Preoperative Patient Evaluation, An Issue of Anesthesiology Clinics

1st Edition, Volume 42-1 - January 29, 2024
Editors: Zdravka Zafirova, Richard D. Urman
Language: English
Hardback ISBN:
9 7 8 - 0 - 4 4 3 - 1 2 9 4 1 - 4
eBook ISBN:
9 7 8 - 0 - 4 4 3 - 1 2 9 4 2 - 1

In this issue of Anesthesiology Clinics, guest editors Drs. Zdravka Zafirova and Richard D. Urman bring their considerable expertise to the topic of Preoperative Patient Evaluatio… Read more

Preoperative Patient Evaluation, An Issue of Anesthesiology Clinics

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In this issue of Anesthesiology Clinics, guest editors Drs. Zdravka Zafirova and Richard D. Urman bring their considerable expertise to the topic of Preoperative Patient Evaluation. Top experts in the field discuss this important opportunity to identify co-morbidities that may lead to patient complications during the anaesthetic, surgical, or post-operative period, including anticoagulation preop management and regional anesthesia recent updates/guidelines; marijuana use and vaping; enhanced recovery pathways: preoperative considerations in children; management of preoperative anemia; and more.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Preface
Perioperative Evaluation of Brain Health
Key points
Introduction
Brain health toolkit
Future developments
Summary
Clinics care points
Conflicts of interest
What’s New in Preoperative Cardiac Testing
Key points
Introduction
General considerations
Role of surgical procedure being performed
Online risk calculators
Preoperative Brain natriuretic peptide and N-terminal fragment of pro-BNP
High-sensitivity cardiac troponin T
Approach to preoperative cardiac testing in patients with coronary artery disease
Approach to preoperative cardiac testing in patients with acute coronary syndrome and percutaneous coronary intervention
Approach to preoperative cardiac testing in patients with valvular disease
Approach to preoperative cardiac testing in patients with congestive heart failure
COVID-19 and surgery
Summary
Clinics care points
Beyond the Consulting Room and Telemedicine: Unveiling the Future of Anesthesiology with Virtual Preoperative Assessment
Key points
Introduction
Traditional telemedicine was only the beginning
Beyond telemedicine: virtual preoperative assessment and preparation
Legal considerations and liability
Clinics care points
Disclosure
Presentation
Anesthesia Liability Related to Pre-existing Conditions
Key points
Introduction
Anesthesia-related closed claims analysis
Specific conditions and complications
Discussion
Summary
Clinics care points
Conflict of Interest
Funding
Preoperative Patient Evaluation: Newer Hypoglycemic Agents
Key points
Introduction
Ultrafast-acting insulin analogs
Inhaled insulin
Dipeptidyl peptidase-4 inhibitors
GLP-1 receptor agonists
Dual GIP/GLP-1 receptor agonists
Sodium–glucose transport protein 2 inhibitors
Amylin analogs
Metformin
Thiazolidinediones
Medications currently under clinical investigation
Summary
Clinics care points
Marijuana Use, Vaping, and Preoperative Anesthetic and Surgical Considerations in Clinical Practice
Key points
Introduction
Cannabis pharmacokinetics and pharmacodynamics
Cannabis physiologic effects
Intraoperative anesthesia considerations
Recent clinical findings
Summary
Clinics care points
Conflicts of interest
Funding
Management of Preoperative Anemia
Key points
Introduction
Definitions
Management specific
Summary
Clinics care points
Value-Based Health Care in Perioperative Medicine: Process Maps and Costing to Determine Best Practices
Key points
Introduction
Value-based versus volume-based payment models
Fee-for-service
Fee-for-service payment models and cost
Pay for performance models in surgery
Value-based payment models in perioperative medicine
Example of episode and bundle in orthopedic surgery
Perioperative use of value-based health care
Advantages of value-based health care versus fee-for-service
What is required to achieve a value-based health care payment model?
Implementation of value-based health care
Clinical examples applying time-driven activity-based costing
Bundled payment models and anesthesiology
Social Determinants of Health and Preoperative Care
Key points
Introduction
Perioperative medicine
Social determinants of health
Summary
Clinics care points
Disclosures
Stimulant Drugs and Stimulant Use Disorder
Key points
Introduction
Summary
Perioperative Management of Novel Pharmacotherapies for Heart Failure and Pulmonary Hypertension
Key points
Heart failure: Epidemiology and pathophysiology
Perioperative evaluation of heart failure
Principles of perioperative pharmacotherapy management
Novel pharmacotherapies for heart failure and their perioperative implications
Summary
Clinics care points
Declaration of Interest
Newer Immunosuppressants for Rheumatologic Disease: Preoperative Considerations
Key points
Introduction
Summary
Clinics care points
Disclosure
Preoperative Management of the Adult Oncology Patient
Key points
Introduction
Preoperative phase of anesthesia
Neoadjuvant therapy
Anesthesia evaluation and optimization of the surgical oncology patient
Considerations for the geriatric oncology patient
Summary
Clinics care points
Disclosure
Preoperative Evaluation of Patients Undergoing Eye Surgery
Key points
Introduction
Preoperative planning
Specific medical conditions
Summary
Clinics care points
Conflict of interest disclosure
Preoperative Assessment of a Patient Undergoing Bariatric Surgery
Key points
Introduction
Physiologic considerations in a patient with morbid obesity
Cardiovascular
Airway
Respiratory
Metabolic syndrome
Gastrointestinal
Hematologic
Psychological changes
Preoperative interventions for bariatric patients
Obstructive sleep apnea
Preoperative esophagogastroduodenoscopy
Smoking cessation
Alcohol use
Weight loss
Semaglutide use
Prehabilitation
Summary and future considerations
Clinics care points

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Preoperative Patient Evaluation, An Issue of Anesthesiology Clinics

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Zdravka Zafirova

Richard D. Urman