This second edition of the Handbook of Ambulatory Anesthesia has been completely updated and expanded to reflect current practice guidelines and trends in ambulatory anesthesia. This practical manual covers preoperative evaluation, patient and procedure selection, anesthetic techniques, postoperative management, and quality assurance. Additionally, the editors have included all new information on anesthesia for minimally invasive surgery as well as office-based procedures. Written and edited by experts who have developed successful practices at the world's leading institutions, Handbook of Ambulatory Anesthesia includes a broad representation of perspectives and approaches for practitioners in every ambulatory setting.

In Cushing's Disease, leading authorities in the field offer a thorough review of the pathogenesis, diagnostic algorithm and treatment options for this complex disease. Beginning with a fascinating history of Cushing's disease that outlines its historical significance to both endocrinology and neurosurgery, the book goes onto to cover the full range of important issues, including the molecular pathogenesis of Cushing's, anatomic pathology, the diagnosis of Cushing's syndrome, the differential of pseudo-Cushing's syndromes, hypercortisolemia, surgical removal of the corticotroph adenoma, post-operative management and assessment of remission, radiotherapeutic options, and the exciting developments in medical therapy. In addition, the book also addresses Cushing's disease in the pediatric population, given that its clinical manifestations and impact on growth can be severe; silent corticotroph adenomas as a distinct clinical entity; diagnosis and management of Cushing's disease during pregnancy, bilateral adrenalectomy, and, finally, the long-term psychological manifestations of hypercortisolemia. Comprehensive and an invaluable addition the literature, Cushing's Disease is an essential reference for enhancing diagnosis and treatment of this debilitating disorder.

Practical Procedures in Aesthetic Dentistry presents a comprehensive collection of videos demonstrating clinical techniques in aesthetic and restorative dentistry, and is accompanied by a handbook summarising the key points of each procedure. * Interactive website hosting over nine hours of video * Accompanying illustrated handbook summarising key points * Expert teaching across a comprehensive range of aesthetic and restorative procedures * International team of contributors with clinical and academic expertise

This book is a companion text to Orthopedic Rehabilitation, Assessment, and Enablement by the same author, but can be used independently. Through real life examples, it illustrates the rehabilitation ideas and principles taught in the companion text, ranging from conditions seen daily by the orthopedic surgeon or primary care physician to more challenging conditions. It also covers newer paradigm shifts in the management of osteoporosis and new technologies. In addition, the book highlights the uses of the computers and virtual reality in the field of orthopedic surgery. Coverage ends by stressing the importance of tele-rehabilitation.

This timely book analyses and evaluates ethical and social implications of recent developments in reporting surgeon performance. It contains chapters by leading international specialists in philosophy, bioethics, epidemiology, medical administration, surgery, and law, demonstrating the diversity and complexity of debates about this topic, raising considerations of patient autonomy, accountability, justice, and the quality and safety of medical services. Performance information on individual cardiac surgeons has been publicly available in parts of the US for over a decade. Survival rates for individual cardiac surgeons in the UK have recently been released to the public. This trend is being driven by various factors, including concerns about accountability, patients??? rights, quality and safety of medical care, and the need to avoid scandals in medical care. This trend is likely to extend to other countries, to other clinicians, and to professions beyond health care, making this text an essential addition to the literature available.

This book gathers recommendations of the European Association for Endoscopic Surgery (EAES), as compiled by leading European laparoscopic surgeons.

The book offers an overview of current surgical research. All recommendations precisely describe the proven benefit of each surgical procedure and technique. Chapters follow a structured format to allow quick identification of recommendations. This work provides a highly usable and practice-oriented overview of the achievements in laparoscopic surgery throughout the last decade.

A notable surgeon and charismatic teacher himself, Professor Ellis has brought together in Operations that made History a fascinating collection of renowned surgical procedures each one illustrating a different aspect of the history of surgery.

This brand new MCQ publication is to be used in preparation for the MRCS examination. It reflects the current requirements of the examination, particularly addressing the fact that a large proportion of the questions relate to basic science topics; as well as addressing the new style question that the examination incorporates, the extended matching question (the EMQ) which tend to be very clinically based. Thus, the questions in this book are all based on clinically related subjects and on pure and applied basic science in proportions which reflect the content of the examination.

