|
|
Books > Medicine > Surgery > General
The New York Times bestselling author of Better and Complications
reveals the surprising power of the ordinary checklist. We live in
a world of great and increasing complexity, where even the most
expert professionals struggle to master the tasks they face. Longer
training, ever more advanced technologies--neither seems to prevent
grievous errors. But in a hopeful turn, acclaimed surgeon and
writer Atul Gawande finds a remedy in the humblest and simplest of
techniques: the checklist. First introduced decades ago by the U.S.
Air Force, checklists have enabled pilots to fly aircraft of
mind-boggling sophistication. Now innovative checklists are being
adopted in hospitals around the world, helping doctors and nurses
respond to everything from flu epidemics to avalanches. Even in the
immensely complex world of surgery, a simple ninety-second variant
has cut the rate of fatalities by more than a third. In riveting
stories, Gawande takes us from Austria, where an emergency
checklist saved a drowning victim who had spent half an hour
underwater, to Michigan, where a cleanliness checklist in intensive
care units virtually eliminated a type of deadly hospital
infection. He explains how checklists actually work to prompt
striking and immediate improvements. And he follows the checklist
revolution into fields well beyond medicine, from disaster response
to investment banking, skyscraper construction, and businesses of
all kinds. An intellectual adventure in which lives are lost and
saved and one simple idea makes a tremendous difference, The
Checklist Manifesto is essential reading for anyone working to get
things right.
In this issue of Atlas of the Oral and Maxillofacial Surgery
Clinics, guest editors Drs. Mark A. Miller and David M. Yates bring
their considerable expertise to the topic of Common Procedures in
Cleft and Craniofacial Surgery. Articles from top experts in the
field include coverage of cleft lip surgery, different surgical
approaches to craniosynostosis, and other craniofacial syndromes,
as well as reconstruction and bone grafting. Contains 12 relevant,
practice-oriented topics including primary cleft lip deformity;
cleft nasal deformity; endoscopic approaches to craniosynostosis;
open approaches to craniosynostosis; cranial deformities; and more.
Provides in-depth clinical reviews on common procedures in cleft
and craniofacial surgery, offering actionable insights for clinical
practice. Presents the latest information on this timely, focused
topic under the leadership of experienced editors in the field.
Authors synthesize and distill the latest research and practice
guidelines to create clinically significant, topic-based reviews.
When I first proposed this book, one of the hopes was that it would
be the stage upon which would be conducted a quiet, well reasoned
discussion of the various techniques of stereotactic radio surgery.
At that time, there was quite a bit of rancorous debate that tended
to obscure the scientific and medical merits of each of the
separate methods. At the present time, I am happy to report that
the field of stereotactic radiosurgery is much less riven by such
inappropriate posturing. The field has taken many steps towards
maturity, both technically and medically. In the course of this mat
uration process, there have been many grandiose plans and speeches
made on behalf of stereotactic radiosurgery. Inevitably, the
reality will not live up to the hype, but such is the natural
course of devel opment in these sorts of matters. However, even
though events may not match our hopes, we should keep in mind the
words of Herbert Parker. Recognizing that new modalities for the
treatment of cancer do not stand much chance of revolutionary
success, nevertheless, he quite correctly pointed out that " . . .
with any type of radiatiQn, the margin between success and failure
is small. If the chance of success is a little greater . . . thi
might well be classed as a great advance. " Mark H."
The mechanical properties of whole bones, bone tissue, and the bone-implant interfaces are as important as their morphological and structural aspects. Mechanical Testing of Bone and the Bone-Implant Interface helps you assess these properties by explaining how to do mechanical testing of bone and the bone-implant interface for bone-related research. Articles explore the basic mechanical principles of bone-related study and how to conduct mechanical testing of bone specimens. More practical than theoretical, the text includes 42 chapters in three sections that cover mechanical properties of bone, general considerations of mechanical testing, basic facilities and instruments for mechanical testing; mechanical testing procedures on bone tissues; and mechanical testing procedures on the implant-bone interface. There are approximately three hundred illustrations, including line drawings, diagrams, tables, and photographs. Mechanical Testing of Bone and the Bone-Implant Interface is the most concise, straightforward, and in-depth treatment ever to be published - long needed by the orthopedic and bone research communities.
