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It is the practical experience gained in the operating room and onthe wards dealing with complications and deviations from thetypical or average scenario that matures and fully develops asurgeon. The typical textbook demonstrates the “right”or standard way to do things and the implicit assumption is that ifthese guidelines are followed then the patient and the surgeon'slife will be complication free. Good results come from experienceand experience is gained by making mistakes. The goal of this bookis to minimize the frequency of surgical complications and maximizethe outcome when they do occur by allowing the reader to learn fromthe operative and clinical experience of those who have gone beforeso that each generation can collectively stand on the shoulders ofthe preceding generation without the need to learn from one's owncomplications. This book is therefore designed less to address indications foroperations than how to carry them out and provide postoperativecare without complications. While the authors of the variouschapters address the correct or right way to perform operations andcare for patients after surgery, they have also been tasked toaddress and emphasize specific dos and don'ts for bothintraoperative techniques and postoperative care that will reducethe incidence of complications. As some complications, alas, areinevitable, also addressed are the issues of timely recognition andappropriate treatment of complications when they do occur despitebest efforts.
Part of the Oxford Textbooks in Anaesthesia series, this title covers the anatomy and physiology, pharmacology, post-operative complications, critical care, and all clinical aspects of cardiac and thoracic anaesthesia. Practical aspects, such as team working, and designing and equipping cardiothoracic theatre and critical care, are also included. The expert and international author team use their experience to ensure this title reflects current world-wide practice across the globe.
This book comprehensively reviews a selection of cases resulting from complications that can occur in cardiac surgical procedures. It details the science behind each potential complication along with a range of available strategies to rectify the issues, including those applicable to minimally invasive techniques. Chapters are well illustrated and feature clinical pearls to reinforce key points. Cardiac Surgical Complications: Strategic Analysis and Clinical Review provides a practically applicable guide on how to successfully resolve and mitigate potential complications in cardiac surgery. Consequently, it is a valuable resource for all trainee and practicing cardiac surgeons, anesthesiologists and intensive care physicians.
As Professor Owen H Wangensteen, one of the greatest academic surgeons of the 20th century, said: ?You are a true surgeon from the moment you are able to deal with your complications.? Prompt and accurate diagnosis, as well as effective treatment, of surgical complications is one of the most important elements of surgical practice. This is today more important than at any other time, since over the last 20 years we have witnessed the development of new surgical sub-specialties, the performing of complicated operations in very challenging patients, the introduction of new technologies in surgical practice and, last but not least, an increasing interest in monitoring the quality, medico-legal implications, and ethical dimensions of surgical practice and malpractice. As surgical complications have been presented briefly and sporadically in various books and only as a small part of chapters dealing with surgical techniques, there is a pressing need for a modern textbook dealing with the diagnosis, treatment, auditing, medico-legal implications and ethical problems related to surgical complications.Written by internationally known authors, the chapters deal with both the general issues regarding the surgical complications and the specific issues related to each surgical specialty. Each chapter includes: clinical presentation; diagnosis (clinical, laboratory investigations, imaging); treatment (conservative, surgical); and outcome.
This atlas is a concise visual guide to the imaging of acquired heart disease in infants, children, and adolescents. Imaging plays an ever-increasing vital role in diagnosis, preoperative planning, and postoperative management for children with these disorders. The book reviews techniques for lowering radiation, discusses protocols for imaging in children, and provides recommendations for the most appropriate studies that decrease the time and cost of imaging these patients. Focusing on functional and anatomic imaging with an emphasis on three-dimensional color-coded models derived from CT and MR scans, this book promotes understanding of cardiovascular disorders in children, including infectious, neoplastic, and metabolic diseases. Atlas of Acquired Cardiovascular Disease Imaging in Children is a valuable resource through which cardiologists, radiologists, pediatric cardiothoracic surgeons, and residents can improve the quality and treatment of pediatric and adolescent patients with acquired heart disease.
Myocardial protection is regarded as one of the most important, yet also most controversial aspects of cardiac surgery. There has been considerable improvement in myocardial protection strategies over recent years, utilising a variety of new approaches to treat cardiac diseases, and this text is intended to embrace the state of the art in this field. The book summarises the state of knowledge on all aspects of myocardial protection, including the latest in the treatment of cardiac diseases, robotics, pediatric surgery and the treatment of cardiac failure. Robotic surgery, valvular surgery, pediatric surgery and coronary surgery are all covered by renowned experts, producing a comprehensive, forward-looking view of the field of myocardial protection. This book should function to update physicians and surgeons interested in the field of cardiac surgery on the current state of knowledge on myocardial protection.
This textbook provides a succinct overview of cardiac surgery, with key concepts being emphasized throughout. An abundance of illustrations, intra-operative photographs, tables as well as information boxes, aids the reader to visualise, grasp and retain difficult concepts. The inclusion of evidence-based approaches to the management of a range of cardiac surgical conditions equips the reader with an understanding of how to overcome a variety of potentially tough clinical challenges. Concise Cardiac Surgery: A Complete Guide comprehensively covers a range of techniques used in cardiac surgery. It is therefore, an ideal resource for the trainee and practising cardiac surgeon seeking a practically focused text detailing how to apply the latest techniques and evidence-based approaches in their day-to-day practice.
Cardiothoracic Surgery in the Elderly: Evidence Based Practice is an important and timely book that reflects the thoughtful work of pioneers in geriatric surgery. It encompasses their knowledge related to geriatric surgery, and their reflections and guidance on the rapidly accumulating knowledge related to improving the health and surgical care of seniors. This book provides a scholarly review of the constantly expanding knowledge base about cardiovascular and thoracic surgery in seniors. The book follows a logical sequence covering general aspects of care, cardiac surgery and thoracic surgery. Chapters are focused on common, devastating and often missed complications of surgical care in the seniors. These include delirium, depression, pressure sores, functional losses, incontinence, volume depletion and asymptomatic or atypical complications -myocardial infarction, post-operative diarrhea, urinary track infections and pneumonia. Each is expertly reviewed. Strategies to help the surgeons and the surgical team anticipate, recognize and effectively prevent or manage such problems are discussed and the evidence basis for such strategies is provided. Cardiothoracic Surgery in the Elderly: Evidence Based Practice is particularly timely and the first to review the substantial body of knowledge that has been developed in recent years related to geriatric cardiothoracic surgical problems. It catalogs well the expanding knowledge basis for achieving successful surgical outcomes in the very old. It provides a most useful resources for cardiovascular thoracic surgeons in training and those already in practice.