Perioperative Practice at a Glance by Paul Wicker

Perioperative Practice at a Glance pdf

Download Perioperative Practice at a Glance – From the publishers of the market-leading at a Glance series comes this new title on all aspects of caring for patients in the perioperative environment. 

Perioperative Practice at a Glance PDF

From pre-operative care, through the anaesthetic and surgical phases to post-operation and recovery, this easy-to-read, quick-reference resource uses the unique at a Glance format to quickly convey need-to-know information in both images and text, allowing vital knowledge to be revised promptly and efficiently.

Features Perioperative Practice at a Glance

  • Brings together all aspects of perioperative practice in one easy-to-read book
  • Moves through the patient journey, providing support to perioperative practitioners in all aspects of their role
  • Covers key information on perioperative emergencies
  • Includes material on advanced skills to support Advanced Practitioners
  • Each topic is covered in two pages, allowing for easy revision and reference

This is a must-have resource for operating department practitioners and students, theatre nurses and nursing students, and trainee surgeons and anaesthetists.

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Preface vii

Acknowledgements viii

Surgical and anaesthetic abbreviations and acronyms ix

How to use your textbook xiii

Part 1 Introduction to perioperative practice 1

1 Preoperative patient preparation 2

2 Theatre scrubs and personal protective equipment (PPE) 4

3 Preventing the transmission of infection 6

4 Preparing and managing equipment 8

5 Perioperative patient care 10

6 Surgical Safety Checklist – Part 1 12

7 Surgical Safety Checklist – Part 2 14

8 Legal and professional accountability 16

9 Interprofessional teamworking 18

Part 2 Anaesthesia 21

10 Preparing anaesthetic equipment 22

11 Checking the anaesthetic machine 24

12 Anatomy and physiology of the respiratory and cardiovascular systems 26

13 Anaesthetic drugs 28

14 Perioperative fluid management 30

15 Monitoring the patient 32

16 General anaesthesia 34

17 Local anaesthesia 36

18 Regional anaesthesia 38

Part 3 Surgery 41

19 Roles of the circulating and scrub team 42

20 Basic surgical instruments 44

21 Surgical scrubbing 46

22 Surgical positioning 48

23 Maintaining the sterile field 50

24 Sterilisation and disinfection 52

25 Swab and instrument counts 54

26 Working with electrosurgery 56

27 Tourniquet management 58

28 Wounds and dressings 60

Part 4 Recovery 63

29 Introducing the recovery room 64

30 Patient handover 66

31 Postoperative patient care – Part 1 68

32 Postoperative patient care – Part 2 70

33 Monitoring in recovery 72

34 Maintaining the airway 74

35 Common postoperative problems 76

36 Managing postoperative pain 78

37 Managing postoperative nausea and vomiting 80

Part 5 Perioperative emergencies 83

38 Caring for the critically ill 84

39 Airway problems 86

40 Rapid sequence induction 88

41 Bleeding problems 90

42 Malignant hyperthermia 92

43 Cardiovascular problems 94

44 Electrosurgical burns 96

45 Venous thromboembolism 98

46 Latex allergy 100

Part 6 Advanced surgical practice 103

47 Assisting the surgeon 104

48 Shaving, marking, prepping and draping 106

49 Retraction of tissues 108

50 Suture techniques and materials 110

51 Haemostatic techniques 112

52 Laparoscopic surgery 114

53 Orthopaedic surgery 116

54 Cardiac surgery 118

55 Things to do after surgery 120

References and further reading 122

Index 144

Preface: Perioperative Practice at a Glance

Dear reader I hope that you really enjoy reading this book and find the content useful to underpin your practice and theory. I wrote this book to cover the ‘umbrella’ of perioperative practice. I have written a few books on the subject already and I am still conscious that these days technology also enables healthcare practitioners to access information quickly. Something that I have learned during my career as a theatre practitioner and a Head of Perioperative Studies is that ‘time’ is what theatre practitioners lack most; especially in this current healthcare climate, which is asking practitioners to do more for less, and with less support. A short, succinct and factual book like this one on perioperative practice is the solution to the problem of lack of time for all students, practitioners, teachers, mentors and medics, to ensure safe care for their patients. The chapters are short and succinct, and there are pictures, diagrams and tables full of information that will help support your reading of the chapter. The book commences with an introduction to perioperative practice. This part covers everything from cleaning the operating room to wearing scrubs and interprofessional teamworking. These days it is crucial for interprofessional teams to work together in order to provide the best possible patient care. Surgeons and anaesthetists cannot work by themselves, and neither can practitioners! The next parts are anaesthesia, surgery and recovery. Practitioners these days can work in all areas of the operating department, so they need to know at least the basics of each area. Working in recovery is much more different than working in surgery. These chapters cover the basics, as well as offering an advanced understanding of your roles and responsibilities when working in these areas. The following part looks at key problems in perioperative care, including hyperthermia (which is deadly), airway problems, bleeding problems, latex allergy and so on. These are also areas that are important for patient safety, which I am sure you will find useful. The final part is on advanced surgical skills. The roles of the Surgical First Assistant and the Surgical Care Practitioner are now much more common for practitioners to undertake, because of the shortage of surgeons due to the European Working Time Directive and NHS cost savings. These chapters cover items such as suturing, laparoscopies, retraction and other roles associated with the surgeon’s assistant. The reference section at the end of the book will also be of great value to you. These pages contain references for the chapter, further reading, information on websites and links to videos. So if the chapter you read does not have enough information for you, check out the relevant pages for the chapter you are reading and check up on some of the links – you will find that they contain lots more information for you. I sincerely hope that this book is of interest to you – read, enjoy, learn and progress!


I first of all want to thank my wife Africa for all the help she has given me, and her support in reviewing the book’s contents while I was writing it. And thanks to my children too, Kate, Mairi and Neil, for keeping me happy and chilled out while writing! I also want to thank my colleagues and friends for reviewing the chapters and commenting on their contents – Ashley Wooding, Sara Dalby, Tim Lewis, Adele Nightingale and Paul Rawling. I thank Patricia Turton and Noreen Hall from Aintree University Hospital, Liverpool, and Bob Unwin and Gill Scanlon from the Liverpool Women’s Hospital, for allowing me to use photos taken within their operating department. I also thank the staff from both hospitals for allowing me to take their photos and use them in this book. Many thanks to University Hospital South Manchester for the use of the photographs taken in the cadaveric workshop entitled ‘Better Training Better Care’. We very much appreciate your support for these photographs. Finally, I also want to thank Katrina Rimmer and Madeleine Hurd from John Wiley & Sons for their help and support in getting this book published.

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    Paul Wicker is Head of Perioperative Studies, Faculty of Health, Edge Hill University, Ormskirk, Lancashire, UK.  He is also Consultant Editor of the Journal of Operating Department Practice (published by Mark Allen Publishers) and author of Wiley title Caring for the Perioperative Patient.

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