Part I: Preoperative evaluation and management -- 1. Surgical risk in distressed or underserved populations -- 2. Implementation and utilization of checklists in surgical patient safety -- 3. Controversies in antibiotic prophylaxis in orthopaedic surgery -- 4. Perioperative Hemodynamic Monitoring for High Risk Surgical Patients -- Part II: Lifestyle interventions -- 5. Prehabilitation for gastrointestinal cancer surgery -- 6. Efficacy of prehabilitation in abdominal cancer surgery -- 7. Elective surgery for patients with substance use disorder or recent substance misuse -- 8. Illicit drugs and candidates for endoscopy and surgery -- 9. Nutritional Care in Gastrointestinal Surgery -- Part III: Surgical specialties -- 10. Risk Reduction in Diabetic Patients Undergoing Orthopaedic Surgery -- 11. Advanced Trauma Life Support -- 12. Severe Traumatic Brain Injury: A Review for the General and Trauma Surgeon -- 13. Current Management of Post Operative Mesenteric Ischemia -- 14. Safety and Success in Modern Liver Transplantation -- Part IV: Protocols of special relevance -- 15. Immunization Routines for Surgical Splenectomy -- 16. Management of the Difficulty Airway in the Perioperative Period (A Surgical Perspective) -- Part V: Fluids, electrolytes and shock -- 17. Damage Control Resuscitation: Massive Transfusion Protocols and Pharmacologic Adjuncts -- 18. Perioperative Fluid Management and Volume Assessment -- 19. Perioperative fluid administration and complications in emergency gastrointestinal surgery -- 20. The surgical critically ill patients: a focus on deresuscitation strategy -- 21. Extracorporeal Membrane Oxygenation -- Part VI: Perioperative surgical challenges -- 22. Damage Control Laparotomy -- 23. Abdominal compartment syndrome and emergency decompressive laparotomy -- 24. Postoperative complications after emergency laparotomy -- 25. Open abdomen as an effective therapy for abdominal sepsis, bedside assistance for the surgeon -- 26. Acute mesenteric ischemia: Imaging and Intervention -- 27. Options on Conservative Treatment in Acute Surgical Emergencies -- Part VIII: Bedside and adjunct procedures -- 28. Percutaneous Ultrasound Guided Gastrostomy Placement -- 29. Optimal pharmacotherapy strategies for enhanced postoperative recovery in high risk surgeries -- 30. Blood Component Alternatives During Acute Hemorrhage -- Part IX: Wound care -- 31. Skin Wound Complications in High-Risk Surgery -- 32. Can negative pressure dressings prevent wound infection after surgery? -- Part X: Innovative Approaches -- 33. Practical implementation of extracorporeal membrane oxygenation in the critically ill surgical patient -- 34. Improving the Selection of Patients for High-Risk Surgery: The Ethical Use of Artificial Intelligence -- 35. Artificial Intelligence Surgery: How Autonomous Actions and Surgiomics Can Decrease Risk in High-Risk Surgery -- 36. Machine Learning and High-Risk Cardiac Surgery Risk Scoring -- 37. Multidimensional Frailty Instruments for Cardiac Surgery -- Part XI: End of life care and other ethical challenges -- 38. Palliative Surgery: When to and When not to? -- 39. How should surgical palliative success be defined? -- Part XII: Supplementary material -- 40. Colorectal surgery in critically unwell patients -- 41. Useful tables and internet sites.

Major surgical societies have been publishing perioperative recommendations for over half a century, based on committees conducting reviews of the literature. Surgical books fundamentally target the intraoperative period when anesthesia is going on. Fatalities are often embedded in a larger context of systemic failures, in which initial problems are sidestepped or mishandled till they become overwhelming and irreversible. There must be a guiding principle and a truly integrated approach for each condition and treatment, of course based on the strongest available evidence. This unique book provides the reader standardized instructions and recommendations on the management of all high-risk surgical candidates in different specialties and contexts, encompassing a continuum of care, and not just in selected phases or groups. Written by worldwide experts, it is divided in 11 sections and 41 chapters which discuss: Preoperative evaluation, Lifestyle interventions, Surgicalspecialties, Protocols of special relevance, Fluids, electrolytes and shock, Perioperative surgical challenges, Bedside and adjunct procedures, Wound care, Innovative Approaches (including artificial intelligence and machine learning), End of life care and other ethical challenges. It also includes an additional section with supplementary material. Residents, fellows, practitioners in training and seasoned professionals seeking society recertification, primarily in surgery, anesthesiology, intensive care medicine, internal medicine, emergency services, trauma, vascular surgery, nursing, and physical therapy will find this book valuable. Professionals in the industry (especially those related to surgery, critical care monitoring devices, imaging diagnosis and interventional radiology), policy makers and government agencies will also benefit from this work.