Download or read book Emergency Surgery in Obese Patients written by Diego Foschi and published by Springer Nature. This book was released on 2019-09-27 with total page 201 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive, multi-authored book covers all aspects of surgery on obese patients in emergency conditions. Obesity is a metabolic disease affecting a high percentage of world population.. It involves marked anthropometric changes, affecting surgical practice and altering patients’ ability to react to surgical stress. The prevalent comorbidities also affect the rate of complications and mortality after surgery. The obesity paradox, the ability of obese patients to survive emergency operations in spite of an increased risk of complications, is an effect of the widespread development of “Obesity Science”. This volume discusses this science, examining the frailty of the obese patients and the main comorbidities that affect clinical practice, as well as the most frequent emergency situations after trauma, inflammatory diseases and the complications of bariatric surgery. With contributions from leading experts, it provides clinicians with detailed and updated information for better practice in this emerging field of surgery.
Download or read book Emergency Surgery in Obese Patients written by Diego Foschi and published by . This book was released on 2020 with total page 197 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive, multi-authored book covers all aspects of surgery on obese patients in emergency conditions. Obesity is a metabolic disease affecting a high percentage of world population.. It involves marked anthropometric changes, affecting surgical practice and altering patients' ability to react to surgical stress. The prevalent comorbidities also affect the rate of complications and mortality after surgery. The obesity paradox, the ability of obese patients to survive emergency operations in spite of an increased risk of complications, is an effect of the widespread development of "Obesity Science". This volume discusses this science, examining the frailty of the obese patients and the main comorbidities that affect clinical practice, as well as the most frequent emergency situations after trauma, inflammatory diseases and the complications of bariatric surgery. With contributions from leading experts, it provides clinicians with detailed and updated information for better practice in this emerging field of surgery.
Download or read book Emergency Management of the Hi Tech Patient in Acute and Critical Care written by Ioannis Koutroulis and published by John Wiley & Sons. This book was released on 2021-06-28 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: EMERGENCY MANAGEMENT OF THE HI-TECH PATIENT IN ACUTE AND CRITICAL CARE Emergency Management of the Hi-Tech Patient in Acute and Critical Care helps practitioners stabilize and care for pediatric and adult patients who have specialized medical devices such as prosthetic valves, cochlear transplants, insulin pumps, orthopedic hardware, and ventriculoperitoneal (VP) shunts. Using a step-by-step approach to acute presentations of patients with clinical hardware, this concise yet comprehensive guide provides specific instructions for the initial evaluation and management of numerous clinical scenarios including device malfunctions, infections, trauma, surgical complications, and more. Encompassing management of both the patient and the device, the guide enables emergency and critical care clinicians to rapidly make appropriate treatment decisions without the immediate need for extensive research, extended discussions with subspecialists, or recalling complex diagnostic and therapeutic algorithms. Clear, concise, and easy-to-follow chapters—written by a panel of highly experienced experts across specialties—include numerous algorithms, figures, tables, diagrams, and color illustrations and clinical images. An invaluable resource for improving the quality of care for the unique hi-tech patient population, this advanced practical manual: Provides algorithms for the most common clinical scenarios of device malfunction and related complications Covers management of patients who have undergone major operations such as organ transplantation or complex congenital heart disease repair Presents detailed management plans for a wide range of hardware types and medical conditions Offers expert guidance to practitioners in settings where not all specialties are readily available, such as rural and remote areas or community hospitals Features contributions from a team of experts in various areas of adult and pediatric emergency and critical care medicine Emergency Management of the Hi-Tech Patient in Acute and Critical Care is a must-have clinical reference and guide for pediatric and adult emergency medicine physicians, general pediatricians, internists, general practitioners, critical care specialists, and allied health practitioners.
Download or read book Emergency General Surgery written by Carlos V. R. Brown and published by Springer. This book was released on 2018-11-09 with total page 531 pages. Available in PDF, EPUB and Kindle. Book excerpt: The field of emergency general surgery encompasses a wide array of surgical diseases, ranging from the simple to the complex. These diseases may include inflammatory, infectious, and hemorrhagic processes spanning the entire gastrointestinal tract. Complications of abdominal wall hernias, compartment syndromes, skin and soft tissue infections, and surgical diseases are significantly complex in special populations, including elderly, obese, pregnant, immunocompromised, and cirrhotic patients. This book covers emergency general surgery topics in a succinct, practical and understandable fashion. After reviewing the general principles in caring for the emergency general surgery patient, this text discusses current evidence and the best practices stratified by organ system, including esophageal, gastroduodenal, hepatobiliary and pancreatic, small and large bowel, anorectal, thoracic, and hernias. Chapters are written by experts in the field and present a logical, straightforward, and easy to understand approach to the emergency general surgery patient, as well as provide patient care algorithms where appropriate. Emergency General Surgery: A Practical Approach provides surgeons and surgery residents with a practical and evidence-based approach to diagnosing and managing a wide array of surgical diseases encountered on emergency general surgery call.
