Preoperative Assessment and Management

525 Pages·2008·1.825 MB·English

by  BobbieJean Sweitzer MD

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Preoperative Assessment
and Management
SecondEdition
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Preoperative
Assessment and
Management
Second Edition
Editedby
BobbieJeanSweitzer,MD
AssociateProfessorofAnesthesiaandCriticalCare
Director,AnesthesiaPerioperativeMedicineClinic
UniversityofChicago
Chicago,Illinois
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SecondEdition
©2008byLIPPINCOTTWILLIAMS&WILKINS,AWOLTERSKLUWER
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Firstedition©2000byLippincottWilliams&Wilkins
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PrintedintheUnitedStates
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Preoperativeassessmentandmanagement/
[editedby]BobbieJeanSweitzer.—2nded.
p.;cm.
Rev.ed.of:Handbookofpreoperativeassessmentandmanagement.
Includesbibliographicalreferencesandindex.
ISBN-13:978-0-7817-7498-7
ISBN-10:0-7817-7498-5
1.Preoperativecare—Handbooks,manuals,etc. I.Sweitzer,BobbieJean.
II.Handbookofpreoperativeassessmentandmanagement.
[DNLM:1.PreoperativeCare—methods—Handbooks. 2.Risk
Assessment—methods—Handbooks.WO39H23652008]
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ToStephen,Sydney,Sheridan,SchulerandGypsy.
The“Ss”havesacrificedtimeandattention
soIcanaccomplish,and“G”requireslongwalks
whichallowmetoponder.
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Contents
Contributors.............................................. ix
Preface.................................................... xiii
Acknowledgments......................................... xv
1 RiskReductionandRiskAssessment............... 1
AveryTung
2 OverviewofPreoperativeEvaluationand
Testing.............................................. 14
BobbieJeanSweitzer
3 IschemicHeartDisease............................. 51
WilliamVernickandLeeA.Fleisher
4 NonischemicHeartDiseaseandVascular
Disease.............................................. 81
AnnT.TongandMarcA.Rozner
5 PulmonaryDiseases ................................ 126
EvansR.Ferna´ndezPe´rez,OgnjenGajic,
JurajSprung,andDavidO.Warner
6 EndocrineandMetabolicDisorders................. 150
VivekK.MoitraandBobbieJeanSweitzer
7 HematologicIssues.................................. 176
AjayKumarandAmirK.Jaffer
8 RenalDisease....................................... 198
PadraigMahonandGeorgeD.Shorten
9 HepatobiliaryDisease............................... 222
SusanB.GlickandDavidB.Glick
10 NeurologicDisease.................................. 239
AngelaM.BaderandDavidL.Hepner
11 MusculoskeletalandAutoimmuneDiseases........ 261
ParwaneS.Parsa
12 Psychiatric Disease, Chronic Pain, and Substance
Abuse ............................................... 283
JaneC.Ballantyne
13 MiscellaneousIssues................................ 304
JamesB.MayfieldandBenjaminE.McCurdy
14 ThePregnantPatientforNonobstetricSurgery .... 344
RobertGaiser
15 ThePediatricPatient ............................... 357
LynneR.Ferrari
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viii Contents
16 Anesthetic-SpecificIssues........................... 376
AlanKlock
17 PerioperativeManagementIssues.................. 393
StephenD.SmallandBobbieJeanSweitzer
18 OrganizationalInfrastructureofaPreoperative
EvaluationCenter .................................. 420
AngelaM.BaderandDarinJ.Correll
19 PreoperativeAssessmentforSpecificProcedures
orLocations......................................... 433
ThomasW.Cutter
20 CaseStudiesinPreoperativeEvaluation........... 449
DouglasC.ShookandBobbieJeanSweitzer
Index...................................................... 463
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Contributors
AngelaM.Bader,MD,MPH AssociateProfessor,Department
ofAnesthesiology,PainandPerioperativeMedicine,Harvard
MedicalSchool;Director,WeinerCenterforPreoperative
