Preoperative Assessment and Perioperative Management

Description

Pre operative assessment of the surgical patient is a key part of the perioperative process. However, it is one that cannot be separated from the other aspects of perioperative management, both clinical and administrative, that ensures the safe and effective treatment of surgical patients. There are a number of books on the market that examine perioperative management anaesthesia and surgical nursing that are only able to touch on the pre-operative assessment process. Pre Operative Assessment & Perioperative Management sets out to be different, by bridging the gap between these texts and the evolving and developing area of practice that pre operative assessment has become in modern healthcare.

Sujets

• Médecine
• Surgical nursing
• Surgery
• Chirurgie

Informations

• Publié par: M&K Publishing
• Date de parution: 18 juillet 2011
• Nombre de lectures: 0
• EAN13: 9781907830020
• Langue: English
• Poids de l'ouvrage: 2 Mo

Extrait

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Preoperative Assessment and Perioperative Management


Edited by

Mark Radford
Divisional Director of Nursing (Surgery) University Hospitals Coventry and Warwickshire NHS Trust, UK
Visiting Professor at Birmingham City University, UK

Alastair Williamson
Consultant Anaesthetist
Good Hope Hospital, Heart of England Foundation Trust, UK

Clare Evans
Consultant Nurse (Perioperative care) Bristol Royal Infirmary, United Bristol Healthcare NHS Trust, UK
Preoperative Assessment and Perioperative Management
Mark Radford
Claire Evans
Alastair Williamson

ISBN: 978-1-905539-02-4
First published 2011

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without either the prior permission of the publishers or a licence permitting restricted copying in the United Kingdom issued by the Copyright Licensing Agency, 90 Tottenham Court Road, London, W1T 4LP. Permissions may be sought directly from M&K Publishing, phone: [phone], fax: [phone] or email: [e-mail]

Any person who does any unauthorised act in relation to this publication may be liable to criminal prosecution and civil claims for damages.
Illustrations by Mary Blood except figures 6.6 and 6.7 reproduced from David Lynes (ed.), The Management of COPD in Primary and Secondary Care (M&K Publishing, 2007)
Photographs copyright © The Contributors, 2011.

British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library

Notice
Clinical practice and medical knowledge constantly evolve. Standard safety precautions must be followed, but, as knowledge is broadened by research, changes in practice, treatment and drug therapy may become necessary or appropriate. Readers must check the most current product information provided by the manufacturer of each drug to be administered and verify the dosages and correct administration, as well as contraindications. It is the responsibility of the practitioner, utilising the experience and knowledge of the patient, to determine dosages and the best treatment for each individual patient. Any brands mentioned in this book are as examples only and are not endorsed by the publisher. Neither the publisher nor the authors assume any liability for any injury and/or damage to persons or property arising from this publication.

