Ich empfinde es als groBe Ehre, das Geleitwort zu dies em ausge- zeichneten Buch Amputationschirurgie und Rehabilitation - Erfah- rungen der Toronto-Gruppe schreiben zu durfen. Das Buch wurde durch einen meiner Kollegen, John Kostuik, mit Beitragen von 7 weiteren Kollegen der Orthopadischen Universitatsklinik Toron- to, wie auch von weiteren Chirurgen und Mitarbeitem in Toronto herausgegeben. Die orthopadische Chirurgie an der Universitat Toronto kann auf ein reiches Erbe auf dem Gebiet der Amputationschirurgie und Rehabilitation von Amputierten zuruckblicken. Die Universitat kann stolz sein, schon zur Zeit des 1. Weltkriegs wesentliche Beitra- ge zu diesem wichtigen Gebiet von Orthopaden wie Robert J. Har- ris, Arthur B. LeMesurier und Gordon Dale erhalten zu haben. Sir Isaak Newton schrieb einmal: "Wir konnen so weit sehen, wei I wir auf den Schultem von Giganten stehen". Ohne Zweifel waren diese 3 Manner orthopadische Giganten. Auf den Schultem dieser 3 Riesen stehend, haben Dr. Kostuik und seine Kollegen in einer auBerst informativen und lesbaren Form die heute sehr weit gehende Erfahrung in Toronto bei der ge- samtheitlichen Betreuung von Amputierten zusammengestellt. Wie Dr. Kostuik in seiner Einleitung erwahnt, richtet sich dieses moder- ne Nachschlagewerk anjungere Studenten aller Disziplinen, welche fUr die Betreuung von Amputierten von Bedeutung sind: Orthopa- den, GefaBchirurgen, plastische und Allgemeinchirurgen, Speziali- sten fUr die Rehabilitation, Physiotherapie und Ergotherapie, Pfle- gepersonal, Sozialarbeiter, Bioingenieure und Orthopadietechniker.

This book provides a practical guide to diagnostic radiology, with each chapter presenting a case-based tutorial that illustrates a specific aspect of diagnostic radiology required for undergraduate study. In addition, it discusses and assesses issues concerning basic principles in diagnostic radiology, imaging of head trauma, non-traumatic neurological emergencies, chest radiographs, pediatric radiology, and emerging radiological technologies. Tutorials in Diagnostic Radiology for Medical Students is intended as a self-study guide, and offers a valuable asset for medical students and trainee radiologists, as well as educators.

The first edition of this publication was aimed at defining the current concepts of trauma induced coagulopathy by critically analyzing the most up-to-date studies from a clinical and basic science perspective. It served as a reference source for any clinician interested in reviewing the pathophysiology, diagnosis, and management of the coagulopathic trauma patient, and the data that supports it. By meticulously describing the methodology of most traditional as well as state of the art coagulation assays the reader is provided with a full understanding of the tests that are used to study trauma induced coagulopathy. With the growing interest in understanding and managing coagulation in trauma, this second edition has been expanded to 46 chapters from its original 35 to incorporate the massive global efforts in understanding, diagnosing, and treating trauma induced coagulopathy. The evolving use of blood products as well as recently introduced hemostatic medications is reviewed in detail. The text provides therapeutic strategies to treat specific coagulation abnormalities following severe injury, which goes beyond the first edition that largely was based on describing the mechanisms causing coagulation abnormalities. Trauma Induced Coagulopathy 2nd Edition is a valuable reference to clinicians that are faced with specific clinical challenges when managing coagulopathy.

Das Anliegen des Buehes ist es, die Hygieneanforderungen aus berufs genossensehaftlieher Sieht darzustellen. Hygiene im Krankenhaus und insbesondere im Operationsbereieh ist in der Traumatologie von besonderer Bedeutung. Der Unfallverletzte unter liegt aufgrund pathophysiologiseher Besonderheiten einem erhohten In fektionsrisiko. Am Beispiel einer Knoeheninfektion wird deutlieh, wel ehe medizinisehen, psyehosozialen und volkswirtsehaftliehen Probleme naeh einer derartigen Komplikation auftreten konnen. Daher sind aIle Bemiihungen gereehtfertigt, posttraumatisehe Infektionen zu verhin demo Hierbei spielen die MaBnahmen zur Keimreduzierung im Umfeld des Traumapatienten eine hervorgehobene Rolle. Die Hygieneriehtlinien haben insbesondere fUr operative Einheiten, in denen Osteosynthesen durehgefUhrt werden, ihre Giiltigkeit. Vor diesem Hintergrund werden die HygienemaBnahmen im Opera tionsbereieh systematiseh diskutiert. Hinzu kommt die Bespreehung von bauliehen Anforderungen an operative Einheiten und das Aufzeigen von Mindestanforderungen. An der Gliederung in einen aseptisehen und septisehen Operationsbereieh ist grundsatzlieh festzuhalten. Bei der Pla nung und Neugestaltung groBerer Operationsabteilungen sollte man die bauliehe Trennung anstreben. Dies entsprieht aueh dem Ergebnis von Arbeitssitzungen der "Kommission fUr Krankenhaushygiene und Infek tionspravention" des Bundesgesundheitsamtes mit Beteiligung von Ver tretem des Hauptverbandes der gewerbliehen Berufsgenossensehaften. DIE HERAUSGEBER Inhaltsverzeichnis I. Allgemeines zur Infektionskontrolle ."

