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This handbook is an up-to-date, evidence based quick, easy reference guide for expert regional anesthesia providers. It will also be an invaluable tool and a great entry point for amateurs'sonographers who wish to understand the basics of ultrasound, its uses for diagnosis and treatment, current guidelines and standards of care. It presents in details challenges, stratification of risks, techniques, and approaches to facilitate effective ultrasound use in perioperative pain control and emergency room pain management. This uses an outline, schematic approach for easy understanding and retention. The applications of ultrasound are vast and cover the full spectrum of ultrasound guided regional anesthesia. This book concentrates and encompasses the most clinically relevant information as a first aid use of perioperative ultrasound. The chapters are concise, focusing on clinical presentations, diagnosis, differential diagnosis which will help you to deliver patient care in a timely and skillful manner. This compact book is packed with relevant, remarkable information related to ultrasound guided techniques and evidence-based protocols and latest guidelines for regional anesthesia, nerve blocks, and opioid-reducing analgesia to promote early recovery after surgery. Concise, practical, and clinically applicable for various specialties, this book fills the unmet need for understanding the usefulness and techniques of ultrasound and its application in perioperative pain management, in particular regional anesthesia and nerve blocks. This handbook enables every physician, nurse, resident and all medical staff to understand the essentials of ultrasound and regional anesthesia, its evolving techniques, and the use of modern equipment to provide patient care safely.

This book comprehensively reviews LM revascularization, one of the most technically challenging and prognostically relevant topics for cardiologists. LM carries blood to 70-80% of the normal heart, and diseases affecting this coronary segment are a common cardiac condition. Beginning in the sixties, management was exclusively within the domain of cardiac surgeons, and recent dramatic changes in percutaneous techniques have led to huge improvements but have also brought significant surgical challenges. In the book, top cardiac surgeons describe current and future operative techniques, while leading interventional cardiologists discuss new bifurcation techniques. This book also investigates the recently released European Society of Cardiology Guidelines in detail. Featuring the latest scientific studies with long-term follow up, and detailed descriptions of the techniques used, thisbook provides comprehensive guidance for any clinician, and is a valuable resource for cardiologists, interventional cardiologists, cardiac surgeons and internists.This is an open access book.

This unique book is the first to focus on diagnostic and therapeutic endoscopy in gastrointestinal and pancreatico-biliary diseases. It provides an in-depth overview of the state of the art in diagnostic and therapeutic endoscopy of both the digestive tract and the pancreatico-biliary ductal system, and documents the latest innovations in the field.The first part of the book addresses advanced diagnostic and therapeutic endoscopy of the digestive tract, discussing bariatric endoscopic surgery, and the treatment of neoplasia and precancerous lesions of the upper and lower GI tract, motor disorders, GERD, strictures, fistulae and bleeding. The second part of the book is explores ERCP and EUS procedures, covering the diagnosis and therapy of biliary ductal system and pancreatic diseases. Each chapter includes an abundance of color images that document in detail the devices, operative techniques and outcomes. Written by leading internationally renowned experts, the book isa valuable resource for both specialists and residents in gastroenterology and surgery.

This heavily revised second edition covers minimally invasive and open surgical techniques for treating a variety of common and rare of cervical pathologies. Extensively revised chapters detail how to successfully perform a variety of the latest procedures for conditions including cervical spine fractures, cervical tumours and cranio cervical anomalies. Guidance on the appropriate techniques for decompression and fusion with cages and autologous bone graft are also described. Cervical Spine: Minimally Invasive and Open Surgery satisfies the need for a multi-disciplinary text covering open and minimally invasive techniques available for treating ailments of the cervical spine. Practicing and trainee orthopedic surgeons, neurosurgeons, radiologists, anesthesiologists and pain management specialists will all find the content of this work to be of a great help to them when seeking guidance on the latest advances in the field.

Now in its sixth edition, Robert M. Bojar's Manual of Perioperative Care in Adult Cardiac Surgery remains the go-to practical guide for all of those involved in the care of the cardiac surgery patient. Written in outline format, it provides a comprehensive, detailed, and clearly explained review of cardiac surgical disease and perioperative management that is of value to practicing cardiac surgeons as well as to cardiologists, residents, fellows, advanced practice providers, critical care and floor nurses, perfusionists, and medical students. Extensively rewritten with updated references to incorporate the latest concepts, guidelines, protocols, and medications used in cardiac surgical practice, this classic text retains the pragmatic features that have made it the gold standard reference that clinicians have used worldwide for the past 30 years. Highlights include: Full coverage of cardiac surgical diseases, including pathophysiology, indications for surgery per guidelines, and figures of operative procedures and diagnostic techniques, with a panoply of examples Chronologic evaluation of patients from preoperative assessment to intraoperative considerations to postoperative care for each procedure Extensive chapters discussing organ system management in the ICU, followed by a discussion of later postoperative management and problems Incorporation of newer techniques (TAVR, Mitraclip, etc.) within the chronologic format Easy access to information using an outline format, markers on the free edges to identify chapters, synopsis pages at the beginning of each chapter, and a comprehensive index to provide easy referencing within the text Updated references throughout that are available from on-line resources 21 appendices summarizing order sheets, protocols, commonly used drug doses, body mass index, and other important information Praise for the fifth edition:'Surgeons are frequently asked to recommend a text that can be used to guide the care of their patients. This comprehensive text is the standard by which any other text should be judged.'—Critical Care Medicine'It remains a classic and a must have for anyone involved in cardiac surgery.'—Perfusion.com

