The High-risk Surgical Patient

Reports on pre-operative surgical risk in difficult clinical settings for patients on mechanical circulatory support

Describes trends in mini-invasive surgical techniques and offers an overview of recent advances in surgical simulation

Focuses on peculiar clinical situations requiring special treatments, such as REBOA and ECMO for trauma support

About this book

It is well known that certain diseases and patient conditions are associated with increased perioperative risk. The aim of this book is to define and identify the clinical factors that warrant a broader and more detailed assessment of pre-operative surgical risk in difficult and unusual clinical settings. One of the sections is dedicated to the main pathway of peri- and post-surgical critical care based on the patient-specific deterioration risk and associated diseases; here, a panel of selected experts describes the correct patient-oriented pathways for complex or unscheduled surgical operations in order to reduce the operative risk. In addition, the book describes the latest trends in minimally invasive surgical techniques that are associated with peri- and post-operative risk reduction and provides an overview of recent advances in surgical simulation, focusing on perspectives in surgical research to increase patient safety.

Guidance is also provided on extracorporeal membrane oxygenation (ECMO), Left Ventricular Assist Devices (LVADs), and their management in patients requiring emergency surgery.

The book will help surgical trainees recognize cases with the highest surgical risk and identify the most common complications at an early stage.

Table of contents (83 chapters)

Identification and Characterisation of High-Risk Surgical Patients

Assessment of Pre-operative Risk in Complex Cardiac Surgery

Antonino Massimiliano Grande, Antonio Fiore, Antonio Salsano

Strategies to Improve the Outcome in High-Risk Surgical Patients

New Trends in Acute Care of High-Risk Surgical Patients

Improving Patients’ Safety and Prevention of Major Complications

Identifying the High-Risk Trauma Patient