General Surgery: Preventive Medicine

After the ICU: Multidisciplinary Perspectives on Supporting Critical Illness Survivors by Meghan Lane-Fall; David S. Shapiro; Lewis Kaplan, 2024 An essential guide to navigating the journey to recovery from critical illness Millions of patients are admitted to intensive care units (ICUs) each year, one third of whom need a ventilator machine to help them breathe. These critically ill patients may develop health problems related to their illness, injury, ventilator or other treatments. Such problems can continue after the patient leaves the hospital. LANGE: After the ICU: Multidisciplinary Perspectives on Supporting Critical Illness Survivors fills a gap in the existing literature on the subject. Arranged in three sections, the book addresses the ways in which care in the ICU can impact life afterwards and provides a framework for the recovery process. The early chapters feature personal stories from patients describing their life-threatening illness, journey to recovery, and the clinicians who helped them along the way. In the following chapters, clinicians, physicians, nurses, and patients' family members share their unique perspectives on the recovery process. Each chapter includes a specific section dedicated to tips for clinicians. Includes key concepts of care across the arc of the ICU patient encounter Evidence-based interventions are presented and summarized in a practical stepwise approach Features accounts from patients, clinicians, physicians, nurses, and others involved in the care and recovery process

Handbook of Perioperative and Procedural Patient Safety by Juan A. Sanchez; Robert S. D. Higgins; Paula S. Kent, 2024 Offering a concise yet comprehensive review of current practices in surgery and patient safety, Handbook of Perioperative and Procedural Patient Safety is an up-to date, practical resource for practicing surgeons, anesthesiologists, surgical nurses, hospital administrators, and surgical office staff. Edited by Drs. Juan A. Sanchez and Robert S. D. Higgins and authored by expert contributors from Johns Hopkins, it provides an expansive look at the scope of the problem, causes of error, minimizing errors, surgical suite and surgical team design, patient experience, and other related topics. Presents the knowledge and experience of a multidisciplinary team from Johns Hopkins University, which created the Comprehensive Unit-based Safety Program (CUSP), an approach for improving safety culture and engaging frontline clinicians to identify and mitigate defects in care delivery. Discusses the scope and prevalence of perioperative harm, causes of error in healthcare, and perioperative never events. Covers safe practices, cognitive workload and fatigue, and the effects of noise in the OR. Includes several team-based chapters such as the dynamics of surgical teams, safer perioperative team communication, and the culture of safety. Consolidates today's available information and guidance into a single, convenient resource.

On Call Surgery by Gregg A. Adams; Stephen D. Bresnick; Jared Forrester et al, 2020 Ideal for any on-call professional, resident, or medical student, this best-selling reference by Drs. Gregg A. Adams, Stephen D. Bresnick, Jared Forrester, and Graeme Rosenberg covers the common problems you'll encounter while on call without direct supervision in the hospital. On Call Surgery, 4th Edition, fits perfectly in your pocket, ready to provide key information in time-sensitive, challenging situations. You'll gain speed, skill, and knowledge with every call - from diagnosing a difficult or life-threatening situation to prescribing the right medication. Highlights medications, doses, and critical information in a second color for fast reference. Features a logical, highly templated format so you can locate key information quickly. Delivers consistent, easy-to-follow coverage of the most common on-call problems and approaches, including what to do from the initial phone call, questions you should ask to assess the urgency of each situation, "Elevator Thoughts," how to immediately identify major threats to life, what to do at the bedside, and how to avoid common mistakes for every call. Provides updated content and references, as well as an up-to-date drug formulary, keeping you on the cutting edge of current, evidence-based information. NEW! Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.

