Preface ix
Acknowledgements xi
Abbreviations xiii
Section 1 Preoperative Preparation 1
Paul Wicker
1 The Role of the Anaesthetic Practitioner 3
2 The Role of the Surgical Practitioner 7
3 The Role of the Recovery Practitioner 11
4 Preoperative Assessment of Perioperative Patients 14
5 Perioperative Patient Care 21
6 Operating Theatre Attire and Personal Protective Equipment 27
7 Surgical Safety Checklist 29
8 Teaching Students How to Use Operating Theatre Equipment 32
9 Perioperative Equipment 37
10 Managing Perioperative Medication 41
11 Interprofessional Learning and Collaboration 46
12 Preventing Surgical Site Infection 49
13 Skin Preparation for Surgery 52
References and Further Reading 54
Section 2 Anaesthesia 65
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14 Preoperative Evaluation of the Anaesthetic Patient 67
15 Preparing Anaesthetic Equipment 70
16 Checking the Anaesthetic Machine 74
17 Anatomy and Physiology: The Cardiovascular System 78
18 Anatomy and Physiology: The Lungs 82
19 General Anaesthesia 85
20 Local Anaesthesia 89
21 Regional Anaesthesia 93
22 Rapid Sequence Induction 96
23 Total Intravenous Anaesthesia (TIVA) 101
24 Airway Management 104
25 General Anaesthetic Pharmacology 109
26 Intraoperative Fluid Management 112
27 Monitoring Perioperative Patients 115
References and Further Reading 118
Section 3 Surgical Specialities 129
Sara Dalby
28 Laparoscopic Surgery 131
29 Vascular Surgery 134
30 Cardiothoracic Surgery 138
31 Orthopaedics and Trauma 143
32 Gynaecology Surgery 148
33 Plastic Surgery 153
34 Urology 157
35 Breast Surgery 161
36 Endocrine Surgery 165
37 Colorectal Surgery 168
38 Upper Gastrointestinal Surgery 174
39 Hepato-Pancreato-Biliary Surgery 178
References and Further Reading 183
Section 4 Surgical Scrub Skills 191
Sara Dalby
40 Basic Surgical Instrumentation 193
41 Surgical Positioning 196
42 Thermoregulation 201
43 Skin Preparation 205
44 Surgical Draping 208
45 Surgical Site Marking 210
46 Swab Counts, Sharps and Instrument Checks 213
47 Measures to Prevent Wound Infection 217
48 Electrosurgery 221
49 Wound Healing and Dressings 225
50 Bladder Catheterisation 229
51 Tourniquet Management 232
52 Haemostatic Techniques 236
53 Surgical Drains 241
54 Handling of Specimens 245
References and Further Reading 248
Section 5 Surgical Assisting 257
Sara Dalby
55 Legal, Professional and Ethical Issues 259
56 Surgical First Assistant 263
57 Surgical Care Practitioner 265
58 Pre and Postoperative Visiting 269
59 Retraction 273
60 Cutting of Sutures 276
61 Suture Materials 278
62 Surgical Needles 282
63 Wound Closure 285
64 Suturing Methods 287
65 Alternative Methods of Wound Closure 290
66 Injection of Local Anaesthetic for Wound Infiltration 293
67 Injection of Local Anaesthetic for Wound Infiltration - Caution and Complications 297
68 Camera Holding 301
References and Further Reading 304
Section 6 Recovery 311
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69 Recovery Room Design 313
70 Patient Handover 317
71 Postoperative Patient Care 320
72 Postoperative Patient Monitoring and Equipment 324
73 Maintaining the Airway 330
74 Diagnosis and Management of Postoperative Infection 334
75 Postoperative Pain Management 337
76 Fluid Balance in Postoperative Patients 340
77 Postoperative Medications 343
78 Managing Bleeding Problems 347
79 Managing Postoperative Nausea and Vomiting 350
80 Critical Issues in Postoperative Care 354
81 Enhanced Recovery 357
References and Further Reading 362
Section 7 Perioperative Critical Care 375
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82 Critical Care Nurses and Practitioners Roles 377
83 Management of the Critically Ill Surgical Patient 380
84 Malignant Hyperthermia 383
85 Inadvertent Hypothermia 386
86 Congestive Heart Failure 391
87 Venous Thromboembolism 397
88 Latex Allergy 402
89 Pressure Ulcers 406
90 Managing Diabetes in Perioperative Patients 412
91 Smoking, Alcohol and Drug Abuse 416
92 Perioperative Care of Elderly Patients 419
93 Anaemia, Coagulopathy and Bleeding 423
94 Care of Morbidly Obese Patients 426
References and Further Reading 431
Index 443
