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Although most clinicians are aware of the problem of antimicrobial
resistance, most also underestimate its significance in their own
hospital. The incorrect and inappropriate use of antibiotics and
other antimicrobials, as well as poor prevention and poor control
of infections, are contributing to the development of such
resistance. Appropriate use of antibiotics and compliance with
infection prevention and control measures should be integral
aspects of good clinical practice and standards of care. However,
these activities are often inadequate among clinicians, and there
is a considerable gap between the best evidence and actual clinical
practice. In hospitals, cultural determinants influence clinical
practice, and improving behaviour in terms of infection prevention
and antibiotics-prescribing practice remains a challenge. Despite
evidence supporting the effectiveness of best practices, many
clinicians fail to implement them, and evidence-based processes and
practices that are known to optimize both the prevention and the
treatment of infections tend to be underused. Addressing precisely
this problem, this volume offers an essential toolkit for all
surgeons and intensivists interested in improving their clinical
practices.
This volume is a "how-to guide" to treating thoracic trauma and
emergencies for acute care surgeons. It highlights the diagnosis
and management of thoracic disease and injuries, and each chapter
includes algorithms that lead readers through the process of
identifying and treating many common and some uncommon thoracic
pathologies. The international team of authors provides readers
with a unique and diverse approach to the operative and
non-operative challenges encountered by ACS surgeons. The large
number of figures offers readers insights into what they can expect
to see when caring for these patients. The editors understand that
the management of adults and children differ and have included a
specific chapter on pediatrics. Given the broad audience and
diverse settings in which the text can be used, the authors also
provide details of care in limited-resource environments. The
volume is a valuable tool for professionals interested in thoracic
surgery and acute care surgery.
This book on post-injury multiple organ failure (MOF) offers a
comprehensive overview and clinically focused practical guide to
treating the condition. MOF is arguably the most difficult
complication to manage in polytrauma patients and is responsible
for the majority of trauma deaths among patients who survived the
first 24 hours after injury. Beyond mortality, it has a major
impact on healthcare resource utilization and a persistent negative
effect on patients' long-term reported outcomes. This book is
edited by surgeons who are passionate about the topic, and about
optimizing the outcomes for polytrauma patients. Grasping the
fascinating pathophysiology of MOF is essential for providing
patients with quality early care. Each chapter highlights key
learning objectives, historical perspectives, diagnostic and
therapeutic pearls, and includes a must-know summary, additional
reading suggestions and future research directions. Flowcharts,
decision-making guides, summary tables, graphics and clinical
photographs help to maximize the learning experience and to ensure
readers retain what they've learned. The book fills a unique niche
area for many specialties dedicated to critical care of polytrauma
patients and to their management before and beyond intensive care.
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.
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