دانلود کتاب Perioperative practice at a glance

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Title Page
Copyright Page
Contents
Preface
Acknowledgements
Surgical and anaesthetic abbreviations and acronyms
How to use your textbook
Part 1 Introduction to perioperative practice
Chapter 1 Preoperative patient preparation
Preoperative visiting
Preoperative assessment
Reducing postoperative complications
Chapter 2 Theatre scrubs and personal protective equipment (PPE)
Theatre scrubs
Headwear
Footwear
Surgical masks
Patient dress
Theatre scrubs outside theatre
Chapter 3 Preventing the transmission of infection
Operating room cleaning
Risks to practitioners
Chapter 4 Preparing and managing equipment
Initial equipment checks
Anaesthetic equipment
Surgical equipment
Chapter 5 Perioperative patient care
Patient outcomes
Care pathways
Chapter 6 Surgical Safety Checklist – Part 1
The Surgical Safety Checklist
Introducing the checklist into the operating department
Adjusting the checklist
Chapter 7 Surgical Safety Checklist – Part 2
SIGN IN
TIME OUT
SIGN OUT
Chapter 8 Legal and professional
accountability
Modes of accountability
Legal issues
Accountability and professional practice
Chapter 9 Interprofessional teamworking
Interprofessional conflicts
Part 2 Anaesthesia
Chapter 10 Preparing anaesthetic equipment
Consumable items
Monitoring devices
Medical gas cylinders
Fluid warmers
Chapter 11 Checking the anaesthetic machine
Basic steps for checking an anaesthetic machine
Chapter 12 Anatomy and physiology of the respiratory and cardiovascular systems
Respiratory system
Cardiovascular system
Chapter 13 Anaesthetic drugs
Induction agents
Inhalation agents
Muscle relaxants
Analgesics
Chapter 14 Perioperative fluid management
Effects of crystalloids
Effects of colloids
Blood and blood byproducts
Chapter 15 Monitoring the patient
Electrocardiogram (ECG)
Pulse oximeters
Temperature probes
Vapour analyser
Capnography
Non-invasive blood pressure (NIBP) measurement
Chapter 16 General anaesthesia
Signs and stages of anaesthesia (Guedel’s signs)
Induction, maintenance and extubation
Administration of anaesthetic agents
Total intravenous anaesthesia (TIVA)
Complications of general anaesthesia
Chapter 17 Local anaesthesia
Clinical use of local anaesthetics
Topical anaesthetics
Infiltrative local anaesthetics
Chapter 18 Regional anaesthesia
Anatomy of the spine
Effects of local anaesthetics
Spinal technique
Epidural technique
Intravenous regional techniques
Part 3 Surgery
Chapter 19 Roles of the circulating and
scrub team
Circulating practitioners
Scrub practitioners
Before surgery
During surgery
After surgery
Chapter 20 Basic surgical instruments
Types of instruments
Chapter 21 Surgical scrubbing
Surgical scrub procedure
Side effects of surgical scrubbing
Chapter 22 Surgical positioning
Equipment requirements for positioning
Surgical positions
Chapter 23 Maintaining the sterile field
Sterile procedures
Preparing a sterile tray
Surgical draping
Chapter 24 Sterilisation and disinfection
Methods of sterilisation
Chapter 25 Swab and instrument counts
Rationale behind the swab and instrument count
Principles of the swab and instrument count
Checking swabs and other items
Checking instruments
Chapter 26 Working with electrosurgery
How does electrosurgery work?
