Overview

Warning: your lack of structured clinical decision support may be costing you clarity when managing high-risk anesthesia cases. Are you responsible for anesthetic care in patients with multiple comorbidities? Do you find that guidelines explain what should be done, but not how to decide when conditions overlap? Have you ever wondered what will happen if perioperative risks are assessed in isolation rather than as a system? This book exists because anesthesia in high-risk patients demands more than protocols. It provides a clinically grounded framework for decision-making in complex perioperative settings, where uncertainty is common and consequences matter. Inside, you will find focused chapters on perioperative risk assessment, anesthesia planning for patients with cardiovascular, pulmonary, neurologic, and metabolic disease, intraoperative decision pathways, and post-operative considerations. Each section is structured around clinical reasoning rather than exhaustive theory, because real practice requires judgment, not memorization. This book is written for practicing anesthesiologists, perioperative physicians, and clinicians involved in high-acuity surgical care. It assumes clinical experience and does not function as an introductory or exam-oriented text. The content is organized into decision-centered chapters that move from preoperative evaluation through intraoperative management and postoperative risk considerations. Each chapter emphasizes how to think through complex scenarios, because understanding how decisions are made is what ultimately shapes patient safety.

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