Chamber Enlargement
(1) Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA KeywordsHypertrophyStrainLeft atrial abnormalityP pulmonaleP mitrale Any of the four chambers of the heart may become enlarged….
Bariatric Surgery
Surgery Roux-en-Y gastric bypass (RYGB) Laparoscopic adjustable gastric band (LAGB) Laparoscopic sleeve gastrectomy (LSG) Description Involves making a small pouch of the stomach, just below the esophagus, that empties into…
Chronic Anticoagulation
Fig. 18.1 University of Washington risk stratum and recommendations for use of bridge therapy [1, 2] (Reprinted with permission from [3]) Many minor procedures may be performed while on therapeutic…
Liver Disease and Perioperative Risk
Class A 5–6 points ~10 % mortality Class B 7–9 points ~17–30 % mortality Class C 10–15 points ~63–82 % mortality Higher MELD scores generally correlate with worse outcomes [6–10]….
Surgical Procedures Overview
© Springer International Publishing Switzerland 2015Molly Blackley Jackson, Somnath Mookherjee and Nason P. Hamlin (eds.)The Perioperative Medicine Consult Handbook10.1007/978-3-319-09366-6_48 48. Surgical Procedures Overview Molly Blackley Jackson1 , Elizabeth Kaplan1, Kara J. Mitchell1 and Christina Ryan1, 2 (1) Division of General Internal Medicine, Department…
Postoperative Ileus
© Springer International Publishing Switzerland 2015Molly Blackley Jackson, Somnath Mookherjee and Nason P. Hamlin (eds.)The Perioperative Medicine Consult Handbook10.1007/978-3-319-09366-6_47 47. Postoperative Ileus Sandra M. Demars1 (1) Division of General Internal Medicine, Department of Medicine, University of Washington, Seattle,…
Postoperative Delirium
Type of surgery/reason for admission Incidence of delirium ICU care (surgical and medical patients >65 years old) [3] 70–87 % Elective vascular surgery [1, 2] 34.5 % (29–39 %) Cardiac…
Postoperative Fever
Immediate (within hours) Acute (within the first week) Subacute (1–4 weeks out) Trauma/cytokine release Surgical site infection (after 48 h) Surgical site infection Medications, including malignant hyperthermia Pneumonia Thrombophlebitis/DVT/PE Transfusion…
The Postoperative Evaluation
© Springer International Publishing Switzerland 2015Molly Blackley Jackson, Somnath Mookherjee and Nason P. Hamlin (eds.)The Perioperative Medicine Consult Handbook10.1007/978-3-319-09366-6_44 44. The Postoperative Evaluation Nason P. Hamlin1 (1) Division of General Internal Medicine, Department of Medicine, University of Washington,…
Substance Abuse and Dependence
Question 1: “How often did you have a drink containing alcohol in the past 12 months?” Response (score): never (0), monthly or less (1), 2–4 times a month (2), 2–3…