In recent years the approach towards rib fractures has evolved. Abandoned in the past, due to inadequate instrumentation and lack of evidence, rib fixation has recently re-emerged as a treatment option for trauma patients. There have been a number of advances over the last 25 years that now allow surgeons to internally fix rib fractures that otherwise may have not had other options. However, as a result there has been a rapid increase in literature and many institutions interested in initiating rib fixation programs. Due to a variety of practitioners involved namely, trauma surgeons, orthopedic surgeons, and thoracic surgeons there has been no comprehensive guide to patient selection, technique, and post-operative care. The purpose of this text is to fill the educational gap for those trauma, orthopedic, and thoracic surgeons interested in learning the cutting edge evidence-based approaches to treatment of rib fractures. This topic has caught the interest of many and has been a recurrent theme at surgical meetings over the last two years. Although there has been ever increasing levels of interest and experience nationally there are many questions which remain. This text will provide not only the theoretical background for improving outcomes in those with rib fractures but also serve as a practical guide to those interested in starting new programs. The text will include tips and tricks that can be used in the OR or at the bedside to improve patient care. Therefore, the focus will be on a comprehensive review but also including tips and tricks from the most experienced surgeons around the country who are performing internal fixation for rib fractures.

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 atlas is the collaborative work of surgeons from Latin America and North America and describes techniques that can aid in the treatment of trauma patients. Trauma surgeons need to perform procedures efficiently and expeditiously for patients that are crashing. The surgeries and exposures are narrated by experts in the field, and include pitfalls and complications, as well as ways to avoid and treat them. Detailed illustrations add clarity to each procedure and help surgeons improve their technique when treating trauma patients. Atlas of Trauma provides a visual aid to the trauma surgeon and acts as a great asset for the training of these specialists.

Demonstrating current management techniques for traumatic fractures and dislocations of the upper extremity, this atlas utilizes a practical, how-to structure, discussing philosophy, approach, patient positioning, prepping, draping, and surgical techniques for each type of injury. Generously illustrated with intraoperative photos, the chapters of this atlas are arranged by anatomic location, from the clavicle and shoulder down to the fingers, with each chapter briefly describing the thought processes involved in choosing surgical interventions and applied anatomy approaches, fixation selections, and techniques. Actual case examples, cadaver photos and plentiful radiographs illustrate the text for a strongly visual presentation, and a list of "Eglsederisms" - pithy bits of advice for residents and veteran surgeons alike - set the stage for a highly demonstrative resource for orthopedic and trauma surgeons, residents and fellows.

This text provides a comprehensive, state-of-the art review of this field, and will serve as a valuable resource for clinicians, surgeons and researchers with an interest in surgical critical care. The book reviews up to date data regarding the management of common problems that arise in the Surgical Intensive Care Unit. The protocols, care bundles, guidelines and checklists that have been shown to improve process measures, and in certain circumstances, are discussed in detail. The text also discusses several well designed randomized prospective trials conducted recently that have altered the way we care for surgical patients with traumatic brain injury, hemorrhagic shock, acute respiratory distress syndrome, and sepsis. This book provides the practicing physician with a clinically oriented practical approach to handle basic and complex issues in the Surgical Intensive Care Unit. This text will serve as a very useful resource for physicians dealing with critically ill surgical patients. It provides a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts. All chapters are written by experts in their fields and include the most up to date scientific and clinical information. This text will become an invaluable resource for all graduating fellows and practicing physicians who are taking the surgical critical care board examinations.

