Procedure induced anxiety affects the majority of children undergoing medical intervention and has been directly linked to behaviour disturbances, psychological trauma, phobias and symptoms of PTSD. Despite this, there is currently no formal training relating to the management of procedure induced anxiety for medical personnel caring for children. A distillation of more than eighty years of research, this textbook examines the nature, prevalence and consequences of anxiety in children, alongside evidence-based strategies for its effective management. Designed as a training manual, it includes a comprehensive account of positive and negative aspects of behaviour that contribute to the successful management of anxious children. Chapters cover topics such as non-verbal and verbal communication, enhanced communication management strategies, support of children with autistic spectrum disorder, ADHD, learning difficulties, the use of premedication and the role that families play. Essential reading for anaesthetists and paediatricians and a valuable resource for any practitioner working with children.

Objective Structured Clinical Examinations (OSCEs) are commonly encountered at all levels of medical school including the final MBBS examination. OSCEs also play an important role at postgraduate level and are used to assess competency in the Foundation Years. One of the fundamental requirements of passing the OSCE is an understanding of the standard which is expected and an appreciation of how to demonstrate this. This book discusses 170 commonly encountered OSCE scenarios, with a step-by-step approach to maximise your chances of success in the examination. The scenarios are presented with sufficient background information to enable candidates to tackle variations. This comprehensive book, covering both surgery and medicine, overcomes any problems of a tick-box approach and insufficient detail faced by some alternative texts. The clear, straight-forward style and logical layout make this book perfect preparation for OSCE examinations.

Whether from trauma, congenital deformity, or disease, many patients can present with disfiguring and debilitating facial defects. This reference presents a range of expertise on soft-tissue surgery of the craniofacial region for improved function and enhanced cosmetic appearance. Covering the latest technologies available, this source includes chapters on laser imaging, burns, cleft palate, and facial paralysis.

An illustrated guide to oral and maxillofacial surgery, written by dental nurses for dental nurses Basic Guide to Oral and Maxillofacial Surgery will help you understand the role of the dental nurse in oral and maxillofacial surgical procedures. Written in a highly accessible style, comprehensive coverage includes anatomy of the head and neck, pain and anxiety control, assessment clinics, equipment selection, extractions, soft tissue lesions, and trauma and more complex procedures. Key features include: * Learning outcomes at the start of each chapter, and full-colour photographs and line drawings throughout * An overview of the maxillofacial team, the referral process and the legal aspects of maxillofacial procedures * Clear explanations of the various duties performed by dental nurses during oral and maxillofacial surgery Basic Guide to Oral and Maxillofacial Surgery is suitable for dental nurses working in practice or specialist maxillofacial units, and is also ideal for student dental nurses working towards the NEBDN National Diploma in Dental Nursing.

Human motion analysis or gait analysis is used throughout the country and the world in clinics for pre-surgical planning and postsurgical follow-up. Only recently have technological advances truly begun to meet medical needs by supplying more accurate analytical data from which to make educated assessments of dynamic foot and ankle pathology. A comprehensive overview of current and emerging methods is necessary for practitioners to effectively integrate the new techniques into better pre-treatment planning, surgical and rehabilitative care, and post-treatment follow-up.

Originating as a one-day workshop sponsored by the Shriner's Hospitals and the National Institutes of Health, Foot and Ankle Motion Analysis: Clinical Treatment and Technology provides a single source reference for the latest technologies and their clinical applications. With contributions from an international panel of experts from orthopaedic, rehabilitation, engineering, academic, medical-industrial, and clinical disciplines, this text focuses on the relevant scientific advances with an emphasis on applications, limitations, and problems to be solved. Divided into two parts, the text begins by presenting basic and advanced clinical applications and opportunities in foot and ankle motion analysis in both pediatric and adult cases. The second part introduces the technological advances themselves from a quantitative perspective. Modeling concepts, seminal developments, and novel approaches are described along with emerging horizons related to mechanical paradigms, imaging, kinetics, robotics and simulation, tri-planar force sensing, and more. The book also includes a chapter of references and sources of support for future research and development prospects.

