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Complications of hand injuries are very common, and the primary goal of the treatment of hand trauma is simply that of avoiding complications. They can be considered to be complications of missed diagnoses, complications of treatment, or complications of injuries.
Wide awake hand surgery (WALANT) represents a breakthrough in surgery of the hand and upper extremity. It can be performed with no preoperative testing, no intravenous insertion, and no monitoring. Like a dental procedure, the patient simply gets up and goes home after the procedure. Presented in an easy-to-read, bullet-point format, Wide Awake Hand Surgery guides surgeons through all aspects of WALANT. The book covers a wide variety of topics including minimal pain injection of local anesthesia, nerve and tendon decompression, wrist surgery, repair of lacerated tendons, tendon transfers, finger fractures, lacerated nerves, metacarpal fractures, arthritis surgery and complex reconstructions in hand surgery. The book includes more than 150 step-by-step surgical and instructional videos as well as numerous color clinical photographs. Color drawings clearly guide the surgeon to the correct anatomic locations for anesthetic injections, and the book includes an atlas of tumescent local anesthesia distribution anatomy. Featuring a complimentary eBook, this valuable resource offers chapters written by worldwide experts, making it the definitive guide to wide awake hand surgery.
This issue will cover everything from various therapies to alleviate symptoms or help patients learn to cope to regain normal function of their hand/or upper extremity and resume daily activities, to mechanism/anatomy and outcomes and measurement of pain.
The WHO Guidelines on Hand Hygiene in Health Care provide health-care workers (HCWs), hospital administrators and health authorities with a thorough review of evidence on hand hygiene in health care and specific recommendations to improve practices and reduce transmission of pathogenic microorganisms to patients and HCWs. The present Guidelines are intended to be implemented in any situation in which health care is delivered either to a patient or to a specific group in a population. Therefore, this concept applies to all settings where health care is permanently or occasionally performed, such as home care by birth attendants. Definitions of health-care settings are proposed in Appendix 1. These Guidelines and the associated WHO Multimodal Hand Hygiene Improvement Strategy and an Implementation Toolkit (http://www.who.int/gpsc/en/) are designed to offer health-care facilities in Member States a conceptual framework and practical tools for the application of recommendations in practice at the bedside. While ensuring consistency with the Guidelines recommendations, individual adaptation according to local regulations, settings, needs, and resources is desirable. This extensive review includes in one document sufficient technical information to support training materials and help plan implementation strategies. The document comprises six parts.
Injuries to the elbow are common, usually occur secondary to indirect trauma and are often accompanied by injury to shoulder or wrist joints. It is important to assess injuries promptly and accurately, taking into account age and the mechanism of injury, particularly because of the risk of accompanying vascular involvement. This issue will include articles on Anatomy and Exposures, Simple Elbow Dislocations, Radial Head Fractures, Complex Elbow Instability: Radial Head and Coronoid, Varus Posteromedial Instability, Monteggia and Trans-olecranon Injuries, Olecranon Fractures, Arthroscopic management of Elbow Fractures Elbow trauma in the Athlete, Soft Tissue Coverage of the Elbow and many more!
The arteries to the upper extremities can be involved at multiple levels by a variety of diseases. Because of the critical sensitivity of motor function and sensation in the arms and hands, minor degrees of ischemia can have major clinical significance. It is essential to understand the exact pathologic process and the sites of involvement to provide proper therapy. This issue will include articles such as: The diagnosis of vaso-occlusive disease within the hand, Botox in the management of vascospastic disorders, Vascular injuries in sports activities, Present options for the management of hypothenar hammer syndrome and many more!
In this issue of Hand Clinics, guest editor Dr. Sonu Jain brings his considerable expertise to the topic of Managing Difficult Problems in Hand Surgery: Challenges, Complications and Revisions. Top experts in the field provide solutions to overcome surgical challenges and restore hand function in patients, with an up-to-date focus on particularly difficult issues in today's hand surgery. - Contains 18 practice-oriented topics including management of complex hand and wrist ligament injuries; challenges in nerve repair and reconstruction; tendon transfers: improving results, decreasing complications; infection management for the hand surgeon; and more. - Provides in-depth clinical reviews of managing difficult problems in hand surgery, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
This issue of Hand Clinics will focus on minimally invasive hand and wrist surgery. This surgery refers to the treatment of bone and soft tissue injuries without the need for traditional open surgical incision. With the aid of new techniques and computerized machinery, even a rather complex surgery can be performed with only a few small incisions. This can be done using arthroscopy, or other techniques that use alternate methods to visualize the work site. This issue will cover all the basics of minimally invasive techniques including an overview paper on the current procedures.
In this issue of Hand Clinics, guest editors Frédéric Schuind, Fabian Moungondo, and Luc Van Overstraeten bring their considerable expertise to the topic of The Use of Sonography in Hand/Upper Extremity Surgery. Top experts in the field cover key topics such as Flexor Tendons Sonography, Sonographic Diagnosis of Carpal Tunnel Syndrome, Atlas of Sonographic Anatomy of the Hand and Wrist, and more. - Contains 9 relevant, practice-oriented topics including Nerve Ultrasound-Assisted Surgery for Neuropathic Pain and Joint Denervation; Preoperative Evaluation of Thenar Muscles in Carpal Tunnel Syndrome by Ultrasonograph; Shear Wave Ultrasound Elastography for Hand Soft Tissue Assessment; and more. - Provides in-depth clinical reviews on the use of sonography in Hand/Upper Extremity Surgery, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.