Status
Call number
Publication
ISBN
Description
There is a growing need for a book on emergency general surgery in the elderly, as adults age 65 and older are the fastest growing segment of the population worldwide, and their number is expected to double to 89 million between now and 2050. Based on these changing demographics, it is expected that there will be a concurrent rise in the demand for a variety of surgical services, including vascular surgery (with a projected growth of 31%) and general surgery (with a projected growth of 18%), as well as in all sub-disciplines of surgery (thoracic, cardiac, oncology, hepatobiliary, transplant, plastic colorectal, orthopedic, gynecologic, urology and neurosurgery). In addition, older surgical patients often require a different level of care than younger patients during the preoperative, intraoperative and postoperative phases. Many of our geriatric population have multiple chronic illnesses beyond the one for which surgery is required, and therefore are prone to developing postoperative complications, functional decline, loss of independence, and other undesirable outcomes. In response, this book offers surgeons, geriatrists and nurses state-of-the-art surgical approaches and essential information on the complex perioperative care of the elderly. .… (more)
Local notes
https://www.r2library.com/Resource/Title/3030622142
CONTENTS:
Intro -- Preface -- Foreword to the Series -- Contents -- Part I: General Consideration in the Management of Elderly Surgical Patients -- 1: Emergency General Surgery in the Elderly: An Introduction to the Research Base -- 1.1 Introduction -- 1.2 Review -- 1.2.1 Scope of the Review -- 1.2.2 Demographics and ASA Classes -- 1.2.3 Comorbidities -- 1.2.4 Outcomes (Table 1.5) -- 1.2.4.1 Mortality -- 1.2.4.2 Complications -- 1.2.4.3 Other Outcomes -- 1.3 Summary -- 1.4 Conclusions -- References -- 2: Geriatric Decision-Making in the Emergency Department: A Surgeon's Perspective; 2.1 Introduction -- 2.2 Physiologic and Pharmacologic Factors in Geriatric Surgery -- 2.3 Perioperative Risk Stratification -- 2.4 Cultural, Legal, and Social Factors in Operative Decision-Making -- 2.5 Conclusion -- References -- 3: Radiologic Evaluation of Elderly Surgical Patients Undergoing Major Emergency Surgeries -- 3.1 CT in Geriatric Emergency Evaluation -- 3.2 Concerns of Iodinated Contrast in the Elderly Population -- 3.3 Mesenteric Ischemia -- 3.3.1 Imaging Findings -- 3.3.1.1 Wall Thickening -- 3.3.1.2 Enhancement -- 3.3.1.3 Shock Bowel -- 3.3.1.4 Distribution; 3.3.1.5 Pneumatosis and Portal Venous Gas -- 3.3.1.6 Small Bowel Obstruction and Mesenteric Ischemia -- 3.3.1.7 Considerations in the Elderly -- 3.4 Bowel Obstruction -- 3.4.1 Imaging Findings -- 3.4.1.1 Closed-Loop Obstruction -- 3.4.1.2 Hernias -- 3.4.1.3 Causes -- 3.5 Trauma -- 3.5.1 Imaging Findings -- 3.5.1.1 Renal Trauma -- 3.5.1.2 Hepatic Trauma -- 3.5.1.3 Gallbladder Trauma -- 3.5.1.4 Splenic Trauma -- 3.5.1.5 Pancreatic Trauma -- 3.5.1.6 Adrenal Trauma -- 3.5.1.7 Considerations in the Elderly -- 3.6 Vasculopathies -- 3.6.1 Imaging Findings -- 3.6.1.1 Aortic Rupture; 3.6.1.2 Aortic Dissection -- 3.6.1.3 Intramural Hematoma -- 3.6.1.4 Considerations in the Elderly -- 3.7 Perforation -- References -- 4: Medical Comorbidities in Geriatric Patients Undergoing Major Emergency Surgeries -- 4.1 Introduction -- 4.2 The Characteristics of the Elderly Patients: the Hospitalist Challenges -- 4.2.1 Pressure Ulcers -- 4.2.2 Frailty -- 4.2.3 Pain -- 4.2.4 Delirium -- 4.2.5 Other Geriatric Syndromes -- 4.2.6 Evaluation -- 4.2.7 Polypharmacy -- 4.3 Perioperative Risk Evaluation -- 4.3.1 The Role of the Hospitalist Before Surgery; 4.3.2 Perioperative Management of Cardiovascular System -- 4.3.2.1 Cardiovascular Risk Assessment -- 4.3.3 Cardiovascular Risk Management -- 4.3.3.1 Coronary Artery Disease (CAD) -- 4.3.3.2 Antiplatelet Therapy -- 4.3.4 Perioperative Myocardial Infarction and Myocardial Injury -- 4.3.4.1 Definition of Myocardial Infarction and Myocardial Injury After Noncardiac Surgery, Etiology, Incidence, and Prognosis -- 4.3.4.2 The Question is to Screen or not to Screen? -- 4.3.4.3 Treatment of MINS -- 4.3.5 Cardiac Arrhythmias -- 4.3.6 Hypertension -- 4.3.7 Pulmonary Hypertension