This book addresses those aspects of anaesthetic
practice in perioperative medicine which have a significant impact on both the
immediate and the long-term outcome for the surgical patient. Perioperative
Medicine is the natural evolution of anaesthesia from a main focus on the
patient in the operating room to a responsibility for the care of the patient
from the time that the decision to operate is made, through to discharge from
hospital. The contributors, well-respected authors in their field, discuss the
role of the perioperative medicine specialist in areas ranging from
pre-operative assessment and physiological optimization via pre-habilitation,
to intra-operative anaesthetic management, and post-operative care.
Controversial topics discussed include fluid therapy, anaesthesia and cancer
outcomes, pharmacological management of cardiac risk, and the evolution of
acute to chronic pain. Developments in regional anaesthesia, quality of
recovery scoring, and lung ultrasound, are described.


It is hoped that the chapters contained in this book
will help to define the nascent specialty that is Perioperative Medicine, and
encourage further debate, research, and expansion of this vital new frontier in
anaesthetic care.

aspects of perioperative medicine from preoperative assessment to patient

1. Perioperative
medicine: defining the anaesthesiologist¿s role in shaping perioperative
outcomes; Stundner O and Memtsoudis SG.

2. Prehabilitation; Durrand J, Hackett R, Yates D, Danjoux
G.

3.
Impact of co-morbidities, physiological status and age on survival; Carlisle
J.

4. Transthoracic echocardiography in the preoperative clinic; Canty DJ and Royse CF.

5. Defining
postoperative quality of recovery; Bowyer
A and Royse CF.

6. Enhanced recovery for colorectal surgery; Fawcett WJ.

7. Perioperative
beta-blockade: the pros and cons. The story of beta-blockade and cardiac
protection; Higham H and Foëx P.

8. Perioperative
management of the diabetic patient; Soldevila
D, Lucas AM, Zavala R, Mauricio D.

9. Perioperative
management of non-diabetic patients with hyperglycaemia (stress-induced
hyperglycaemia); Giménez-Pérez G,
Salinas I, Puig-Domingo M and Mauricio D.

10. Postoperative
Pulmonary Complications; Forrest P.

11. Haemostatic
resuscitation for perioperative bleeding; Spinella
PC, Pidcoke HF and Cap AP.

12. Fluid
therapy in trauma; James MFM and
Chappell DPD.

13. Role
of multimodal monitoring in the perioperative period: improving outcomes in
high-risk surgical patients; Green D.

14. Can
perioperative interventions during cancer surgery affect recurrence or
metastasis?; Abdelrahman D and Buggy DJ.

15. Transverse
abdominis plane block: evolution and current understanding; O¿Leary R-A and McDonnell JG.

16. Future
ultrasound technologies for the perioperative physician; McLeod G.

17. Lung
ultrasound in anaesthesia and critical care medicine; Canty DJ, Haji K, Denault A and Royse, A.

18. The acute pain team; Edwards
DA, Kent M, Le-Wendling L and Tighe PJ.

19. The transition of
acute post-operative pain to acute persistent pain to chronic pain: assessing
and managing the risks; Shipton EA.