Surgery for the treatment of deformities such as scoliosis carries
a small but significant risk of damage to the spinal cord through
inadvertent compression or interference with the blood supply.
Electrophysiological techniques, principally those for recording
sensory and motor evoked potentials, offer a means of continuously
assessing the conduction of nerve signals up and down the spinal
cord and hence the possibility of detecting a defect at an early
stage, when the cause may be reversible. This form of monitoring is
now accepted practice in many countries. The main contributors to
the Handbook are surgeons, neurophysiologists and anaesthetists at
the forefront of research. From the United States, where practice
has been most widespread, come the results of the first
large-scale, multi-centre survey into monitoring methods and their
effectiveness. The research papers forming the remainder of the
text provide an indication of the high level of current interest
and the likely direction of future developments.
On July 1, 2003, work-hour reforms were enacted nationally for the
roughly 129,000 resident physicians in the United States. The
reforms limit weekly work hours (a maximum of eighty per week) and
in-hospital call (no more than once every three nights), mandate
days free of clinical and educational obligations (one day in
seven), and regulate other aspects of resident work life. Why
Surgeons Struggle with Work-Hour Reforms focuses on general
surgeons, a historically long-hour specialty, who fiercely opposed
the reforms and are among the least compliant. Why do surgeons
struggle with the reforms? Why do they continue to work long hours
and view the act of doing so as reasonable if not quintessentially
professional? Although the analysis is situated in the growing
scientific literature on the consequences of fatigue, the authors
do not adjudicate between the claims of surgeons and reform
advocates about the effects of long work hours on patient or
provider safety. Rather, the aim is to explore and explain how
aspects of the occupational culture of surgeons and the social
organization of surgical training and practice interlock to impede
the reforms.
Dupuytren's Disease: A Scientific Review offers consolidated,
up-to-date coverage of both the basic normal (nonpathologic)
science and cutting-edge science of this progressive disorder. Drs.
Lawrence C. Hurst, Marie A. Badalamente, and David Edward Komatsu
break down the complex topic of Dupuytren's contracture into its
basic scientific components. Hand surgeons, plastic surgeons, and
orthopaedic surgeons will find this unique, concise title to be
especially helpful in their practices. Includes chapters on
prevalence of Dupuytren's disease, normal genetics and the genetic
abnormalities associated with Dupuytren's disease, and collagen and
collagen synthesis in healthy fascia and Dupuytren's disease.
Provides numerous illustrations throughout. Contains an in-depth
bibliography and a useful, complete glossary of related terms.
Consolidates today's available information on Dupuytren's science
into a single, convenient resource.
Since the publication of the first edition, there have been
advances in both the diagnosis and the management of many of the
cholestatic liver diseases. Cholestatic Liver Disease, Second
Edition thoroughly updates the topics previously addressed, such as
primary biliary cirrhosis, primary sclerosing cholangitis, and
cholestatic variants of drug hepatotoxicity and viral disease. New
treatments, such as the development of the farnesoid X receptor
agonists for the treatment of PBC, are highlighted. Current
guidelines and areas of uncertainty are also covered. Additionally,
new chapters have been added to reflect the changing landscape of
cholestatic liver disease. Cholestatic Liver Disease, Second
Edition is a concise yet comprehensive summary of the current
status of the field and is of value to clinicians and researchers
interested in patients with cholestatic liver disease provide that
will help to guide patient management and stimulate investigative
efforts.
This practical guide is a compendium of contemporary views on
the development, treatment, and prevention of urinary stone
disease. Emphasis is placed on utilizing current research to
highlight areas of potential discovery and inspire novel approaches
to easing the burden of urinary stone disease.
This comprehensive report on sight correction through laser
surgery provides the practitioner with solid background information
from top industry researchers. Carefully illustrated, it details
the latest techniques and clinical results in wavefront technology
for laser surgery, which is now defining a new standard of
practice. This second edition has been significantly expanded to
include in-depth descriptions of important new advances as well as
glimpses of what the future holds. The book will be indispensable
to all wishing to expand their knowledge of customized refractive
surgery with an understanding of the underpinning technology.
