Perioperative Medicine for the Junior Clinician

Joel Symons Anaesthetist and Head of Perioperative Medicine Education, Department of Anaesthesia and Perioperative Medicine, The Alfred Hospital and Monash University, Melbourne, Victoria, AustraliaPaul Myles is Director, Department of Anaesthesia and Perioperative Medicine,The Alfred Hospital and Monash University, Melbourne, Victoria, AustraliaRishi Mehra is Anaesthetist and Senior Lecturer, Department of Anaesthesia and Perioperative Medicine,The Alfred Hospital and Monash University, Melbourne, Victoria, AustraliaChristine Ball is Anaesthetist and Adjunct Senior Lecturer, Department of Anaesthesia and Perioperative Medicine, The Alfred Hospital and Monash University, Melbourne, Victoria, Australia

'Perioperative Medicine for the Junior Clinician is a succinct, high-yield entry point into perioperative health. Written primarily by Australian clinicians from a wide number of specialties and institutions, the book provides an overview of key topics in perioperative medicine. whether used as a primary text for medical students on their clinical anesthesia or surgery rotations, or for practicing clinicians as an on-the-fly reference, the book meets its proposed purpose of informing on the assessment of perioperative patient care issues and treatment....In summary, Perioperative Medicine for the Junior Clinician is a concise primer of perioperative medicine, and it provides a practical resource for many clinicians and allied health personnel who care for patients in the surgical pathway.' Anesthesia & Analgesia'...the authors have achieved their aim of delivering an easy-to-read book, covering a diverse range of relevant and interesting topics. Important themes are well covered, and practical advice given with reference to evidence based guidelines and protocols. The chapters are interesting and contain plentiful figures and images to maintain engagement. The text is well-referenced throughout ... there is sufficient breadth to stimulate interest for more senior clinicians. This book will undoubtedly be a useful starting point for any clinician involved in perioperative care.' European Journal of Anaesthesiology (EJA)

