Recent Strategies in High Risk Surgery

Joel Faintuch MD is a gastrointestinal surgeon, and former International Guest Fellow of the American College of Surgeons. He is Honorary Fellow of three foreign Surgical Societies and has served as Visiting Professor at the University of Maastricht. During his career he has been interested in a variety of subjects directly or indirectly related to Surgery including Nutrition, Metabolism, Obesity, and Ethics in Research. He was the introducer of Parenteral and Enteral Nutrition in Brazil and South America, and a founding member of different medical societies. In the last 20 years he has acted as vice-president of the Ethics in Research Committee, Hospital das Clinicas and Sao Paulo University Medical School, which is the oldest and largest in Latin America. Dr. Joel Faintuch is the author of over 270 articles in peer-reviewed journals, along with 11 books, three theses, over 200 chapters in books, and other publications.

Salomão Faintuch MD is a radiologist, and Clinical Director of Vascular and Interventional Radiology at Beth Israel Deaconess Medical Center, Harvard Medical School. He has authored more than 50 articles in peer-reviewed journals, along with 8 Society Guidelines and Standards of Practice. He is a Radiological Society of North America Research Scholar, has participated in eight National Society Committees, and is a member of the Editorial Board of three international journals.

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.