Anesthetic Care for Abdominal Surgery An Issue of Anesthesiology Clinics 1st Edition by Timothy Miller ISBN 0323356729 9780323356725

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ISBN 10: 0323356729 
ISBN 13: 9780323356725
Author: Timothy Miller

Because anesthesia and surgery affect every system in the body, there are many different forms of anesthesia. This issue will cover the risks to recovery of 6 major specialty areas in abdominal surgery, as well as major open and laparoscopic abdominal surgery.

Anesthetic Care for Abdominal Surgery An Issue of Anesthesiology Clinics 1st Table of contents:

Forthcoming Issues
Forthcoming Issues
Recent Issues
Foreword: Anesthetic Care for Abdominal Surgery
Preface: Enhanced Recovery and the Changing Landscape of Major Abdominal Surgery
Cardiopulmonary Exercise Testing for Risk Prediction in Major Abdominal Surgery
Key points
The challenge for preoperative risk stratification
Cardiopulmonary exercise testing and risk stratification
Physical activity, exercise, and health outcomes
The physiology and conduct of cardiopulmonary exercise testing
Cardiopulmonary exercise testing and risk stratification
Cardiopulmonary exercise testing and other risk stratification tools
Using cardiopulmonary exercise testing–derived risk information
Summary
Disclosure
Prehabilitation to Enhance Perioperative Care
Key points
The stress of surgery and trajectory of recovery
Surgical prehabilitation and the published evidence
Increasing physiologic reserve with physical exercise: how does exercise benefit?
Exercise: what to do?
Optimizing nutrition for prehabilitation
Strategies to minimize the emotional burden of surgery
Who benefits from prehabilitation?
Recovery and evaluation of prehabilitation
Summary
Monitoring Needs and Goal-directed Fluid Therapy Within an Enhanced Recovery Program
Key points
Perioperative fluid requirements in the context of enhanced recovery
General approaches to intraoperative fluid therapy
Terminology: goal directed or goal misdirected?
Goal-directed fluid therapy specifically in the enhanced recovery setting
Controversies: validity of the stroke volume optimization concept
Required research
Do perioperative inotropes convey additional benefit?
Subgroups of benefit?
Current best practice
Fluid Management in Abdominal Surgery
Key points
Introduction
Type of fluid
Amount of fluid
Fluid therapy within enhanced recovery after surgery
Clinical assessment and monitoring to guide fluid therapy
Summary
Optimal Analgesia During Major Open and Laparoscopic Abdominal Surgery
Key points
Introduction
Opioid analgesia
Local anesthetic techniques
Local anesthetic drugs administered peripherally
Systemic analgesics
Summary
Pathophysiology of Major Surgery and the Role of Enhanced Recovery Pathways and the Anesthesiologist to Improve Outcomes
Key points
Introduction
Overview of cellular injury and the stress and metabolic response to surgery
Primary injury
Secondary injury
The enhanced recovery pathway and role of the anesthesiologist
Evidence base for enhanced recovery pathways
Summary
Anesthesia for Colorectal Surgery
Key points
Introduction
Preoperative patient education
Preoperative evaluation, risk stratification, and optimization
Preoperative fasting and preoperative oral carbohydrate drinks
Anesthetic management
Postoperative analgesia
Special considerations for patients undergoing oncologic colorectal surgery
Special considerations for patients undergoing emergency colorectal surgery
Anesthesia for Hepatobiliary Surgery
Key points
Introduction
Hepatic resection
Preoperative considerations
Intraoperative considerations
Postoperative considerations
Summary
Anesthesia for Esophagectomy
Key points
Introduction
Preoperative assessment and patient selection
Perioperative issues
Minimally invasive esophagectomy
Enhanced recovery in esophagectomy
Summary
Anesthesia for Major Urologic Surgery
Key points
Patient population
Enhanced recovery care pathway
Specific anesthetic considerations for open procedures
Specific considerations for laparoscopic procedures
Robot-assisted surgery
Nephrectomy
Anesthetic template
Robot-assisted surgery
Premedication
Anesthetic room
Intraoperative
Fluid therapy
Surgical conclusion
Postoperative prescription
Common surgical procedures and implications for the anesthetist
Summary of anesthetic management
Evidence-Based Anesthesia for Major Gynecologic Surgery
Key points
Introduction
Enhanced recovery after major gynecologic surgery
Regional anesthetic techniques for enhanced recovery after major gynecologic surgery
Other opioid-sparing multimodal analgesic strategies for major gynecologic surgery
Reducing postoperative nausea and vomiting after major gynecologic surgery
Strategies to reduce the baseline risk of postoperative nausea and vomiting
Antiemetic prophylaxis
Fluid management for major gynecologic surgery
Other enhanced recovery after surgery principles for major gynecologic surgery
Summary
Anesthesia for Emergency Abdominal Surgery
Key points
Introduction
Epidemiology
Conduct of anesthesia
Analgesia
Surgery
Postoperative care
Improving perioperative care
Summary and future considerations

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