Skip to main content

Serious Perioperative Complications: Hospital Medicine Perspectives

  • Chapter
  • First Online:
Perioperative Kidney Injury

Abstract

Injury or failure of vital organs in the perioperative period leads to increased morbidity, mortality, and length of stay. Derangements in cardiovascular and metabolic functions are the predominant causes of nonrenal morbidity in the postoperative period. Although the outcomes of multiorgan injury could be interlinked, approaches to minimize the risk of injury to each vital organ system need to be planned and developed for each individual. This calls for a collaborative strategy for risk evaluation, optimization, and management by a multidisciplinary team involving the primary care provider, hospitalist, subspecialist, anesthesiologist, and surgeon during the perioperative period. Individualized approaches for preservation of vital organ function are likely to provide better patient outcomes after surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Hinami K, Whelan CT, Konetzka RT, Meltzer DO. Provider expectations and experiences of comanagement. J Hosp Med. 2011;6(7):401–4.

    Article  PubMed  Google Scholar 

  2. Doerflinger DM. Older adult surgical patients: presentation and challenges. AORN J. 2009;90(2):223–40, quiz 241–4.

    Article  PubMed  Google Scholar 

  3. Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004;240(2):205–13.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Lee TH, Marcantonio ER, Mangione CM, et al. Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery. Circulation. 1999;100(10):1043–9.

    Article  PubMed  CAS  Google Scholar 

  5. Fleisher LA, Beckman JA, Brown KA, et al. ACC/AHA 2007 Guidelines on Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery. Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery) developed in collaboration with the American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, and Society for Vascular Surgery. J Am Coll Cardiol. 2007;50(17):1707–32. Erratum in: J Am Coll Cardiol. 2008;52(9);794–7.

    Google Scholar 

  6. Sachdev G, Napolitano LM. Postoperative pulmonary complications: pneumonia and acute respiratory failure. Surg Clin North Am. 2012;92(2):321–44, ix.

    Article  PubMed  Google Scholar 

  7. Canet J, Gallart L. Predicting postoperative pulmonary complications in the general population. Curr Opin Anaesthesiol. 2013;26(2):107–15.

    Article  PubMed  Google Scholar 

  8. Shander A, Fleisher LA, Barie PS, Bigatello LM, Sladen RN, Watson CB. Clinical and economic burden of postoperative pulmonary complications: patient safety summit on definition, risk-reducing interventions, and preventive strategies. Crit Care Med. 2011;39(9):2163–72.

    Article  PubMed  Google Scholar 

  9. Kaw R, Michota F, Jaffer A, Ghamande S, Auckley D, Golish J. Unrecognized sleep apnea in the surgical patient: implications for the perioperative setting. Chest. 2006;129(1):198–205.

    Article  PubMed  Google Scholar 

  10. Kierzek G, Jactat T, Dumas F, Pourriat JL. End-tidal carbon dioxide monitoring in the emergency department. Acad Emerg Med. 2006;13(10):1086.

    Article  PubMed  Google Scholar 

  11. Chen WH, Ye JY, Zhang YH, Wang JY. Application of pressure of end-tidal carbon dioxide concentration in polysomnography. [Chinese]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2013;48(2):158–60.

    Google Scholar 

  12. Meneghini LF. Perioperative management of diabetes: translating evidence into practice. Cleve Clin J Med. 2009;76 Suppl 4:S53–9.

    Article  PubMed  Google Scholar 

  13. Rittler P, Broedl UC, Hartl W, Goke B, Jauch K. Diabetes mellitus – perioperative management [in German]. Chirurg. 2009;80(5):410, 412–5.

    Article  PubMed  CAS  Google Scholar 

  14. Rizvi AA, Chillag SA, Chillag KJ. Perioperative management of diabetes and hyperglycemia in patients undergoing orthopaedic surgery. J Am Acad Orthop Surg. 2010;18(7):426–35.

    PubMed  Google Scholar 

  15. Carson JL, Terrin JL, Noveck ML, et al FOCUS Investigators. Liberal or restrictive transfusion in high-risk patients after hip surgery. N Engl J Med. 2011;365(26):2453–62.

    Google Scholar 

  16. Battistelli S, Genovese A, Gori T. Heparin-induced thrombocytopenia in surgical patients. Am J Surg. 2010;199(1):43–51.

    Article  PubMed  CAS  Google Scholar 

  17. Grant PJ, Brotman DJ, Jaffer AK. Perioperative anticoagulant management. Anesthesiol Clin. 2009;27(4):761–77.

    Article  PubMed  CAS  Google Scholar 

  18. Levy JH, Key NS, Azran MS. Novel oral anticoagulants: implications in the perioperative setting. Anesthesiology. 2010;113(3):726–45.

    PubMed  CAS  Google Scholar 

  19. Allen SR, Frankel HL. Postoperative complications: delirium. Surg Clin North Am. 2012;92(2):409–31.

    Article  PubMed  Google Scholar 

  20. Brooks PB. Postoperative delirium in elderly patients. Am J Nurs. 2012;112(9):38–49, quiz 51.

    Article  PubMed  Google Scholar 

  21. Sieber FE. Postoperative delirium in the elderly surgical patient. Anesthesiol Clin. 2009;27(3):451–64, table of contents.

    Article  PubMed  Google Scholar 

  22. Trief PM, Grant W, Frederickson B. A prospective study of psychological predictors of lumbar surgery outcome. Spine (Phila Pa 1976). 2000;25(20):2616–21.

    Article  CAS  Google Scholar 

  23. Pandey CK, Karna ST, Pandey VK, Tandon M, Singhal A, Mangla V. Perioperative risk factors in patients with liver disease undergoing non-hepatic surgery. World J Gastrointest Surg. 2012;4(12):267–74.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Darrah DM, Griebling TL, Sliverstein JH. Postoperative urinary retention. Anesthesiol Clin. 2009;27(3):465–84.

    Article  PubMed  Google Scholar 

  25. Mercado DL, Petty BG. Perioperative medication management. Med Clin North Am. 2003;87(1):41–57.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Steven Deitelzweig MD, MMM, FACP, SFHM .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer Science+Business Media New York

About this chapter

Cite this chapter

Deitelzweig, S., Ravipati, L.N.P. (2015). Serious Perioperative Complications: Hospital Medicine Perspectives. In: Thakar, C., Parikh, C. (eds) Perioperative Kidney Injury. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1273-5_2

Download citation

  • DOI: https://doi.org/10.1007/978-1-4939-1273-5_2

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1272-8

  • Online ISBN: 978-1-4939-1273-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics