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Perioperative Care of the Elderly
Clinical and Organizational Aspects

$89.99 (G)

Gabriella Bettelli, Domenico Cucinotta, Bruno Neuner, Giancarlo Ghironzi, Jaume Canet Capeta, Ana Fernández Cortés, Judith Cohen-Bittan, Hélène Vallet, Lorene Zerah, Jacques Boddaert, Guillaume Bousquet-Dion, Francesco Carli, Giovanni Zuliani, Amedeo Zurlo, Maurizio Solca, S. Festen, P. de Graeff, J. A. Ijzerman, B. L. van Leeuwen, Concezione Tommasino, Andrea Falvo, Valeria Frisenda, Cesare Gregoretti, Luca Brazzi, Enrico Maria Minnella, Eleonora F. Orena, Anastasia Borozdina, Federico Bilotta, May Karam, Marina Giampieri, Patrizia Paoloni, Laura Cassetta, Etienne Imhoff, Serge Molliex, Vincent Piriou, Helene Beloeil, Philippe Sitbon, Isacco Montroni, Riccardo A. Audisio, Francesco Lijoi, Margherita Bianconi, Maria Luisa Davoli, Francesco Vetta, Massimo Massetti, Gabriella Locorotondo, Alessia Rabini, Uliano Morandi, Stefani Alessandro, Beatrice Aramini, Giampaolo Ugolini, Federico Ghignone, Maria Sammartino, Flavia Toni, Cristina Olivieri, Fabio Sbaraglia, Agnes Almayrac, Frédéric Le Saché, Maria Caterina Pace, Lorenzo De Nardis, Frédéric Aubrun, Pierre Frauche, Martin Hübner, Olle Ljungqvist, Cristiana Forni, Fabio D'Alessandro, Emmanuel Thienpont, Charles Marc Samama, Ulf Guenter, Cédric Villain, Bertrand Guidet, C. Thomas, G. Leblanc, A. Boumendil, Dominique Pateron, Prabhath Fernando, Amit Arora, Peter Crome, Alberto Ferrari, Maurizio Costantini, Sara Albolino, Maurizio Sebastiani, Bernardo Naticchia
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  • Date Published: December 2017
  • availability: In stock
  • format: Hardback
  • isbn: 9781107139343

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  • This innovative, comprehensive book covers the key elements of perioperative management of older patients. The book's chapter structure coincides with the clinical path patients tread during their treatment, from preoperative evaluation to post-hospital care. Epidemiological aspects and aging processes are illustrated, providing keys to understanding the quick expansion of geriatric surgery and defining the clinical profile of older surgical patients in a cybernetic perspective. Preoperative evaluation and preparation for surgery, including medication reconciliation and pre-habilitation, are developed in the light of supporting decision-making about surgery in an evidence-based and patient-focused way. Intra- and postoperative management are discussed, aiming to tailor anesthetic, surgical and nursing approaches to specific patients' needs, in order to prevent both general and age-related complications. This volume also addresses issues relevant to geriatric surgery, from different organizational models to clinical risk management and systems engineering applied to hospital organization.

    • Discusses areas of anesthesiological interest while developing aspects of surgery, geriatric medicine and nursing
    • Provides anesthesiologists, surgeons, nurses and geriatricians with the cultural tools that are needed to perform preoperative evaluation, intraoperative management and postoperative pain and intensive care treatment
    • Addresses organizational issues relevant to geriatric surgery and describes both patient management and the basics of various procedures and techniques
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    Product details

    • Date Published: December 2017
    • format: Hardback
    • isbn: 9781107139343
    • length: 376 pages
    • dimensions: 253 x 192 x 22 mm
    • weight: 0.98kg
    • contains: 16 b/w illus. 12 colour illus. 43 tables
    • availability: In stock
  • Table of Contents

