This second edition presents the first update on a consensus process during which all evidence from the literature with a survival benefit in the perioperative period was gathered, and in which 500 physicians from 61 countries worked to confirm the findings. Perioperative morbidity and mortality currently represent a public health problem, as mortality alone is 1-4% in Western countries. Surprisingly, randomized evidence of survival benefit in the perioperative period is available for only 12 topics, while two drugs have been demonstrated to increase mortality. This book offers a complete description of each topic with updated evidence from the literature. Each chapter deals with a specific drug or technique and is structured into the following: background knowledge, main evidence from the literature, and a practical how-to section. Lastly, the book describes in detail the consensus process used, which served to reinforce the systematic review and which is currently being used and improved in other settings with growing success. Written by respected international experts, Reducing Mortality in the Perioperative Period, 2nd ed. will be of interest to a wide variety of specialists, including anesthesiologists, intensivists, surgeons and cardiologists.
This second edition presents the first update on a consensus process during which all evidence from the literature with a survival benefit in the perioperative period was gathered, and in which 500 physicians from 61 countries worked to ...
Author: Giovanni Landoni
Metoprolol CR / XL , bisoprolol , and carvedilol when used with ACEI reduce
hospitalizations and mortality in ... a central role in risk reduction strategy for
patients at risk for myocardial ischemia in the perioperative period.18 It is not
clear from ...
Author: Andrew Friedrich
Presents information on over 350 intravenous drugs, providing dosing guidelines, indications and uses, generic and trade names, infusion rates, side effects, precautions, and antidotes.
It reduces the incidence of recurrent myocardial infarctions ( MI ) and reduces the
size of the infarct and the incidence of fatal arrhythmias ... Has been used in the
perioperative period to reduce cardiac morbidity and mortality in patients at risk .
Author: Betty L. Gahart
05 Perioperative change in : Stroke volume ( ml ) Cardiac output ( Vmin )
Corrected flow time ( ms ) Fluid infused ... detect and correct haemodynamic
dysfunction in the preoperative and postoperative periods reduced mortality from
29 % to 2 .
... intervention — preoperative , perioperative , and postop - erative — is critical
for reducing morbidity and mortality from ... developed during the perioperative
period in 13 of 275 patients undergoing noncardiac surgery , with 3 deaths ( 17 ) .
Author: Pat D. O'Donnell
Publisher: Little Brown & Company
In smokers , there is an additional decrease in FEV , and Pop , and thus a higher
risk for respiratory failure . ... Although this rate is equivalent to the perioperative
reinfarction rate in patients with a remote infarction , the mortality rate remains 10
Category: Postoperative care
Exciting new print and electronic products. A new vision. And through-the-roof sales potential. That's what McGraw-Hill's acquisition of Appleton & Lange is all about. Since 1852, Appleton & Lange has been a major force in medical publishing. From the Lange Series of basic medical texts to the solutions-based Current Series, its popular medical references are more in demand than ever. And now, this long and vital tradition will become part of McGraw-Hill's own publishing legacy. For you, it all adds up to a winning -- and profitable -- combination. -- The leading annually updated general medical text -- the most comprehensive, reliable, and timely reference available -- Answers common questions in everyday clinical practice -- Covers all aspects of outpatient and inpatient care, including gynecology, obstetrics, urology, dermatology, psychiatry, neurology, otolaryngology, ophthalmology, and nutrition
The mortality rate for coronary artery bypass surgery is roughly 1.5 % ; thus , the
routine prophylactic use of this procedure prior to ... The institution of prophylactic
beta - blockers in the immediate preoperative period has been shown to reduce ...
Author: Lawrence M. Tierney
Publisher: McGraw-Hill Companies
Perioperative fluid therapy requires the correct selection, amount, and composition of fluids based on the patient's underlying pathology, state of hydration, and type and duration of surgical stress. Filling a gap in the literature, this source provides a solid foundation to practical perioperative fluid management, fluid solutions, and the utilization of fluids in clinical and surgical environments, and analyzes the composition of body compartments, the regulation of water and electrolytes, and bodily response to traumatic and surgical conditions.
The mortality in the two control groups randomized to receive perioperative
treatment aimed at maintaining conventional ... in the perioperative period in high
- risk surgical patients in a well - designed prospective randomized controlled
trial with an adequate number of patients randomized into two groups . ...
Additionally , the number of complications in the protocol group was reduced by
50 % ( 45 ) .
Author: Robert G. Hahn
Publisher: CRC Press
Completely refocused and reorganized, the new Edition of this respected resource offers you comprehensive, detailed, up-to-date, and clinically oriented coverage on all aspects of interventional cardiology. Edited by the world's most prominent specialist and researcher and contributed by more than 75 leaders in the field, this 5th edition brings you practical, evidence-based guidance on treating a full range of coronary lesions. They discuss the very latest techniques, devices, and adjunctive therapies and provide critical appraisals of emerging therapeutic approaches. The new edition is now in full-color and features a DVD of video clips demonstrating coronary intervention procedures, three new sections, and a plethora of new chapters that address the hottest topics today. Includes new sections on Patient Selection, Big Artery Vascular Interventions, and Evaluation of Interventional Techniques to help you make better informed decisions. Features new chapters on Transradial Intervention, Late Thrombosis, Biodegradable Stents, Support Devices for High-Risk PCI: IABP, CPS, LVAD, Imaging with Intracardiac Intervention (TEE and ICE), Patient Foramen Ovale and Atrial Septal Defect, Left Atrial Appendage Closure, and Regulatory Issues to keep you up to date. Presents an expanded international authorship and 50% new contributors, bringing you fresh, new perspectives. Increases the clinical focus and incorporates numerous treatment algorithms for better patient care. Uses full-color throughout for the first time, providing you with exceptional visual guidance. Includes a companion DVD of video clips demonstrating challenging techniques and procedures so know exactly how to proceed.
