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This practical handbook delivers complete, to-the-point, evidence-based guidance on the preoperative, perioperative, and post-operative medical care of surgical patients. Each chapter focuses on a particular area of clinical concern, with concise presentations of pathophysiology, assessment and management options, the latest drug treatment information, and essential information on risk stratification and quality improvement. The result is an invaluable source on the management of surgical patients with co-existing medical problems that may be affected by surgery, as well as how to approach medical complications that may occur during or following surgical procedures. Comprehensive discussions at the beginning of each chapter emphasize consultation in surgical patient management. A concise, bulleted format lets you absorb key information at a glance.
Therapeutics, Surgical. --- Surgical diseases --- Surgical therapeutics --- Surgery --- Therapeutics --- Treatment
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Medical Management of the Thoracic Surgery Patient, by Michael I. Lewis, MD and Robert J. McKenna, Jr., MD, is a comprehensive pulmonary and thoracic reference that takes a practical approach to the diagnosis, workup and care of the thoracic surgery patient. It is geared towards pulmonary and critical care physicians and their trainees as well as all other specialties with whom thoracic surgeons consult and interact. It outlines the principles for understanding the underlying disease entities as well as the clinical implications and complications of surgery, and interprets key surgical concepts such as correlative and functional anatomy for non-surgeons. Contributions from today's authorities ... "at-a-glance" detailed key information, as well as summary bullets ... and a multidisciplinary perspective, combine to offer essential guidance for confident patient management.
Chest --- Therapeutics, Surgical. --- Surgery. --- Diseases --- Diagnosis. --- Surgical diseases --- Surgical therapeutics --- Surgery --- Therapeutics --- Thoracic surgery --- Thoracic surgeons --- Treatment
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Written by leaders in the field, Common Surgical Diseases: An Algorithmic Approach to Problem Solving, provides surgical residents and house staff with a current, concise and algorithmic approach to frequently encountered clinical challenges. Over 100 chapters detail every common surgical disease in the form of a succinct text coupled with a step-by-step algorithm. Each chapter walks the reader through the evaluation, diagnosis, treatment and follow-up of the most common surgical problems. Thoroughly updated and revised, the second edition includes new chapters in trauma, abdominal surgery, and critical care. Among the new chapters, readers will find: traumatic hematuria, knee dislocation, hip fractures, extremity fractures, indications for renal and liver transplantation, management of cardiac arrhythmias, ventilator management, hypoxia and pulmonary embolism, and the hypertensive postoperative patient. Following the success of the first edition, this revision provides an excellent quick reference and is an absolute essential for practicing surgeons, surgical house staff, and for medical students in their surgical clerkship.
Surgical diseases. --- Diagnosis, Surgical. --- Therapeutics, Surgical. --- Surgical diseases --- Surgical therapeutics --- Surgery --- Therapeutics --- Operative diagnosis --- Surgical diagnosis --- Diagnosis --- Surgical conditions --- Surgical disorders --- Diseases --- Treatment --- Surgery. --- Surgery, Primitive --- Medicine
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This comprehensive volume will serve as a complete guide to the clinical application of computer assisted systems in monitoring central nervous functions both in the OR and ICU. It presents practical guidelines and therapeutic indications for computerized EEG and Somatosensory Evoked Potential (SSEP) monitoring for the experienced user as well as the novice, leading the newcomer step-by-step to a level of advanced monitoring. Basic procedures and data handling are explained in a user-friendly and practical way. The book also describes what cerebral monitoring can do and what its limitations are. In addition, proper selection of the available monitoring devices, set-up procedures, the technique of electrode placement, trouble shooting and data interpretation are fully covered. Various typical cases underline how EEG power spectra and evoked potential changes are interpreted, how they are used in the light of other variables being measured how they can serve to get a deeper insight into the underlying clinical situation. In this respect representative and color illustrated examples further emphasize the link between this book and clinical practice.
Medicine. --- Biomedicine. --- Biomedicine general. --- Clinical sciences --- Medical profession --- Human biology --- Life sciences --- Medical sciences --- Pathology --- Physicians --- Electroencephalography. --- Therapeutics, Surgical. --- Surgical diseases --- Surgical therapeutics --- Surgery --- Therapeutics --- EEG --- Encephalography --- Brain --- Electrodiagnosis --- Electrophysiology --- Visual evoked response --- Treatment --- Diseases --- Diagnosis --- Health Workforce --- Biomedicine, general.
