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Title Reducing mortality in the perioperative period / Giovanni Landoni, Laura Ruggeri, Alberto Zangrillo, editors
Published Cham : Springer, 2014
Table of Contents
1.The Risks and Benefits of the Consensus Process / Rinaldo Bellomo1
1.1.Introduction1
1.2.The Current Consensus Process3
1.3.New Approaches to Consensus Development4
1.4.Conclusions6
 References6
2.The Process of Consensus Building / Luca Cabrini9
2.1.Step 1. Evidence Collection and Analysis10
2.2.Step 2. Web-Based Polling and First Consensus Building12
2.3.Step 3. Consensus Meeting12
2.4.Step 4. Second Web-Based Polling14
2.5.Step 5. Article Publication14
2.6.What's Next14
 References15
3.Noninvasive Ventilation to Reduce Perioperative Mortality / Laura Ruggeri17
3.1.Background17
3.2.Evidences from Literature18
3.2.1.Thoracic Surgery18
3.2.2.Cardiac Surgery19
3.2.3.Abdominal Surgery19
3.2.4.Solid Organ Transplantation20
3.3.Therapeutic Use20
3.3.1.Ventilation Strategies20
3.3.2.Patient--Ventilator Interface20
3.3.3.Complications21
3.4.Conclusions21
 References22
4.Role of Inhalational Anesthetic Agents in Reducing Perioperative Mortality / Laura Ruggeri25
4.1.General Principles25
4.2.Main Evidences25
4.3.Pharmacologic Properties26
4.4.Therapeutic Use26
4.4.1.Myocardial Protection in Patients Undergoing Surgery Under Cardiopulmonary Bypass26
4.4.2.Myocardial Protection in Patients Undergoing Off-Pump Coronary Artery Bypass27
4.4.3.Cardiac Patients Undergoing Noncardiac Surgery28
4.4.4.Potential for Protection of Patients with Ischemic Heart Disease, Myocardial Infarction and Undergoing Coronary Artery Stent Procedures28
4.5.Conclusions28
 References29
5.Can Neuraxial Anesthesia Reduce Perioperative Mortality? / John G. T. Augoustides31
5.1.Introduction31
5.2.Main Evidence32
5.2.1.Orthopedic Surgery32
5.2.2.Vascular Surgery32
5.2.3.Cardiac Surgery33
5.2.4.Cancer Surgery33
5.3.Conclusions34
 References34
6.Role of Perioperative Hemodynamic Optimization in Reducing Perioperative Mortality / Agostino Roasio37
6.1.General Principles37
6.2.Main Evidences37
6.3.Physiopathology38
6.4.Therapeutic Use44
6.5.Conclusions46
 References46
7.Levosimendan to Reduce Perioperative Mortality / Daniela Mamo49
7.1.General Principles49
7.2.Main Evidences50
7.3.Pharmacologic Properties51
7.4.Therapeutic Use52
7.4.1.Intermittent Administration53
7.4.2.Possible Future Targets53
7.5.Conclusions53
 References54
8.Could Clonidine Contribute to a Reduction in Perioperative Mortality? / Enrico M. Camporesi57
8.1.Introduction57
8.2.Published Evidence58
8.3.Therapeutic Administration61
8.4.Conclusions62
 References63
9.Perioperative β-Blocker Therapy and Survival / Enrico M. Camporesi67
9.1.General Principles67
9.2.Main Evidences68
9.2.1.Randomized β-Blocker Studies Outcome68
9.2.2.AHA and ESC Guideline Controversies68
9.2.3.Common Recommendations Between Both Societies70
9.2.4.Recommendations Differing Between Both Societies70
9.3.Pharmacologic Properties72
9.3.1.When to Start β-Blocker Therapy, Which β-Blocker, and What are the Goals72
9.3.2.Discontinuing β-Blockers72
9.4.Summary of Recommendations72
 References74
10.Perioperative Supplemental Oxygen to Reduce Perioperative Mortality / Antonella Capasso77
10.1.General Principles77
10.2.Main Evidences78
10.3.Pharmacologic Properties80
10.4.Therapeutic Use81
10.5.Conclusions82
 References83
11.Leukocyte Depletion of Transfused Blood to Reduce Perioperative Mortality / Antonio Pisano85
11.1.General Principles85
11.2.Main Evidences86
11.3.Pharmacologic Properties88
11.4.Therapeutic Use90
11.5.Conclusions90
 References91
12.Chlorhexidine Oral Rinse to Reduce Perioperative Mortality / Antonella Capasso93
12.1.General Principles93
12.2.Main Evidences94
12.3.Pharmacologic Properties95
12.4.Therapeutic Use97
12.5.Conclusions98
 References98
13.Reducing Perioperative Mortality with Intra-Aortic Balloon Counterpulsation (IABP) / George Silvay101
13.1.General Principles101
13.2.Therapeutic Application102
13.3.Main Evidences102
13.3.1.Cardiac Surgery102
13.3.2.Non-cardiac Surgery102
13.3.3.Percutaneous Coronary Intervention103
13.4.Conclusions104
 References104
14.Selective Decontamination of the Digestive Tract / Hendrick K. F. van Saene107
14.1.General Principles107
14.2.Main Evidence107
14.3.Pharmacologic Properties109
14.4.Therapeutic Use109
14.5.Conclusions111
 References113
15.Role of Insulin in Reducing Mortality in the Perioperative Period / Maciej T. Wybraniec115
15.1.General Principles115
15.2.Main Evidences116
15.3.Pharmacologic Properties117
15.4.Therapeutic Use117
15.4.1.Insulin Solutions118
15.4.2.Pharmacokinetics118
15.4.3.Perioperative Therapy, Route of Administration, and Dosing118
15.4.4.Side Effects and Toxicity120
15.5.Conclusions120
 References122
16.Aprotinin: Pharmacological Benefits and Safety Concerns / Bela Merkely125
16.1.General Principles125
16.2.Pharmacologic Properties126
16.3.Therapeutic Use126
16.4.Main Evidences127
16.5.Conclusions129
 References129
17.Consensus Conference on Perioperative Mortality: An Update / Giovanni Landoni131
