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Principles of Perioperative Management in Acute Care Surgery

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Textbook of Emergency General Surgery

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Abstract

Perioperative management of the acute care surgical patient can present a complicated array of management decisions. Incorporating the principles of Advanced Trauma Life Support provides the surgeon with a consistent systematic approach for treatment. Identification of the different shock states and their management is key to caring for this often critically ill population. Utilization of current guidelines and protocols such as the Surviving Sepsis Campaign, Acute Respiratory Distress Syndrome Network, and massive transfusion protocols is crucial to optimize outcomes as well. Endpoints of resuscitation can help to guide the surgeon’s management and provide goals in the pre- and postoperative setting. These endpoints may require invasive procedures, and all have limitations that should be recognized.

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Further Reading

  • ATLS®. Advanced trauma life support student course manual, 10th ed. American College of Surgeons; 2018.

    Google Scholar 

  • Hamrahian AH, Roman S, Milan S. The management of the surgical patient taking glucosteroids. In: UpToDate, Post TW (editor). Waltham; 2021. Accessed 29 Apr 2021.

    Google Scholar 

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    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Rhodes A, Evans LE, Alhazzani W, et al. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2016. Crit Care Med. 2017;45(3):486–552.

    Article  PubMed  Google Scholar 

  • Soni NJ, Arntfield R, Kory P. Point-of-care ultrasound. 2nd ed. Philadelphia: Elsevier; 2020.

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Author information

Authors and Affiliations

  1. Bronson Methodist Hospital, Surgical Critical Care and Trauma Surgery, Kalamazoo, MI, USA

    Oreste Romeo & Scott B. Davidson

  2. Lake Erie College of Osteopathic Medicine, Greensburg, PA, USA

    Taylor A. Davidson

Authors
  1. Oreste Romeo
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  2. Taylor A. Davidson
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  3. Scott B. Davidson
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Correspondence to Oreste Romeo .

Editor information

Editors and Affiliations

  1. General, Emergency and Trauma Surgery Dept., Pisa University Hospital, Pisa, Italy

    Federico Coccolini

  2. General and Emergency Surgery Dept., Bufalini Hospital, Cesena, Italy

    Fausto Catena

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Romeo, O., Davidson, T.A., Davidson, S.B. (2023). Principles of Perioperative Management in Acute Care Surgery. In: Coccolini, F., Catena, F. (eds) Textbook of Emergency General Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-22599-4_12

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  • DOI: https://doi.org/10.1007/978-3-031-22599-4_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-22598-7

  • Online ISBN: 978-3-031-22599-4

  • eBook Packages: MedicineMedicine (R0)

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