Perioperative Medicine for the Junior Clinician is the first easy-to-read resource, featuring a digital component, on how to manage a diverse range of patients in the perioperative period, providing up-to-date practical knowledge and advice from a broad range of medical specialists caring for surgical patients.

Perioperative Medicine for the Junior Clinician provides a guide to perioperative care, covering principles and practices of care; risk assessment; laboratory investigations; medication management; specific medical conditions and complications; postoperative care and pain management. It also features bite-size videos explaining the key concepts, as well as case studies, investigations and quizzes.

Ideal for final year medical students and junior clinicians, this digital and print resource will be an invaluable tool when working in this multidisciplinary, team-based specialty.

Perioperative Medicine for the Junior Clinician:

Is based on a sell-out course run at the Alfred Hospital and Monash University in Melbourne, Australia
Is a practical resource available in a flexible and portable content
Features bite-size videos which further explain concepts in the written text, and clinically relevant case studies, all found on the companion website
Is structured around guidelines and protocols

Table of Contents

Part I Introduction 1

1 The role of the perioperative medicine physician 3 (Mike Grocott)
2 The role of the preadmission clinic 6 (James Tomlinson)
3 Consent 11 (Justin Burke)
4 The early postoperative round 15 (Debra Devonshire and Paul Myles)
5 Quality improvement and patient safety 18 (Stuart Marshall)
6 Intraoperative and postoperative monitoring 22 (Philip Peyton)
7 Drugs used for anaesthesia and sedation 28 (Alex Konstantatos)
8 The recovery room 33 (Arvinder Grover)
9 Perioperative genomics 38 (Christopher Bain and Andrew Shaw)

Part II Preoperative risk assessment 43
10 Perioperative medication management 45 (Paul Myles)
11 The cardiac patient for non cardiac surgery 51 (Howard Machlin)
12 Cardiovascular risk assessment in cardiac surgery 57 (Christopher Duffy)
13 Preoperative cardiac testing 61 (Joshua Martin and Peter Bergin)
14 Airway assessment and planning 68 (Pierre Bradley and Joel Symons)
15 Pulmonary risk assessment 74 (David Daly)
16 Preoperative cardiopulmonary exercise testing 79 (Chris Snowden and Serina Salins)
17 Anaemia 85 (Amanda Davis and Angus Wong)
18 Central nervous system risk assessment 90 (Richard Stark)
19 Risk assessment for perioperative renal dysfunction 94 (David McIlroy)
20 Medical futility and end of life care 98 (Mark Shulman and Matthew Richardson)
21 The surgical safety checklist 102 (Pedro Guio Aguilar and Russell Gruen)

Part III Perioperative investigations 107
22 Preoperative investigations (non cardiac surgery) 109 (Arvinder Grover)
23 Postoperative investigations 114 (Arvinder Grover)

Part IV Specific medication management and prophylaxis 119
24 Thromboprophylaxis 121 (Amanda Davis)
25 Anticoagulants and antiplatelet agents 128 (David Daly)
26 Diabetes medication 136 (Shane Hamblin)
27 Steroid medication 144 (Shane Hamblin)
28 Opioids and opioid addiction 148 (Meena Mittal, Nicholas Christelis and David Lindholm)
29 Antibiotic prophylaxis 154 (Allen Cheng)
30 Antibiotic prophylaxis for endocarditis 158 (Denis Spelman)

