Download or read book Perioperative Management of Temperature Of Robot Assisted Laparoscopic Surgery Patients In The Eras Setting written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: BackgroundRobot assisted laparoscopic surgery is a widespread technique used more frequently in colorectal surgery. ERAS perioperative management have demonstrated better outcome of patients. Hypothermia during general anesthesia has been correlated to many complication and this could compromise the outcome. Although many type of warming devices have been applied during surgery, the contest of Robotic surgery, we hypothesize, may be different due to ineffective warming methods linked to different operative setting.Materials and MethodsWe enrolled 20 adults patients scheduled to undergo to elective robot assisted laparoscopic major colorectal surgery. Perioperative management was conducted following ERAS protocol. General characteristics of patients (age, gender, comorbidity) were registered. ASA physical status were recorded before surgery.Patients were warmed with forced air system and fluid were warmed with set point fixed at 41u00b0C. Temperature was monitored with Spoton System and data were collected every 30 minutes also in post surgery period. Temperature of operating room was fixed on 23u00b0 C. Post-operative Bedside Shivering Assessment and patient temperature comfort were collected at 5, 15, and 30 minutes after surgery.Results and DiscussionDemographical and ASA physical status of our group were homogeneous. Our patients showed a characteristic pattern of development of hypothermia during anesthesia and continuous to be hypothermic (35,2 u00b0C0,5) in post-anesthesia period with prolonged shivering. Particularly we noted high incidence (90% [n=18/20];) of postoperative discomfort (u201csevereu201d 40% [n=8/20]; u201cmoderateu201d 50% [n=10/20]) 5 minutes after surgery and the same incidence remain at 15 minutes although fluid warming and the use of warmed forced air showing a not adequate control of body temperature. Moreover 60% (n=12/20;) of patients showed u201cmildu201d shivering and 30% (n=6/20;) presented u201cmoderateu201d shivering.ConclusionsFew data exist on ERAS perioperative management of temperature in Robotic Surgery.Our patients were hypothermic although multiple strategies were applied for preventing and control heat loss. This may be related to position and little surface body area exposed for active warming in robotic setting. These preliminary findings suggest the need of improving strategies for warming in robotic surgery.
Download or read book Pediatric Robotic Urology written by Jeffrey S. Palmer and published by Springer Science & Business Media. This book was released on 2009-10-03 with total page 230 pages. Available in PDF, EPUB and Kindle. Book excerpt: Robotic technology has paved the way for new opportunities in pediatric urologic surgery. Where once laparoscopy was restricted to urological conditions in children such as undescended testicles and ambiguous genitalia, robotic techniques are now enabling the completion of greatly needed, more involved procedures. Written by highly respected surgeons, Pediatric Robotic Urology provides a state-of-the-art, comprehensive overview of the precise surgical techniques that are changing the practice of pediatric urologic surgery. Divided in two sections and covering both introductory topics and advanced surgical techniques, Pediatric Robotic Urology also includes myriad illustrations and photographs of intraoperative procedures. Developed for accessible reading, this invaluable title is a concise, yet broad reference that is certain to be of significant value to urologists, surgeons, and all health care providers who care for pediatric urologic patients.
Download or read book Surgical Metabolism written by Kimberly A. Davis and published by Springer. This book was released on 2014-07-22 with total page 303 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume is a comprehensive, state-of-the-art review for clinicians with an interest in the peri-operative nutritional management of all surgical patients. The text reviews normal physiology, the pathophysiology of starvation and surgical stressors, and focuses on appropriate nutritional repletion for various common disease states. Specifically, the text addresses the severe metabolic demands created by systemic inflammation, infection, and major insults such as trauma and burns. In addition, the book addresses the growing problem of obesity in surgical populations, including appropriate strategies directed towards the metabolic management of these patients. The text is designed for clinicians across levels of training and provides clear and concise evidence based guidelines for the metabolic management and nutritional support of the surgical patient. Written by experts in the field, Surgical Metabolism: The Metabolic Care of the Surgical Patient is a valuable resource for all clinicians involved in the care of the critically ill.
Download or read book Small Animal Laparoscopy and Thoracoscopy written by Philipp D. Mayhew and published by John Wiley & Sons. This book was released on 2015-10-12 with total page 376 pages. Available in PDF, EPUB and Kindle. Book excerpt: Small Animal Laparoscopy and Thoracoscopy provides a comprehensive reference to laparoscopy and thoracoscopy, with step-by-step guidance for surgical techniques ranging from basic to advanced. • Acts as both a quick reference to specific techniques and as a comprehensive resource to small animal laparoscopy and thoracoscopy • Guides the reader through each step of the surgical techniques • Takes a clinically oriented approach, with tips on safely and quickly performing procedures throughout • Part of the Advances in Veterinary Surgery series copublished with the American College of Veterinary Surgeons Foundation • Includes access to a companion website with video clips of the procedures described and the figures from the book in PowerPoint
Download or read book Essential Clinical Anesthesia written by Charles Vacanti and published by Cambridge University Press. This book was released on 2011-07-11 with total page 1191 pages. Available in PDF, EPUB and Kindle. Book excerpt: The clinical practice of anesthesia has undergone many advances in the past few years, making this the perfect time for a new state-of-the-art anesthesia textbook for practitioners and trainees. The goal of this book is to provide a modern, clinically focused textbook giving rapid access to comprehensive, succinct knowledge from experts in the field. All clinical topics of relevance to anesthesiology are organized into 29 sections consisting of more than 180 chapters. The print version contains 166 chapters that cover all of the essential clinical topics, while an additional 17 chapters on subjects of interest to the more advanced practitioner can be freely accessed at www.cambridge.org/vacanti. Newer techniques such as ultrasound nerve blocks, robotic surgery and transesophageal echocardiography are included, and numerous illustrations and tables assist the reader in rapidly assimilating key information. This authoritative text is edited by distinguished Harvard Medical School faculty, with contributors from many of the leading academic anesthesiology departments in the United States and an introduction from Dr S. R. Mallampati. This book is your essential companion when preparing for board review and recertification exams and in your daily clinical practice.
