Anesthesia for Urologic Surgery

This book provides a brief review of renal physiology and pharmacology then addresses anesthesia for each major group of urological procedures and in special populations, including the geriatric patient, the pediatric patient and the pregnant patient.

This is a concise, up-to-date reference on anesthesia for urological surgery. Urological anesthesia is not recognized as a specialty, and a majority of anesthesiologists and nurse anesthetists will provide anesthesia for these patients. Advances in urological procedures, the advent of treatment of patients with strong anticoagulant and antiplatelet medications, and the demographics of urology patients (many of whom are young or elderly) present challenges for the anesthesiologist and have necessitated changes in anesthesia practice. The last volume on this topic was published in 2000, and the time is right for a fresh presentation of contemporary expertise in anesthesia for urological surgery.

The book provides a brief review of renal physiology and pharmacology then addresses anesthesia for each major group of urological procedures (e.g., endoscopic, office-based, laparoscopic and robotic, nephrolithotripsy, renal transplantation, etc.) and in special populations, including the geriatric patient, the pediatric patient, and the pregnant patient. Separate chapters discuss the unique challenges of positioning the patient, and of managing the patient taking anticoagulant and antiplatelet medication, and the chapter on pain management addresses common and important perioperative concerns. The book provides a brief review of renal physiology and pharmacology then addresses anesthesia for each major group of urological procedures (e.g., endoscopic, office-based, laparoscopic and robotic, nephrolithotripsy, renal transplantation, etc.) and in special populations, including the geriatric patient, the pediatric patient, and the pregnant patient. Separate chapters discuss the unique challenges of positioning the patient, and of managing the patient taking anticoagulant and antiplatelet medication, and the chapter on pain management addresses common and important perioperative concerns.

This is an up-to-date clinical reference on anesthesia for urological surgery. Advances in urological procedures, the advent of treatment of patients with strong anticoagulant and antiplatelet medications, and the demographics of urology patients (many of whom are young or elderly) present challenges for the anesthesiologist and have necessitated changes in anesthesia practice. Urological anesthesia is not recognized as a subspecialty, and this book, which reflects the expertise of clinicians and researchers from around the United States and Europe, is written for the majority of anesthesiologists and nurse anesthetists who will provide anesthesia for these patients. Renal physiology and pharmacology Urologic anesthesia in all age groups, and in both the operating room and outpatient setting Special considerations in the pregnant patient and in renal transplantation Anesthesia for robotic surgery of the prostate In older patients, problems arising from co-morbidities and the risk of drug interactions Appropriate pain management in inpatient and outpatient settings The unique challenges of positioning the patient Medico-legal considerations, including analyses from the closed claims study

Klappentext

This is an up-to-date clinical reference on anesthesia for urological surgery. Advances in urological procedures, the advent of treatment of patients with strong anticoagulant and antiplatelet medications, and the demographics of urology patients (many of whom are young or elderly) present challenges for the anesthesiologist and have necessitated changes in anesthesia practice.

Urological anesthesia is not recognized as a subspecialty, and this book, which reflects the expertise of clinicians and researchers from around the United States and Europe, is written for the majority of anesthesiologists and nurse anesthetists who will provide anesthesia for these patients.

The book includes coverage of these topics:

· Renal physiology and pharmacology

· Urologic anesthesia in all age groups, and in both the operating room and outpatient setting

· Special considerations in the pregnant patient and in renal transplantation

· Anesthesia for robotic surgery of the prostate

· In older patients, problems arising from co-morbidities and the risk of drug interactions

· Appropriate pain management in inpatient and outpatient settings

· The unique challenges of positioning the patient

· Medico-legal considerations, including analyses from the closed claims study

Inhalt

1. Anesthesia and Renal Function: Perioperative Considerations.- 2. Preoperative Evaluation of the Geriatric Patient.- 3. Anesthesia for Urological Endoscopic Procedures.- 4. Anesthesia for Office-Based Urological Procedures.- 5. Extracorporeal Shock Wave Therapy and Percutaneous Nephrolithotripsy.- 6. Anesthesia for Laparoscopic and Robotic-assisted Urological Procedures.- 7. Anesthesia for Renal Transplantation: Recipient and Donor Care.- 8. Anesthesia for Pheochromocytoma.- 9. Anesthesia for Pediatric Urology.- 10. Open Urological Procedures: Anesthetic Considerations in Radical Cystectomy with Diversion, Radical Prostatectomy, and Radical Nephrectomy.- 11. The Pregnant Patient.- 12. Positioning for Urological Procedures.- 13. Management of the Urological Patient Taking Anticoagulant or Antiplatelet Medication.- 14. Pain Management.- 15. Use of the Simulation Laboratory to Teach Urological Anesthesia.- 16. Legal Considerations in Urological Surgery.