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Showcasing the expertise of top-tier specialists who contributed to the newly released guidelines for the care of thrombosis in cancer patients, this exciting guide was written and edited by members of the American Society of Clinical Oncology panel, (ASCO), on the prevention and treatment of cancer-associated thrombosis, among others, and provides
A clinically oriented handbook providing up-to-date recommendations for mastering the practical aspects of patient management for venous thromboembolism Venous thromboembolism (VTE) is associated with high morbidity and mortality both in and out of the hospital setting, and is one of the commonest reasons for hospital attendances and admissions. Designed as a practical resource, the Handbook of Venous Thromboembolism covers the practical aspects of venous thromboembolism management in short and easily followed algorithms and tables. This important text helps physicians keep up-to-date with the latest recommendations for treating venous thromboembolism in clinic-oriented settings. Experts in fields such as the radiological diagnosis of pulmonary embolism and thrombophilia testing, give a succinct summary of the investigation, diagnosis and treatment of venous thromboembolism and include evidence-based guidelines. With contributions from a team on internationally recognized experts, Handbook of Venous Thromboembolism is a source of information that specialists in the field can recommend to non-specialists and which the latter will be able to review to assist in their education and management of this wide-spread condition. This vital resource: Comprises of a clinically focused handbook, useful as a daily resource for the busy physician Offers a handbook written by an international team of specialists offering their experience on the practical aspects of venous thromboembolism management Addresses venous thrombosis prevention, a major focus for healthcare providers Includes coverage on controversies in the management of venous thromboembolism so clinicians can understand how experts are practicing in real scenarios Written for hematology trainees, emergency and acute medicine physicians, junior doctors, and primary care physicians, Handbook of Venous Thromboembolism covers the basics for treating patients with venous thromboembolism and offers guidelines from noted experts in the field.
Pulmonary thromboembolism in Japan is currently associated with a high mortality rate and remains a concern for patients and medical staff alike. Moreover, as the mechanisms of the condition have been elucidated, it has become clear that much work needs to be done in the field to achieve acceptable results in this country. Thus, Japan has regularly played host to the International Symposium on Pulmonary Thromboembolism . At the most recent symposium, in Sendai, the epidemiology and the treatment of pulmonary thromboembolism, traveler's thrombosis, and the prevention of deep vein thromboembolism were discussed, particularly with reference to the differences between Japan and Western countries. The fruits of the collaboration between that assembly of international specialists can be found in this collection of work. It provides an in-depth look at the current concepts that guide the treatment and prevention of the disease, and at the problem areas that must be improved upon.
Venous thrombosis occurs in all healthcare settings and all specialties in nursing and medicine. It causes more deaths every year than MRSA or road accidents and is not just a topic for experts and specialists. In spite of this, there is a lack of easily accessible information for non-experts on venous thromboembolism (VTE), and consequently the condition is often treated poorly and preventive measures are often used inconsistently. Prevention and Management of Venous Thromboembolism takes the first step towards rectifying this dearth of information. It bring together a unique group of vascular surgeons, haematologists and other experts who help shape the management of VTE and is aimed at both the multi-disciplinary teams involved in the day-to-day care of patients with VTE, and allied health professionals and healthcare commissioners. The book's approach is broad and comprehensive and there are separate sections dealing with prevention, diagnosis and treatment. This is an expert-level book accessible to non-experts.