Each year approximately two million people who are burned
require medical treatment. Seventy thousand require
hospitalization, and nine thousand die from their injuries. "Coping
StrategieS" provides the burn patient and his/her family a unique
source of information and insight on the effects of disfigurement,
sexuality, cosmetics, prosthetics, coping with stress, anxiety and
guilt, and about employment strategies. These topics are addressed
by professionals and survivors and parents of survivors--uniting
all points of view and making this work important reading.
This issue of Surgical Clinics of North America focuses on
Endoscopy and is edited by Drs. John Rodriguez and Jeffrey L.
Ponsky. Articles will include: History of Flexible Endoscopy;
Quality Measures in Diagnostic Endoscopy; Endoscopic Equipment from
Simple to Advanced; Endoscopic Ultrasound; Polypectomy Techniques;
Endoscopic Mucosal Resection; Enteral Access; Advanced Colonic
Polypectomy; Principles of Intramural Surgery; Per Oral Esophageal
Myotomy; Per Oral Pyloromyotomy; Per Oral Zenker's Diverticulotomy;
Submucosal Tunneling Esophageal Resection; Endoscopic Management of
Pancreato-biliary Disease; Endoscopic Management of Post-Operative
Complications; and more!
Brilliant, volatile and invariably male, the surgeon stereotype is
a widespread and instantly recognisable part of western culture.
Setting out to anatomise this stereotype, Cold, hard steel offers
an exciting new history of modern and contemporary British surgery.
The book draws on archival materials and original interviews with
surgeons, analysing them alongside a range of fictional depictions,
from the Doctor in the House novels to Mills & Boon romances
and the pioneering soap opera Emergency Ward 10. Presenting a
unique social, cultural and emotional history, it sheds light on
the development and maintenance of the surgical stereotype and
explains why it has proved so enduring. At the same time, the book
explores the more candid and compassionate image of the surgeon
that has begun to emerge in recent years, revealing how a series of
high-profile memoirs both challenge the surgical stereotype and
simultaneously confirm it. -- .
A concise and convenient pocket guide to interventional
cardiology's latest procedures and technologies Interventional
cardiology is growing more and more integral to the modern-day
management of cardiovascular problems. Indeed, trainees are taught
interventional methods as a matter of course. With a widening range
of options open to them, however, the practicing cardiologist must
be diligent and discerning when selecting the appropriate course of
action for each patient, adapting their strategy as circumstance
demands. Developing the skills and experience necessary to make
these key judgments can be a challenging and lengthy process.
Bringing together the knowledge of an international group of over
50 experts, this fifth edition of the Practical Handbook of
Advanced Interventional Cardiology helps cardiologists of all
levels to find interventional solutions to a wide range of
problems. Its revised contents cover topics including new devices,
valve procedures, and venous and atrial occlusion, and also feature
new chapters on bioresorbable vascular scaffolds, protected
percutaneous coronary intervention, coronary atherectomy, pulmonary
embolism, and more. This essential companion: Offers clear,
easy-to-follow guidance for cardiology practitioners of all levels
of skill and experience Grades each strategic or tactical action by
level of complexity Includes full-color clinical images and
illustrations Covers all key interventional procedures and
techniques Provides practical tips and tricks for handling
difficult clinical scenarios and complications The Practical
Handbook of Advanced Interventional Cardiology is an invaluable
resource for both practitioners and trainees in interventional
cardiology and all related areas of cardiovascular medicine.
This issue of Emergency Medicine Clinics, guest edited by Drs.
Michael C. Bond and Arun Sayal, focuses on Orthopedic Emergencies.
This is one of four issues each year selected by the series
consulting editor, Dr. Amal Mattu. Articles in this issue include,
but are not limited to: Emergency Medicine Orthopedic Assessment:
Pearls/Pitfalls; Emergency Orthogeriatrics: Concepts and
Therapeutic Considerations for the Elderly Patient; Pediatric
Orthopedic Emergencies; The Emergent Evaluation and Treatment of
Hand and Wrist Injuries; The Emergent Evaluation and Treatment of
Elbow and Forearm Injuries; The Emergent Evaluation and Treatment
of Shoulder, Clavicle and Humerus Injuries; The Emergent Evaluation
and Treatment of Pelvic, Hip and Femur Injuries; The Emergent
Evaluation and Treatment of Knee and Leg Injuries; The Emergent
Evaluation and Treatment of Ankle and Foot injuries; The Emergent
Evaluation and Treatment of Neck and Back Pain; Risk Management and
Avoiding Legal Pitfalls in the Emergency Treatment of High-Risk
Orthopaedic Injuries; Sports Medicine Update: Mild Traumatic Head
Injury; Pain Management for Orthopaedic Injuries; and Ultrasound
Imaging in Orthopaedic Injuries.
