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Edited by Mark F. Newman, Lee A. Fleisher, and Mitchell P. Fink
752 pp, $186
Philadelphia, PA, Saunders/Elsevier, 2008
ISBN-13: 978-1-4160-2456-9

JAMA. 2009;302(14):1597-1598.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Surgical complexity and risk, along with the burden of acute and chronic disease, combine to define a patient's perioperative risk. Despite the increasing number of extremely sick operative candidates, advances in anesthetic techniques and monitoring have led to an expectation of operative survival in all but the most extreme situations. Thus, a key challenge to the profession of anesthesiology must shift from simply getting the patient out of the operating room alive to maximizing longer-term goals of survival and optimal function. This broader view provides the inspiration for Perioperative Medicine: Managing for Outcome. Drawing from the expertise of 82 anesthesiologists, surgeons, internists, and intensivists, the book provides a comprehensive overview of perioperative morbidity and its prevention.

The book contains 5 parts and begins with 4 integrative introductory chapters that outline the relationship between perioperative and long-term morbidity and identify the likely culprits of perioperative organ deterioration: inflammation, derangements in . . . [Full Text of this Article]

Audrey Shafer, MD, Reviewer
Anesthesiology Service
Veterans Affairs Palo Alto Health Care System
Stanford University School of Medicine
Palo Alto, California
ashafer@stanford.edu

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