Rapid perioperative care

Content: Preface ix     Acknowledgements xi     Abbreviations xiii     Section 1 Preoperative Preparation 1  Paul Wicker     1 The Role of the Anaesthetic Practitioner 3     2 The Role of the Surgical Practitioner 7     3 The Role of the Recovery Practitioner 11     4 Preoperative Assessment of Perioperative Patients 14     5 Perioperative Patient Care 21     6 Operating Theatre Attire and Personal Protective Equipment 27     7 Surgical Safety Checklist 29     8 Teaching Students How to Use Operating Theatre Equipment 32     9 Perioperative Equipment 37     10 Managing Perioperative Medication 41     11 Interprofessional Learning and Collaboration 46     12 Preventing Surgical Site Infection 49     13 Skin Preparation for Surgery 52     References and Further Reading 54     Section 2 Anaesthesia 65  Paul Wicker     14 Preoperative Evaluation of the Anaesthetic Patient 67     15 Preparing Anaesthetic Equipment 70     16 Checking the Anaesthetic Machine 74     17 Anatomy and Physiology: The Cardiovascular System 78     18 Anatomy and Physiology: The Lungs 82     19 General Anaesthesia 85     20 Local Anaesthesia 89     21 Regional Anaesthesia 93     22 Rapid Sequence Induction 96     23 Total Intravenous Anaesthesia (TIVA) 101     24 Airway Management 104     25 General Anaesthetic Pharmacology 109     26 Intraoperative Fluid Management 112     27 Monitoring Perioperative Patients 115     References and Further Reading 118     Section 3 Surgical Specialities 129  Sara Dalby     28 Laparoscopic Surgery 131     29 Vascular Surgery 134     30 Cardiothoracic Surgery 138     31 Orthopaedics and Trauma 143     32 Gynaecology Surgery 148     33 Plastic Surgery 153     34 Urology 157     35 Breast Surgery 161     36 Endocrine Surgery 165     37 Colorectal Surgery 168     38 Upper Gastrointestinal Surgery 174     39 Hepato-Pancreato-Biliary Surgery 178     References and Further Reading 183     Section 4 Surgical Scrub Skills 191  Sara Dalby     40 Basic Surgical Instrumentation 193     41 Surgical Positioning 196     42 Thermoregulation 201     43 Skin Preparation 205     44 Surgical Draping 208     45 Surgical Site Marking 210     46 Swab Counts, Sharps and Instrument Checks 213     47 Measures to Prevent Wound Infection 217     48 Electrosurgery 221     49 Wound Healing and Dressings 225     50 Bladder Catheterisation 229     51 Tourniquet Management 232     52 Haemostatic Techniques 236     53 Surgical Drains 241     54 Handling of Specimens 245     References and Further Reading 248     Section 5 Surgical Assisting 257  Sara Dalby     55 Legal, Professional and Ethical Issues 259     56 Surgical First Assistant 263     57 Surgical Care Practitioner 265     58 Pre and Postoperative Visiting 269     59 Retraction 273     60 Cutting of Sutures 276     61 Suture Materials 278     62 Surgical Needles 282     63 Wound Closure 285     64 Suturing Methods 287     65 Alternative Methods of Wound Closure 290     66 Injection of Local Anaesthetic for Wound Infiltration 293     67 Injection of Local Anaesthetic for Wound Infiltration     Caution and Complications 297     68 Camera Holding 301     References and Further Reading 304     Section 6 Recovery 311  Paul Wicker     69 Recovery Room Design 313     70 Patient Handover 317     71 Postoperative Patient Care 320     72 Postoperative Patient Monitoring and Equipment 324     73 Maintaining the Airway 330     74 Diagnosis and Management of Postoperative Infection 334     75 Postoperative Pain Management 337     76 Fluid Balance in Postoperative Patients 340     77 Postoperative Medications 343     78 Managing Bleeding Problems 347     79 Managing Postoperative Nausea and Vomiting 350     80 Critical Issues in Postoperative Care 354     81 Enhanced Recovery 357     References and Further Reading 362     Section 7 Perioperative Critical Care 375  Paul Wicker     82 Critical Care Nurses and Practitioners Roles 377     83 Management of the Critically Ill Surgical Patient 380     84 Malignant Hyperthermia 383     85 Inadvertent Hypothermia 386     86 Congestive Heart Failure 391     87 Venous Thromboembolism 397     88 Latex Allergy 402     89 Pressure Ulcers 406     90 Managing Diabetes in Perioperative Patients 412     91 Smoking, Alcohol and Drug Abuse 416     92 Perioperative Care of Elderly Patients 419     93 Anaemia, Coagulopathy and Bleeding 423     94 Care of Morbidly Obese Patients 426     References and Further Reading 431     Index 443