17.1.Blood Volume Analysis-Guided Resuscitation132
17.2.Levosimendan132
17.3.Aprotinin133
17.4.Tranexamic Acid133
17.5.Preoperative Intra-Aortic Balloon Pump134
17.6.Perioperative Supplemental Oxygen134
17.7.Intensive Insulin Treatment135
17.8.Conclusions135
 References135
 Index137
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Description 1 online resource (xi, 139 pages) : illustrations (some color)
Contents 880-01 The risks and benefits of the consensus process -- The process of consensus building -- Noninvasive Ventilation to reduce perioperative mortality -- Role of inhalational anesthetic agents in reducing perioperative mortality -- Can Neuraxial Anesthesia Reduce Perioperative Mortality -- Role of perioperative hemodynamic optimization in reducing perioperative mortality -- Levosimendan to reduce perioperative mortality -- Could Clonidine Contribute to a Reduction in Perioperative Mortality -- Perioperative [beta]-blocker therapy to improve survival -- Perioperative supplemental oxygen to reduce perioperative mortality -- Leukocyte depletion of transfused blood to reduce perioperative mortality -- Chlorhexidine Oral Rinse to reduce perioperative mortality -- Reducing perioperative mortality with Intra Aortic Balloon Counterpulsation (IABP) -- Selective Decontamination of the Digestive Tract -- Role of insulin in reducing mortality in the perioperative period -- Aprotinin: pharmacological benefits and safety concerns -- Consensus Conference on perioperative mortality: an update
880-01/(S The risks and benefits of the consensus process / Rinaldo Bellomo -- The process of consensus building / Massimiliano Greco, Pier Carlo Bergonzi and Luca Cabrini -- Noninvasive ventilation to reduce perioperative mortality / Paolo Feltracco, Daniela Pasero and Laura Ruggeri -- Role of inhalational anesthetic agents in reducing perioperative mortality / Murali Chakravarthy and Laura Ruggeri -- Can neuraxial anesthesia reduce perioperative mortality? / Caetano Nigro Neto, Alexandre Slullitel and John G.T. Augoustides -- Role of perioperative hemodynamic optimization in reducing perioperative mortality / Agostino Roasio -- Levosimendan to reduce perioperative mortality / Massimiliano Greco, Gianluca Paternoster and Daniela Mamo -- Could clonidine contribute to a reduction in perioperative mortality? / Massimiliano Conte, Roberto Martino and Enrico M. Camporesi -- Perioperative β-blocker therapy and survival / Hesham R. Omar, Devanand Mangar and Enrico M. Camporesi -- Perioperative supplemental oxygen to reduce perioperative mortality / Antonio Pisano and Antonella Capasso -- Leukocyte depletion of transfused blood to reduce perioperative mortality / Antonella Capasso and Antonio Pisano -- Chlorhexidine oral rinse to reduce perioperative mortality / Antonio Pisano and Antonella Capasso -- Reducing perioperative mortality with intra-aortic balloon counterpulsation (IABP) / John G.T. Augoustides, Aris Sophocles and George Silvay -- Selective decontamination of the digestive tract / Luciano Silvestri and Hendrick K.F. van Saene -- Role of insulin in reducing mortality in the perioperative period / Łukasz J. Krzych and Maciej T. Wybraniec -- Aprotinin: pharmacological benefits and safety concerns / Andrea Székely, Daniel J. Lex and Béla Merkely -- Consensus conference on perioperative mortality: an update / Marta Mucchetti and Giovanni Landoni
Summary This book describes the techniques, strategies, and drugs that have been demonstrated by well-documented randomized trials to influence survival in the perioperative setting. It takes into consideration all types of adult surgery and will be relevant to the evaluation of any patient undergoing an operative procedure. Each chapter focuses on a specific procedure, device, or drug. The scope is accordingly wide, with coverage of topics as diverse as chlorhexidine oral rinse, clonidine therapy, insulin infusion, intra-aortic balloon pump support, leukodepletion, neuraxial anesthesia, and noninvasive respiratory support, to name but a few. In addition, the risks and benefits of using a web-based consensus process (as in this book) to identify effective means of reducing perioperative mortality are discussed. The clear text is supported by "how to do" sections and "key points" boxes that provide easily accessible practical information. Written by acknowledged international experts, Reducing Mortality in the Perioperative Period will be of interest for a wide variety of specialists, including surgeons, cardiologists, anesthesiologists, and intensivists
Bibliography Includes bibliographical references and index
Notes Online resource; title from PDF title page (SpringerLink, viewed November 25, 2013)
Subject Postoperative care.
Surgery -- Complications.
Perioperative Period -- mortality.
Perioperative Care -- mortality.
Surgical Procedures, Operative -- mortality.
Postoperative Complications -- mortality.
Form Electronic book
Author Landoni, Giovanni, editor
Ruggeri, Laura, 1984- editor
Zangrillo, Alberto, editor
ISBN 9783319021867 (electronic bk.)
3319021869 (electronic bk.)
3319021850
9783319021850