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This book addresses those aspects of anaesthetic practice in perioperative medicine which have a significant impact on both the immediate and the long-term outcome for the surgical patient. Perioperative Medicine is the natural evolution of anaesthesia from a main focus on the patient in the operating room to a responsibility for the care of the patient from the time that the decision to operate is made, through to discharge from hospital. The contributors, well-respected authors in their field, discuss the role of the perioperative medicine specialist in areas ranging from pre-operative assessment and physiological optimization via pre-habilitation, to intra-operative anaesthetic management, and post-operative care. Controversial topics discussed include fluid therapy, anaesthesia and cancer outcomes, pharmacological management of cardiac risk, and the evolution of acute to chronic pain. Developments in regional anaesthesia, quality of recovery scoring, and lung ultrasound, are described. It is hoped that the chapters contained in this book will help to define the nascent specialty that is Perioperative Medicine, and encourage further debate, research, and expansion of this vital new frontier in anaesthetic care.
Anesthesiology --- Surgery & Anesthesiology --- Health & Biological Sciences --- Anesthesia --- Therapeutics, Surgical. --- Complications. --- Surgical diseases --- Surgical therapeutics --- Treatment --- Complications and sequelae --- Surgery --- Therapeutics --- Anesthesiology. --- Human physiology. --- Human Physiology. --- Human biology --- Medical sciences --- Physiology --- Human body --- Anaesthesiology
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Per governo clinico si intende la capacità di gestione del sistema sanitario, caratterizzato, come noto, da una notevole complessità. Gli obiettivi di questa gestione si articolano su numerosi fronti di sviluppo, tra cui il miglioramento delle prestazioni assistenziali, la riduzione degli errori in medicina, la garanzia della sicurezza per i pazienti, l’appropriatezza nel decision making in tema di salute, il controllo del livello di competenza del personale, fino al controllo delle risorse disponibili e dei costi di gestione. Questo volume affronta gli aspetti che gravitano attorno al governo clinico e alla sua introduzione in settori cardine quali l’anestesia e la medicina del malato critico. Dopo una prima sezione dedicata alle good practices, al professionalismo e al ruolo dell’errore in medicina, la trattazione affronta nel dettaglio numerose questioni di grande rilevanza nel perioperatorio: etica e deontologia, costi, procedure e audit, organizzazione del team, monitoraggio del dolore in età pediatrica, fino a importanti considerazioni sul punto di vista del paziente. Completano il volume una sezione sul ruolo della ricerca clinica e un glossario. Caratterizzato da una particolare completezza e varietà di argomenti, questo testo vuole offrire ai diversi professionisti e operatori del settore indicazioni utili ed efficaci su come articolare l’organizzazione del sistema sanitario moderno.
Clinical governance. --- Medical practice. --- Medicine. --- Therapeutics, Surgical. --- Surgery. --- Surgery, Primitive --- Surgical diseases --- Surgical therapeutics --- Treatment --- Medicine & Public Health. --- Medicine/Public Health, general. --- Medicine --- Surgery --- Therapeutics --- Clinical sciences --- Medical profession --- Human biology --- Life sciences --- Medical sciences --- Pathology --- Physicians --- Health Workforce
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This book focuses exclusively on the surgical patient and on the perioperative environment with its unique socio-technical and cultural issues. It covers preoperative, intraoperative, and postoperative processes and decision making and explores both sharp-end and latent factors contributing to harm and poor quality outcomes. It is intended to be a resource for all healthcare practitioners that interact with the surgical patient. The first section presents foundational principles of safety science and related social science. The second exposes barriers to achieving optimal surgical outcomes and details the various errors and events that occur in the perioperative environment. The third section contains prescriptive and proactive tools and ways to eliminate errors and harm. The final section focuses on developing continuous quality improvement programs with an emphasis on safety and reliability. Surgical Patient Care: Improving Safety, Quality and Value targets an international audience which includes all hospital, ambulatory and clinic-based operating room personnel as well as healthcare administrators and managers, directors of risk management and patient safety, health services researchers, and individuals in higher education in the health professions.