Clinical and research applications in motion analysis have resulted in better functional assessment, fewer, more effective surgeries, and longer-term follow-up care. Foot and Ankle Motion Analysis: Clinical Treatment and Technology provides a basis for expanding these contributions to the broader community of practitioners caring for both adult and pediatric patients.

Originally published in 1992, Medical Theory, Surgical Practice examines medical and surgical concepts of disease and their relation to the practice of surgery, in particular historical settings. It emphasises that understanding concepts of disease does not just include recounting explicit accounts of disease given by medical men. It needs an analysis of the social relations embedded in such concepts. In doing this, the contributors illustrate how surgery rose from a relatively humble place in seventeenth century life to being seen as one of the great achievements of late Victorian culture. They examine how medical theory and surgical practices relate to social contexts, how physical diagnosis entered medicine and whether anaesthesia and Lister's antiseptic techniques really did cause a revolution in surgical practice.

With an emphasis on the "how and why" of contemporary surgery, Operative Techniques in Surgery, Second Edition, features concise, bulleted text, full-color illustrations, and intraoperative photographs to clarify exactly what to look for and how to proceed. Meticulously edited by Drs. Mary T. Hawn, Aurora D. Pryor, Steven J. Hughes, Michael S. Sabel, Kellie R. Brown and Amy J. Goldberg, this comprehensive, two-volume surgical atlas focuses on the steps of each technique, rapidly directing you to the information you need to choose the right approach for each patient, perform it successfully, and achieve the best possible results. Coverage includes open as well as laparoscopic, robotic, endoscopic, and endovascular procedures in gastrointestinal, thoracic, esophageal, colorectal, hepatobiliary, breast, endocrine, dermatologic, vascular, and trauma surgery New, comprehensive section on trauma surgery, helmed by trauma expert Dr. Amy J. Goldberg New section editors for esophageal and foregut surgery and vascular surgery, Dr. Aurora D. Pryor minimally invasive surgery leader and Kellie R. Brown, expert in vascular surgery. New videos, personally selected by contributing authors and editors, accompany numerous chapters throughout the book Extensive updates throughout, including new coverage of the American Board of Surgery's SCORE Curricula for General Surgery and for Complex General Surgical Oncology Each procedure follows the same format: differential diagnosis, patient history and physical findings, imaging and other diagnostic studies, surgical management, techniques, pearls and pitfalls, postoperative care, outcomes, and complications Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

With an ever-expanding array of biomaterials and implant devices appearing in the field, Spinal Reconstruction: Clinical Examples of Applied Basic Science, Biomechanics and Engineering helps surgeons assess and utilize the latest technologies to improve the reconstruction of the spine and enhance the reconstitution of diseased spinal segments. With illustrative descriptions of specific clinical scenarios, this guide helps surgeons select the best devices and materials for reconstructive procedures and considers issues in biocompatibility, biostability, and structure-function relationships for enhanced patient outcomes and mobility. With more than 350 figures and photographs, this book: Details current strategies in minimally invasive spine surgery as currently applied to the lumbar spine Covers the myriad of patient factors, orthobiologic grafting alternatives, and technique-driven mechanical options encountered in spinal care and reconstruction Identifies new surgical techniques for spinal fusion, vertebral compression fractures, and arthroplasty Discusses the basic mechanisms and clinical application of currently available operative treatments Supplies the most up-to-date information on the evaluation, diagnosis, and operative treatment of spinal pain, deformity, and disease

ENT emergencies are a regular occurrence. This new book covers the full range of hospital emergencies seen by ENT trainees and practitioners, and also by oral and maxillofacial surgeons and plastic surgeons. Succinct text and clear illustrations complement the sections on Rhinology,Head and Neck,Otology and Paediatrics.Practical and up to date, this book facilitates excellence in clinical practice.

