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…