The success of an operation depends not only on careful dures with
direct visualisation techniques. Special inst- clarification of the
indications, selection of the right time ments are only used for
one specific purpose; a surgical for operating and technically neat
operating techniques, needle today has its own anatomy. In
addition, these but also on correct preoperative preparation and
positio- aspects are joined by stricter safety conditions,
increased ning of the patient. But this aspect in particular is
fre- demands made by patients, with the threat of legal con-
quently neglected, particularly by young surgeons, becau- quences
if something should go wrong in terms of "nihil se technical
details of the operation assume far greater nocere" ... attention,
underestimating the contribution made by op- We have therefore made
an attempt to illustrate a p- timum positioning to a time-saving
operation which runs cedure which has proven successful over many
years at the as perfectly as possible. How easy is it for an
operation to Medical University Hannover. This does not mean that
develop complications out of all proportion because the there are
not other appropriate or even better suited surgeon forgot certain
"minor matters" during preparati- procedures for specific
situations, which would ideally ons! Anyone who has witnessed this
themselves will ap- supplement the procedure described here. We
felt it was preciate just how important exact preoperative planning
important to describe safe, practical positioning tech- and
preparation is before an operation takes place. ques to simplify
each specific operation.
"Compensating for Quasi-periodic Motion in Robotic Radiosurgery"
outlines the techniques needed to accurately track and compensate
for respiratory and pulsatory motion during robotic radiosurgery.
The algorithms presented within the book aid in the treatment of
tumors that move during respiration.
In Chapters 1 and 2, the book introduces the concept of
stereotactic body radiation therapy, motion compensation strategies
and the clinical state-of-the-art. In Chapters 3 through 5, the
author describes and evaluates new methods for motion prediction,
for correlating external motion to internal organ motion, and for
the evaluation of these algorithms' output based on an
unprecedented amount of real clinical data. Finally, Chapter 6
provides a brief introduction into currently investigated, open
questions and further fields of research.
"Compensating for Quasi-periodic Motion in Robotic Radiosurgery"
targets researchers working in the related fields of surgical
oncology, artificial intelligence, robotics and more.
Advanced-level students will also find this book valuable."
The aim of this open access book is to provide a unique, timely,
critical and comprehensive compilation of more than 30 years of
robust international experimental and clinical research related to
the basic science and therapeutic application of water-filtered
infrared-A (wIRA) and hyperthermia in oncology, psychiatry
(depression), musculoskeletal disorders, dermatology, infectiology,
and surgery. This is an internationally absolutely unique attempt
which publication is timely and of great interest in medical as
well as in natural sciences. The aim is to enhance communication
and advance the use of heat therapy for patient benefit, and to
generate an environment in which anyone with an interest in
hyperthermia can discuss, collaborate, network, and share events
and resources. Productive dialogue and discussion among scientists
and practitioners on issues relating to hyperthermia therapy is
essential, especially relating to thermal transmission by
water-filtered infrared-A (wIRA). The specificity and advantage of
this technology is its tolerance by tissue, and its penetration of
up to 3 cm allows the delivery of high heat dosages that are
relevant across multiple clinical indications. Currently, wIRA is
being applied in Austria, Germany, Portugal, Switzerland, The
Netherlands, UK and the USA. The authors' hope is that its use will
increase in these countries, and also expand into others. This book
will be an invaluable tool for oncologists, surgeons,
dermatologists as well as physiotherapists.
Peyronie's Disease: A Guide to Clinical Management is the first
comprehensive book on this prevalent disorder in adult men
(estimated range from 5-9 per cent) designed to clarify
misconceptions and myths, provide an update on the etiology,
pathophysiology and current research, provide useful information
for clinical practice and hopefully stimulate further research into
understanding the pathophysiology of this devastating problem.
There will also be extensive attention to the current medical and
surgical treatments with detail on surgical technique.
|
|