Download or read book Surgery for Morbid Obesity written by J.H. Linner and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 319 pages. Available in PDF, EPUB and Kindle. Book excerpt: The surgical treatment of morbid obesity has undergone astonishing growth since its inception thirty years ago. The medical profession has long been aware of the discouraging intractability of morbid obesity to all forms of conservative management, and it is only recently that physicians have come to realize that surgery can provide very real palliation for the morbidly obese patient. Surgery does not attack the underlying etiology of morbid obesity, whatever it may be, but exerts its effect indirectly either by effecting a calorie loss through intestinal shunting, or by calorie deprivation through a radical reduction of gastric capacity. Acceptance of bariatric surgery as a legitimate therapeutic modality has met with considerable resistance by many physicians for two principal reasons. The first relates to the rather prevalent but unjustifiable attitude both within and without the medical profession that morbid obesity is an expression of slovenliness, the result of a character defect, or a defect of the will, and of an "easy way that those so atHicted should not be extended the benefit out," but should "shape up" by rigorous diet and exercise. The second more serious concern that has blunted enthusiasm for bariatric surgery has been the large number of late complications following jejunoileal bypass, and the high incidence of perioperative complications and revisional operations in some quarters following gastric reduction procedures. It is to these concerns that this book is addressed.
Download or read book Surgery for the Morbidly Obese Patient written by Mervyn Deitel and published by . This book was released on 1989 with total page 424 pages. Available in PDF, EPUB and Kindle. Book excerpt: Very Good,No Highlights or Markup,all pages are intact.
Download or read book Anesthetic Management of the Obese Surgical Patient written by Jay B. Brodsky and published by Cambridge University Press. This book was released on 2011-12-08 with total page 147 pages. Available in PDF, EPUB and Kindle. Book excerpt: The global obesity epidemic is growing in severity, affecting people of every age and costing healthcare providers millions of dollars every year. Every day, anesthesiologists are presented with obese and morbidly obese patients undergoing every type of surgical procedure; the management of these patients differs significantly from that of normal weight patients undergoing the same procedure. Anesthetic Management of the Obese Surgical Patient discusses these specific management issues within each surgical specialty area. Initial chapters describe pre-operative assessment and pharmacology; these are followed by detailed chapters on the anesthetic management of a wide variety of surgical procedures, from joint replacement to open heart surgery. Essential reading for anesthesiologists and nurse anesthetists worldwide, Anesthetic Management of the Obese Surgical Patient and its companion work by the same authors, Morbid Obesity: Peri-operative Management, enable both trainees and practised professionals to manage this complex patient group effectively.
Download or read book Morbid Obesity written by Adrian O. Alvarez and published by Cambridge University Press. This book was released on 2004-11-04 with total page 450 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by international experts in the field, this comprehensive book covers all aspects of obesity that may impact upon the practice of the anaesthetist, intensivist or other healthcare professional dealing with the obese patient. The information is presented in a logical manner--opening chapters cover the underlying pathophysiology of obesity and move on to discuss general risk factors, legal and ethical aspects of anaesthesia, changes in pharmacokinetics and pharmacodynamics, pre-operative assessment and management. The main section of the book then focuses on specific problems such as renal function, DVT, patient positioning, airway management and ventilation, pulse oximetry, TOE, brain monitoring and BIS, general, spinal and epidural anaesthesia, volatile anaesthetics and drug delivery. A final section includes chapters that detail the nursing, ICU and trauma management of the obese patient, and covers key topics such as anaesthesia for caesarean section, ECG, infection control, haemodynamic monitoring, post-anaesthetic care and postoperative analgesia.
Download or read book Bariatric Surgery Complications and Emergencies written by Daniel M. Herron and published by Springer. This book was released on 2016-03-08 with total page 324 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a concise, focused and clinically relevant summary of complications and emergencies related to bariatric surgery. The first section of the text addresses general complications related to anesthesia and the stress of surgery, including issues such as deep vein thrombosis, pulmonary embolism, hemorrhage, pneumonia and cardiac complications. Additionally, this section addresses the workup of the bariatric patient with abdominal pain. The second portion of the text focuses on gastric bypass and sleeve-specific complications, including staple line and anastomotic leaks, internal hernia, marginal ulceration, GI obstruction, hernia formation and gallstone disease. The third portion of the book examines metabolic, nutritional and psychological complications after bariatric surgery. The text also covers management of weight loss failure. Bariatric Surgery Complications and Emergencies serves as a very useful resource for physicians and surgeons who are involved in any parts of evaluation or management of bariatric patients suffering from postoperative complications or emergencies including bariatric surgeons who perform these operations on a regular basis, non-bariatric general surgeons who cover such patients when on-call, surgical trainees, and primary care physicians.
