Perioperative Critical Care

Perioperative care is the care that is given before and after surgery.

This textbook is a complete guide to the anaesthetic and critical care management of patients undergoing complex surgeries in all organ systems of the body. Topics cover all age groups ? neonates, children, and adults.

Divided into 11 sections, the book begins with a general overview of critical care in the perioperative period discussing airway management, pain, fluid and electrolyte therapy, shock, arterial blood gas analysis, respiratory failure and mechanical ventilation, and thromboembolism.

The following sections cover surgeries in different organ systems and patient groups ? cardiothoracic and vascular, neurosciences, paediatrics, obstetrics and gynaecology, gastrointestinal, genitourinary, orthopaedics, head and neck, and transplantation.

The final section explains selected miscellaneous topics including nutrition, haemodynamic monitoring, echocardiography, renal replacement therapy, and antibiotics.

Compiling 700 pages, the comprehensive text is further enhanced by clinical photographs, diagrams and tables.

Key points

• Comprehensive guide to perioperative critical care in neonates, children and adults
• Covers complex surgeries in all organ systems
• Includes discussion on imaging, airway management, and ventilation
• Highly illustrated with clinical photographs, diagrams and tables

Section 1 General

• Critical care in perioperative period - need, indications, infrastructure and staffing
• Supplemental oxygenation
• Airway management in critical care setting
• Pain, agitation and delirium in postoperative period
• Goal directed fluid therapy in perioperative critical care
• Shock in postoperative period
• Fluid and electrolyte disturbances in the perioperative period
• Arterial blood gas analysis
• Acute respiratory failure and mechanical ventilation in postoperative critical care
• Venous and pulmonary thromboembolism

Section 2 Cardiothoracic and Vascular

• CABG - On pump and off pump
• Pediatric cardiac surgeries - cyanotic and acyanotic
• Valvular heart surgeries
• Blunt trauma chest surgeries
• Mediastinal mass excision
• Major lung resections - pneumonectomies and lobectomies
• Tracheal tumor surgeries
• Major Vascular surgeries
• Oesophageal surgeries - transthoracic, transhiatal
• Perioperative MI

Section 3 Neurosciences

• Brain aneurysmal surgeries
• Brain tumor surgeries including awake craniotomy
• Spinal surgeries
• Management of patients after surgery for neurotrauma

Section 4 Pediatrics

• Surgeries for developmental defects - TOF, diaphragmatic hernia, anorectal malformations
• Perioperative management of pediatric major abdominal cancer surgeries

Section 5 Obstetrics & Gynecology

• Postpartum obstetric hemorrhage
• Major gynecological cancer surgeries
• Perioperative management of patients with pre-eclampsia and eclampsia
• Non obstetric major surgeries in pregnant patient

Section 6 Gastrointestinal

• Perioperative management of major Abdominal Surgeries-Pancreas, Stomach, retroperitoneal mass
• Major liver resections
• Perioperative management of colorectal surgeries
• Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy
• Blunt trauma abdomen
• Emergency laparotomy including damage control surgeries
• Intra-abdominal hypertension and abdominal compartment syndrome

Section 7 Genitourinary

• Bladder and prostate cancer surgeries
• Renal tumor surgeries including IVC thrombus
• Adrenal and extraadrenal pheochromocytoma

Section 8 Orthopedics

• Hemi-pelvectomies
• Perioperative management of major orthopedic trauma including pelvis fracture

Section 9 Head and Neck

• Major head and neck cancer surgeries
• Skull base surgeries including pituitary surgery

Section 10 Transplantation

• Renal transplantation
• Perioperative care of patients undergoing liver transplant
• Perioperative care of patients undergoing heart transplant
• Perioperative care of patients undergoing lung transplant

Section 11 Miscellaneous

• Nutrition in perioperative critical care setting
• Prehabilitation and rehabilitation
• ICU physiotherapy and weaning
• Hemodynamic monitoring in postoperative critical care
• Vasoactive agents
• Blood transfusion in the perioperative period
• Role of POCUS in the perioperative period
• Management of hypertension in the perioperative period
• Antibiotic strategies in postoperative period
• Trans-thoracic echocardiography
• Trans-esophageal echocardiography
• Renal replacement therapy
• Postoperative pulmonary complications and treatment
• Perioperative mechanical ventilation
• Sepsis and infection control in perioperative critical care
• Critical care nursing
• Audit and quality improvement in perioperative critical care
• Communication in the perioperative period
• Evaluation and management of obstructive sleep apnea during perioperative care
• Neonatal postoperative critical care

Atul P Kulkarni MD
Professor and Head, Division of Critical Care

JV Divatia MD
Professor and Head

Sohan Lal Solanki MD PDCC MAMS
Professor

All at Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Mumbai, Maharashtra, India