Vascular and Endovascular Surgery meets the needs of surgeons in higher training and practising consultants for a contemporary and evidence-based account of this sub-specialty that is relevant to their general surgical practice. It is a practical reference source incorporating the most current information on recent developments, management issues and operative procedures. The text is thoroughly referenced and supported by evidence-based recommendations wherever possible, distinguishing between strong evidence to support a conclusion, and evidence suggesting that a recommendation can be reached on the balance of probabilities. For this Sixth Edition the authorship team across the series has been expanded to include additional European and World experts, with an increased emphasis on global practice. Throughout all six volumes the contents have been extensively revised in line with recently published evidence. Detailed supportive key references are provided and are also included within the comprehensive list of references in the accompanying ebook. Links to recommended online videos have been added where appropriate. - The Companion to Specialist Surgical Practice series provides a current and concise summary of the key topics within the major sub-specialties of general surgery. - Each volume highlights evidence-based practice both in the text and within the extensive list of references at the end of every chapter. Vascular surgery is developing at a rapid pace, especially in the field of medical therapy and endovascular interventions. This new edition aims to put these developments into context, and give a balanced view with regard to technological advances and more traditional techniques. Vascular and endovascular practitioners will find this a very useful resource in their day to day clinical practice.

Cardiac catheterization and coronary angiography remain key tools in the management of patients with coronary heart disease. Although this is the most frequently used method of coronary revascularization, general training in cardiology rarely offers more than the opportunity to assist a more senior operator to perform angioplasty procedures. This textbook, covering key procedures and fully revised and updated to include the latest trials, technology, and new techniques, is essential reading. The Oxford Textbook of Interventional Cardiology, 2nd edition spans the whole spectrum of interventional cardiology procedures, including a novel section on the future of interventional cardiology, and multiple new chapters covering special devices in percutaneous coronary intervention. Written by an expert team of international authors, this book offers guidance on all aspects of interventional cardiology according the European curriculum, and covers the evidence-based guidelines for a comprehensive view of the field.

This is a comprehensive and authoritative presentation of total intravenous anesthesia (TIVA) and target controlled infusion (TCI). The editors'international reputation has enabled them to recruit leading experts from around the world to write single-author chapters in their area of expertise. Total Intravenous Anesthesia and Target Controlled Infusions is the first multi-disciplinary, globally authored volume on the topic. Providing a single source of information on all aspects of TIVA and TCI, from pharmacologic modeling and the pharmacology of intravenous anesthetic drugs to practical considerations in the clinical setting and the requirements of special populations, Total Intravenous Anesthesia and Target Controlled Infusions examines the debate about the risks and advantages of TIVA, analyze outcome studies, and provides guidance on creating a curriculum to teach TIVA and TCI.

This second edition presents the first update on a consensus process during which all evidence from the literature with a survival benefit in the perioperative period was gathered, and in which 500 physicians from 61 countries worked to confirm the findings.Perioperative morbidity and mortality currently represent a public health problem, as mortality alone is 1-4% in Western countries. Surprisingly, randomized evidence of survival benefit in the perioperative period is available for only 12 topics, while two drugs have been demonstrated to increase mortality. This book offers a complete description of each topic with updated evidence from the literature. Each chapter deals with a specific drug or technique and is structured into the following: background knowledge, main evidence from the literature, and a practical how-to section. Lastly, the book describes in detail the consensus process used, which served to reinforce the systematic review and which is currently being usedand improved in other settings with growing success.Written by respected international experts, Reducing Mortality in the Perioperative Period, 2nd ed. will be of interest to a wide variety of specialists, including anesthesiologists, intensivists, surgeons and cardiologists.

This definitive resource from the eminent Oxford Textbooks series, the Oxford Textbook of Anaesthesia addresses the fundamental principles, underpinning sciences and the full spectrum of clinical practice. It brings together the most pertinent research from on-going scientific endeavours with practical guidance and a passion to provide the very best clinical care to patients. This comprehensive work covers all aspects of anaesthesia; volume one addresses the fundamental principles and the basic sciences whose understanding is required for a logical, effective and evidence-based approach to practice. Volume two focuses on the clinical aspects of anaesthesia, including those aspects of intensive care and pain medicine that are required by all general anaesthetists as well as sections dedicated to procedures, surgical specialities, paediatrics, the conduct of anaesthesia outside the theatre, and concurrent disease. In 91 finely crafted and highly illustrated chapters, experts in anaesthesia review the supporting evidence and key techniques for the clinical management of specific conditions and patient groups. International contributors share their research and extensive experience to provide a wealth of practical advice for use in clinical situations in a global context. This essential reference tool supports all anaesthetists seeking an up-to-date and trustworthy account of all aspects of anaesthesia, ideal for reference, study and revision. It will be an indispensable guide to anaesthetists of all grades and subspecialty interest.