Deep vein thrombosis (DVT) may be asymptomatic in a patient confined to bed – pulmonary embolism (PE) may be the first symptom. Every hospital and clinic should have active management guidelines for the prevention of venous thromboembolism (DVT and PE). The prevention of venous thromboembolism (VTE) consists of early mobilisation, compression bandages or anti-embolism stockings, low molecular weight heparin (LMWH) and warfarin if long-term prophylaxis is indicated. The following anticoagulants may be used in special cases: fondaparinux (patients at high-risk of VTE, heparin allergy), dabigatran, rivaroxaban or apixaban (oral agents for use after elective knee and hip replacement surgery). Rivaroxaban may also be used for secondary prevention of venous thromboembolism and pulmonary embolism in an uncomplicated patient. Idiopathic VTE (no identified risk factors) is three times more likely to recur than provoked VTE (risk factors present). Indefinite treatment is therefore often recommended after idiopathic VTE. If VTE develops without any provoking factors in a patient aged less than 50 years, tests for hereditary coagulation disorders are indicated to facilitate the choice of treatment duration (indefinite or temporary) . Aspirin is mainly used for the prevention of arterial occlusion, but there is accumulating evidence on aspirin and statins in preventing recurrence of venous thromboembolism and pulmonary embolism. A patient who has a previous history of VTE, or is otherwise predisposed to thrombus formation, must be given guidance regarding high risk situations.
This pocket book succinctly describes 318 errors commonly made by attendings, residents, interns, nurses, and nurse-anesthetists in the intensive care unit, and gives practical, easy-to-remember tips for avoiding these errors. The book can easily be read immediately before the start of a rotation or used for quick reference on call. Each error is described in a short, clinically relevant vignette, followed by a list of things that should always or never be done in that context and tips on how to avoid or ameliorate problems. Coverage includes all areas of ICU practice except the pediatric intensive care unit.
Dedicated to dealing with a challenging disease, previously thought to be incurable, but with the advent of new drugs, now amenable to management and a much improved prognosis for patients. - Latest publication in a fast-moving area of keen clinical interest - Authored by leading international authorities - Builds on success of a respected first edition - Incorporates new data on latest imaging technologies and therapies - Covers both the science and clinical aspects, including presentation, surgical intervention and drug therapy - Includes coverage of both Pulmonary Embolism and Deep Vein Thrombosis
Written primarily with nurses in mind, this book provides a comprehensive overview of venous thromboembolism, a condition that rears its head regardless of specialty, killing thousands of people around the world in hospital beds and in the community alike. This book explains what it is, what symptoms to watch out for, how patients should be managed, and perhaps most importantly, how to prevent its development in those at risk. Based on the most up-to-date published guidelines on the subject, the book is pitched at a level appropriate for medical and nursing staff alike, covering basic pathophysiology and clinical management. A chapter is devoted to specific nursing interventions, giving practical tips alongside the theory. Case studies are used extensively, alongside tables, diagrams and text boxes, to illustrate important points. Although designed to be read as a whole, each chapter can be used as a reference to address specific queries, enabling health professionals to develop a greater understanding of the condition to provide optimal patient care.
This book has been prompted by recent advances in the safe prevention of thromboembolism by subcutaneous heparin prophy laxis, in particular postoperativt>ly. It has been correctly called by S. Sherry a major breakthrough in medicine. Although thrombo embolism was first recognized by Laennec in 1819 and defined by Virchow in 1846, its development was not well understood and its prevention escaped our best efforts until now. This all-too-com mon, sudden, unexpected and unwanted form of morbidity and mortality, always referred to in the surgical patient as postoper ative pulmonary thromboembolism, has now become the major complication of all surgery. However, it occurs with equal fre quency in hospitalized non-operative patients as well, so the latter are also in need of this prophylaxis if this calamity is to be avoided. The mass ofliterature generated in the past few years has produced some confusion as to which of a number of methods of heparin prophylaxis gives the best results. It is the intention of this book to help clarify the situation and thereby resolve the problem by offering a procedure of subcutaneous heparin prophylaxis which is acceptable, safe and simple to administer. Recent technical advances offer the hope of attaining this goal. 7 Acknowledgements I wish to acknowledge with thanks the assistance given me in preparing this book to Miss Viola Johnson, my former secretary, Mrs Mary Coan, the hospital librarian and Dr Alex Silverglade of Riker Laboratories, Inc. , USA.
"This project aimed to collect and critically review the existing evidence on practices relevant to improving patient safety"--P. v.