{ "item_title" : "High Risk Anesthesia", "item_author" : [" Millicent Health Research "], "item_description" : "The patient with severe aortic stenosis booked for a hip fracture. The septic patient who needs a laparotomy tonight. The parturient who is bleeding. The airway that cannot be intubated. These are the cases that keep anesthesia clinicians awake, and they account for most perioperative deaths and serious complications. High-Risk Anesthesia is written for exactly these patients. This textbook treats perioperative risk as a mismatch between what surgery and anesthesia demand and what the patient can deliver. Every chapter starts with the physiology, then shows how to turn it into decisions: how to assess, optimize, induce, maintain, rescue and recover the patient with little reserve. When a patient does not fit the algorithm, understanding why a stenotic valve cannot tolerate tachycardia, why the right ventricle fails in a spiral, or why an obese patient desaturates within a minute of apnea lets you reason through the case. Inside you will find: 51 self-contained chapters across 11 parts. Open the book at the chapter you need before tonight's case, with no cross-referencing.62 full-color figures drawn for this book, including pressure-volume loops, echocardiographic views, airway anatomy, the neuromuscular junction, viscoelastic traces and crisis pathways.Clinical Pearl, Red Flag and Key Concept boxes that highlight what matters at the bedside.A case vignette in every chapter, followed through from assessment to outcome.Key points and self-assessment questions with explained answers for revision and exam preparation.Appendices with a high-risk drug reference, risk scores and classifications, crisis checklists, hemodynamic formulas and reference values, plus a glossary and index.Coverage includes: Perioperative risk stratification, functional capacity, prehabilitation and shared decision making.Coronary disease, heart failure, valvular disease, pulmonary hypertension, cardiac devices, hypertrophic cardiomyopathy and adult congenital heart disease.Hemodynamic monitoring, vasopressors, fluid therapy and point-of-care ultrasound.COPD, asthma, sleep apnea, the anticipated and unanticipated difficult airway, front-of-neck access, one-lung ventilation and aspiration risk.Raised intracranial pressure, stroke, neuromuscular disease and spinal cord injury.Kidney and liver disease, diabetes, adrenal and thyroid disorders, pheochromocytoma and severe obesity.Anticoagulation and neuraxial safety, massive hemorrhage, viscoelastic-guided transfusion and bleeding disorders.The frail older adult, preeclampsia and obstetric hemorrhage, maternal arrest, the high-risk neonate, chronic opioid therapy and the transplant recipient.Emergency laparotomy, trauma and burns, aortic surgery, lung resection and anesthesia outside the operating room.Anaphylaxis, malignant hyperthermia, local anesthetic toxicity, cardiac arrest, embolic crises, postoperative respiratory failure and delirium.Written for anesthesiologists, nurse anesthetists (CRNAs), anesthesiologist assistants and anesthesia residents. It is also useful for intensivists, perioperative physicians and senior trainees preparing for board examinations or for their most demanding lists. This book is a reference for qualified health professionals and supervised trainees. It does not replace institutional protocols, current product labeling, published guidelines or clinical judgment, and all doses must be verified before use. It is an independent publication and is not affiliated with or endorsed by any professional society, board, certification body or institution.", "item_img_path" : "https://covers3.booksamillion.com/covers/bam/9/79/816/593/9798165937330_b.jpg", "price_data" : { "retail_price" : "250.00", "online_price" : "250.00", "our_price" : "250.00", "club_price" : "250.00", "savings_pct" : "0", "savings_amt" : "0.00", "club_savings_pct" : "0", "club_savings_amt" : "0.00", "discount_pct" : "10", "store_price" : "" } }

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