This book is a detailed practical guide to the use of ventricular assist devices and total artificial hearts to provide mechanical circulatory support (MCS) in patients with end-stage heart failure. It explains why MCS may be indicated, which patients require MCS, when and how to implant ventricular assist devices or a total artificial heart, and how to avoid potential complications of MCS. Management throughout the period of care is described, from preimplantation to follow-up, and both typical and atypical cases are discussed. The text features numerous helpful tips and tricks relating to surgical and nonsurgical management and is supported by a wealth of high-quality illustrations that document the preoperative evaluation and implantation techniques. Heart transplantation remains the gold standard for the treatment of patients suffering from end-stage heart failure, but the shortage of donors has led to an increase in the use of MCS. This book will assist all physicians, and especially cardiologists and anesthesiologists, who are involved in the care of these patients.

Vascular surgery has seen a remarkable evolution. A discipline focused on the natural history and treatment of vascular disease by open operation is now primarily a minimally invasive specialty. Mastery of the basic pathophysiology has been retained while the transformation by improved imaging and endovascular intervention has been integrated into practice.This fourth edition of Vascular Surgery: Principles and Practice has incorporated these advances building on the specialty's past assets. Knowledge of natural history and open surgery will always have an essential role in optimal care of patients with vascular diseases. The authors'exposition of the old and the new will make this edition a valuable resource for vascular surgeons and all others dedicated to the care of vascular patients.

This text provides a high level, comprehensive but concise review of adult surgical critical care. It can be used to review complex topics of critical illness in surgical patients, as a reference tool, or as preparation for a board examination. It is focused on the surgical patient including high yield facts, evidence-based guidelines, and critical care principles. To remain succinct, it concentrates on surgically relevant care. Further, the text is written with an expectation that reader already possesses a basic understanding of critical care pathophysiology and clinical practices such as those acquired during residency. Organized by organ system, each section contains several chapters addressing relevant disorders, monitoring and treatment modalities, and outcomes. Principles of Adult Surgical Critical Care will be of use to intensivists caring for surgical patients regardless of parent training domain. Additionally, this work is intended to be used by surgical critical care fellowship trainees as well as other advanced practice providers such as nurse practitioners and physician assistants who provide care in ICUs and emergency departments alike.

Coronary artery disease (CAD) is a leading cause of mortality and morbidity worldwide. In approximately half of the patients with newly diagnosed CAD, the first presentation is either acute myocardial infarction or sudden cardiac death. This book provides current research on the characteristics, management and long-term outcomes of coronary artery disease. Chapter One begins with an overview of biological characteristics, clinical classification, and spasms of arterial grafts and antispastic management in coronary artery bypass grafting surgery. Chapter Two discusses coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) in the current era, and highlights relative strengths and weaknesses of each approach. It also discusses various risk-stratification scoring systems, and consider both procedures in the context of different demographic populations, including advanced age, gender, acute coronary syndromes, previous CABG, renal failure, diabetes mellitus and left main involvement. Chapter Three focuses on contribution facts and fables of gender disparities in cardiovascular diseases. Chapter Four examines the role of multi-detector computed tomography in the detection of subclinical coronary atherosclerosis in patients without known CAD.

​This book is an up-to-date reference on all aspects of anticoagulation and hemostasis in neurosurgery. After an opening section on basic principles and drug classes in current use, detailed consideration is given to coagulation issues relevant to all patients, not just neurosurgical ones. The coverage includes, for example, deep vein thrombosis, pulmonary embolism, and disseminated intravascular coagulation. A variety of important issues specific to neurosurgical practice are then addressed, and a summary of current guidelines and best practices is provided. By bringing together the latest knowledge from across the discipline, this book will serve as a sound basis for informed decision making in surgical practice. It will be of daily value for neurosurgeons and trainees worldwide and will also be of interest to emergency room physicians, surgeons in general, critical care physicians, neurologists, and hospital medicine specialists.

This third edition text has been largely rewritten to include the many important advances that have been made and the controversies that have arisen in the past years. New topics have been added including Oxygen Transport, Tissue Oxygenation Evaluation, Echocardiography in the Critically Ill, Bedside Ultrasonography, Critical Care Issues in Oncological Surgery Patients, Long-Term Outcome after Intensive Care, Therapeutic Hypothermia, Delirium, and Post-Operative Gastrointestinal Dysfunction. Chapters are written by high-quality contributors, many of whom are nationally and internationally recognized researchers, speakers, and practitioners in Critical Care Medicine. Another important feature of this edition is the geographical diversity of its authors, including notable contributions from colleagues in Australia, Belgium, Brazil, Canada, Denmark, France, Germany, Norway, Portugal, Sweden, and the United Kingdom.Surgical Intensive Care Medicine, Third Edition provides a comprehensive, state-of-the art review of the field, and will serve as a valuable resource for medical students, residents, critical care fellows in training, surgeons, anesthesiologists and physicians caring for the critically ill. ​

This volume describes the most recent medical guidelines for perioperative management in arthroplasty with the aim of facilitating excellent control of bleeding/thrombosis, pain and infection. For each area – hemostasis control, pain control and infection control – hot topics of key practical importance are discussed and contrasting perspectives are presented on controversial issues, covering the views of different practitioners and specialties. Using the information contained in this book, the practitioner will be in an excellent position to meet the principal goals of perioperative medical management. The information provided will assist in the choice of a multimodal guideline that minimizes the complication rate regarding bleeding and thromboembolism while not interfering with the patient's recovery. Similarly, effective means of pain control and an optimized pain control protocol are discussed with a view to shortening hospital stay and achieving functional milestones that meet the patient's expectations. Finally, host, wound and environmental factors relevant to infection and its prevention are explained, with discussion of the best means of prophylaxis, treatment and imaging. Surgeons, anesthesiologists and all medical practitioners and staff involved in the field of total hip and knee arthroplasty will find this book to be of value in their daily clinical practice. It will assist in the provision of enhanced medical management that ensures quicker recovery of the patient with fewer complications.