Nonallergic rhinitis is characterized by sporadic or persistent perennial nasal symptoms that do not result from IgE-mediated immunopathologic events. This reference distinguishes between allergic and nonallergic rhinitis and spans methods to effectively identify, diagnose, and treat these conditions. This source also spans possible causes of nonallergic rhinitis such as fumes, odors, temperature, atmospheric changes, smoke, and other nasal irritants.

Offering expert recommendations and selected color illustrations, this guide furnishes readers with state-of-the-art information on the pathophysiology, diagnosis, evaluation, and treatment of AVMs. Offering a multidisciplinary approach, this book spans a wide array of therapeutic options and surgical approaches with step-by-step presentations of each procedure covered in the text.

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. -- .

This book addresses the need for improved diagnostic and treatment guidelines for patients in whom total knee arthroplasty (TKA) has had an unsatisfactory outcome. It opens by discussing the basics of TKA and the various causes of failure and pain. Diagnostic aspects are considered in detail, with attention to advances in clinical investigation, laboratory analysis and in particular, imaging techniques. In addition, helpful state of the art diagnostic algorithms are presented. Specific pathology-related treatment options, including conservative approaches and salvage and revision TKA strategies, are then explained, with identification of pitfalls and key points. A series of illustrative cases cover clinical scenarios frequently encountered in daily clinical practice. The evidence-based, clinically focused guidance provided in this book, written by internationally renowned experts, will assist surgeons in achieving the most effective management of these challenging cases.

With an invaluable selection of color images, this guide authoritatively covers the identification, assessment, pathophysiology, epidemiology, and treatment of disorders affecting the venous and lymphatic anatomy. Written by experts from several fields, this source considers topics including the management of deep venous thrombosis, chronic venous insufficiency, venous trauma, and surgical and pharmacologic therapies for these conditions.

Divided into five expansive sections, this guide provides an in-depth review of crystal-induced arthritis and related disorders. Providing a historical perspective throughout, this work includes detailed descriptions of the clinical features of these diseases, as well as a current overview of their identification, epidemiology, genetics, and underlying pathophysiology. This authoritative guide also reviews case studies, current diagnostic tools, and the prevalence of these conditions while introducing new and emerging therapies for disease management.

'A SUPERB ACHIEVEMENT' IAN MCEWAN * * * * * What is it like to be a brain surgeon? How does it feel to hold someone's life in your hands, to cut through the stuff that creates thought, feeling and reason? How do you live with the consequences when it all goes wrong? DO NO HARM offers an unforgettable insight into the highs and lows of a life dedicated to operating on the human brain, in all its exquisite complexity. With astonishing candour and compassion, Henry Marsh reveals the exhilarating drama of surgery, the chaos and confusion of a busy modern hospital, and above all the need for hope when faced with life's most agonising decisions. * * * * * Winner: PEN Ackerley Prize South Bank Sky Arts Award for Literature Shortlisted: Costa Biography Award Duff Cooper Prize Wellcome Book Prize Guardian First Book Award Slightly Foxed Best First Biography Prize Longlisted: Samuel Johnson Prize for Non-Fiction