The three surgical effects of electrosurgery
Monopolar electrosurgery
Bipolar electrosurgery
The return electrode
Safety checks
Hazards of electrosurgery
Conclusion
Chapter 27 Tourniquet management
Applying the tourniquet
Pneumatic tourniquets
Side effects
Chapter 28 Wounds and dressings
Modes of healing
Types of dressings
Bandages
Complications
Part 4 Recovery
Chapter 29 Introducing the recovery room
Caring for the postoperative patient
Patients who have undergone spinal anaesthesia
Patients who have undergone general anaesthesia
Discharge from the recovery room
Chapter 30 Patient handover
Admission into the recovery unit
Initial assessment
Documentation
Discharge
Chapter 31 Postoperative patient care – Part 1
Respiratory status
Cardiovascular status
Chapter 32 Postoperative patient care – Part 2
Temperature status
General patient care
Chapter 33 Monitoring in recovery
Respiratory monitoring
Cardiovascular monitoring
Neuromuscular monitoring
Psychological monitoring
Temperature monitoring
Pain monitoring
Monitoring nausea and vomiting
Fluid monitoring
Urine output and voiding
Drainage and bleeding
Chapter 34 Maintaining the airway
Physiology of the airway
Circulation
Monitoring of the airway
Postoperative airway complications
Discharge criteria
Chapter 35 Common postoperative problems
Allergy
Haemorrhage
Septic shock
Intravascular catheters
Urinary complications
Wound dehiscence
Other issues
Chapter 36 Managing postoperative pain
Concept of pain
Effects of pain
Pain physiology
Managing pain
Chapter 37 Managing postoperative nausea and vomiting
Physiology of vomiting
Risk factors
Prevention of vomiting
Anti-emetic therapy
Conclusion
Part 5 Perioperative emergencies
Chapter 38 Caring for the critically ill
Critical risk areas
Improvements in patient care
High-risk patients in recovery
Conclusion
Chapter 39 Airway problems
Assessing the airway
Airway control
Tracheostomy
Chapter 40 Rapid sequence induction
Preparation (T(time) − 10 minutes)
Preoxygenation (T − 5 minutes)
Pretreatment (T − 3 minutes)
Paralysis with induction (zero)
Placement of endotracheal tube (T + 30 seconds)
Postintubation management
Chapter 41 Bleeding problems
Managing rapid blood loss in surgery
Managing rapid blood loss in recovery
Chapter 42 Malignant hyperthermia
Diagnosis
Symptoms
Prevention
Expected duration
Treatment
Chapter 43 Cardiovascular problems
Preoperative evaluation
Hypertension
Arrhythmias
Aortic stenosis
Congestive heart failure
Chapter 44 Electrosurgical burns
Thermal burns
Explosion and fire
Chapter 45 Venous thromboembolism
Physiology of DVT
Treatment options
Mechanical prophylaxis
Chapter 46 Latex allergy
Reducing problems with latex
Dangers of latex
Treatment for severe allergic reaction
Managing the perioperative environment
Postoperative management
Part 6 Advanced surgical practice
Chapter 47 Assisting the surgeon
Surgical First Assistant
Surgical Care Practitioner
Chapter 48 Shaving, marking, prepping and draping
Shaving
Skin marking
Skin preparation
Draping
Chapter 49 Retraction of tissues
Holding retractors
Managing retractors
Chapter 50 Suture techniques and materials
Assisting the surgeon
Suture materials
Chapter 51 Haemostatic techniques
Assisting with haemostasis
Haemostatic agents
Chapter 52 Laparoscopic surgery
Before surgery
During surgery
Training and development
Chapter 53 Orthopaedic surgery
Specific factors in orthopaedic surgery
Arthroscopic knee surgery
Elective joint replacement
Trauma orthopaedics
Chapter 54 Cardiac surgery
Role of the surgeon’s assistant
Chapter 55 Things to do after surgery
References and further reading
1 Preoperative patient preparation
2 Theatre scrubs and personal protective equipment
3 Preventing the transmission of infection
4 Preparing and managing equipment
5 Perioperative patient care
6–7 Surgical safety checklist
8 Legal and professional accountability
9 Interprofessional teamworking
10 Preparing anaesthetic equipment
11 Checking the anaesthetic machine
12 Anatomy and physiology of the respiratory and cardiovascular systems
13 Anaesthetic drugs
14 Perioperative fluid management
15 Monitoring the patient
16 General anaesthesia
17 Local anaesthesia
18 Regional anaesthesia
19 Roles of the circulating and scrub team
20 Basic surgical instruments
21 Surgical scrubbing
22 Surgical positioning
23 Maintaining the sterile field
24 Sterilisation and disinfection
25 Swab and instrument counts
26 Working with electrosurgery
27 Tourniquet management
28 Wounds and dressings
29 Introducing the recovery room
30 Patient handover
31 Postoperative patient care – Part 1
32 Postoperative patient care – Part 2
33 Monitoring in recovery
34 Maintaining the airway
35 Common postoperative problems
36 Managing postoperative pain
37 Managing postoperative nausea and vomiting
38 Caring for the critically Ill
39 Airway problems
40 Rapid sequence induction
41 Bleeding problems
42 Malignant hyperthermia
43 Cardiovascular problems
44 Electrosurgical burns
45 Venous thromboembolism
46 Latex allergy
47 Assisting the surgeon
48 Shaving, marking, prepping and draping
49 Retraction of tissues
50 Suture techniques and materials
51 Haemostatic techniques
52 Laparoscopic surgery
53 Orthopaedic surgery
54 Cardiac surgery
55 Things to do after surgery
Index