Anesthesia in High-Risk Patients

1. Front Matter

   Pages i-viii

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2. Cardiac and Hemodynamic Risks

   1. Front Matter

      Pages 1-1

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   2. The Patient with Acute Coronary Syndrome

      • Simon Hennink-Schadenberg, Benedikt Preckel

      Pages 3-17

   3. The Patient with Advanced Chronic Heart Failure

      • Patrick F. Wouters, Koen Lapage

      Pages 19-38

   4. Pulmonary Hypertension in Cardiac Surgery

      • Bastien Olivier

      Pages 39-48

   5. The Patient with Severe Aortic Valve Stenosis

      • Priscilla de Medeiros Teixeira, Rémi Schweizer, Jean-Luc Fellahi

      Pages 49-59

   6. The Patient with Congenital Cardiac Disease

      • Philippe Mauriat, Jana Assy

      Pages 61-76

   7. Perioperative Management of the Patient with an Implantable Cardioverter Defibrillator

      • Julien Amour

      Pages 77-89

   8. What Every Anaesthetist Needs to Know About Respiratory and Cardiovascular Dynamics in Patients with Obesity or Intra-abdominal Hypertension

      • Manu LNG Malbrain, Claudia Olvera, Adrian Regli

      Pages 91-115

3. Respiratory Risks

   1. Front Matter

      Pages 117-117

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   2. Obstructive Sleep Apnea (OSA) and Anesthesia

      • Silvia Martin, César Aldecoa

      Pages 119-137

   3. Anesthesia for End-Stage Respiratory Disease

      • Morgan Le Guen, Sofian Faiz

      Pages 139-150

4. Renal and Metabolic Risks

   1. Front Matter

      Pages 151-151

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   2. The Patient with End-Stage Renal Disease

      • Antoine Dewitte, Olivier Joannès-Boyau

      Pages 153-163

   3. The Patient with End-Stage Liver Disease

      • Emmanuel Weiss, Catherine Paugam-Burtz

      Pages 165-182

   4. The Severely Obese Patient

      • Lorrie Tremblay, Jean S. Bussières, Paul Poirier

      Pages 183-199

   5. Anaesthesia and Rare Metabolic Disorders

      • Markus M. Luedi, Frank Stueber

      Pages 201-210

5. Neurological Risks

   1. Front Matter

      Pages 211-211

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   2. Patients with Cerebral Diseases

      • C. Binet, A. C. Lukaszewicz

      Pages 213-225

   3. Patients with Chronic Neuromuscular Diseases

      • Valentine Léopold, Alice Blet, Kathleen McGee, Benoît Plaud

      Pages 227-237

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.

• Anesthetic management
• Anesthesia in noncardiac surgery
• High-risk surgical patient
• Stratification of risk
• Perioperative medicine
• Cardiac risks
• Hemodynamic risks
• Respiratory risks
• Renal risks
• Neurological risks

“Each chapter is written as a well-referenced review article, and is easily and quickly digestible. The editors have attracted experienced international authors, adding great intellectual value to the content of the book. … we recommend that this book be an addition to the library of both trainees and experienced anesthesiologists.” (Ahmad Alli, Anesthesia & Analgesia, Vol. 127 (05), November, 2018)​

• Department of Anaesthesiology and Critical Care Medicine, Louis Pradel Hosp, Hospices Civils Lyon, Lyon, France

  Jean-Luc Fellahi

• Service d'Anesthésie-Réanimation, Hôpital Nord, Marseille cedex 20, France

  Marc Leone

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. 

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