The new Oxford Textbook of Cardiothoracic Anaesthesia provides a comprehensive overview of and a thorough grounding in this challenging subspecialty. Both cardiac and thoracic anaesthesia demand high levels of knowledge and skill, as minimally invasive surgical techniques demand a sounder understanding of the specialties and as more patients with co-morbidities present for surgery. Part of the Oxford Textbooks in Anaesthesia series, this volume covers the anatomy and physiology, pharmacology, post-operative complications, critical care, and all clinical aspects of cardiac and thoracic anaesthesia. Practical aspects, such as team working, and designing and equipping cardiothoracic theatre and critical care, are also included. The expert and international author team use their experience to ensure this textbook reflects current world-wide practice across the globe. This volume is published with a concurrent online version, which features access to the full content of the textbook, contains links from the references to primary research journal articles, allows full text searches, and provides access to figures and tables that can be downloaded to PowerPoint ®. Designed for consultants and trainees in cardiac and thoracic anaesthesia, this is the definitive source of expert knowledge for anaesthetists in this subspecialty. This print edition of Oxford Textbook of Cardiothoracic Anaesthesia comes with a year's access to the online version on Oxford Medicine Online. By activating your unique access code, you can read and annotate the full text online, follow links from the references to primary research materials, and view, enlarge and download all the figures and tables. Oxford Medicine Online is mobile optimized for access when and where you need it.

Now in its 6th edition, Cummings Otolaryngology remains the world's most detailed and trusted source for superb guidance on all facets of head and neck surgery. Completely updated with the latest minimally invasive procedures, new clinical photographs, and line drawings, this latest edition equips you to implement all the newest discoveries, techniques, and technologies that are shaping patient outcomes. Be certain with expert, dependable, accurate answers for every stage of your career from the most comprehensive, multi-disciplinary text in the field! Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Overcome virtually any clinical challenge with detailed, expert coverage of every area of head and neck surgery, authored by hundreds of leading luminaries in the field. Experience clinical scenarios with vivid clarity through a heavily illustrated, full-color format which includes approximately 3,200 images and over 40 high quality procedural videos. Get truly diverse perspectives and worldwide best practices from a multi-disciplinary team of contributors and editors comprised of the world's leading experts. Glean all essential, up-to-date, need-to-know information. All chapters have been meticulously updated; several extensively revised with new images, references, and content. Stay at the forefront of your field with the most updated information on minimally-invasive surgical approaches to the entire skull base, vestibular implants and vestibular management involving intratympanic and physical therapy-based approaches, radiosurgical treatment of posterior fossa and skull base neoplasms, and intraoperative monitoring of cranial nerve and CNS function. Apply the latest treatment options in pediatric care with new chapters on pediatric sleep disorders, pediatric infectious disease, and evaluation and management of the infant airway. Find what you need faster through a streamlined format, reorganized chapters, and a color design that expedites reference. Manage many of the most common disorders with treatment options derived from their genetic basis. Assess real-world effectiveness and costs associated with emergent technologies and surgical approaches introduced to OHNS over the past 10 years. Incorporate recent findings about endoscopic, microscopic, laser, surgically-implantable, radiosurgical, neurophysiological monitoring, MR- and CT-imaging, and other timely topics that now define contemporary operative OHNS. Take it with you anywhere! With Expert Consult, you'll have access the full text, video clips, and more online, and as an eBook - at no additional cost!

This book describes the techniques, strategies, and drugs that have been demonstrated by well-documented randomized trials to influence survival in the perioperative setting. It takes into consideration all types of adult surgery and will be relevant to the evaluation of any patient undergoing an operative procedure. Each chapter focuses on a specific procedure, device, or drug. The scope is accordingly wide, with coverage of topics as diverse as chlorhexidine oral rinse, clonidine therapy, insulin infusion, intra-aortic balloon pump support, leukodepletion, neuraxial anesthesia, and noninvasive respiratory support, to name but a few. In addition, the risks and benefits of using a web-based consensus process (as in this book) to identify effective means of reducing perioperative mortality are discussed. The clear text is supported by'how to do'sections and'key points'boxes that provide easily accessible practical information. Written by acknowledged international experts, Reducing Mortality in the Perioperative Period will be of interest for a wide variety of specialists, including surgeons, cardiologists, anesthesiologists, and intensivists.