Perioperative Care of the Cancer Patient by Carin A. Hagberg; Joseph L. Nates; Berhard P. Riedel et al, 2023 More than 80% of patients with cancer will need the services of anesthesiology and perioperative medicine, intensive care medicine, and pain management specialists during their cancer journey for diagnostic, therapeutic, and symptom management needs, as well as for the management of recurrent disease, secondary cancers, and ongoing non-oncologic surgical needs during survivorship. Perioperative Care of the Cancer Patient is today's most up-to-date, authoritative, comprehensive reference on the acute care of surgical patients with cancer, from a team of international experts in this emerging and dynamic specialty. Covers current clinical practice and perioperative care guidelines during the entire cancer journey for both adult and pediatric patients. Includes a diverse array of topics on cancer care, such as cancer epidemiology, cancer biology, ethics in cancer care delivery, value proposition in cancer care, opportunities and challenges with research programs in perioperative cancer care, application of big data and computational sciences in cancer medicine and care delivery, and the MD Anderson Cancer Center Moon Shots Program®. Discusses newer cancer therapies and their perioperative implications, functional assessment and prehabilitation, enhanced recovery programs in cancer care, challenges with novel cancer therapies in the care of the critically ill cancer patient, chronic and interventional pain management in patients with cancer, and more. An educational resource and clinical reference for surgeons, anesthesia practitioners, hospitalists, internists, pain physicians, intensivists, basic science researchers, and all clinicians involved in the acute care of surgical patients with cancer. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Perioperative Quality Improvement by Carol J. Peden; Lee A. Fleisher; Michael Englesbe, 2023 Quality improvement (QI) principles are increasingly important in every area of today's healthcare, encompassing efforts to make healthcare delivery safer, more effective, patient-centered, timely, equitable, and efficient. Perioperative Quality Improvement provides up-to-date, easy-to-read guidance for perioperative clinicians on this critical topic. Each chapter covers a pertinent area of QI in the perioperative setting, focusing on both concepts and implementation. Written and edited by key international opinion leaders in the field, this text is a relevant, concise resource for anesthesiologists, surgeons, nurse anesthetists, and hospitalists-anyone involved in perioperative medicine regardless of specialty area. Explains concepts related to understanding the tools and techniques used in improving the quality of care, establishing a culture of quality, prioritizing areas of improvement, collecting and analyzing data, communicating, motivating people to change, and performing ongoing evaluations. Covers key topics such as patient-centered care, equity, shared decision making, process mapping, and sustainability. Addresses the critical areas of structure, process and outcome with a focus on perioperative care and relevant case studies. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Principles of Perioperative Safety and Efficiency by Jamal J. Hoballah; Haytham M. A. Kaafarani; Georgios Tsoulfas, 2024 Perioperative safety continues to be a global challenge. It is estimated that approximately 200 million surgical procedures are performed annually worldwide, and despite various national and global safety initiatives, perioperative adverse event rates remain alarmingly high. Although hospitals and governmental agencies impose safety standards and certification by organizations such as the Joint Commission, which can address issues of perioperative safety, many hospitals in developed, developing or underdeveloped countries lack the resources or knowhow to decrease perioperative adverse events. There is a great opportunity for improving perioperative safety worldwide especially in underdeveloped or developing countries. Filling a gap in the literature, this book teaches healthcare providers the basic principles of perioperative safety and efficiency, including checklists and processes to reduce adverse events. Presented here are the basics of intraoperative monitoring and safety measures to reduce patient adverse events, including wrong site surgery, electric burn injury, deep venous thrombosis, surgical site infection and foreign body retention. Emphasis is given toward developing awareness into measures preventing occupational injuries, such as sharp injury, radiation exposure, laser exposure and smoke hazard. It also addresses dealing and reporting adverse events and disruptive behaviors in the operating rooms as well as new measures for enhanced recovery following surgery and anesthesia. Principles of Perioperative Safety and Efficiency is a valuable resource and reference for all operating room personnel including surgeons, surgical residents, medical students and nurses.

