Recent Strategies in High Risk Surgery

Major surgical societies have been publishing perioperative recommendations for over half a century, based on committees conducting reviews of the literature. Surgical books fundamentally target the intraoperative period when anesthesia is going on. Fatalities are often embedded in a larger context of systemic failures, in which initial problems are sidestepped or mishandled till they become overwhelming and irreversible. There must be a guiding principle and a truly integrated approach for each condition and treatment, of course based on the strongest available evidence.

This unique book provides the reader standardized instructions and recommendations on the management of all high-risk surgical candidates in different specialties and contexts, encompassing a continuum of care, and not just in selected phases or groups.

Written by worldwide experts, it is divided in 11 sections and 41 chapters which discuss:  Preoperative evaluation, Lifestyle interventions, Surgical specialties, Protocols of special relevance, Fluids, electrolytes and shock, Perioperative surgical challenges, Bedside and adjunct procedures, Wound care, Innovative Approaches (including artificial intelligence and machine learning), End of life care and other ethical challenges. It also includes an additional section with supplementary material.

Residents, fellows, practitioners in training and seasoned professionals seeking society recertification, primarily in surgery, anesthesiology, intensive care medicine, internal medicine, emergency services, trauma, vascular surgery, nursing, and physical therapy will find this book valuable. Professionals in the industry (especially those related to surgery, critical care monitoring devices, imaging diagnosis and interventional radiology), policy makers and government agencies will also benefit from this work.

Joel Faintuch MD is a gastrointestinal surgeon, and former International Guest Fellow of the American College of Surgeons. He is Honorary Fellow of three foreign Surgical Societies and has served as Visiting Professor at the University of Maastricht. During his career he has been interested in a variety of subjects directly or indirectly related to Surgery including Nutrition, Metabolism, Obesity, and Ethics in Research. He was the introducer of Parenteral and Enteral Nutrition in Brazil and South America, and a founding member of different medical societies. In the last 20 years he has acted as vice-president of the Ethics in Research Committee, Hospital das Clinicas and Sao Paulo University Medical School, which is the oldest and largest in Latin America. Dr. Joel Faintuch is the author of over 270 articles in peer-reviewed journals, along with 11 books, three theses, over 200 chapters in books, and other publications.

Salomão Faintuch MD is a radiologist, and Clinical Director of Vascular and Interventional Radiology at Beth Israel Deaconess Medical Center, Harvard Medical School. He has authored more than 50 articles in peer-reviewed journals, along with 8 Society Guidelines and Standards of Practice. He is a Radiological Society of North America Research Scholar, has participated in eight National Society Committees, and is a member of the Editorial Board of three international journals.