Angst vor dem ersten Patientenkontakt? - Das muss nicht sein

In diesem praktischen Taschenbuch finden sich die gangigen Anamnese- und Untersuchungstechniken fur die orientierende klinische Untersuchung und im zweiten Teil auch die jeweiligen speziellen Techniken fur alle klinischen Facher in leicht verstandlicher und ubersichtlicher Darstellung.

Zu jeder klinischen Untersuchungstechnik gehort eine tabellarische Darstellung der moglichen Befunde und in Frage kommenden Differentialdiagnosen. Die Diagnosen sind nach ihrer Bedeutung fur die klinische Praxis gewichtet.

Anamnese, Untersuchung, Diagnose KOMPAKT - Diagnosestellung leicht gemacht fur Praktikum, Famulatur und PJ "

This very popular revision guide, originally published in its first edition as General Pathology Vivas, is packed with useful information in A-Z format covering the essentials of pathology for examination candidates. This accessible and informative text will help to dispel some of the anxiety facing those studying for their viva or oral examinations. It has been written by a pathologist with many years of experience teaching pathology. This edition, first published in 2006, includes many updated entries to provide even broader coverage of the key topics and concepts that are an essential prerequisite to understanding basic pathology. This concise account is aimed at undergraduate medical candidates and for the oral parts of the MRCS, MRCP and FRCOG examinations. It will also serve as a valuable aide memoire for the junior surgeon or doctor at all levels of experience, especially those training junior staff themselves.

This text has been designed as a supplement to the Textbook of Surgery to assist readers in their preparation for examinations and to test their knowledge of the principles and practice of surgery. There are two types of Multiple Choice Questions: Type A and Type X. Type A have a single best response from five alternatives and are designed to test judgmental ability. Type X questions contain a stem with suggested answers that are either true or false and are designed to test factual knowledge and its application. The text is set out in three sections, the first containing Type A questions, the second containing Type X questions and the third containing short answer questions that emphasize clinical management problems. In each section, the questions are presented in the sequence used in Textbook of Surgery. The number of questions for each general topic relate to the relative importance ascribed to each topic in order to provide balance. The answers are accompanied by a reference to the chapter(s) in the Textbook of Surgery where the information required to answer the specific question is presented.

This is a stunningly well-written account of the life of a surgeon: what it is like to cut into people's bodies and the terrifying - literally life and death - decisions that have to be made.There are accounts of operations that go wrong; of doctors who go to the bad; why autopsies are necessary; what it feels like to insert your knife into someone.

This book is intended as a concise and practical guide to the treatment of nail problems through medical and surgical means. It is aimed at the general practitioner, dermatologist and podiatrist and the emphasis throughout is on practical procedures which are in the main relatively simple. Some procedures are more complicated and really require the additional advice of a tutor. There is no similar book on the market which digests the relevant practical points from larger works for those wishing only a concise overview of the principal practical aspects of the subject. After an introductory chapter on anatomy and physiology of the nail unit, the book goes on to describe infections of the nails, signs of systemic disease manifesting in the nails, dermatological diseases of the nails, occupational nail disorders, cosmetology and nail tumours. There then follows a section of nineteen practical procedures which are described step-by-step in detail.

This book contains the written contributions to the International Symposium on th Medical Simulation (ISMS'04) held in Cambridge, Massachusetts, USA on June 17 th and June 18 , 2004. Manuscripts are organized around five thematic sections relating to the multidisciplinary field of Medical Simulation: Soft Tissue Properties and Modeling, Haptic Rendering, Real-Time Deformable Models, Anatomical Modeling, and Development Frameworks. The objectives of the symposium are to gather researchers to present their most recent, and promising work, to highlight research trends and foster dialogue and debates among participants. Live demonstrations are also included at the meeting, but cannot be included in this volume. Finally, to address questions about areas for improvement and future directions of the field, we organized a panel of experts including technical, medical and educational representatives. This event continues the successful symposium organized by Herve Delingette and Nicholas Ayache, in France in June 2003. At that meeting we agreed that it would be beneficial for the community to have an annual gathering for the medical simulation community where researchers can exchange ideas and share their work in this emerging field. ISMS'04 is co-organized by CIMIT / Harvard Medical School and Rutgers University.

