Other chapters cover topics such as respiratory risk analgesia for the high risk patient local anesthetic techniques the elderly patient optimization gastrointestinal considerations renal considerations anemia the role of the cardiology consult and the actual meaning of risk again to name only a few. Along these lines if a patient is high risk for a general anaesthetic eg pre existing comorbidities then they should still be referred for surgery like any other patient the decision to operate and which form of anaesthesia to use should then be decisions made by the surgeon and anaesthetist. Continuing education in anaesthesia critical care pain volume 14 issue 1 1 february 2014 pages 12 17 https doiorg these tests have utility to exclude low risk patients but lack predictive power in intermediate to high risk patients since the occurrence of a major adverse outcome depends on concomitant factors serendipity and . The final chapter the meaning of risk presents a succinct perspective on perioperative risk reviews the presentation of risk to patients and their families and emphasizes the spectrum of relative risk comparing the risk of death by murder versus flying versus driving versus receiving a general anesthetic. Medications in the high risk patient 58 c railton 5 pharmaco physiological approaches to the high risk surgical patient 68 m cutts 6 respiratory risk and complications 84 j granton 7 analgesia for the high risk patient 93 c clarke and p morley forster 8 regional anesthesia for the high risk patient 109 s dhir 9 anemia coagulopathy
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