Jeffrey R. Kirsch |
| title_short | Pre-operative management of the patient with chronic disease |
| title_sort | pre operative management of the patient with chronic disease |
| topic | Chronically ill / Surgery Chronically ill / Surgery / Complications Chronically ill / Surgery / Risk factors |
| topic_facet | Chronically ill / Surgery Chronically ill / Surgery / Complications Chronically ill / Surgery / Risk factors |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=026991450&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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