The nursing input to day surgery has become so refined that it is now a distinct speciality. As the patient is in the hospital for such a short time the nursing rituals need to be honed to a fine art. Pre-assessment and selection is critical and discharge planning begins before admission. This book describes and explains the vital role the nurse plays in the multidisciplinary team. It examines the selection process, the nurse's role in the theatre and recovery room, and the care needed on the ward.

Sometimes in medicine the only way to know what is truly going on in a patient is to operate, to look inside with one's own eyes. This book is exploratory surgery on medicine itself, laying bare a science not in its idealized form but as it actually is--complicated, perplexing, and profoundly human. Atul Gawande offers an unflinching view from the scalpel's edge, where science is ambiguous, information is limited, the stakes are high, yet decisions must be made. He investigates such enduring mysteries as the nature of pain, the inability to cure nausea, even the little-understood biology of blushing. He explores how deadly mistakes happen, and why good doctors go bad. He also gives us privileged entry into the inspiring world of ambitious operations, remarkable experiments, and unexpected intuitions. And through it all, we find Gawande's deep concern with the actual experiences of patients and doctors as they negotiate the paradoxes and imperfections inherent in caring for human lives. At once unsentimental and humane, Complications is a new kind of medical writing, nuanced and lucid, unafraid to confront the conflicts and uncertainties that lie at the heart of modern medicine, yet always alive to the possibilities of wisdom in this extraordinary endeavor. From Complications: I had just finished examining someone in the ER when one of the physicians stopped me with yet another patient: twenty-three-year-old Eleanor Bratton had a red and swollen leg. "It's probably only a cellulitis" --a skin infection--"but it's bad," he said. He had prescribed intravenous antibiotics, but he wanted me to make sure there wasn't anything "surgical" going on. The patient looked fit and athletic. There did not seem anything seriously ill about her. I glanced at her chart--she had good vital signs, no fever, and no past medical problems. I asked Eleanor if she had had any pus or drainage from her leg. No. Any ulcers? No. A foul smell or blackening of her skin? No. I le

This book covers the clinical approach to managing head and neck pathology as it presents to the otolaryngology department. Including cervical lymphadenopathy, salivary gland disease, oral, oropharyngeal, laryngeal and hypopharyngeal lesions as well as thyroid and parathyroid diseases. Each chapter presents an evidence-based, practical, and user-friendly approach to assessing, investigating and managing these patients A practical, clinically applicable guide to managing head and neck pathology An evidence-based approach to the clear guidance provided in the book. Colour images and flow charts for quick reference Clear, concise and comprehensive, Head, Neck & Thyroid Surgery: An introduction and practical guide will be useful to trainees and clinicians in otolaryngology, maxillo-facial and plastic surgery.

  This book constitutes the refereed proceedings of the International Symposium on Surgery Simulation and Soft Tissue Modeling, IS4TM 2003, held in Juan-Les-Pins, France in June 2003. The 33 revised full papers presented together with 3 invited papers were carefully reviewed and selected from 45 submissions. The papers are organized in topical sections on soft tissue models, haptic rendering, cardiac modeling, and patient specific simulators.

Publications on aesthetic rejuvenation often start with the treatment-such as fillers or lasers-and then work back to the patient problem. Comprehensive Aesthetic Rejuvenation: A Regional Approach starts from the perspective of what the patient perceives as the problem region of the body. It then moves to the appropriate range of treatments that can be offered and discusses how outcomes can be improved. Topics include: The new growth agent for eyelashes Multimodal approaches to healthy skin Aesthetic considerations in ethnic skin Hair loss and transplantation New developments in less invasive fat and cellulite treatments Body contouring surgery Enhanced with more than 200 color illustrations, this volume is an essential resource for all aesthetic and plastic surgeons.