This excellent value pack contains the Oxford Handbook of Critical Care Third Edition and Emergencies in Critical Care Second Edition. The combination of practical advice and essential background information with an easily accessible guide in emergencies presents a unique package essential to every doctor with an interest in Critical Care. The fully revised, third edition of the Oxford Handbook of Critical Care describes best practice of critical care in a succinct, concise and clinically-orientated way. Covering the principles of general management, it includes therapeutic and monitoring devices, specific disorders of organ systems, as well as detailed information on drugs and fluids. New material has been added on key areas such as airway maintenance, dressing techniques, infection control, echocardiography, tissue perfusion monitoring, coma and more. With up-to-date references and invaluable clinical advice, there is also plenty of space to add notes or amend sections to suit local protocols. Emergencies in Critical Care provides a practical, accessible guide to all emergency situations encountered in the critical care setting. Emergencies are very common in the critical care setting; but also surprisingly predictable. This book helps critical care staff identify those at risk, how to manage them, and be prepared in the ward. This second edition covers new areas of importance, including sections on how to deal with adverse events and critical incidents involving critically ill patients, patient-safety and improved patient rescue packages, and on the practicalities of infection control procedures. Normal values have been combined into one short chapter for easy reference. Easy to use and evidence based, this book will help all critical care staff involved with the management of emergencies, from the new junior doctor to the experienced consultant in a portable and easily-readable format.

Critically ill paediatric transfers have expanded rapidly over the past ten years and, as such, the need for transfer teams to recognise, understand and treat the various illnesses that they encounter is greater than ever. This highly illustrated book covers a multitude of clinical presentations in a case-based format to allow an authentic feel to the transfer process. Written by clinicians with experience in thousands of transfers, it brings together many years of experience from a world-renowned hospital. Following the case from initial presentation, to resuscitation and referral and finally with the transfer itself; the book explores the clinical stabilisation, human factors decisions and logistical challenges that are encountered every day by these teams. Following the entire journey, this is an ideal resource for all professionals who may be involved in critical care transfer and retrieval medicine, particularly those working in paediatrics, emergency medicine, anaesthesiology, intensive care, or pre-hospital settings.

1m allgemeinen Teil dieses Manuals sollen experimentelle und wissenschaftliche Grund lagen und Prinzipien der stabilen Osteosynthese nach der AO-Methode, Funktion und Hauptindikation der verschiedenen AO-Implantate, Handhabung des Standardin strumentariums der AO sowie einige wesentliche Gesichtspunkte der Operationstechnik und der Nachbehandlung dargestellt werden. Auch die Behandlung der wichtigsten postoperativen Komplikationen wird besprochen. 1m spe:: iellen Teil werden die von der AO befolgten Richtlinien fur die operative Behandlung der haufigsten geschlossenen Frakturen beim Erwachsenen nach anatomi schen Regionen eingehend erortert. Es folgen dann die Behandlung der offenen Fraktu ren beim Erwachsenen, der Frakturen bei Kindern und beim alten Menschen sowie der pathologischen Frakturen. In einem drittel1 Teil wird die Anwendung der stabilen Osteosynthese bei Wiederher stellungseingriffen am Knochen zusammenfassend dargestellt. R T IL LL MI 1 Ziele, Grundlagen und Prinzipien der AO-Technik Hauptziel jeglicher Knochenbruchbehandlung ist die Wiederherstellung der vol/en Funk tion der verletzten Extremitat. Jede Fraktur stellt eine Kombination von Weichteil-und Knochenschaden dar. Sofort nach der Fraktur und im Laufe der Reparationsvorgange treten lokale Zirkulationssto rungen, entziindliche Erscheinungen und Schmerz mit reflektorischer Immobilisierung auf. Diese drei Faktoren fiihren in Verbindung mit dem Ausfall funktioneller Beanspru chung von Knochen, Gelenken und Muskeln zur sog. Frakturkrankheit, d.h. chroni scher Odembildung, Atrophie der Weichteile, Knochenabbau (Osteoporose) und Ge lenksteifen. Jede Behandlung einer Fraktur muS deshalb sowohl den Bruch an sich als auch die damit in Verbindung stehenden lokalen Reaktionen des Organismus beriicksichtigen."