Featuring an easy-to-access, highly visual approach, Atlas of Vascular Surgery and Endovascular Therapy offers the comprehensive, step-by-step guidance you need to achieve optimal outcomes in the treatment of venous disorders. Covering the full range of diseases/disorders most important to vascular surgeons, this full-color atlas presents over 100 common and complex procedures, including open and endovascular techniques, with an emphasis on anatomy and imaging studies as they apply to each technique.Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Know what to do and expect with comprehensive coverage of almost every procedure you might need to perform. Find answers fast thanks to a consistent and logical chapter structure. (Indications, Surgical Anatomy, Preoperative Considerations, Operative Steps, Postoperative Considerations, Pearls & Pitfalls, and References) Review key techniques prior to performing surgery. Clinical images capture key moments in procedures including: surgical repair of a suprarenal aortic aneurysm; surgical repair of thoracoabdominal aortic aneurysm; endovascular treatment of aneurysms of the juxtarenal and pararenal aorta; surgical exposure and harvest of the femoropopliteal vein; and endovascular treatment of aortic arch vessels, subclavian and axillary artery. Visualize every procedure thanks to more than 1,000 full-color illustrations; including procedural photos and beautifully illustrated drawings that highlight the relevant anatomy and techniques in specific treatments. Prevent and plan for complications prior to a procedure thanks to a step-by-step approach to each procedure accompanied by relevant imaging studies. Glean all essential, up-to-date, need-to-know information about hot topics including: management of peripheral arterial disease; aortic aneurysms/aortic dissection; lower extremities/critical limb ischemia; and infra-inguinal occlusive disease.

All anesthesiologists are confronted with patients who show bleeding disorders,whether congenital, acquired, or pharmacologically induced. Although manystudies, meta-analyses, guidelines, and textbooks have been published on thesubject, they mostly cover specific aspects or require a thorough knowledge ofhemostasis. The goal of this book is to provide the anesthesiologist with an overviewof hemostasis and the mechanisms underlying bleeding and coagulation ingeneral and to assist in the understanding of specific coagulation disorders asthey may occur in the various anesthesia subspecialties. It is hoped that, throughthe provision of practical information and tools, the book will help residents andtrained anesthesiologists to manage one of the most frustrating challenges that theyface: the bleeding patient. A full understanding of coagulation requires a lifelongcareer, and this book is not intended to replace the consulting hematologist,whose expert opinion should always be sought. The available procoagulantblood products and drugs all have potentially dangerous side-effects;furthermore, in bleeding disorders pitfalls are frequent and a misdiagnosis canhave potentially catastrophic consequences. The aim of the editors is thusinstead to enhance the collaboration between the disciplines of Anesthesiology and Hematology.

The kidneys participate in all vital processes of the body to maintain overall homeostasis and health. When kidneys are injured during surgical interventions, metabolic and hemodynamic control is disrupted, leading to dysfunction associated with greater mortality, length of hospital stay and cost.Peri-operative Kidney Injury presents the epidemiology, risk factors, diagnosis, treatment and outcomes associated with kidney injury during the peri-operative period. Concepts and principles of care to prevent kidney complications during surgical procedures are provided to equip health care professionals along with strategies to manage acute kidney injury and associated challenges when they occur. Chapters detail diverse surgical settings, ranging from the more common, such as abdominal, cardiac and vascular surgeries, to the intricately complex, including the use of the left ventricular assist device and organ transplants. This practical and comprehensive text blends theevidence-based standards of care with cutting edge advances in the field, while also providing the reader with a peek into innovations on the horizon.

This practical surgical reference for the diagnosis and management of traumatic vascular injuries is unique in that it brings together all prominent management strategies from the various surgical subspecialties, creating a unified voice on the care of the vascular trauma patient. Management of common vascular injuries is examined from a general, trauma, vascular, orthopaedic, plastics, cardiothoracic, and neurosurgical perspective by respected experts from each of these fields. Each section has been edited by specialists in the other relevant disciplines to ensure that every chapter represents an evidence-based assessment of all of the surgical subspecialties. The clear and concise text is supplemented by dozens of surgical photographs, illustrations, tables, and charts that assist in conveying complex concepts in vascular trauma management. The Clinical Review of Vascular Trauma will be essential reading for any healthcare professional involved in care of the trauma patient.

Complications in Surgery and Trauma, Second Edition provides practical information on the incidence, management, and avoidance of complications encountered during and after surgical procedures. The book offers detailed guidance and techniques for recognizing and controlling complications in the operating room, emergency ward, or intensive care unit

Nueva edición de la obra de referencia en cirugía dirigida a profesionales involucrados en procedimientos quirúrgicos en cualquiera de sus vertientes. Contiene información totalmente actualizada de gran ayuda para reforzar la toma de decisiones clínicas y contribuir a una mejor planificación del tratamiento quirúrgico más adecuado. Incorpora nuevos capítulos y un acceso a la web www.expertconsult.com en la cual se podrá consultar el texto completo on line y una colección de 30 vídeos. Entre las novedades temáticas se recogen los avances en cirugía de reconstrucción de la pared abdominal, inmunoterapia e inmunología de tumores, enfermedad vascular periférica, medicina regenerativa, trasplante de hígado, trasplante de riñón y páncreas, cirugía robótica y cirugía mínimamente invasiva y otras áreas destacadas dentro del ámbito de la cirugía. Nueva edición de la obra de referencia en cirugía dirigida a profesionales involucrados en procedimientos quirúrgicos en cualquiera de sus vertientes. Contiene información totalmente actualizada de gran ayuda para reforzar la toma de decisiones clínicas y contribuir a una mejor planificación del tratamiento quirúrgico más adecuado. Entre las novedades temáticas se recogen los avances en cirugía de reconstrucción de la pared abdominal, inmunoterapia e inmunología de tumores, enfermedad vascular periférica, medicina regenerativa, trasplante de hígado, trasplante de riñón y páncreas, cirugía robótica y cirugía mínimamente invasiva y otras áreas destacadas dentro del ámbito de la cirugía. Incorpora acceso a la web www.expertconsult.com en la cual se podrá consultar el texto completo online y una colección de 30 vídeos.