To contact M&K Publishing write to:
M&K Update Ltd · The Old Bakery · St. John’s Street
Keswick · Cumbria CA12 5AS
Tel: [phone] · Fax: [phone]
[e-mail]
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Designed by Mary Blood
Typeset in 10pt Univers Light
Printed in England by Reeds Printers, Penrith
C ONTENTS
Preface Acknowledgements About the editors List of contributors 1 The evolving role of the preoperative assessment team Liz Kenny 2 Preoperative estimation of survival and mortality risk John Carlisle 3 History taking Hilary Walsgrove 4 Clinical examination Helen Pickard 5 Preoperative assessment of cardiovascular system and management of concurrent disease John Carlisle 6 Respiratory assessment and disease David Lynes 7 Assessment of the airway Adrian Pearce and Cheng Ong 8 Preoperative testing and perioperative management of endocrine and renal disease Sudarshan Ramachandran, David Kennedy and Munirul Haque 9 Preoperative assessment and management of neurological disease John Andrzejowski and Stefan Jankowski 10 The role of haematology in preoperative assessment Andrew Blann 11 The role of blood transfusion in preoperative assessment Andrew Blann 12 Preoperative pharmacological optimisation Jonathan Thompson and Simon P. Young 13 Considerations in the preoperative assessment of paediatric patients Simon Moore 14 Preoperative assessment and day case surgery Ian Smith and Clare Hammond 15 Preparation for discharge Liz Lees 16 Consent and the perioperative patient Christine Hughes 17 Changing the preoperative process a review of the evidence Ross Kerridge 18 The challenge of implementing ‘new’ preoperative systems Ross Kerridge 19 Audit and evaluation of a perioperative service Ciaran Hurley 20 Developing a competency framework for preoperative assessment Hilary Walsgrove 21 Developing protocol and guidance to support assessment services Paul Knight and Liz Kenny Appendix Index
P REFACE
Preoperative assessment of the surgical patient is a key part of the perioperative process. However, it is one that cannot be separated from the other aspects of perioperative management, both clinical and administrative, that ensure the safe and effective treatment of surgical patients. There are a number of books on the market that examine perioperative management, anaesthesia and surgical nursing that are only able to touch on the preoperative assessment process. Preoperative Assessment and Perioperative Management sets out to be different, by bridging the gap between these texts and the evolving and developing area of practice that preoperative assessment has become in modern healthcare.
In order to achieve this, Preoperative Assessment and Perioperative Management aims to deliver the core clinical aspects of practice, linked to the education and service development needs of a perioperative service. The challenge for such a book is to integrate this knowledge effectively, using the best evidence base, for use in everyday practice. The brief to the contributors was to help define preoperative assessment using their expertise to highlight best practice. They have achieved this, ensuring that the reader has access to the thoughts of some of the leading experts in international perioperative practice. The contributors have done this in an open and accessible style that will guide readers through some complex and demanding subjects to enable them to deliver better frontline care to surgical patients.
Preoperative Assessment and Perioperative Management is also a helpful text for a range of professionals who wish to understand more about the management of patients undergoing surgery.
Preoperative Assessment and Perioperative Management covers three main aspects:
• the core clinical skills and knowledge to assess patients prior to surgery
• specialist areas of preoperative practice
• service development and management of the perioperative systems.
We hope that you enjoy reading this book, as much as we enjoyed editing it.

Mark Radford
Alastair Williamson
Clare Evans
Acknowledgements

MR
I would like to thank (once again!) Sam, Ellie and Isobel for putting up with me doing another publishing idea on top of an already busy life. To Alastair, Clare, Mike and Ken (MandK) for persevering with this project that seems to have gone on for a lifetime, and next time I shall take your advice. Finally, to all the perioperative staff at Good Hope Hospital, who have in their own small way contributed to this book over the years of working with you all.

CE
I would like to thank my family and friends for their support and encouragement – yet again. To all the staff I have worked with in Oxford, London and Bristol who have brought rich experiences to my working life, making this journey an adventure. Lastly, thanks to Mark, for the invitation to share this experience – please learn to take no as a final answer!
A BOUT THE E DITORS
Professor Mark Radford BSc (Hons), RGN, PGDip (ANP), MA (Med. Ed.), ENB 183

Mark Radford is currently Divisonal Director of Nursing for Surgery at University Hospitals Coventry and Warwickshire and a Visiting Professsor of Nursing at Birmingham City University. He was previously a Consultant Nurse in Perioperative Emergency Care at Good Hope Hospital, part of Heart of England Foundation Trust. His clinical work has focused on the management of emergency surgery and trauma patients. As a nurse he has previously worked in anaesthetics, preoperative assessment, critical care and AandE in the UK and Europe. He has also worked as an adviser to the Department of Health, NCEPOD, MHRA and NICE on a range of areas including perioperative hypothermia, emergency management and nurse prescribing. He has published widely on advanced practice nursing and perioperative care. His research focuses on clinical decision-making, expertise and sociological issues in healthcare.

Dr Alastair Williamson MB ChB (Cantab), FRCA

Dr Alastair Williamson is a Consultant Anaesthetist at Good Hope Hospital, part of Heart of England Foundation Trust. Since his appointment in 1999, he has been actively involved in the support and development of Preoperative Assessment Services at the hospital, and in particular the development of the role of the Perioperative Emergency Care Team. He was involved locally and nationally as an Anaesthetic Clinical Lead in the NHS Modernisation Agency’s National Theatre and Preoperative Assessment Programme. He has presented at national and international conferences on the role of preoperative