[PDF] Decision Making In Perioperative Medicine Clinical Pearls eBook

Author : Steven L. Cohn
Publisher : McGraw Hill Professional
Page : 351 pages
File Size : 30,69 MB
Release : 2021-05-22
Category : Medical
ISBN : 1260468119

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Minimize risk for every surgery-bound patient with this concise, high-yield clinical reference “The accuracy and readability of this [book] is excellent... the writing style is appropriate, informative, and suitable for the primary care clinician. The topics are well researched [and] the clinical recommendations reflect the most current guidelines.”—Robert C. Lavender, MD, FACP “The editor and contributing authors are all highly credible authorities and experienced clinicians... This is an extremely well-written, evidence-based text that fills a real gap. It should be useful not only to its intended audience, but also to surgeons and surgical trainees who often provide the initial management of these situations in the absence of consultants.”—Doody’s Review Service With new surgical advances and innovations, more older, sicker, higher-risk patients are undergoing surgery. Expertly assessing and managing patients with comorbidities who are undergoing surgical procedures is an absolutely critical task today—and Decision Making in Perioperative Medicine: Clinical Pearls will ensure that you make the right decisions through every step of the process. Which risk calculator should you use? How long should you delay surgery after percutaneous coronary intervention? Should the patient continue taking aspirin? How long before surgery should you stop a direct-acting oral anticoagulant? Decision Making in Perioperative Medicine: Clinical Pearls answers your questions when it comes to perioperative care. Filled with algorithms, tables, and clinical pearls, this practical resource is organized into three sections: Key takeaways on preoperative evaluation, testing, anesthesia, and medication management Expert guidance on evaluating the effect of comorbidities on surgical outcome and providing strategies for medical optimization to minimize risk Review of common postoperative medical complications and treatment Whether you’re a hospitalist, internist, family physician, anesthesiologist, physician assistant, or nurse practitioner, Decision Making in Perioperative Medicine: Clinical Pearls provides the evidence-based information and insights you need to make sure every surgery-bound patient receives the quality of care and management they deserve.

Author : Steven Schwartz
Publisher : Springer Science & Business Media
Page : 372 pages
File Size : 10,55 MB
Release : 2012-12-06
Category : Psychology
ISBN : 1461249546

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Decision making is the physician's major activity. Every day, in doctors' offices throughout the world, patients describe their symptoms and com plaints while doctors perform examinations, order tests, and, on the basis of these data, decide what is wrong and what should be done. Although the process may appear routine-even to the physicians in volved-each step in the sequence requires skilled clinical judgment. Physicians must decide: which symptoms are important, whether any laboratory tests should be done, how the various items of clinical data should be combined, and, finally, which of several treatments (including doing nothing) is indicated. Although much of the information used in clinical decision making is objective, the physician's values (a belief that pain relief is more important than potential addiction to pain-killing drugs, for example) and subjectivity are as much a part of the clinical process as the objective findings of laboratory tests. In recent years, both physicians and psychologists have come to realize that patient management decisions are not only subjective but also prob abilistic (although this is not always acknowledged overtly). When doc tors argue that an operation is fairly safe because it has a mortality rate of only 1 %, they are at least implicitly admitting that the outcome of their decision is based on probability.

Author : Emery A Wilson
Publisher : Springer Science & Business Media
Page : 68 pages
File Size : 35,17 MB
Release : 2008-05-28
Category : Medical
ISBN : 038777114X

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This is a collection of concise bits of advice for medical school administrators on how to manage the challenges of playing a leadership role. The book covers topics ranging from how to negotiate the terms of a contract once you have accepted an administrative position, to broaching difficult subjects like termination, to managing budget crises. The authors have several years of experience as leaders in academic medicine and each "pearl" is the product of their practical expertise.

Author : Mark F. Newman, MD
Publisher : Elsevier Health Sciences
Page : 744 pages
File Size : 31,73 MB
Release : 2007-10-12
Category : Medical
ISBN : 1416024565

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Recognized authorities in anesthesiology and surgical critical care present you with today's best management approaches for achieving optimal perioperative outcomes. They review the potential risks to all major organ systems by examining the incidence and significance of organ dysfunction...assessing the etiology of particular organ dysfunctions...defining the preoperative and intraoperative risk factors...and offering perioperative protection strategies to minimize potential complications. A consistent chapter format - combined with color-coded algorithms, summary tables and boxes - enable you to quickly locate specific guidance. Top evidence- and outcome-based strategies from leading world authorities enable you to avoid and manage complications. A consistent format allows you to easily and efficiently access the very latest research and clinical practice guidelines. Color-coded algorithms, as well as abundant summary tables and boxes, save you valuable time in locating the best management approaches.

Author : Steven L. Cohn
Publisher : Springer Science & Business Media
Page : 557 pages
File Size : 13,45 MB
Release : 2011-06-21
Category : Medical
ISBN : 0857294989

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Perioperative Medicine uses a concise, highly practical, bulleted format designed to ensure rapid comprehension of key concepts and reinforce the reader's understanding of complex topics in perioperative medicine. It contains authoritative, up-to-date coverage of the most essential concepts in perioperative care from preoperative risk assessment to postoperative follow-up. The Editor and his contributors use their expert insight and experience to provide an in-depth review of comorbid conditions, patient and surgery-specific risk assessment, and common postoperative complications. This new book reviews recent developments in the field, including published guidelines, and emphasizes an evidence-based, cost-effective approach designed to ensure quality, patient safety, and optimal outcomes. It is intended for use by hospitalists, general internists and subspecialists as well as anesthesiologists, surgeons, and residents in training who are caring for patients before and after surgery.