Minimal extracorporeal circulation (MECC) systems have been designed in order to reduce dramatically the side-effects of conventional extracorporeal circulation while serving as a safe perfusion technique for open heart surgery with cardiopulmonary bypass. The book aims to provide an up-to-date and comprehensive overview covering practical advice on how to use MECC systems for those new to the field as well as tips, pitfalls, results, and latest developments. It also offers a systematic review of all published studies on a variety of MECC systems. The book will enable physicians to gain a better understanding of these new systems as well as to understand the rationale for their use in cardiac surgery. MECC requires a multidisciplinary approach, and this book will serve as an essential reference for all health care professionals working in the cardiac surgical operating room, in particular cardiothoracic surgeons, anesthesiologists, and perfusionists

Neuromonitoring is the tool of trade in intensive care, and should incorporate cutting edge technology with patience, repeated clinical observation, careful identification of neuroworsening. The aim of the book is to be of practical use, and to assist the clinical practice of the busy physician. The clinical examination belongs to the introductory section of the book, and an abundance of technology, with specific emphasis on the importance of intracranial pressure, comes in the following parts. Since the patient with an injured brain can have chances only if other organs and systems (as the lungs, and the acid-base equilibrium etc.) are preserved, a section of the book covers the interactions between the affected brain and other organs. The way the brain reacts to different insults has common aspects, as inflammatory responses, edema etc., but also specific features. Sections five to nine summarize the most relevant pathologies, from ischemic to hemorrhagic lesions, trauma, tumors etc. and also mentions new‑comers, as the specific problems related to the expanding field of neuroradiological interventions. Finally, neurointensive care does not exist without knowledgeable nurses. The intracranial pressure measurement starts (or unfortunately ends) with a catheter well maintained, and that becomes vital when the drainage of hydrocephalus is concerned. Dealing with patients with severe brain damage has plenty of ethical implications, up to the problems related to brain death and organ donation. This book is published in two volumes.

The treatment of end-stage heart failure with advanced surgical therapies has evolved significantly over the last several years and is a dynamic subspecialty within cardiac surgery. Surgical Treatment for Advanced Heart Failure describes the surgical management of advanced heart failure, including coronary artery revascularization, mitral valve repair, aortic valve replacement, ventricular remodeling, cardiac resynchronization, mechanical circulatory support with short-term devices for acute stabilization, long-term mechanical support as a bridge to transplant and for destination therapy, left ventricular assist devices, complete cardiac replacement with the total artificial heart, and cardiac transplantation. With contributions from a distinguished group of heart failure cardiologists and transplant surgeons, it is an authoritative resource for cardiac surgeons, cardiologists, and surgeons.

Complications in Surgery, Second Edition offers authoritative recommendations for preventing and managing complications in all current general surgery procedures. The opening sections discuss institutional risk management issues and risks common to all operations, such as wound healing problems, infection, shock, and complications in immunosuppressed patients. Subsequent sections focus on complications of specific procedures in thoracic, vascular, gastric, endocrine, breast, and oncologic surgery, as well as organ transplantation and pediatric surgery. This edition includes new information on surgical quality assessment and patient safety and updated information in the organ-specific chapters.

An important review on critical care for the general surgeon! Topics include: heparin induced thrombocytopenia, monitoring devices, mechanical ventilation, removal from mechanical ventilations, common complications in the critically ill patients, common drugs in the SICU, hypovolemic shock resuscitation, sepsis, nutrition, renal management, pain management, family engagement, and more!

In this book, the authors present topical research in the study of the risk factors, prevention and procedures relating to coronary artery disease, cardiac arrest and bypass surgery. Topics included in this compilation include multidetector computed tomography as a potential modality to detect subclinical atherosclerosis; cardiac arrest in pregnancy; the role of SPECT in selecting patients for cerebral revascularization surgery; diagnosis of non-structural sudden cardiac arrest; indications for coronary artery bypass surgery and the characteristics of coronary artery disease in women.

The aim of this book is to help clinicians to reduce the risk of complications after vascular and endovascular surgery. Whilst it is a surgical truism that the surgeon who does the most operations has the most complications (an acknowledgement of the fact that all vascular and endovascular procedures are potentially hazardous, and some extremely so), some surgeons seem to have more complications than others. This book is for all surgeons and radiologists who accept the challenge continually to improve their results. Each chapter is authored by an experienced (endo)vascular specialist who will have witnessed firsthand the perils and pitfalls of vascular procedures. They have seen all the complications, and even occasionally made errors of judgement. The chapters are full of information to help the reader avoid similar hazards in future. We live in a world of high patient expectation, where complications are seen as ‘someone's fault'. Clinicians are familiar with innovations such as outcomes audit and assessment, procedural governance and quality improvement programmes. There is pressure to show progressive improvement. First class surgery is a combination of knowledge and skill and perhaps just a little luck, though as is oft quoted ‘the more you practice, the luckier you get'. The information in this book will provide insights, protocols, and tips and tricks to minimise the risks of procedures in vascular and endovascular surgery. It is therefore essential reading for anyone who treats patients with vascular disease.