Download or read book Acute Care Surgery written by LD Britt and published by Lippincott Williams & Wilkins. This book was released on 2012-10-16 with total page 849 pages. Available in PDF, EPUB and Kindle. Book excerpt: Acute Care Surgery is a comprehensive textbook covering the related fields of trauma, critical care, and emergency general surgery. The full spectrum of Acute Care Surgery is expertly addressed, with each chapter highlighting cutting-edge advances in the field and underscoring state-of-the-art management paradigms. In an effort to create the most definitive reference on Acute Care Surgery, an evidence-based approach is emphasized for all content included. Also, notable controversies are discussed in detail often accompanied by data-driven resolutions.
Download or read book Incident Reports From Anesthesia In Morbid Obesity According To PAAD Thai Study written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Incident reports from anesthesia in morbid obesity according to PAAd Thai studyOraluxna Rodanant, M.D.* Waraporn Chau-in, M.D.** Somrat Charuluxananan, M.D.*Santhiti Morakul, M.D.*** Sukanya Pongruekdee, M.D.#, Umpawan Tanyong, M.D.##* Department of Anesthesiology, Faculty of Medicine, Chulalongkorn University** Department of Anesthesiology, Faculty of Medicine, Kornkan University*** Department of Anesthesiology, Faculty of Medicine Ramathibodi Hospital. Mahidol University# Charoenkrung Pracharak Hospital, ### Chonburi HospitalAbstractBackground: In 2015, January 1st to December 31st, the Royal College of Anesthesiologists of Thailand (RCAT) contributed the multicenter study, the Perioperative and Anesthetic Adverse Events in Thailand study (PAAd Thai) in 22 hospitals across Thailand.Objective: This study aimed to determine the frequency of incidents related to anesthetic complications, contributing factors and corrective strategies in patients whose BMI were equal or over 35 kg/m2. Methods: This study was part of multicenter and prospective study. After being approved by every institutional ethical committee, written informed consent were waived, each hospital was asked to anonymously report incidence of anesthesia related adverse events which occurred during 24 hours. Patient were selected from the BMI equal or over 35 kg/m2. undergoing surgeries. These incident reports. were discussed and analyzed by three reviewers for contributing factors, clinical courses, factors minimizing incident and suggested corrective strategies.Results: There were 58 cases (2.63%) from a total 2,206 reports of PAAD Thai study. Seventy eight incidents occurred from 3,028 critical incidents reports (2.57%). 36.21% were male and 63.79% were female. The average age was 39.96 year and BMI was 39.8 + 5.09 kg/m2. The highest incidence occurred in patients with BMI 35-39.9 kg/m2 (65.52%). 53.45% were classified as ASA physical status 3. The adverse events were found more frequent in elective surgery (40 incidents or 68.96%) than emergency surgery. General surgery with explore laparotomy had the higher incidents compared to other surgical specialties. Oxygen desaturation was the most common incident. Severe arrhythmia, difficult intubation and cardiac arrest in 24 hour postoperatively were found in the same frequency. Overall contributing factors from this report were inadequate preanesthetic evaluation and preparation, haste, inexperience and inappropriate decision. Having experiences, more vigilance and have experienced assistant or effective supervision might be the factor for minimizing outcomes. Conclusion: Increasing the obesity and morbid obesity population in our society require much more concern not only the physiological changes but also the diseases that come along with. The majority of adverse events is respiratory event which is oxygen desaturation. Contributing factors in most complications found associated with haste and inadequate patient preparations which could be preventable. For anesthesiologists, perioperative management of obese patients should have high vigilance and need more skills. Specific scoring systems for evaluate risks prior to each procedure must be considered. Improving personal competency care in post anesthesia care unit (PACU) may help reduce the reintubation events by increasing personal and revised protocol used in PACU. The standard practice guidelines, improve supervision, additional training and also frequently organize the quality assurance activity can minimized the adverse events and help improve quality and patient safety undergoing anesthesia in obese patient.