Download or read book Anesthesia for Spine Surgery written by Ehab Farag and published by Cambridge University Press. This book was released on 2012-05-17 with total page 477 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comprehensive guide to anesthesia specifically for spine surgery, explaining procedures from the point of view of both anesthesiologists and surgeons.
Download or read book Surgical Techniques in Rectal Cancer written by Giovanni Dapri and published by Springer. This book was released on 2018-02-09 with total page 597 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book describes the various procedures, including surgery through the abdominal wall, through a transanal access or by the union of both, using an open, laparoscopic, or robotic approach. Worldwide pioneers for each technique are invited as authors and portray in step-by-step detail about each procedure. Of the 32 chapters, 23 are dedicated only for the surgical procedures. Each chapter is enriched by numerous figures, which complement the text, permitting the understanding of each surgical technique from its beginning until the last step. Eight additional chapters are dedicated to the clinical and anatomical aspects of rectal cancer. In the last decade there has been an impressive evolution in the treatment of patients with rectal cancer, with a focus not only on the preservation of a cancer-free life, but the quality of that life. This book has been written to be useful for everyone involved in rectal cancer management. From internists, gastroenterologists, endoscopists, oncologists, radiotherapists and radiologists involved in the treatment of rectal cancer during their daily practice, to surgeons specialized in colorectal surgery, to junior faculty to trainees, all interested in new and innovative techniques.
Download or read book Atlas of Minimally Invasive Surgery for Lung and Esophageal Cancer written by Jun Wang and published by Springer. This book was released on 2017-05-15 with total page 414 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Atlas presents a state-of-the-art review of VATS and robotic approaches to managing lung and esophageal cancers. It discusses cancer staging, physiological evaluation of patients, and patient selection for minimally invasive surgery. The atlas offers detailed descriptions of individual operations accompanied by anatomic drawings, intraoperative images, and 3-dimensional anatomic reconstructions. Written by recognized experts in the field, it provides readers with an unparalleled resource for advancing their skills in managing these cancers. It is a valuable reference work for thoracic surgeons in training as well as in practice who want to pursue minimally invasive surgery. It is unique in offering fully illustrated, step-by-step descriptions of the operative procedures.
Download or read book Transanal Minimally Invasive Surgery TAMIS and Transanal Total Mesorectal Excision taTME written by Sam Atallah and published by Springer. This book was released on 2019-04-23 with total page 521 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book captures cornerstone developments in a new body of knowledge and provides an expert resource on a “hot topic” in rectal surgery. Transanal minimally invasive surgery (TAMIS) was designed for local excision of select rectal neoplasms, however soon it became realized that the TAMIS technique could be used for applications beyond local excision, most notably for transanal total mesorectal excision (taTME). This new operative technique has revolutionized our approach to the distal rectum by allowing for improved access, especially in obese male patients with an android pelvis, and by minimizing abdominal wall access trauma. The endpoints of improved oncologic resection, as defined by mesorectal envelope completeness, negative circumferential resection margins, and negative distal margin, are assessed. This book details controversies, pitfalls, and future directions of taTME and TAMIS. Chapters are authored by those on the forefront of innovation with TAMIS and taTME, and each is considered an authority on the topic. Transanal Minimally Invasive Surgery (TAMIS) and Transanal Total Mesorectal Excision (taTME) is a must-have reference for surgeons who are performing this operation and fellows in training who want to completely understand the various nuances of TAMIS and taTME.
Download or read book Operating Room Leadership and Management written by Alan D. Kaye and published by Cambridge University Press. This book was released on 2012-10-04 with total page 305 pages. Available in PDF, EPUB and Kindle. Book excerpt: Practical resource for all healthcare professionals involved in day-to-day management of operating rooms of all sizes and complexity.