A guide to “when to” and “what to” rather than “how to,” this book provides evidence-based surgical reviews to provide credible answers to age-old surgical management questions. The management issues presented are oriented toward interventions and use evidence-based techniques to assess the safety and efficacy of new treatments and rehabilitative or preventative interventions.

This volume covers the entire spectrum of acute burn treatment. Individual chapters deal with basic aspects of different burn mechanisms as well as the acute care of burn patients. Pre-hospital management, critical care and basic concepts of burn surgery related to the acute phase, as well as the use of skin and skin substitutes in early stages of therapy are addressed in this volume. Chapters on supportive therapies such as optimizing nutrition and fluid homeostasis, infection control and treatment, respiratory support and pain management complete the comprehensive approach to the patient in this early stage of treatment, while chapters on epidemiology, prevention and disaster management enable the reader to evaluate the given information in a broader context.

Sabiston Textbook of Surgery is your ultimate foundation for confident surgical decision making. Covering the very latest science and data affecting your treatment planning, this esteemed medical reference helps you make the most informed choices so you can ensure the best outcome for every patient.Consult it on the go with online access at expertconsult.com, and get regular updates on timely new findings and advances. Overcome tough challenges, manage unusual situations, and avoid complications with the most trusted advice in your field. Prepare for tests and exams with review questions and answers online. Keep up with the very latest developments concerning abdominal wall reconstruction, tumor immunology and immunotherapy, peripheral vascular disease, regenerative medicine, liver transplantation, kidney and pancreas transplantation, small bowel transplantation, the continually expanding role of minimally invasive and robotic surgery, and many other rapidly evolving areas. Weigh your options by reviewing the most recent outcomes data and references to the most current literature.

Pediatric Anesthesia: Basic Principles—State of the Art—Future contains the contributions of 220 international experts from all five continents. This is the only textbook of its kind that has such a strong international representation of the very best authorities in the field.

The book titled “A Practical Approach to Anesthesia for Emergency surgery” has explored the various aspects of rational approach to anesthesia especially for emergency surgery. It acts as practical guide, which not only includes anesthesia for trauma, but also for almost all of the surgical emergencies that an anesthetist might encounter. Wealth of emergency clinical cases and presentation of facts by organ system and body region are explained in a comprehensive and organized way. Constituents of this book have been branched into nine sections and each section accord with distinct emergencies. The first section comprises of general principles for emergency anesthesia and followed by cardiovascular emergency procedure, general surgery, obstetric emergencies, neonatal and pediatric emergencies, ENT and ophthalmic emergencies, neurosurgical emergencies, trauma and miscellaneous in the rest of the respective sections. This book is an endeavor to compile the scattered data and to reasonably blend current technologies with clinical expertise so that probable approaches can be conducted to anesthesia to attain potential results in respect to cost effectiveness and risk minimization.

This book is a comprehensive review of the rapidly advancing field of endovascular therapy, written by internationally recognized authorities in the field, many of whom are the innovators of the techniques and devices involved. Broad in scope, topics covered range from how to obtain training in approved endovascular techniques to promising new lines of investigational therapies. Reflecting the operative nature of many of the new endovascular therapies, this book is somewhat unique for an endovascular text in the strong representation of surgeons among its authors. Purpose: The purpose is to train and update physicians with diverse levels of experience and from a variety of specialties in established, new, and still evolving endovascular techniques. Given the wide variation in expertise among different specialties interested in performing these procedures, and acknowledging that different specialties lack skill in different aspects of various procedures, a book such as this is badly needed. The goals are accomplished by providing broad overviews of the basics for those with little experience and in-depth presentations of advanced topics for more skilled physicians. Audience: The audience includes vascular surgeons, who will take particular interest in the coverage of endovascular equipment and basic percutaneous techniques, and interventional cardiologists and radiologists, who have had little previous exposure to the operative aspects of endovascular therapy discussed in detail in this book. From the preface to the second edition: Catheter-based diagnosis and treatment of vascular diseases has evolved over the last several decades, with a recent increase occurring in the utility of the therapeutic methods. This development has been stimulated by several factors including miniaturization of interventional devices and imaging technologies, and an emphasis on the utilization of minimally invasive, cost-effective treatments that reduce the economic impact of health care delivery. As part of this evolution, the development and adaptation of new interventional techniques and devices has produced a continual need for updating and training physicians in several subspecialties regarding the use of these methodologies. This requires not only adapting the technologies to current clinical practice but also establishing educational training curriculum in subspecialty fellowship programs. Because endovascular technologies are of multispecialty interest, a review of the entire scope of fundamental information regarding each aspect of the field is required to furnish a comprehensive review that will provide specific utility for individuals from different disciplines. For this reason, we have undertaken the development of this text to satisfy two goals. The first is to provide a broad overview of the entire range of topics for clinicians with little or no background relevant to the subject matter. Secondly, those with some familiarity will find definitive informational material to allow adaptation of endovascular technologies to their current clinical practice. To adequately understand and safely use catheter-based interventional therapies, knowledge of a number of topics beyond the clinical indications and techniques for applying endovascular methods is required. A thorough understand of the pathophysiology of vascular disease, safety issues regarding interventional devices and imaging methods, and a comprehension of fundamental biomaterials concepts is needed. These topics are addressed in detail and represent relatively mature aspects of this field that are otherwise characterized by continual change in devices and techniques as the field expands.