Recent Strategies in High Risk Surgery by Joel Faintuch; Salomao Faintuch, 2024 Major surgical societies have been publishing perioperative recommendations for over half a century, based on committees conducting reviews of the literature. Surgical books fundamentally target the intraoperative period when anesthesia is going on. Fatalities are often embedded in a larger context of systemic failures, in which initial problems are sidestepped or mishandled till they become overwhelming and irreversible. There must be a guiding principle and a truly integrated approach for each condition and treatment, of course based on the strongest available evidence. This unique book provides the reader standardized instructions and recommendations on the management of all high-risk surgical candidates in different specialties and contexts, encompassing a continuum of care, and not just in selected phases or groups. Written by worldwide experts, it is divided in 11 sections and 41 chapters which discuss:  Preoperative evaluation, Lifestyle interventions, Surgical specialties, Protocols of special relevance, Fluids, electrolytes and shock, Perioperative surgical challenges, Bedside and adjunct procedures, Wound care, Innovative Approaches (including artificial intelligence and machine learning), End of life care and other ethical challenges. It also includes an additional section with supplementary material. Residents, fellows, practitioners in training and seasoned professionals seeking society recertification, primarily in surgery, anesthesiology, intensive care medicine, internal medicine, emergency services, trauma, vascular surgery, nursing, and physical therapy will find this book valuable. Professionals in the industry (especially those related to surgery, critical care monitoring devices, imaging diagnosis and interventional radiology), policy makers and government agencies will also benefit from this work.

Social Determinants of Health in Surgery by Samilia Obeng-Gyasi; Timothy M. Pawlik, 2024 At the core of the book Social Determinants of Health is the role of the physician best demonstrated by the quote of Sir William Osler, “the good physician treats the disease, the great physician treats the patient who happens to have that disease.” This statement foreshadows the necessary and critical understanding of social determinants and the impact that they have on the patients' health disparities and the delivery of care they receive. Many of these patients live in impoverished settings, who often are underrepresented minorities in healthcare in America. One of the most significant challenges for American Healthcare is addressing health disparities. The problem we saw highlighted best during the COVID-19 pandemic with the differential suffering of those who lived with disparities and significant social determinants of health. These social determinants are the factors that affect healthcare outcomes that are driven by either racial or ethnic differences that do not relate to medical-related factors. These determinants are the circumstances in which people are born, grow up, live, and work and the health systems that are put in place to deal with their illnesses. Determinants of health also relate to clinical care, genes, and biology but are the minority factors that determine health outcomes. Behaviors are largely driven by the educational, social, and economic factors and physical environment that make up the vast majority of the outcomes of health. These factors bolster the understanding that one's zip code versus genetic code is still the greatest determinant of your health outcome. It is crucial for the “great” (competent) physician to understand these social determinants in the context of their impact on their patient who happens to have diseases that are often driven by them. The impact of social determinants and their cost to American Healthcare is framed by the economic instability, the limited physical environment for both exercise and safety, a lack of quality education, food insecurity, the lack of full integration within communities, persistent discrimination, as well as limited access to health systems. All of these factors are critical for surgeons and physicians alike, to understand their implications and the healthcare outcomes of the patients they serve. Unfortunately, this is a burden we have ignored too long. This book provides the opportunity to look at each of these significant determinants, provides a basis for understanding and their impact, as well as the research that has been accomplished around this, demonstrating in many ways how we may address these determinants and improve disparities. Finally, we must avoid the misconception of this being a zero-sum game. In fact, we will create better healthcare for all both by taking down barriers and by creating more effective, efficient, and cost-effective healthcare systems by addressing these social determinants.