Unique book provides comprehensive discussion of MIS versus traditional techniques in modern Acute Care Surgery The combination of a surgeon shortage and poor access to emergency surgical care led to establishment of the Acute Care Surgery paradigm and subspecialty in 2003. Concurrently, minimally invasive approaches revolutionized surgical practice in the 21st century. In the U.S., acute care surgeons stand at the front line of patient care for emergency general surgery, trauma, and surgical critical care, and thus are positioned to positively impact healthcare delivery and costs. Surgical Decision Making in Acute Care Surgery by renowned surgeons Kimberly Davis and Raul Coimbra is the first text that comprehensively discusses when to use minimally invasive techniques and advanced technology versus traditional open procedures in acute traumatic and non-traumatic surgical emergencies. The text begins with three opening chapters covering the background of the Acute Care Surgery subspecialty, anatomic and physiological considerations, and the impact of acute surgical illness on pre- and post-operative critical care decisions. Subsequent chapters outline surgical approaches for commonly encountered acute conditions. Trauma chapters cover interventions for cervical, blunt and penetrating abdominal, and thoracic injuries. Emergency general surgery topics run the gamut from appendicitis to emergency management of paraesophageal hernias and esophageal perforations. An impressive group of senior surgeons and younger rising stars in American surgery share their expertise throughout the book. Key Highlights Disease-specific chapters include epidemiology, pathogenesis, diagnostic tools, treatment strategies, surgical techniques, cost analyses, complications, and national guidelines where available Subchapters feature expert commentary on preceding chapters, including clinical pearls and controversies (e.g. operative vs. nonoperative management) In-depth discussion of surgical decision making encompasses the type of surgical approach, as well as indications and contraindications for MIS The roles of MIS procedures such as laparoscopy, thoracoscopy, radiology-based percutaneous techniques, as well as endovascular surgery are examined The quintessential resource on contemporary Acute Care Surgery practice, this is a must-read for residents, junior faculty, and practicing surgeons in this discipline. This book includes complimentary access to a digital copy on https://medone.thieme.com.

This atlas, containing a wealth of clear operative images, is designed to enable trainee surgeons to visualise the surgical field for procedures specific to laparoscopic colorectal surgery, thereby facilitating understanding and learning of surgical techniques and avoidance of intra- and postoperative complications. Step-by-step guidance is provided for a wide range of procedures employed in patients with benign and malignant tumours, inflammatory bowel disease, diverticular disease, rectal prolapse and other conditions. Examples include right colectomy techniques, sigmoid colectomy, left hemicolectomy, total colectomy, panproctocolectomy, total mesorectal excision, Hartmann's procedure and its reversal and rectopexy. Throughout, meticulous attention is paid to surgical anatomy. Whenever considered necessary, additional line drawings are included to aid comprehension of particular steps in the surgery. Readers seeking to improve their comprehension of surgical anatomy and how to perform these operative procedures will find the atlas to be an unparalleled source of information and assistance. A complementary book from the same authors focuses on open colorectal surgery.

This text addresses many of the questions which occur when medical professionals of various disciplines interact and have different plans and interventions, each with its own valid scientific and/or experience-based rationale: Questions involving tourniquet placement, ideal fluids and volumes for resuscitation, VTE prophylaxis and many other management considerations. Straightforward decisions in the patient with a single diagnosis often conflict when applied to the neurologically injured polytrauma patients. Neurotrauma Management for the Severely Injured Polytrauma Patient answers as many of these questions as possible based on the current literature, vast experience with severe neurotrauma in the current conflicts in Afghanistan and Iraq, and the experience of trauma experts across the globe as well as proposes areas for future study where answers are currently less clear.

Das Kompendium ist als Arbeitsbuch fur die tagliche Praxis des Radiologen, Unfallchirurgen, Orthopaden und Traumatologen gedacht. Eine rasche Orientierung ermoeglichen - die straffe, tief gestaffelte Gliederung, - Checklisten fur die systematische Bildanalyse, - synoptische Befunddarstellungen in Skizzen, - Tabellen und UEbersichten. Abgedeckt ist das gesamte Spektrum der traumatologischen Roentgendiagnostik inkl. Schadelhirntrauma, Verletzungen des Koerperstamms sowie roentgendiagnostisch erfassbarer Sportverletzungen. Auf den Abdruck von Roentgenbildern wurde verzichtet, da Fallbeispiele, im Gegensatz zu Skizzen, immer nur einen Teil der moeglichen Befunde wiedergeben koennen. Dafur sind auf der beiliegenden CD-Rom Roentgenaufnahmen abgespeichert und in eine interaktiv gefuhrte Bildanalyse eingebunden.