• Contributors (Online Only)Foreword xxivMichael (Monty) MythenPreface xxvPaul MylesAcknowledgements xxviiAbbreviations (Online Only)About the companion website xxxviiPart I Introduction 11 The role of the perioperative medicine physician 3Mike Grocott2 The role of the preadmission clinic 6James Tomlinson3 Consent 11Justin Burke4 The early postoperative round 15Debra Devonshire and Paul Myles5 Quality improvement and patient safety 18Stuart Marshall6 Intraoperative and postoperative monitoring 22Philip Peyton7 Drugs used for anaesthesia and sedation 28Alex Konstantatos8 The recovery room 33Arvinder Grover9 Perioperative genomics 38Christopher Bain and Andrew ShawPart II Preoperative risk assessment 4310 Perioperative medication management 45Paul Myles11 The cardiac patient for non‐cardiac surgery 51Howard Machlin12 Cardiovascular risk assessment in cardiac surgery 57Christopher Duffy13 Preoperative cardiac testing 61Joshua Martin and Peter Bergin14 Airway assessment and planning 68Pierre Bradley and Joel Symons15 Pulmonary risk assessment 74David Daly16 Preoperative cardiopulmonary exercise testing 79Chris Snowden and Serina Salins17 Anaemia 85Amanda Davis and Angus Wong18 Central nervous system risk assessment 90Richard Stark19 Risk assessment for perioperative renal dysfunction 94David McIlroy20 Medical futility and end‐of‐life care 98Mark Shulman and Matthew Richardson21 The surgical safety checklist 102Pedro Guio‐Aguilar and Russell GruenPart III Perioperative investigations 10722 Preoperative investigations (non‐cardiac surgery) 109Arvinder Grover23 Postoperative investigations 114Arvinder GroverPart IV Specific medication management and prophylaxis 11924 Thromboprophylaxis 121Amanda Davis25 Anticoagulants and antiplatelet agents 128David Daly26 Diabetes medication 136Shane Hamblin27 Steroid medication 144Shane Hamblin28 Opioids and opioid addiction 148Meena Mittal, Nicholas Christelis and David Lindholm29 Antibiotic prophylaxis 154Allen Cheng30 Antibiotic prophylaxis for endocarditis 158Denis SpelmanPart V Perioperative management of organ dysfunction and specific population groups 16331 Coronary artery disease and coronary stents 165Sesto Cairo32 Hypertension 170Steven Fowler and Terry Loughnan33 Arrhythmias 175Andrew Robinson34 Pacemakers and implanted defibrillators 182Andrew Robinson35 Heart failure 188Vanessa van Empel and Dion Stub36 Aortic stenosis 193Rishi Mehra37 Pulmonary hypertension 198Mark Buckland38 Endocarditis, myocarditis and cardiomyopathy 203Enjarn Lin39 Acute lung injury 212Paul Nixon and David Tuxen40 Obstructive sleep apnoea 217Matthew Naughton41 Asthma 223Alan Young42 Chronic obstructive pulmonary disease 229Jeremy Wrobel and Trevor Williams43 Non‐small cell lung cancer 235Robert Stirling44 Gastrointestinal disease 242Lauren Beswick and William Kemp45 Hepatic disease 245Lauren Beswick and William Kemp46 Oliguria 249Paul Myles47 Acute kidney injury 254Lloyd Roberts and Owen Roodenburg48 Renal transplantation 259Solomon Menahem49 Diabetes mellitus 264David Story50 Thyroid disorders 268Shane Hamblin51 Parathyroid disorders 272Shane Hamblin52 Adrenal disorders 277Jonathan Serpell53 Carcinoid syndrome 281Alexandra Evans54 Intracranial surgery 286Hilary Madder55 Carotid surgery 292Matthew Claydon56 Epilepsy 301Richard Stark57 Neuromuscular disease 304Erik Andersen and Andrew Kornberg58 Trauma: pretheatre management 309John Moloney59 Traumatic brain injury 314Winifred Burnett60 Maxillofacial injuries 322Joel Symons and Charles Baillieu61 Spinal injuries (excluding cervical spine) 329Susan Liew62 Cervical spine injuries 337Peter Hwang and Jin Tee63 Chest injuries 343Silvana Marasco64 Abdominal injuries 349Katherine Martin65 Burns 354Jamie Smart66 Bleeding disorders 360Paul Coughlan67 Human immunodeficiency virus infection 366Anna Pierce68 Exposure to blood‐borne viruses 370Anna Pierce69 The patient with psychiatric illness 374Steven Ellen and James Olver70 Obstetric patients having non‐obstetric surgery 377Maggie Wong71 The elderly patient 382Yana Sunderland72 Allergies and anaphylaxis 386Helen Kolawole73 Obesity 390Jennifer Carden74 Goal‐directed therapy 395Andrew Toner and Mark Hamilton75 Fluids and electrolytes 400David Story76 Electrolyte abnormalities 404Lloyd Roberts and Carlos Scheinkestel77 Blood transfusion 410Amanda Davis78 Organ donation 416Steve Philpot and Joshua IhlePart VI Early postoperative care 42179 Postoperative nausea and vomiting 423Joel Symons80 Postoperative fluid therapy 430Dashiell Gantner81 Ventilation strategies 435John Botha82 Sepsis and the inflammatory response to surgery 440Tomás Corcoran and Kajari Roy83 Nutritional support 445Craig Walker84 Postoperative surgical complications 449Katherine Martin85 Postoperative chest pain 453Shane Nanayakkara and Peter Bergin86 Postoperative shortness of breath 459KJ Farley and Deirdre Murphy87 Postoperative hypotension 467Steven Fowler88 Myocardial injury after non‐cardiac surgery 472Fernando Botto and PJ Devereaux89 Aspiration 476Alan Kakos90 Postoperative delirium and postoperative cognitive dysfunction 480Brendan Silbert and Lisbeth Evered91 Postoperative hyperthermia 485Glenn Downey92 Perioperative hypothermia 493John Monagle and Shashikanth ManikappaPart VII Pain management 49993 Acute pain 501Alex Konstantatos94 Neuropathic pain 507Tim Hucker95 The chronic pain patient 511Carolyn ArnoldPart VIII Case studies (Online Only)96 Case Study 1 Chronic obstructive pulmonary disease and heart failureRishi Mehra97 Case Study 2 TraumaMark Fitzgerald and Emma Sim98 Case Study 3 Catheter‐related bloodstream infectionTim Leong99 Case Study 4 Opioid withdrawalMeena Mittal and David Lindholm100 Case Study 5 Delirium tremensMeena Mittal and David Lindholm101 Case Study 6 Difficulty breathing in the recovery roomBenedict Waldron102 Case Study 7 Addisonian crisisCraig Noonan103 Case Study 8 CardiomyopathyChristopher Bain and Enjarn Lin104 Case Study 9 Medical futilityMatthew Richardson and Mark Shulman105 Case Study 10 MiscellaneousTerry Loughnan, Dashiell Gantner, Helen Kolawole, Matthew Naughton, Paul Nixon and David TuxenPart IX Investigation interpretation (Online Only)106 Blood gas interpretationDavid Story, David Brewster and John Reeves107 Interpreting haematology investigationsDavid Brewster and John Reeves108 Interpreting biochemistry investigationsDavid Brewster and John Reeves109 Interpreting lung function testsDavid Brewster and John Reeves110 Interpreting radiological investigationsDavid Brewster and John Reeves111 ECG interpretationBenedict WaldronAppendix A Unit conversions (Online Only)Appendix B Basic airway management and basic and advanced cardiac life support algorithms (Online Only)Stuart MarshallAppendix C Opioid conversion table (Online Only)Index I1