New to this Edition
• New and revised art is provided throughout the book.
• New Pros & Cons boxes throughout text examine the two
sides of a patient care topic and provide references for further
reading.
• Updated references highlight the evidence-based practice
approach used in the book.
• Terminology and key words have been updated to refl ect modern
practice.
• Each chapter has been revised to emulate current practice and
knowledge, specifi cally:
• New images showing the color-coded hoses for anesthesia
gas machines, outlets for anesthetic connections, and electrical
receptacles. ( Chapter 10 )
• New tables on absorbable sutures, nonabsorbable sutures,
and barbed sutures were created for a quick reference on
these suture types. A new image was added showing generic
suture packet information. ( Chapter 28 )
• New photographs showing diff erent craniofacial abnormalities
of children. ( Chapter 41 )
New Features
This new edition of this classic perioperative text has addressed
changing roles, needs, and evolving technologies while
maintaining the fundamental focus that still remains valid—the
care of the surgical patient. Th is edition of the text identifi es the
knowledge and skill needs of the caregiver and strives to incorporate
components of patient care from preoperative, intraoperative,
and postoperative practice areas. A systems approach is introduced
to help organize patient care to minimize the risk for human error.
Section 1: Fundamentals of Theoryand Practice
1 Perioperative Education , 1
2 Foundations of Perioperative Patient CareStandards , 15
3 Legal, Regulatory, and Ethical Issues , 36
Section 2: The Perioperative
Patient Care Team
4 The Perioperative Patient Care Team and
Professional Credentialing , 53
5 The Surgical First Assistant , 61
6 Administration of Perioperative Patient Care
Services , 75
Section 3: The Patient as a Unique
Individual
7 The Patient: The Reason for Your Existence , 94
8 Perioperative Pediatrics , 118
9 Perioperative Geriatrics , 153
xv
Section 4: The Perioperative
Environment
10 Physical Facilities , 167
11 Ambulatory Surgery Centers and Alternative
Surgical Locations , 187
12 Care of the Perioperative Environment , 200
13 Potential Sources of Injury to the Caregiver
and the Patient , 207
Section 5: Surgical Asepsis and
Sterile Technique
14 Surgical Microbiology and Antimicrobial
Therapy , 227
15 Principles of Aseptic and Sterile Techniques , 248
16 Appropriate Attire, Surgical Hand Hygiene,
and Gowning and Gloving , 263
17 Decontamination and Disinfection , 283
18 Sterilization , 300
Section 6: Surgical Instrumentation
and Equipment
19 Surgical Instrumentation , 324
20 Specialized Surgical Equipment , 346
Section 7: Preoperative Patient Care
21 Preoperative Preparation of the Patient , 364
22 Diagnostics, Specimens, and Oncologic
Considerations , 379
Section 8: Pharmacology and
Anesthesia
23 Surgical Pharmacology , 403
24 Anesthesia: Techniques and Agents , 414
Section 9: Intraoperative Patient Care
25 Coordinated Roles of the Scrub Person and the
Circulating Nurse , 447
26 Positioning, Prepping, and Draping the
Patient , 479
27 Physiologic Maintenance and Monitoring
of the Perioperative Patient , 514
Section 10: Surgical Site Management
28 Surgical Incisions, Implants, and Wound
Closure , 529
29 Wound Healing and Hemostasis , 559
Section 11: Perianesthesia and
Postprocedural Patient Care
30 Postoperative Patient Care , 585
31 Potential Perioperative Complications , 591
Section 12: Surgical Specialties
32 Endoscopy and Robotic-Assisted Surgery , 621
33 General Surgery , 637
34 Gynecologic and Obstetric Surgery , 669
35 Urologic Surgery , 701
36 Orthopedic Surgery , 730
37 Neurosurgery of the Brain and Peripheral
Nerves , 758
38 Spinal Surgery , 776
39 Ophthalmic Surgery , 794
40 Plastic and Reconstructive Surgery , 814
41 Otorhinolaryngologic and Head and Neck
Surgery , 839
42 Thoracic Surgery , 869
43 Cardiac Surgery , 886
44 Vascular Surgery , 909
45 Organ Procurement and Transplantation , 930
