Anesthesia in High-Risk Patients

This book describes the approach to anesthetic and perioperative management in different categories of high-risk patient scheduled to undergo elective noncardiac surgery. Individual sections focus on patients with conditions entailing cardiac and hemodynamic risks, respiratory risks, renal and metabolic risks, neurological risks, and other forms of risk. For each condition, up-to-date guidance is provided on risk evaluation, risk stratification, and intraoperative and postoperative anesthetic management. This is the first time that such different clinical situations have been gathered together in a single textbook of anesthesiology. All of the authors are international experts with extensive clinical experience. The aim is to provide trainee anesthesiologists with clear guidance that will prove invaluable when managing a wide range of patients with serious illnesses or conditions that pose a significant anesthetic risk. The book will also serve as a valuable reference for more experienced anesthesiologists and intensivists.

Jean-Luc Fellahi, MD, PhD, is Professor and Head of the Department of Anesthesia and Intensive Care at Hôpital Cardiovasculaire et Pneumologique Louis Pradel, Hospices Civils de Lyon, Lyon, France. Dr. Fellahi combines his clinical work with university teaching activities and clinical and experimental research work; he is a current member of the Scientific Committee of the French Society (SFAR) and also a member of the Scientific Committee of the European Society of Anesthesiology. Dr. Fellahi is a reviewer for numerous journals and is the author of more than 50 original articles and many reviews, editorials, and book chapters. Marc Leone, MD, PhD, is Professor of Anesthesiology and Intensive Care Medicine, Chairman of Department, and Operating Room Coordinator in the Department of Anesthesia and Intensive Care, Hôpital Nord, Aix Marseille University, Marseille, France. He is a current member of the ICU Committee of the French Society of Anesthesia and Resuscitation(FSAR) and a past member of FSAR's Guideline Committee. He is also a member of the European Society of Anesthesiology (ESA) Practice Guidelines Committee and has served on the ESA ICU Committee. Since 2011 Dr. Leone has been co-editor of the journal Annales Françaises d'Anesthésie et de Réanimation, and he is also a reviewer for many other leading journals. He is the author of more than 160 articles in PubMed-cited journals.

Introduction.- Preface.- Acknowledgments.- Introduction.- Part 1. Cardiac and hemodynamic risks.- The patient with acute coronary syndrome.- The patient with advanced chronic heart failure.- The patient with severe pulmonary arterial hypertension .- The patient with severe aortic stenosis.- The patient with congenital cardiac disease.- The patient with an automatic implanted device.- The patient with intra-abdominal hyperpression.- Part 2. Respiratory risks.- The patient with SOAS.- The patient with end-stage pulmonary disease.- Part 3. Renal and metabolic risks.- The patient with end-stage renal disease.- The patient with end-stage liver disease.- The severe obese patient.- Patients with rare metabolic diseases.- Part 4. Neurological risks.- Patients with cerebral diseases.- Patients with chronic neuromuscular diseases.- Part 5. Other risks.- The patient with severe sepsis.- The patient with hemorrhagic risk.- The transplanted patient.- Aged patients with a frailty syndrome.- The allergic patient.- The addicted patient.- The Jehovah witness patient.- The pregnant women.