Foreword |
|
viii | |
Section 1 Aspects of pre-operative care |
|
1 | |
|
Chapter 1 Pre-operative investigations |
|
|
3 | |
|
|
3 | |
|
2. Pre-operative haematology |
|
|
4 | |
|
3. Pre-operative biochemistry |
|
|
6 | |
|
4. Principles of pre-operative radiology |
|
|
7 | |
|
|
8 | |
|
6. Problems with pre-operative radiology |
|
|
10 | |
|
7. Other pre-operative investigations |
|
|
11 | |
|
Chapter 2 Management of concomitant medical conditions |
|
|
13 | |
|
1. General management of associated medical conditions |
|
|
13 | |
|
|
14 | |
|
|
15 | |
|
|
17 | |
|
|
18 | |
|
|
19 | |
|
|
21 | |
|
|
22 | |
|
|
24 | |
|
|
25 | |
|
|
26 | |
|
|
27 | |
|
|
28 | |
|
14. Immunosuppressed patients |
|
|
30 | |
|
15. Pre-operative management of patients taking steroids |
|
|
31 | |
|
16. Pre-operative management of patients taking anticoagulants |
|
|
32 | |
|
17. Pre-operative management of other medications |
|
|
33 | |
|
Chapter 3 Preparation for theatre |
|
|
35 | |
|
1. Assessment of fitness for surgery |
|
|
35 | |
|
2. Optimisation of pre-operative nutritional status |
|
|
36 | |
|
|
38 | |
|
4. Principles of surgical prophylaxis |
|
|
39 | |
|
|
39 | |
|
6. Antibiotic prophylaxis |
|
|
40 | |
|
|
42 | |
|
|
43 | |
|
|
45 | |
|
10. Pre-operative fasting |
|
|
46 | |
|
11. Preparing the operating list |
|
|
47 | |
|
Chapter 4 Pathways and protocols |
|
|
49 | |
|
1. Integrated care pathways (ICP) |
|
|
49 | |
|
2. Patient identification |
|
|
50 | |
|
|
51 | |
|
4. Evidence-based medicine |
|
|
53 | |
|
5. Multi-disciplinary meetings (MDM) |
|
|
54 | |
|
6. Infection control practices - infections |
|
|
54 | |
|
7. Infection control practices - universal precautions |
|
|
56 | |
|
8. Infection control practices - needlestick injuries |
|
|
57 | |
|
9. Emergency surgery - principles |
|
|
58 | |
|
10. Emergency surgery - airway |
|
|
60 | |
|
11. Emergency surgery - breathing |
|
|
62 | |
|
12. Emergency surgery - circulation |
|
|
63 | |
|
|
64 | |
|
|
66 | |
|
|
67 | |
Section 2 The operating theatre environment |
|
71 | |
|
Chapter 5 Theatre design and function |
|
|
73 | |
|
|
73 | |
|
|
76 | |
|
|
77 | |
|
4. Masks, goggles and magnification |
|
|
78 | |
|
5. Skin preparation and surgical drapes |
|
|
79 | |
|
6. Instrument sterilisation |
|
|
80 | |
|
7. Sterilisation and disinfection |
|
|
81 | |
|
|
82 | |
|
9. The anaesthetic machine |
|
|
83 | |
|
|
85 | |
|
|
86 | |
|
|
87 | |
|
|
87 | |
|
|
88 | |
|
3. Anaesthetic monitoring |
|
|
89 | |
|
|
90 | |
|
5. Spinal and epidural anaesthesia |
|
|
91 | |
|
|
92 | |
|
|
94 | |
|
8. Transfer of the anaesthetised patient |
|
|
95 | |
|
9. Care of the anaesthetised patient |
|
|
95 | |
|
Chapter 7 Principles of surgery |
|
|
97 | |
|
|
97 | |
|
|
99 | |
|
|
100 | |
|
|
101 | |
|
|
103 | |
|
|
105 | |
|
|
106 | |
|
|
107 | |
|
|
109 | |
|
|
110 | |
|
11. Suction and theatre waste |
|
|
112 | |
|
|
115 | |
|
|
116 | |
|
Chapter 8 Basic surgical techniques |
|
|
119 | |
|
|
119 | |
|
|
121 | |
|
|
124 | |
|
4. Abdominal wall closure |
|
|
125 | |
|
|
126 | |
|
|
127 | |
|
|
128 | |
|
|
130 | |
|
9. Minimal access surgery |
|
|
130 | |
|
|
131 | |
Section 3 Postoperative care and complications |
|
133 | |
|
Chapter 9 Recovery and immediate postoperative care |
|
|
135 | |
|
|
135 | |
|
2. Management of immediate postoperative respiratory distress |
|
|
137 | |
|
3. Management of immediate postoperative hypotension |
|
|
139 | |
|
4. Other recovery room problems |
|
|
141 | |
|
5. High dependency unit (HDU) |
|
|
142 | |
|
6. Intensive care (ICU or ITU) |
|
|
143 | |
|
7. Postoperative ventilation |
|
|
145 | |
|
Chapter 10 Postoperative ward care |
|
|
147 | |
|
|
147 | |
|
2. Principles of postoperative analgesia |
|
|
148 | |
|
3. Methods of postoperative analgesia |
|
|
150 | |
|
4. Mechanisms of postoperative analgesia |
|
|
151 | |
|
5. Fluid and electrolyte balance |
|
|
152 | |
|
6. Management of postoperative oliguria |
|
|
154 | |
|
7. Wound healing (pathology) |
|
|
155 | |
|
8. Factors affecting wound healing |
|
|
157 | |
|
9. Postoperative nutrition |
|
|
158 | |
|
|
159 | |
|
|
160 | |
|
|
162 | |
|
Chapter 11 Postoperative complications |
|
|
165 | |
|
1. Classification of postoperative complications |
|
|
165 | |
|
|
166 | |
|
3. Postoperative wound infection |
|
|
167 | |
|
|
169 | |
|
5. Postoperative deep vein thrombosis (DVT) |
|
|
170 | |
|
6. Pulmonary embolism (PE) |
|
|
171 | |
|
7. Postoperative myocardial infarction (MI) |
|
|
172 | |
|
|
174 | |
|
9. Postoperative chest infection |
|
|
175 | |
|
10. Atelectasis and respiratory failure |
|
|
176 | |
|
11. Postoperative pneumothorax |
|
|
178 | |
|
12. Postoperative bleeding - primary haemorrhage |
|
|
179 | |
|
13. Reactive haemorrhage, secondary haemorrhage and occult bleeding |
|
|
181 | |
|
|
182 | |
|
|
184 | |
|
16. Postoperative jaundice |
|
|
185 | |
|
|
186 | |
|
Chapter 12 Late complications, discharge and follow-up |
|
|
189 | |
|
1. Postoperative confusion |
|
|
189 | |
|
2. Psychological effects of surgery |
|
|
191 | |
|
|
192 | |
|
|
193 | |
|
|
194 | |
|
|
196 | |
|
|
197 | |
|
|
198 | |
Index |
|
199 | |