Textbook of Transplantation and Mechanical Support for End-Stage Heart and Lung Disease Comprehensive textbook covering all aspects of the care of patients with advanced heart or lung disease Transplantation and Mechanical Support for End-Stage Heart and Lung Disease is the most comprehensive and contemporary textbook available that addresses the medical and surgical treatment options for patients with end-stage heart and lung disease. All facets of these complex and resource-intensive therapies are covered by leading experts — including the basics of transplant immunology, databases, regulatory and ethical aspects of transplantation and conventional and new modalities of donor organ harvest. Transplantation and Mechanical Support for End-Stage Heart and Lung Disease includes further information on topics such as: Historical developments that facilitated heart and lung transplantation; engineering advances in continuous flow technologies Transplant organizations, oversight, structure, process, databases and registries in the thoracic transplants and MCS field Current strategies in immune modulation, desensitization protocols and mechanisms of allograft rejection and tolerance/immunosenescence Detailed descriptions of donor and recipient surgical procedures as well as comprehensive implantation techniques for all available short- and long-term mechanical circulatory support devices, including ECMO Organ allocation and prioritization, donor evaluation, high risk donors, marginal donors, and risk assessment Richly enhanced with summary tables and color illustrations to provide an engaging and supportive learning experience, the book will serve as a highly valuable source of contemporary knowledge for medical students, residents, nurses, perfusionists, physicians and surgeons involved in the care of these desperately ill group of patients. “This comprehensive book covers all aspects of advanced heart and lung failure treatment, including shock, short-term and durable mechanical assistance, as well as transplantation. The in-depth information will be welcome by newcomers in the field as well as seasoned veterans.” —Andreas Zuckermann, M.D Vice-Chair, Department of Cardiac Surgery, Director of Cardiac Transplantation Program, Medical University of Vienna, Vienna General Hospital “This comprehensive tour-de-force compendium covers practical issues of clinical administration, program development, care pathways, ongoing challenges and opportunities in each treatment area as a must go-to reference for guidance in the rapidly evolving fields of mechanical circulatory support and transplantation.” —Mandeep R. Mehra, MBBS, MSc, FRCP Executive Director, Center for Advanced Heart Disease, Brigham and Women’s Hospital, Harvard Medical School “This unique textbook authored by key opinion leaders is a refreshing ???wind of change??? in our field, one that will well serve all professionals involved in the care of end-stage heart and lung patients for many years to come.” —Marcelo Cypel MD, MSc, FACS, FRCSC Surgical Director Ajmera Transplant Centre at UHN , University of Toronto

This book is a comprehensive illustrated surgical guide to operative exposures of the spinal nerves, also known as peripheral nerves. Each chapter is devoted to a particular nerve and describes the origin, anatomic relations, branches, surgical approaches, and clinical significance. The text is concise and easy to read and is complemented by informative color photos from cadaveric dissections and surgical procedures. A separate chapter on technical notes identifies surgical pearls relating to techniques such as nerve suturing and nerve transfers. Importantly, unlike other peripheral nerve atlases, this book is accompanied by videos of different approaches. The book will be especially valuable for residents and fellows in training and candidates for oral board and MOC examinations. It is also designed to provide a quick illustrated review for surgeons unfamiliar with a procedure. Most videos are less than 5 minutes long, and it should take less than 10 minutes to review each approach, including watching the video. Anatomy and Exposures of Spinal Nerves will effectively fill a gap caused by the absence of a peripheral nerve surgeon from many neurosurgery training programs.

This first guide devoted to this burgeoning topic, this authoritative reference presents the current understanding of the phenomenon of aseptic loosening of total joint replacements from the molecular and cellular mechanisms of periprosthetic bone loss to the clinical presentation and management strategies-reviewing the properties of ceramic, metal, and polymer materials used in the replacement of joints, as well as current research on bone remodeling, wear resistance, the long-term care of implants, and emerging developments in gene therapy and tissue engineering.

In 22 expertly written chapters, this guide *furnishes sections spanning pretreatment evaluation, pathology and pathophysiology, surgical techniques, and post-reconstructive issues *supplies an expert framework for reconstructive procedures to improve chewing, speech, taste, and swallow *summarizes current and future approaches to the evaluation, analysis, testing, and treatment of patients to improve and correct chewing, occlusion, dentition, mastication, dysarthria, dysphagia, and related conditions *highlights preoperative planning methods and diagnostic techniques necessary for successful oral reconstruction *describes the latest available techniques from simple to complex, for the reconstruction of the various subsites of the oral cavity *provides the reader with an in-depth understanding of key issues to guide surgical decision-making *details the most common malignancies of the oral cavity for optimal treatment and surgical planning *contains a thorough review of indications, techniques, and preparation methods for oral cavity defects for prosthetic devices Standing as the most comprehensive reference on oral cancer reconstruction, this handbook serves as an all-encompassing compendium of surgical and cosmetic strategies for the reconstruction of bone, muscles, nerves, arteries, and anatomical structures of the oral cavity- covering wounds extending from the lips to the pharynx with detailed illustrations depicting the exact techniques utilized for functional and cosmetic repair and optimization of quality of life.