Part V Perioperative management of organ dysfunction and specific population groups 163
31 Coronary artery disease and coronary stents 165 (Sesto Cairo)
32 Hypertension 170 (Steven Fowler and Terry Loughnan)
33 Arrhythmias 175 (Andrew Robinson)
34 Pacemakers and implanted defibrillators 182 (Andrew Robinson)
35 Heart failure 188 (Vanessa van Empel and Dion Stub)
36 Aortic stenosis 193 (Rishi Mehra)
37 Pulmonary hypertension 198 (Mark Buckland)
38 Endocarditis, myocarditis and cardiomyopathy 203 (Enjarn Lin)
39 Acute lung injury 212 (Paul Nixon and David Tuxen)
40 Obstructive sleep apnoea 217 (Matthew Naughton)
41 Asthma 223 (Alan Young)
42 Chronic obstructive pulmonary disease 229 (Jeremy Wrobel and Trevor Williams)
43 Non small cell lung cancer 235 (Robert Stirling)
44 Gastrointestinal disease 242 (Lauren Beswick and William Kemp)
45 Hepatic disease 245 (Lauren Beswick and William Kemp)
46 Oliguria 249 (Paul Myles)
47 Acute kidney injury 254 (Lloyd Roberts and Owen Roodenburg)
48 Renal transplantation 259 (Solomon Menahem)
49 Diabetes mellitus 264 (David Story)
50 Thyroid disorders 268 (Shane Hamblin)
51 Parathyroid disorders 272 (Shane Hamblin)
52 Adrenal disorders 277 (Jonathan Serpell)
53 Carcinoid syndrome 281 (Alexandra Evans)
54 Intracranial surgery 286 (Hilary Madder)
55 Carotid surgery 292 (Matthew Claydon)
56 Epilepsy 301 (Richard Stark)
57 Neuromuscular disease 304 (Erik Andersen and Andrew Kornberg)
58 Trauma: pretheatre management 309 (John Moloney)
59 Traumatic brain injury 314 (Winifred Burnett)
60 Maxillofacial injuries 322 (Joel Symons and Charles Baillieu)
61 Spinal injuries (excluding cervical spine) 329 (Susan Liew)
62 Cervical spine injuries 337 (Peter Hwang and Jin Tee)
63 Chest injuries 343 (Silvana Marasco)
64 Abdominal injuries 349 (Katherine Martin)
65 Burns 354 (Jamie Smart)
66 Bleeding disorders 360 (Paul Coughlan)
67 Human immunodeficiency virus infection 366 (Anna Pierce)
68 Exposure to blood borne viruses 370 (Anna Pierce)
69 The patient with psychiatric illness 374 (Steven Ellen and James Olver)
70 Obstetric patients having non obstetric surgery 377 (Maggie Wong)
71 The elderly patient 382 (Yana Sunderland)
72 Allergies and anaphylaxis 386 (Helen Kolawole)
73 Obesity 390 (Jennifer Carden)
74 Goal directed therapy 395 (Andrew Toner and Mark Hamilton)
75 Fluids and electrolytes 400 (David Story)
76 Electrolyte abnormalities 404 (Lloyd Roberts and Carlos Scheinkestel)
77 Blood transfusion 410 (Amanda Davis)
78 Organ donation 416 (Steve Philpot and Joshua Ihle)

Part VI Early postoperative care 421
79 Postoperative nausea and vomiting 423 (Joel Symons)
80 Postoperative fluid therapy 430 (Dashiell Gantner)
81 Ventilation strategies 435 (John Botha)
82 Sepsis and the inflammatory response to surgery 440 (Tomás Corcoran and Kajari Roy)
83 Nutritional support 445 (Craig Walker)
84 Postoperative surgical complications 449 (Katherine Martin)
85 Postoperative chest pain 453 (Shane Nanayakkara and Peter Bergin)
86 Postoperative shortness of breath 459 (KJ Farley and Deirdre Murphy)
87 Postoperative hypotension 467 (Steven Fowler)
88 Myocardial injury after non cardiac surgery 472 (Fernando Botto and PJ Devereaux)
89 Aspiration 476 (Alan Kakos)
90 Postoperative delirium and postoperative cognitive dysfunction 480 (Brendan Silbert and Lisbeth Evered)
91 Postoperative hyperthermia 485 (Glenn Downey)
92 Perioperative hypothermia 493 (John Monagle and Shashikanth Manikappa)

Part VII Pain management 499
93 Acute pain 501 (Alex Konstantatos)
94 Neuropathic pain 507 (Tim Hucker)
95 The chronic pain patient 511 (Carolyn Arnold)