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

The video materials, case studies, self-assessment quizzes and fully explained answers can be viewed on the companion website at www.wiley.com/go/perioperativemed

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

The video materials, case studies, self-assessment quizzes and fully explained answers can be viewed on the companion website at www.wiley.com/go/perioperativemed

Contributors (Online Only)

Foreword xxiv
Michael (Monty) Mythen

Preface xxv
Paul Myles

Acknowledgements xxvii

Abbreviations (Online Only)

About the companion website xxxvii

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 noncardiac 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 endoflife care 98
Mark Shulman and Matthew Richardson

21 The surgical safety checklist 102
Pedro GuioAguilar and Russell Gruen

Part III Perioperative investigations 107

22 Preoperative investigations (noncardiac 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
M...