Widely recognized as the gold standard reference in the field, Green's Operative Hand Surgery, 8th Edition, provides complete coverage of the surgical and nonsurgical management of the full range of upper extremity conditions. In a clearly written and well-illustrated format, it contains both foundational content for residents and fellows as well as new approaches, case-based controversies, and outcomes-based solutions for practitioners. Drs. Scott W. Wolfe, William C. Pederson, Scott H. Kozin, and Mark S Cohen, along with new, international contributing authors, provide expert perspectives and preferred methods for all aspects of today's hand, wrist, and elbow surgery. Contains thoroughly revised and updated indications and techniques to treat the full spectrum of upper extremity disorders. Highlights the latest advances and approaches, such as wide-awake local anesthesia no tourniquet (WALANT) hand surgery, nerve transfer techniques, tendon transfer and tendon avulsion repairs, skin grafting techniques, and more. Offers nearly 140 innovative and high-resolution videos (99 are NEW) that provide real-life, step-by-step guidance on key procedures. Provides state-of-the-art information on wrist arthritis, hand trauma, new arthroplasties, targeted muscle reinnervation, wrist instability surgeries, fracture management, rehabilitation, congenital disorders, orthotic interventions, and more. Includes newly updated, high-resolution illustrations, images, and photos throughout. Presents case-based controversies and unique solutions, plus current views on what works and what does not, based on recent science and outcome measures. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Based on the teaching of plastic and reconstructive surgery at a university hospital, "Key Topics in Plastic and Reconstructive Surgery" is a unique resource that provides succinct guidance for all student surgeons to the core topics in this rapidly developing field. Using clear, descriptive prose and illustrations as necessary to explain the important concepts, this highly readable text presents up-to-date information on both esthetic and reconstructive topics.

A valuable reference for practitioners interested in utilizing the latest operative strategies, this state-of-the-art handbook reviews current and emerging topics in the surgical management of sleep apnea and snoring-describing methods for patient evaluation, avoidance of complications, and postoperative care.

The number of patients undergoing bariatric surgery has more than doubled in the last two years, and it is anticipated that approximately 100,000 such procedures will be performed around the world this year. As this area of surgery has become increasingly accepted as a safe and effective treatment option for morbid obesity, scores of surgeons have begun to specialize in bariatric surgery. Bariatric Surgery will serve as a guide to the unique psychosocial issues that surround this procedure. Among the topics covered are pre-surgical psychological assessment, weight and eating changes after surgery, nutritional problems that may develop post-operation, cognitive behavior therapy, and post-operative treatment and support. This book provides mental health professionals with a basic overview of the types of procedures involved in bariatric surgery and the specific psychological impacts such operations can have on their patients, as well as serving as a valuable resource to the surgeons, nurses, doctors, and support staff who are involved in the medical treatment of obesity, but who may have little background in the psychosocial implications of their work.

Patients with peripheral vascular disease (PVD) are at increased risk of death when compared with age-matched healthy controls, and patients with PVD, whether symptomatic or not, are six times more likely to die within ten years when compared to patients without the disease. This excess mortality exists even if coronary artery disease is not clinically present, and makes the treatment of PVD a highly important and pressing topic. shown that risk factors in peripheral vascular disease are less likely to be treated, and because patients with PVD have a decreased exercising capacity, a cycle of sedentary lifestyle impacts upon quality of life and the progression of atherosclerosis. Furthermore, the improvement of symptoms without a pharmacological or non-pharmacological intervention is unlikely, making appropriate therapy for PVD critical. twenty-one contributors present the reader with all of the currently available clinical information for treating PVD patients effectively, discussing, for example, treatments such as: * risk factor modification and therapy to prevent cardiovascular events * pharmacological therapy for claudication * exercise training for the treatment of claudication * surgical or endovascular revascularization.