Evaluation,DepartmentofSurgicalServices,Brighamand
Women’sHospital,Boston,Massachusetts
JaneC.Ballantyne,MD,FRCA AssociateProfessorof
Anesthesiology,HarvardMedicalSchool;Chief,Divisionof
PainMedicine,DepartmentofAnesthesiaandCriticalCare,
MassachusettsGeneralHospital,Boston,Massachusetts
DarinJ.Correll,MD Instructor,DepartmentofAnesthesia,
HarvardMedicalSchool;Director,PostoperativePainService,
DepartmentofAnesthesiology,PerioperativeandPain
Medicine,BrighamandWomen’sHospital,Boston,
Massachusetts
ThomasCutter,MD,MAEd AssociateProfessor,Associate
Chairman,DepartmentofAnesthesiaandCriticalCare,
PritzkerSchoolofMedicine,UniversityofChicago;Medical
DirectorforPerioperativeServices,UniversityofChicago
MedicalCenter,Chicago,Illinois
EvansR.Ferna´ndezPe´rez,MD InstructorinMedicine,
DepartmentofPulmonaryandCriticalCareMedicine,Mayo
ClinicCollegeofMedicine;Fellow,DepartmentofPulmonary
andCriticalCareMedicine,MayoClinic,Rochester,Minnesota
LynneR.Ferrari,MD AssociateProfessor,Departmentof
Anesthesia,HarvardMedicalSchool;MedicalDirector,
PerioperativeServices,DepartmentofAnesthesia,Critical
Care,PainandPerioperativeMedicine,Children’sHospital,
Boston,Massachusetts
LeeA.Fleisher,MD RobertD.DrippsProfessor,Department
ofAnesthesiologyandCriticalCare,Universityof
Pennsylvania;RobertD.DrippsProfessorandChair,
DepartmentofAnesthesiologyandCriticalCare,Hospitalof
theUniversityofPennsylvania,Philadelphia,Pennsylvania
RobertR.Gaiser,MD Professor,Departmentof
AnesthesiologyandCriticalCare,UniversityofPennsylvania;
ViceChairforEducation,DepartmentofAnesthesiologyand
CriticalCare,HospitaloftheUniversityofPennsylvania,
Philadelphia,Pennsylvania
OgnjenGajic,MD,MSc,FCCP AssistantProfessorof
Medicine,DepartmentofInternalMedicine,Divisionof
PulmonaryandCriticalCareMedicine,MayoClinicCollegeof
Medicine,Rochester,Minnesota
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x Contributors
DavidB.Glick,MD,MBA AssistantProfessor,Departmentof
AnesthesiaandCriticalCare,UniversityofChicago;Medical
Director,PACU,DepartmentofAnesthesiaandCriticalCare,
UniversityofChicagoHospitals,Chicago,Illinois
SusanB.Glick,MD AssociateProfessorofMedicine,
DepartmentofInternalMedicine,UniversityofChicago;
AssociateProfessorofMedicine,DepartmentofMedicine,
UniversityofChicagoHospitals,Chicago,Illinois
DavidL.Hepner,MD AssistantProfessor,Departmentof
Anesthesia,HarvardMedicalSchool;AssociateDirector,
WeinerCenterforPreoperativeEvaluation,Staff
Anesthesiologist,DepartmentofAnesthesia,Perioperativeand
PainMedicine,BrighamandWomen’sHospital,Boston,
Massachusetts
AmirK.Jaffer,MD AssociateProfessorofMedicine,
DepartmentofGeneralInternalMedicine,ClevelandClinic
LernerCollegeofMedicine;MedicalDirector,IMPACTCenter,
DepartmentofGeneralInternalMedicine,ClevelandClinic,
Cleveland,Ohio
P.AllanKlock,Jr.,MD AssociateProfessor,Departmentof
AnesthesiaandCriticalCare,UniversityofChicago;Vice
ChairforClinicalAffairs,DepartmentofAnesthesiaand
CriticalCare,UniversityofChicagoMedicalCenter,Chicago,
Illinois
AjayKumar,MD,MRCP ClinicalAssistantProfessorof
Medicine,ClevelandClinicLernerCollegeofMedicine,Case
WesternReserveUniversity;AssistantMedicalDirector,
IMPACT(InternalMedicinePreoperative,Assessment
ConsultationandTreatment)Center,DepartmentofHospital
Medicine,ClevelandClinicFoundation,Cleveland,Ohio
PadraigMahon,MSc,FCARCSI ResearchRegistrar,
DepartmentofAnesthesiaandIntensiveCare,CorkUniversity
Hospital,Cork,Ireland
JamesB.Mayfield,MD AssistantProfessor,ViceChairof
ClinicalAffairs,DepartmentofAnesthesiologyand
PerioperativeMedicine,MedicalCollegeofGeorgia,Augusta,
Georgia
BenjaminE.McCurdy,MD PainFellow,Departmentof
AnesthesiologyandPerioperativeMedicine,MedicalCollegeof
Georgia,Augusta,Georgia
VivekK.Moitra,MD AssistantProfessorofAnesthesiology,
DivisionofCriticalCare,ColumbiaUniversityCollegeof
PhysiciansandSurgeons,NewYork,NewYork
ParwaneS.Parsa,MD AssistantProfessor,Departmentof
AnesthesiaandCriticalCare,UniversityofChicago,Chicago,
Illinois