Download or read book Handbook of Anaesthesia Peri operative Medicine written by Cyprian Mendonca and published by tfm Publishing Limited. This book was released on 2017-05-01 with total page 866 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Clinical Gynecology written by Eric J. Bieber and published by Cambridge University Press. This book was released on 2015-04-23 with total page 1127 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written with the busy practice in mind, this book delivers clinically focused, evidence-based gynecology guidance in a quick-reference format. It explores etiology, screening, tests, diagnosis, and treatment for a full range of gynecologic health issues. The coverage includes the full range of gynecologic malignancies, reproductive endocrinology and infertility, infectious diseases, urogynecologic problems, gynecologic concerns in children and adolescents, and surgical interventions including minimally invasive surgical procedures. Information is easy to find and absorb owing to the extensive use of full-color diagrams, algorithms, and illustrations. The new edition has been expanded to include aspects of gynecology important in international and resource-poor settings.
Download or read book Surgical Robotics written by Jacob Rosen and published by Springer Science & Business Media. This book was released on 2011-01-15 with total page 827 pages. Available in PDF, EPUB and Kindle. Book excerpt: Surgical robotics is a rapidly evolving field. With roots in academic research, surgical robotic systems are now clinically used across a wide spectrum of surgical procedures. Surgical Robotics: Systems Applications and Visions provides a comprehensive view of the field both from the research and clinical perspectives. This volume takes a look at surgical robotics from four different perspectives, addressing vision, systems, engineering development and clinical applications of these technologies. The book also: -Discusses specific surgical applications of robotics that have already been deployed in operating rooms -Covers specific engineering breakthroughs that have occurred in surgical robotics -Details surgical robotic applications in specific disciplines of surgery including orthopedics, urology, cardiac surgery, neurosurgery, ophthalmology, pediatric surgery and general surgery Surgical Robotics: Systems Applications and Visions is an ideal volume for researchers and engineers working in biomedical engineering.
Download or read book Perioperative Care of the Elderly written by Gabriella Bettelli and published by Cambridge University Press. This book was released on 2017-11-16 with total page 386 pages. Available in PDF, EPUB and Kindle. Book excerpt: This innovative, comprehensive book covers the key elements of perioperative management of older patients. The book's chapter structure coincides with the clinical path patients tread during their treatment, from preoperative evaluation to post-hospital care. Epidemiological aspects and aging processes are illustrated, providing keys to understanding the quick expansion of geriatric surgery and defining the clinical profile of older surgical patients in a cybernetic perspective. Preoperative evaluation and preparation for surgery, including medication reconciliation and pre-habilitation, are developed in the light of supporting decision-making about surgery in an evidence-based and patient-focused way. Intra- and postoperative management are discussed, aiming to tailor anesthetic, surgical and nursing approaches to specific patients' needs, in order to prevent both general and age-related complications. This volume also addresses issues relevant to geriatric surgery, from different organizational models to clinical risk management and systems engineering applied to hospital organization.
Download or read book Perioperative Fluid Management written by Ehab Farag and published by Springer Nature. This book was released on 2020-09-28 with total page 582 pages. Available in PDF, EPUB and Kindle. Book excerpt: This revised and expanded second edition presents the most recent evidence-based facts on perioperative fluid management and discusses fluid management from basic sciences to clinical applications and the patients’ outcomes. Recent advances in understanding the Revised Starling principle with new concepts in tissue perfusion and the most recent techniques of perioperative goal directed fluid management are described. The endothelial glycocalyx functions and the influence of fluid management on its integrity are covered in detail; moreover, the techniques for its protection are also discussed. The dilemma of perioperative use of hydroxyethyl starch solutions and the resurgence of interest in using human albumin as an alternative colloid is explored. The problems of using unbuffered solutions during the perioperative period and comparison between restrictive versus liberal fluid management are discussed in full. Lastly, case scenarios for every possible clinical situation describe the most up-to-date fluid management for the corresponding clinical problem. Perioperative Fluid Management, Second Edition is of interest to anesthesiologists and also intensivists.
Download or read book Robotic Urology written by Hubert John and published by Springer. This book was released on 2018-03-02 with total page 557 pages. Available in PDF, EPUB and Kindle. Book excerpt: This updated edition offers guidance on the application of robotic surgery in urology. Each technique is described in detail, with careful explanation of the different surgical steps The book brings together leading robotic surgeons from around the world and utilises their knowledge once again to update and provide a manual that covers all the oncologic and reconstructive procedures in urologic surgery that are performed with robotic assistance This book serves as an ideal reference work for all urologists and should contribute in supporting new robotic teams
Download or read book The Role of Laparoscopy in Emergency Abdominal Surgery written by Vincenzo Mandala and published by Springer Science & Business Media. This book was released on 2011-12-07 with total page 215 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the first time a book about laparoscopy in emergency abdominal surgery has been published. Numerous articles have been published in specific surgical journals, but, until now, there has not been a book that collates all the aspects of this little-known field. The aim of this volume is to achieve a complete and easy presentation of all the implications associated with laparoscopy in emergency abdominal surgery. The book should be a manual that can be easily consulted by digestive, general, and specialized surgeons, especially in an emergency. The authors’ contributions are founded on evidence-based medicine, which give the book scientific credibility, but this is coupled with their experience of daily practice, which adds an important complementary dimension to evidence-based medicine. This is balanced by an emphasis on clarity and accessibility, because the ultimate aim of the book is educational. We hope this book will be frequently consulted, in depth, not only by specialist practitioners, but also by undergraduate students, new graduates and surgeons in training.