Download or read book Emergency Medical Services written by Jane H. Brice and published by John Wiley & Sons. This book was released on 2021-08-12 with total page 1184 pages. Available in PDF, EPUB and Kindle. Book excerpt: The two-volume Emergency Medical Services: Clinical Practice and Systems Oversight delivers a thorough foundation upon which to succeed as an EMS medical director and prepare for the NAEMSP National EMS Medical Directors Course and Practicum. Focusing on EMS in the 'real world', the book offers specific management tools that will be useful in the reader's own local EMS system and provides contextual understanding of how EMS functions within the broader emergency care system at a state, local, and national level. The two volumes offer the core knowledge trainees will need to successfully complete their training and begin their career as EMS physicians, regardless of the EMS systems in use in their areas. A companion website rounds out the book's offerings with audio and video clips of EMS best practice in action. Readers will also benefit from the inclusion of: A thorough introduction to the history of EMS An exploration of EMS airway management, including procedures and challenges, as well as how to manage ventilation, oxygenation, and breathing in patients, including cases of respiratory distress Practical discussions of medical problems, including the challenges posed by the undifferentiated patient, altered mental status, cardiac arrest and dysrhythmias, seizures, stroke, and allergic reactions An examination of EMS systems, structure, and leadership
Download or read book Preoperative Assessment written by Derek Dillane and published by Springer Nature. This book was released on 2021-04-27 with total page 326 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book uses a case-based approach to provide current information on a range of medical issues with the goal of enhancing preoperative evaluation and optimization. It meets the market need for a resource that concisely encapsulates current knowledge on the medical management of specific topics in a setting relevant to the preoperative clinic. In so doing the book aims to improve patient care and safety, enhance resource use, facilitate appropriate and timely management of preexisting conditions and diminish patient concerns. Organized into sections according to body system, each section consists of chapters delineating a specific disorder. Each chapter starts with a clinical vignette followed by a question-and-answer style investigation of the relevant issues. These questions attempt to address commonly encountered clinical dilemmas where opinion often differs between, and occasionally within, medical sub-specialties. Expertly written chapters are also supplemented by a number of chapters which address special considerations such as the frail patient and chronic opioid use. Preoperative Assessment: A Case-Based Approach is an invaluable reference for all physicians involved in preoperative assessment including anesthesiologists, surgeons, internists, family doctors and residents in these fields. Nurse practitioners and other allied heath professionals involved in preoperative evaluation may also find this a book a valuable and timely resource.
Download or read book The Difficult Airway written by David B. Glick and published by Springer Science & Business Media. This book was released on 2012-12-05 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Difficult Airway provides a comprehensive textual and visual coverage of how to deal with patients who have expected or unexpected difficult airways. The text begins with a description of the incidence and importance of the difficult airway and then describes the ASA Difficult Airway Algorithm created to facilitate the management of “difficult airways.” The majority of the book features a comprehensive step-by-step approach to the rescue techniques listed as part of the ASA Algorithm. Noted experts in each of the techniques have been recruited by the book editors to present the information. Figures throughout the book illustrate important points and procedures. This is a wonderful resource for professionals in the health care field including anesthesiologists, intensive care physicians, emergency room physicians, nurses, and out-of-hospital first responders.
Download or read book Recent Advances in Cesarean Delivery written by Georg Schmolzer and published by BoD – Books on Demand. This book was released on 2020-04-15 with total page 114 pages. Available in PDF, EPUB and Kindle. Book excerpt: Recent Advances in Cesarean Delivery is a collection of research chapters on cesarean delivery and related developments within the field of obstetrics. Written by experts in the field, chapters cover such topics as prediction of cesarean delivery, hemostasis for massive hemorrhage during C-section, maternal and fetal risks, cesarean scar defect manifestations, obesity and C-section, and C-sections in low-, middle-, and high-income countries.
Download or read book Preoperative Cardiac Assessment written by Dennis T. Mangano and published by Lippincott Williams & Wilkins. This book was released on 1990 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Post Anesthesia Care written by James W. Heitz and published by Cambridge University Press. This book was released on 2016-08-22 with total page 389 pages. Available in PDF, EPUB and Kindle. Book excerpt: The initial hours after surgery are a critical time in the care of the surgical patient. Familiarity with the clinical presentation of perioperative complications is important to achieving optimal outcomes. By taking an approach to complications based upon signs and symptoms seen in the early post-operative period among adult patients undergoing non-cardiac surgery, this book aids the practitioner in the clinical management of surgical patients during the often turbulent hours after surgery. After a brief introduction to PACU organization, this manual discusses the common and most serious symptoms encountered in the post-operative patient, giving guidance on diagnosis of the underlying disorder and the treatment options available. The book also includes chapters dedicated to subspecialty patients, including patients requiring post-operative mechanical ventilation, pediatric patients, patients with implantable cardiac devices, morbidly obese patients and the complex pain patient. This practical manual is essential reading for all practitioners working in the PACU environment.
