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Title Anatomic, physiologic, and therapeutic principles of surgical diseases : a comprehensive, high-yield review / Benjamin J. Hazen, Shishir K. Maithel, Ravi R. Rajani, Jahnavi Srinivasan, editors
Published Cham : Springer, [2023]
©2023

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Description 1 online resource (xviii, 795 pages) : illustrations (chiefly color)
Contents Intro -- Foreword -- Preface -- Contents -- Editors and Contributors -- Editors -- Associate Editors -- Contributors -- 1: Pre-operative Evaluation and Management -- ASA Physical Status -- Significance of ASA Physical Status -- Determination of ASA Physical Status -- Preoperative Fasting Guidelines -- Selection and Timing of Preoperative Tests -- Echocardiography, Stress Testing, and Cardiac Catheterization Before Surgery -- Stratification of Low, Intermediate, and High-Risk Surgical Procedures -- Risk Factors for Perioperative Adverse Cardiac Event -- Assessment of Exercise Tolerance
Perioperative Medication Management -- Special Considerations for Cardiac Implantable Electronic Devices (CIEDs) -- Electrocautery and CIED Safety -- Special Considerations for Patients with Obstructive Sleep Apnea (OSA) -- References -- 2: Anesthesiology -- Anesthesia Providers -- Anesthetic Technique -- General Anesthesia -- Monitored Anesthesia Care (MAC) [1] -- Moderate Sedation -- Regional Anesthesia -- Monitors [2] -- Standard ASA monitors -- Hemodynamic Monitoring -- Neuromonitoring -- Pharmacology -- Inhalational Anesthetics (Nitrous Oxide, Isoflurane, Sevoflurane, Desflurane)
Intravenous Anesthetics -- Propofol [2] -- Barbiturates: Thiopental, Methohexital, Pentobarbital [2] -- Benzodiazepines (Midazolam, Diazepam, Lorazepam) [2] -- Phencyclidines (Ketamine) [2] -- Etomidate [2] -- Dexmedetomidine [2, 3] -- Local Anesthetics [2] -- Opioids -- Non-Opioid Analgesics [4] -- Neuromuscular Blockers -- Depolarizing: Succinylcholine (only agent in clinical use) [2] -- Non-Depolarizing -- Postoperative Nausea and Vomiting (PONV) [5, 6] -- Airway Management -- Bag Valve Mask (BVM) Ventilation ("Bag Masking") [4] -- Supraglottic Airways (SGA) [4]
Intubation and Specialized Endotrachial Tubes (ETT) -- RSI (Rapid Sequence Induction) [4] -- Difficult Airway [4, 7] -- Extubation [4] -- PACU Discharge Criteria [5] -- References -- 3: Nutrition -- Introduction -- Anatomy -- Small Intestine -- Large Intestine -- Physiology -- Fat Digestion -- Carbohydrate Digestion -- Protein Digestion -- Enteral vs. Parenteral Nutrition -- Enteral: Tube Feeds -- Parenteral: PPN vs TPN -- Calculating TPN (Fig. 3.2) -- Malnutrition -- Short Bowel Syndrome (SBS) -- Refeeding Syndrome -- Permissive Underfeeding: 15-20 kcal/kg/day -- Overfeeding
TPN-Associated Liver Abnormalities -- Transitional Feeding: TPN to Enteral Nutrition -- Calculations (Fig. 3.4) -- Surgical Options for Enteral Access -- PEG (Percutaneous Endoscopic Gastrostomy): Three Approaches [5] -- "Pull:" (Most Common) -- "Push:" (Often Used by Radiologists, Under Fluoroscopy) -- Introducer -- Laparoscopic Gastrostomy Tube [6] -- References -- 4: Hematology/Blood Products -- Coagulation Cascade (Fig. 4.1) -- Thromboelastography -- Initiating or Resuming Anticoagulation -- Thrombolytics -- Hypocoagulable States -- Heparin-Induced Thrombocytopenia -- Etiology -- Types
Summary Comprehensive and high-yield, this text is a digestible resource for the major anatomic, physiologic, and therapeutic principles of surgical diseases. Rather than focus on clinical presentation and pre-operative management, it presents sensible algorithmic approaches to treatment for each pathology, with particular attention to operative options. This allows the reader to develop a large armamentarium of surgical options to safely treat surgical problems and aid in the decision-making process in an organized fashion, with critical steps and techniques of specific operations included in each chapter. Importantly, this book provides a concise list of steps for common surgical operations, namely those frequently encountered during the Certifying Oral Board exam after completing residency, which is uncommon in the currently available study material. Chapters also include suggested readings and summaries of pivotal studies on the specific topics, serving as an easy reference for the content provided. The topics covered begin with pre-operative evaluation and anesthesiology, then proceed anatomically across all relevant body systems and organs, as well as trauma, transplantation, pediatric surgery, and much more. Written with senior-level general surgery residents preparing for the qualifying (written) and certifying (oral) board examinations clearly in mind, it will also be valuable to all levels of trainees preparing for the annual American Board of Surgery In-service Training Exam (ABSITE) as well as medical students with an interest in surgical training and trainees in their fellowship after completing residency
Notes Includes index
Online resource; title from PDF title page (SpringerLink, viewed August 3, 2023)
Subject Surgical diseases.
Surgery, Operative.
Surgical Procedures, Operative
Surgical diseases
Form Electronic book
Author Hazen, Benjamin J., editor
Maithel, Shishir Kumar, editor.
Rajani, Ravi R., editor
Srinivasan, Jahnavi, editor
ISBN 9783031255960
3031255968