Otimize resultados beneficiando-se de um inigualável legado do conhecimento cirúrgico!Sabiston - Tratado de Cirurgia há 70 anos é considerado o mais completo, útil, claro e compreensível texto do mundo sobre os princípios e as técnicas da cirurgia.Como um título do Expert Consult, essa totalmente atualizada 18ª edição vem com acesso aos conteúdos completos on line, totalmente disponíveis... lhe possibilitando consultá-lo rapidamente de qualquer computador que esteja conectado à Internet!

Coronary bypass surgery is a procedure to allow blood to flow to the heart muscle despite blocked arteries. Coronary bypass surgery uses a healthy blood vessel taken from your leg, arm, chest or abdomen and connects it to the other arteries in the heart so that blood is bypassed around the diseased or blocked area. After a coronary bypass surgery, normal blood flow is restored. Coronary bypass surgery is just one option to treat heart disease. This new book presents the latest research in this growing field.

Recent developments in the field of percutaneous coronary intervention and encouraging data relating to feasibility and safety have led to a renewed interest in left main angioplasty. Interventional cardiologists are faced with the challenge represented by this complex subset of lesions. The first part of this practical handbook specifically deals with the development of the anatomical classification and gives an overview of the frequency of different anatomic phenotypes. The second part provides a comprehensive knowledge on the techniques and approach to left main coronary artery disease and discuss the potential complications. The authors draw on their practical experience to look at expected or potential morbidity from percutaneous coronary intervention. The aim of this book is to provide interventional cardiologists with useful tips and tricks for percutaneous coronary intervention of the left main coronary artery.

In recent years, a myriad of surgical protocols have been developed to manage atrial fibrillation, increasing the confusion over which are the most effective approaches. This timely book presents a multidisciplinary, international team of authorities who have reviewed the evidence in order to establish which surgical approaches should be used under which circumstances. Divided into five parts, the book not only explores surgical treatment of atrial fibrillation, it also offers a complete understanding of its underlying causes: Anatomy, Pathophysiology, and Electrophysiologic Basis of Atrial Fibrillation Surgical Approach to Atrial Fibrillation: The Cox-Maze Procedure Modifications of the Cox-Maze, Use of Alternative Surgical Patterns, and Energy Sources The Invasive Cardiologist Approach Perioperative Complications, Reporting Results, and Statistical Analysis With its clear presentation and analysis of the current findings in surgical treatment of atrial fibrillation, this book points the way towards a scientific approach for the surgical cure of atrial fibrillation and is essential reading for all cardiac surgeons.

Completely refocused and reorganized, the new Edition of this respected resource offers you comprehensive, detailed, up-to-date, and clinically oriented coverage on all aspects of interventional cardiology. Edited by the world's most prominent specialist and researcher and contributed by more than 75 leaders in the field, this 5th edition brings you practical, evidence-based guidance on treating a full range of coronary lesions. They discuss the very latest techniques, devices, and adjunctive therapies and provide critical appraisals of emerging therapeutic approaches. The new edition is now in full-color, three new sections, and a plethora of new chapters that address the hottest topics today.Includes new sections on Patient Selection, Big Artery Vascular Interventions, and Evaluation of Interventional Techniques to help you make better informed decisions. Features new chapters on Transradial Intervention, Late Thrombosis, Biodegradable Stents, Support Devices for High-Risk PCI: IABP, CPS, LVAD, Imaging with Intracardiac Intervention (TEE and ICE), Patient Foramen Ovale and Atrial Septal Defect, Left Atrial Appendage Closure, and Regulatory Issues to keep you up to date. Presents an expanded international authorship and 50% new contributors, bringing you fresh, new perspectives.Increases the clinical focus and incorporates numerous treatment algorithms for better patient care. Uses full-color throughout for the first time, providing you with exceptional visual guidance.Includes a companion DVD of video clips demonstrating challenging techniques and procedures so know exactly how to proceed.

Percutaneous interventions may be very demanding, challenging and complicated. Even in apparently simple cases, this is true. This superb handbook is the first to focus solely on complications during percutaneous cardiovascular interventions. Handbook of Complications during Percutaneous Coronary Interventions provides both the neophyte and the experienced interventional cardiologist with guidance on how to prevent and to treat complications in the cath lab. The editors and the excellent team of contributors ensure that the reader is provided with practically-oriented advice, as well as tips and tricks, many of which are not included in the classic textbooks.

148 sorgfältig ausgewählte Arbeiten zeigen das breite Spektrum der deutschsprachigen chirurgischen Forschung. Sowohl klinische als auch Grundlagenforschung sind berücksichtigt. Der hochaktuelle Band erscheint noch vor der Präsentation der Ergebnisse bei der 124. Jahrestagung der Deutschen Gesellschaft für Chirurgie.