A thoroughly revised second edition providing the knowledge and evidence-base needed for the perioperative practitioner, clarifying the underlying principles needed for an understanding of anaesthetic, surgical, and recovery practice. This book defines the level of knowledge required for perioperative practitioners and provides a comprehensive reference to the principles and practice of modern operating department practice. Featuring a diverse range of topics, it offers a multidisciplinary overview of new techniques and technologies, changes in medico-legal requirements, changes to professional accountability, and requirements for continuous professional development. Twelve new chapters cover healthcare ethics and professional regulation, health and safety, infection prevention and control, basic patient monitoring, human factors, and perioperative care of the paediatric patient. Incorporating a new focus on the provision of evidence-based practice and holistic care in all areas of perioperative care, this invaluable book is essential reading for anyone working in this sector, in both education and practice.

This updated book continues the ABCDE chapter format from the second edition, incorporating an escalating level of diagnostic and management complexity and a concise bibliography in each chapter. It remains demarcated into two sections: the first (e.g. ABCDE chapters) equips surgical trainees in managing non-ICU-based patients, whilst the second provides a basic introduction to ICU care. The chapters introduce standard definitions, pathological processes, diagnostic features and common management plans. These are based on a range of updated recommended guidelines from NICE and SIGN and common ALS principles in critical care patients, as well as current ATLS (R) and CCrISP (R) standards. The most common causes of systemic complications in surgical patients are explained, e.g. updated sections on sepsis and major haemorrhage protocols, to name but a few. A must-have revision guide for all surgical trainees, from final-year medical students through to junior surgical registrars.

This book aims to provide a guide for urodynamic investigation in individuals who have suffered spinal cord injuries. It is universally acknowledged that this type of investigation is valuable and most international guidelines consider it mandatory in patients with neurogenic bladder dysfunction. The book offers an evidence based knowledge of applicability, clinical value, and limitation, and will give the reader strong diagnostic outcomes that will benefit patients suffering from spinal cord injuries. What is presented in this book is based on expert opinions acquired over decades of urodynamic testing that have taken place in different parts of the world.

Advanced Perioperative Crisis Management is a high-yield, clinically-relevant resource for understanding the epidemiology, pathophysiology, assessment, and management of a wide variety of perioperative emergencies. Three introductory chapters review a critical thinking approach to the unstable or pulseless patient, crisis resource management principles to improve team performance and the importance of cognitive aids in adhering to guidelines during perioperative crises. The remaining sections cover six major areas of patient instability: cardiac, pulmonary, neurologic, metabolic/endocrine, and toxin-related disorders, and shock states, as well as specific emergencies for obstetrical and pediatric patients. Each chapter opens with a clinical case, followed by a discussion of the relevant evidence. Case-based learning discussion questions, which can be used for self-assessment or in the classroom, round out each chapter. Advanced Perioperative Crisis Management is an ideal resource for trainees, clinicians, and nurses who work in the perioperative arena, from the operating room to the postoperative surgical ward.

This handbook considers topics that have general application to the critically ill patient. Basic pathophysiology and understanding of its role in critical care monitoring and management are covered, followed by a close look at trauma related and non-trauma related entities likely to afflict the critically ill surgical patient.The authors consist of practitioners who are experts in their field. They represent the team approach to critical care management where members from the divisions of anesthesia, internal medicine, respiratory medicine, infectious disease and surgical specialties all contribute in formulating intervention, assessment and management plans for the critically ill surgical patient.By emphasising the surgical conditions requiring critical care, The Surgical Critical Care Handbook will serve as a quick and easy reference for any medical trainee or practitioner aspiring to join the ICU.

As surgical critical care continues to evolve, this handbook provides the framework for the surgical intensivist, and focuses specifically on the surgical considerations encountered in the care of the critically ill patient. Drawing from decades of experience at one of the world's busiest and most innovative trauma/ surgical intensive care units, the handbook systematically addresses all aspects of surgical critical care. Chapters are presented in an easy-to-access, bullet point format, with each chapter ending in a practical algorithm and review of recent literature. This text will serve as a guide, learning tool, and reference manual for all levels of practitioners, from aspiring student to seasoned attending.

As more internists and family physicians increase their scope to include sports medicine, this book reaches beyond the orthopaedic surgery market to provide a one-source reference for the treatment of both simple and complex sports-related injuries. For ease of use, the book is divided into the various anatomical sections: the forefoot, the midfoot, the hindfoot, the ankle, tendon disorders, and orthotics and braces - each enhanced by rehabilitation procedures and algorithms. It enables the physician to formulate a treatment plan and compare the various surgical and non-surgical options for a variety of injuries including: stress and other fractures, ankle instability, ruptures, sprain, ligament injuries, tendonitis, lesions, and neuropathies. The text is supported by copious illustrations, including 100 line drawings, 99 operative photos and a full-colour 4-page insert.