You've read your textbook and your course notes. Now you need to apply your knowledge to real-life clinical situations. The problem-solving approach of Core Clinical Cases guides you to think of the patient as a whole, rather than as a sequence of unconnected symptoms. With its emphasis on everyday practice strongly linked to underlying theory, the series integrates your knowledge with the realities of managing clinical problems, and provides a basis for developing sound analytical and confident decision-making skills. The core areas of undergraduate study are covered in a logical sequence of learning activities: the same questions are asked of each clinical case, followed by detailed explanatory answers. OSCE counselling cases, with related questions and answers, also feature in each section. Key concepts and important information are highlighted, and the reader-friendly layout reflects exactly the type of question you will encounter, making these volumes the perfect revision aid for all types of case-based examination. The Surgery and Surgical Specialties volume, fully revised and updated in this second edition, focuses on the following topics: general surgery, ENT, ophthalmology, trauma and orthopaedic surgery, and urology. Volumes in the Core Clinical Cases series remain absolutely invaluable in the run up to clinical, written, or OSCE examinations, and ideal course companions for all undergraduate medical students at various stages in their clinical training.

Immunology for Surgeons looks at relevant immunological and molecular biological trends - these form the focus of discussion for future treatment of complex surgical disease. It tackles this difficult clinical area, explaining in particular tumor immunobiology and immunotherapy and uniquely presents the worldwide results of clinical trials. The book collates a wide international literature otherwise difficult to assimilate, combining transatlantic research, particularly in immunotherapy. Immunology for Surgeons is a must-have for the postgraduate surgical trainee and established surgeon with an interest in immunology.

It is estimated that 80 percent of women have some degree of cellulite. Although there are no permanent solutions for cellulite, dermatologists recognize that this is an issue of importance for many women. This guide reviews current research on the pathophysiology and treatment of cellulite, as well as the many recent developments in medical therapy, liposculpture, and pharmacy to combat the appearance of cellulite in the female figure.

I Anatomie, AEtiologie, Epidemiologie und Molekularbiologie.- 1 Anatomie und Physiologie der Lunge.- 2 AEtiologie und Epidemiologie.- 3 Molekulargenetische Aspekte, Tumorbiologie und Mechanismen der Metastasierung.- II Vorsorge und Fruherkennung.- 4 Neue Aspekte der Fruherkennung und des lokalen Stagings.- III Diagnostik, Pathologie und Stadieneinteilung.- 5 Diagnosesicherung und pratherapeutische Diagnostik.- 6 Endoskopische Diagnostik.- 7 Radiologische Diagnostik des Bronchialkarzinoms - Projektionsradiographie und Computertomographie.- 8 Magnetresonanztomographie.- 9 Positronenemissionstomographie (PET).- 10 Tumor-Marker - Bedeutung fur Diagnostik und Verlaufskontrolle.- 11 Pathologie, Klassifikation und Stadieneinteilung.- IV Therapie.- 12 Geschichte der Behandlung der Lungenkarzinome.- 13 Nichtkleinzellige Lungenkarzinome.- 14 Kleinzellige Lungenkarzinome.- 15 Bronchuskarzinoid.- 16 Seltene Lungentumoren.- 17 Therapie isolierter Metastasen.- 18 Tumorbedingte Komplikationen.- 19 Therapiebedingte Komplikationen und Spatfolgen nach Operation, Radio- und Chemotherapie.- V Nachsorge und Prognose.- 20 Nachsorge und Rehabilitation.- 21 Psychoonkologie und Lebensqualitat.- 22 Chemopravention.- VI Zukunftsperspektiven.- 23 Videoassistierte Thoraxchirurgie (VATS) - Weiterentwicklung, robotergesteuerte Therapie.- 24 Verbesserung der Strahlentherapie bei der Behandlung des Lungen- karzinoms.- 25 Neue therapeutische Ansatze in der internistischen Therapie nicht- kleinzelliger Lungenkarzinome.- 26 Molekulare Prognosefaktoren.

Immunosuppression in solid organ transplantation is experiencing a worldwide revival since new drugs are now available in the late-1990s and others are under development. In order to contribute to the design of future strategies, a critical approach of surrogate endpoints is given and long-term side effects are analyzed, together with the impact of non-compliance, quality-of-life and economical parameters. In this book, international specialists have set up the scientific rationale and provided new bases for further immunosuppressive strategies.