Author : John G. Brock-Utne, MD, PhD, FFA(SA)
Publisher : Springer Science & Business Media
Page : 223 pages
File Size : 38,8 MB
Release : 2011-08-09
Category : Medical
ISBN : 1441911790

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All anesthesiologists eventually face the fear of a “near miss,” when a patient’s life has been put at risk. Learning from the experience is crucial to professionalism and the ongoing development of expertise. Drawing on forty-plus years of practice in major metropolitan hospitals in the United States, Norway, and South Africa, John Brock-Utne, MD presents 80 carefully selected cases that provide the basis for lessons and tips to prevent potential disaster. The cases emphasize problem-centered learning and span a broad range of topics—from an outbreak of operating room infection (could it be the anesthesia equipment?), complications of fiberoptic intubations, and problems with epidural drug pumps, to performing an urgent tracheostomy for the first time, working with an aggressive surgeon, and what to do when a patient falls off the operating table during surgery. 80 true-story clinical “near misses” never before published, ideal for problem-centered learning, recommendations, references, and discussions accompany most cases, rich basis for teaching discussions both in or out of the operating room, settings include sophisticated as well as rudimentary anesthetic environments, complements the author’s other case book, Clinical Anesthesia: Near Misses and Lessons Learned (Springer, 2008).

Author : Thomas Walsh
Publisher : Oxford University Press
Page : 336 pages
File Size : 21,85 MB
Release : 2011
Category : Gardening
ISBN : 0195389689

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Visual Fields: Examination and Interpretation, 3rd edition contains revisions and updates of earlier material as well as a discussion of newer techniques for assessing visual field disorders. The book begins with a short history of the field of perimetry and goes on to present basic clinical aspects of examination and diagnosis of visual field defects in the optic nerve, optic disc, chorioretina, optic chiasm, optic tract, lateral geniculate field bodies, and the calcarine complex. Additional aspects of visual field examination are explored including those of monocular, binocular, and junctional field defects, congruity vs. incongruity, macular sparing vs. macular splitting, density, wedge-shaped homonymous field loss, and monocular temporal crescent. Various new techniques of automated perimetry are also considered including SITA, FASTPAC, and SWAP. This volume provides a very useful overview of the techniques of visual field examination in a number of eye disorders and will be of interest to all ophthalmologists, neuro-opthalmologists, retina specialists, and optometrists.

Author : Arup Kumar Kundu
Publisher : Jaypee Brothers,Medical Publishers Pvt. Limited
Page : 324 pages
File Size : 36,57 MB
Release : 2008-12-01
Category : Medical
ISBN : 9788184482690

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- A handy, lucid, concise, updated as well as truly student oriented book dealing with common medical presentations. - A distillation of the author's vast experience while answering questions for patients and health professionals. - Each chapter can be regarded as a window of medicine - Exphasises on aetiology, differential diagnosis, diagnosis and management.

Author : N. Blau
Publisher : Springer Science & Business Media
Page : 732 pages
File Size : 49,21 MB
Release : 2012-12-06
Category : Science
ISBN : 364255878X

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This second edition of The Physician's Guide provides paediatricians and other physicians with a unique aid to help them select the correct diagnosis from a bewildering array of complex clinical and laboratory data. Delay and mistakes in the diagnosis of inherited metabolic diseases may have devastating consequences. The guide, which includes a CD-ROM, describes 298 disorders which have been grouped into 35 chapters according to the type of condition. Within each group of disorders, chapters provide tables of pertinent clinical findings as well as reference and pathological values for crucial metabolites. Relevant metabolic pathways and diagnostic flow charts are included. There are three indices to make the book as user-friendly as possible.

Author : Meir T. Marmor
Publisher : Thieme
Page : 282 pages
File Size : 39,26 MB
Release : 2017-02-01
Category : Medical
ISBN : 1626234620

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Unique decision-tree format provides rapid decision-making tool covering a wide range of musculoskeletal injuries Few if any medical fields share the complexity of injuries and the number of available treatments that exist in orthopaedic trauma. Deciding on the most efficacious treatment can often be difficult. In this digital age with a tsunami of medical information and conflicting data on numerous approaches, practitioners who treat orthopaedic trauma often find it problematic to make "evidence-based" choices. Decision Making in Orthopaedic Trauma is the largest compendium of orthopaedic trauma algorithms assembled to date. The decision trees cover a broad spectrum of cases - from simple isolated fractures - to severe, life-threatening conditions. The decisions on which action to perform in each situation are largely based on the personal experiences of the individual authors, all members of the University of California, San Francisco (UCSF) / Zuckerberg San Francisco General (ZSFG) Orthopaedic Trauma Institute. When the decisions are supported by published scientific literature, the relevant publications are cited. Visually appealing, easy-to-comprehend decision trees detail underlying pathologies, suspected diagnoses, required imaging studies, possible treatment approaches, rehabilitation, expected outcomes, and postsurgical care. The format is more conducive to swiftly acquiring knowledge and making informed decisions than traditional texts and websites. Key Features Management of a wide range of emergencies including compartment syndrome, open fractures, peripheral nerve injuries, mangled extremities, and multiple trauma Perioperative care - from acute and chronic pain management - to venous thromboembolism prevention and the use of regional anesthesia Major sections organized by anatomic region cover upper extremity, lower extremity, pelvic, hip, and spine trauma Clinical pearls on the management of osteoporotic, neoplastic, and periprosthetic fractures and fracture complications Impacted anatomy, differential diagnoses, and possible approaches visualized through high-quality color illustrations and radiographs Consistent color scheme differentiates actions, imaging, and rehabilitation guidelines Appendices provide a quick reference on imaging, bracing, and rehabilitation recommendations This uniquely formatted, visually rich book will enable surgeons, physicians, and residents to understand and apply critical decisions to a wide range of fractures, dislocations, nerve injuries, and musculoskeletal complications.