Medicine. --- Health administration. --- Surgery. --- Medicine & Public Health. --- General Surgery. --- Health Administration. --- Therapeutics, Surgical. --- Surgical diseases --- Surgical therapeutics --- Treatment --- Surgery --- Therapeutics --- Practice of medicine. --- Medical practice --- Practice of medicine --- Physician practice acquisitions --- Surgery, Primitive --- Medicine
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Acute surgical emergencies constitute one of the main clinical aspects that a doctor in hospital practice is expected to handle and manage. This book addresses some of the important and common acute surgical conditions, and has been written from an Asian perspective.
Medical emergencies. --- Surgery, Operative. --- Wounds and injuries --- Therapeutics, Surgical. --- Surgical diseases --- Surgical therapeutics --- Surgery --- Therapeutics --- Trauma surgery --- Operative surgery --- Surgical techniques --- Emergencies --- Emergency medicine --- First aid in illness and injury --- Surgery. --- Treatment --- Technique
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The perfect execution of a minimally invasive operative technique is only part of the equation for ensuring a favorable surgical outcome. It is also essential to have a complete understanding of the entire spectrum of perioperative care, including preoperative evaluation, technique selection, and postoperative management. Further, it is important to understand the physiologic impact of the C02 pneumoperitoneum. The SAGES Manual of Perioperative Care in Minimally Invasive Surgery provides strategies for successful patient management before, during and after laparoscopic surgery. This easy-to-read manual includes comprehensive and authoritative coverage of perioperative concepts and strategies that not only optimize outcomes but also ensures quality patient care beyond the operating room: guidelines for preoperative evaluation of healthy and complex patients strategies for successful outcomes, including OR setup, patient positioning, anesthetic considerations, exposure technique, port closure method, and hernia prevention multiple port arrangements for most operations and port placement schemes that take into account the B.M.I. of the patient managing trocar placement-related bleeding, prophylaxis against DVT, prevention of intraoperative hypothermia and subcutaneous emphysema when to convert to an open procedure physiologic, immunologic, and oncologic implications of CO2 pneumoperitoneum, prevention of port-site tumors, minimizing the risk of gas embolism postoperative considerations including fluid replacement, ambulation and early postoperative performance criteria The SAGES Manual of Perioperative Care in Minimally Invasive Surgery is written by recognized experts and reflects the Society’s commitment to surgical education. .
Therapeutics, Surgical. --- Laparoscopic surgery. --- Minimally invasive surgery --- MIS (Minimally invasive surgery) --- Operative laparoscopy --- Operative peritoneoscopy --- Surgical laparoscopy --- Endoscopic surgery --- Laparoscopy --- Surgical diseases --- Surgical therapeutics --- Surgery --- Therapeutics --- Treatment --- Surgery. --- Endoscopic surgery. --- General Surgery. --- Minimally Invasive Surgery. --- Endosurgery --- Minimal access surgery --- Operative endoscopy --- Surgical endoscopy --- Endoscopy --- Microsurgery --- Surgery, Operative --- Surgery, Primitive --- Medicine --- Minimally invasive surgery.
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Patients with a range of medical conditions undergo surgeries of varying levels of risk, and the evolving field of consult medicine aims to address their needs, whether pre- or post-surgery. This new edition of The Perioperative Medicine Consult Handbook provides useful information, advice, and guidelines based on a combination of clinical experience and evidence-based medicine. It covers topics in many major clinical areas (anesthesiology, cardiology, pulmonology, gastroenterology, rheumatology, endocrinology, and many others) and puts critical surgery information at a consult physician's fingertips. New to this edition are chapters on thyroid disease, restrictive lung disease, sickle cell disease, inflammatory bowel disease, nutrition, and perioperative care of elderly patients. The entire volume has been streamlined for a more precise presentation of essential perioperative management guidelines. Originally created by the Medicine Consult Service team at the University of Washington Medical Center, and now fully updated into a comprehensive second edition, this quick reference is sure to be indispensable for residents and consult physicians alike.
Medicine & Public Health. --- Internal Medicine. --- Intensive / Critical Care Medicine. --- Surgery. --- Anesthesiology. --- Medicine. --- Critical care medicine. --- Internal medicine. --- Médecine --- Anesthésiologie --- Soins intensifs --- Médecine interne --- Chirurgie --- Medicine --- Health & Biological Sciences --- Internal Medicine --- Therapeutics, Surgical. --- Surgical diseases --- Surgical therapeutics --- Treatment --- Surgery --- Therapeutics --- Anaesthesiology --- Surgery, Primitive --- Intensive care --- Intensive medicine --- Emergency medicine --- Intensive care units --- Medicine, Internal
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