Among patients at higher cardiac risk, however, use of P-blockers was
associated with lower perioperative mortality rates. ... although (3-blocker therapy
most likely will continue to play an important role in perioperative management,
Author: Eric J. Topol
How tight postoperative heart rate control needs to be to reduce postoperative
mortality requires further investigation . be . ... It is possible however , that in the
perioperative period a J - shaped relationship may exist “ secondary to the
Dedicated to the surgical management and treatment of cerebrovascular diseases, this excellent and thoroughly comprehensive text is authored by respected experts in various surgical fields, such as general, neurological, cardiac, and vascular surgery. Chapters cover natural history, diagnosis, pathology, pathogenesis, and medical management. This essential surgical volume has been revised to include current developments and more technique.
Thirty - Day Morbidity and Mortality of Carotid Endarterectomy Performed for Prior
Fixed Hemispheric Infarction Morbidity and Patients ... these patients on long -
term follow - up , these authors questioned the efficacy of CEA for stroke risk
reduction in this category of patients . ... reported no new neurologic deficits and
one death in the perioperative period , for a combined morbidity and mortality
rate of 3 .
Author: Wesley S. Moore
A practical, up-to-date and concise resume of essential aspects of anaesthesia, intensive care, resuscitation and pain relief.
Nevertheless , management of critically ill patients is multidisciplinary , so the
involvement of the admitting firm and house ... In general , ICUs have had the
most impact on reducing mortality in young patients suffering from acute ,
Author: José Ponte
Publisher: W B Saunders Company
Perioperative beta - blockade : beyond myocardial ischaemia While acute
adrenergic activation maj dampen inflammation ... possibly as a result of beta
recepperioperative beta - blockade with aten - tor upregulation . olol reduced
mortality in patients up to In support of ... rate limiting effects are control groups
were only compared from also advantageous in the perioperative the period of
beta - blockade .
Category: Hospital care
Intensive treatment of hyperglycemia in insulin - dependent diabetic patients
effectively reduces the incidence of long ... 43 % reduction in intensive care
mortality risk and a 34 % reduction in hospital mortality . ... In summary , landmark
studies have shown that by optimizing various factors in the perioperative period ,
Introducing the first text to integrate cardiac, thoracic and vascular anesthesia in one accessible resource. This comprehensive text provides a solid foundation of general principles, including preoperative assessment, cost-benefit effectiveness of preoperative workup, cardiac and pulmonary anatomy and physiology, as well as organ system effects of anesthetics. Expert contributors offer a clinical approach to a special section on postoperative considerations and focus on postoperative management. Also features helpful algorithms for decision making. Provides comprehensive, state-of-the-art, all in one integrated approach. Special section focuses on postoperative management considerations. Offers a multitude of algorithms for decision-making. Cost-effective clinical approach. Written by authoritative, leaders in the field of anesthesiology
106 The use of perioperative B - blockers reduced cardiovascular complications ,
death from cardiac causes , and overall ... any “ effective ” antianginal treatment
given preoperatively should be continued throughout the perioperative period .
Author: John A. Youngberg
With this technique, the perioperative mortality rate is minimized for acute type A
dissections to a mean(s.d.) value of 7(5)%3'4 and for ... a procedure that raises
the perioperative mortality rate but that may produce better long-term results by
reducing chronic aneurysm ... higher mortality rate (25-35%)7'8 in the
perioperative period, but a flatter curve thereafter, with a similar 5-year survival
rate (60%7) to ...
Numerous studies of intra- and perioperative mortality for CABG performed in
patients with ESRD ... who died in the hospital following CABG were older and
had lower ejection fractions than those who survived the perioperative period .
Author: Allen R. Nissenson
Publisher: McGraw-Hill/Appleton & Lange
Discusses informed consent/principles of electrosurgery/ complications/lower gastrointestinal bleeding/diarrhea/etc.
... this program consists of more accurate studies performed less frequently ,
directed primarily at reducing mortality from the disease ( Table 15 . 4 ) . 1 .
Colonoscopy should be performed during the perioperative period to clear the
colon of all ...
Author: Jeffrey B. Raskin
Publisher: Igaku-Shoin Medical Publishers
This updated edition contains exciting new features including RBest Evidence RecommendationsS boxes, and a free CD-ROM containing video clips of diabetes testing, stress testing, and all the illustrations from the book. It also features new chapters on complementary and alternative medicine and a visually appealing, functional four-color design and a full-color insert.
Medications used in the perioperative period might seem to worsen the
symptoms of some patients , particularly those ... carotid artery stenosis should be
evaluated and may There is debate about reduced morbidity and mortality of
Author: Robert E. Rakel
Category: Family medicine
This volume presents the interaction between medical and surgical cardiology, providing coverage of aspects of aortic valve disease.
Although he reports a mortality of only 9 % in this series , preoperative evaluation
of ejection fraction and left ... surgical management and that eliminating the
perioperative In congenital aortic stenosis , the mechanism of gradient reduction
Author: Robert W. Emery