    Foreword
    Preface
    Introduction: population aging, healthcare systems and surgery
    Part I. Preoperative Evaluation:
    1. Aging and age-related functional changes
    2. Preoperative evalution: a 360° perspective
    3. Comorbidities and multimorbidity
    4. Poly-medication and perioperative drugs management
    5. Assessment of functional reserves
    6. Cognitive and emotional evaluation
    7. Sensorial evaluation and impact of hearing and visual impairment on communication
    8. Preoperative testing
    9. Team-based discussion on preoperative evaluation and decision-making about surgery
    10. Communication and informed consent
    11. Preoperative care in emergency surgery
    Part II. Preparation to Surgery:
    12. Prehabilitation: how to enhance cardio-respiratory functional reserves before surgery
    13. Diagnosis and treatment of nutritional deficits
    14. Prevention of cognitive complications
    15. Psychological support in elderly surgical patients
    16. The role of geriatric nurses in preparing the elderly for surgery
    Part III. Intraoperative Management:
    17. Entering the operating theatre: a challenging experience
    18. Safety in the operating room: special needs of geriatric patients
    19. The geriatric patient and anesthesia
    20. Regional anesthesia techniques
    21. Fluids and electrolytes management
    22. Surgery in the elderly: general considerations
    23. Cancer surgery and the elderly
    24. Orthopedic surgery
    25. Cardiovascular surgery
    26. Thoracic surgery
    27. Abdominal surgery
    28. Day surgery
    29. Cataract surgery and other office-based procedures
    Part IV: Postoperative Management:
    30. The elderly in the recovery room
    31. Endocrine and metabolic response to surgical stress in the elderly
    32. Postoperative pain treatment
    33. General principles of postoperative recovery
    34. Fast-track and ERAS programs in geriatric surgery
    35. Postoperative nursing
    36. Cardiovascular complications
    37. Perioperative venous thromboembolism in the elderly: prevention and treatment
    38. Treatment of postoperative delirium
    39. Postoperative respiratory complications
    40. Renal complications
    41. Postoperative admission to the intensive care unit
    42. Prevention of postoperative geriatric syndromes
    43. Planning for discharge
    44. Ethics in geriatric surgery, end of life and palliative care
    Part V. Key Issues for Optimal Organization:
    45. Models of care and organizational solutions for geriatric surgery
    46. Hospital design
    47. Patient's safety, ergonomics and clinical risk management
    48. Systemic approach to management in GS: methods and tools
    49. Systems engineering in GS: the contribute of modelling and simulation
    50. Closing the loop with the client's perspective: how the elderly live the experience of surgery
    Index.

  • Editor

    Gabriella Bettelli, University of San Marino
    Gabriella Bettelli specializes in Anesthesia and Intensive Care and Cardiology, with a 2nd-Level University Master in Geriatrics and qualification as an Internal Quality Auditor. After dealing with anesthesia in vascular, outpatient (SIOH Prize 1993), ENT and obstetric anesthesia, she was Medical Director of the Geriatric Surgical Area and Head of the Anesthesia Department at the Italian National Research Centers of Aging, Ancona (INCRA), between 2008 and 2011. Professor Bettelli developed the first clinical path for geriatric surgery in Italy, is a fellow of numerous scientific societies, and founded the Italian National Anesthesia Society (SIAARTI) Study Group �erioperative Geriatric Medicine.' She is currently Educational Coordinator of the 2nd-Level Master in Perioperative Geriatric Medicine at the University of San Marino.

    Contributors

    Gabriella Bettelli, Domenico Cucinotta, Bruno Neuner, Giancarlo Ghironzi, Jaume Canet Capeta, Ana Fernández Cortés, Judith Cohen-Bittan, Hélène Vallet, Lorene Zerah, Jacques Boddaert, Guillaume Bousquet-Dion, Francesco Carli, Giovanni Zuliani, Amedeo Zurlo, Maurizio Solca, S. Festen, P. de Graeff, J. A. Ijzerman, B. L. van Leeuwen, Concezione Tommasino, Andrea Falvo, Valeria Frisenda, Cesare Gregoretti, Luca Brazzi, Enrico Maria Minnella, Eleonora F. Orena, Anastasia Borozdina, Federico Bilotta, May Karam, Marina Giampieri, Patrizia Paoloni, Laura Cassetta, Etienne Imhoff, Serge Molliex, Vincent Piriou, Helene Beloeil, Philippe Sitbon, Isacco Montroni, Riccardo A. Audisio, Francesco Lijoi, Margherita Bianconi, Maria Luisa Davoli, Francesco Vetta, Massimo Massetti, Gabriella Locorotondo, Alessia Rabini, Uliano Morandi, Stefani Alessandro, Beatrice Aramini, Giampaolo Ugolini, Federico Ghignone, Maria Sammartino, Flavia Toni, Cristina Olivieri, Fabio Sbaraglia, Agnes Almayrac, Frédéric Le Saché, Maria Caterina Pace, Lorenzo De Nardis, Frédéric Aubrun, Pierre Frauche, Martin Hübner, Olle Ljungqvist, Cristiana Forni, Fabio D'Alessandro, Emmanuel Thienpont, Charles Marc Samama, Ulf Guenter, Cédric Villain, Bertrand Guidet, C. Thomas, G. Leblanc, A. Boumendil, Dominique Pateron, Prabhath Fernando, Amit Arora, Peter Crome, Alberto Ferrari, Maurizio Costantini, Sara Albolino, Maurizio Sebastiani, Bernardo Naticchia

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