Evidence-based medical practice stresses a combination of the best available objective evidence and an individual practitioner's clinical expertise. The Editor, a recognized leader in the field of gynecologic oncology and Fellow of the American College of Surgeons, has assembled authors to utilize the principles of evidence-based medicine, thereby providing a foundation for decision-making in clinical care. Perioperative and Supportive Care in Gynecologic Oncology discusses the diversity of available diagnostic and therapeutic options for problems in perioperative care of gynecologic oncology patients. Essential materials are presented within a framework of evidence-based medicine, with an emphasis on systematic data collection, grading, decision analysis, and cost sensitivity. Authors provide analyses of the modern-day issues facing providers of gynecologic perioperative and oncologic care. Included are discussions of evidence grading methodology, a primer on decision analysis application, and choosing the best data sources.
Each chapter moves from clinical profiling of the disease or problem, followed by a presentation of the best available evidence, and concluding with treatment options where appropriate. This invaluable reference also presents the basics of perioperative and critical care, physiologic principles, as well as essential procedures and clinical tools. All practitioners and trainees involved in perioperative care will find this ground-breaking reference invaluable.
Table of Contents
GENERAL PRINCIPLES. Introduction (S. Vasilev). Evidence--Based Medicine and Decision Support (S. Vasilev). Vascular Access and Other Invasive Procedures (P. Koonings). Radiology of the Abdomen, Pelvis, Spine, and Central Nervous System (A. Deutsch & R. Gordon). Radiology of Postoperative Pulmonary Complications (S. Heinze, et al.). Perioperative Cardiorespiratory Monitoring and Management (S. Vasilev). Fluids, Electrolytes, and Nutrition (H. Silberman). PERIOPERATIVE MANAGEMENT OF GYNECOLOGIC SURGERY. Preoperative Evaluation (P. Lin). Postoperative Surveillance and Perioperative Prophylaxis (H. Smith, et al.). Perioperative Anesthetic Emergencies (J. Christie & R. Cane). Perioperative Infections: Prevention and Therapeutic Options (S. Roy & S. Vasilev). Intraoperative and Perioperative Considerations in Laparoscopy (S. Vasilev). ONCOLOGIC PERIOPERATIVE DECISION MAKING. Endometrial and Cervical Carcinoma (B. Monk & R. Burger). Pelvic Masses and Ovarian Carcinoma (J. Schlaerth). Molar Gestation (S. Vasilev & C. Morrow). Perioperative Issues in the Management of Vulvar Carcer (K. McGonigle & L. Lagasse). ONCOLOGIC THERAPY COMPLICATIONS MANAGEMENT. Bowel Complications Management and Radiation Enteritis (K. McGonigle). Chemotherapy Complications (L.Rosen & G. Schiller). SUPPORTIVE CARE. Perioperative Psychosocial Considerations (J. McKay). Pain Management in Gynecologic Oncology (L. Galffy & C. Varga). Index.