Surgical Decision-Making: Evidence and Beyond, 2nd ed. by Rifat Latifi, 2024 This revised and expanded new edition reviews surgical decision-making in complex surgical procedures, including making difficult decisions, continuous awareness of the patient's physiologic status, the biochemical profile, endpoint resuscitation and the surgeon's own physiologic status. Other specific surgical decisions are discussed, such as when to operate and when not to operate, re-operations and operations in specific conditions and age groups. This new edition addresses these and other elements that are important for the intraoperative and perioperative decision-making process, including basic questions that have not been answered appropriately in the literature. Many of us make decisions based on current evidence, but much of it based on "a gut feeling" or "intuition" or the "gray hair effect," among other techniques. In this book, the anatomy of such decisions is explored from a theoretical standpoint as well as objective data that we as surgeons use to make surgical decisions. Nowhere else is the matter of how we make a decision -- often with a very limited amount of data, decisions that will decide between someone living or dying -- more prevalent than in trauma surgery and other complex surgeries, including the unplanned return to the operating room. Our collective firsthand experience as surgeons points to a combination of factors contributing to our perioperative and intraoperative decision-making process, including education, clinical know-how, mentoring, and the creativity and excellence that come with long practice and strict discipline. The second edition of Surgical Decision-Making: Evidence and Beyond provides a unique and valuable resource in the field for surgeons currently in training and for those already in clinical academic or community surgery practice.

Surgical Decision Making by Robert C. McIntyre; Richard D. Schulick, 2020 Using a proven, practical, algorithmic approach, Surgical Decision Making summarizes evidence-based guidelines and practice protocols in an easy-to-follow format. Designed to sharpen the decision-making skills of both trainees and practicing surgeons, the 6th Edition directs your focus to the critical decision points in a wide range of clinical scenarios, helping you determine optimal evaluation and management to secure the best possible patient outcomes. Algorithms are accompanied by annotations that explain all critical factors affecting decisions in a concise, readable manner. Reflects the scope of practice of today's general surgeon, with fresh, expert perspectives from new editor Dr. Richard Schulick and numerous new contributors. Contains 58 new chapters and thoroughly revised content throughout. Includes new coverage of Preoperative Evaluation of the Geriatric Patient, Pancreatic Cystic Neoplasm, Familial Breast Cancer, Resuscitative Endovascular Balloon Occlusion of the Aorta, Blunt Cerebrovascular Injury, and much more. Uses an easy-to-follow, consistent format, with an algorithm on one page and short descriptions explaining the various steps in the decision-making process on the opposite page. Includes explanatory notes that summarize presenting signs and symptoms, laboratory investigation, diagnostic modalities, surgical therapies, and adjuvant therapies for each condition. Encompasses both general surgery and surgical subspecialties?helping you directly manage a broad range of problems. Emphasizes information that frequently appears on board exams. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Surgical Decision Making, Evidence, and Artificial Intelligence

Surgical Decision Making, Evidence, and Artificial Intelligence Supplement S

Surgical Patient Safety: a Case-Based Approach by Philip F. Stahel, 2018 Put patient safety at the center of your surgical protocol--with this essential case-based guide. Despite many advances in the practice of surgery, surgical complications continue to cause significant patient morbidity and mortality. Now more than ever, it is the responsibility of every surgeon to take the lead in understanding and mitigating complications and adverse events. Surgical Patient Safety: A Case-based Approach is your blueprint for putting this goal within reach. This timely resource gives you all the insights needed to effectively manage patient safety, covering everything from sharpening communication skills to establishing shared decision-making with patients and their families. Supplementing this important content are numerous case-based examples and exercises, supported by color illustrations, tables, figures, radiographs, and algorithms. Taken as a whole, this new textbook represents a one-stop, hands-on patient safety primer that no other sourcebook can match. Surgical Patient Safety represents a vital call to action--one designed to inspire a physician-driven initiative fostering a global culture of patient safety. Features * The latest practical patient safety tools for surgeons in training, including surgical safety checklists, intraoperative "rescue" strategies, and the global implementation of new regulatory compliance guidelines *Case-based scenarios examining technical challenges and bail-out options in the operating room *Bulleted "pearls and pitfalls" that take you through the decision-making process for diagnostic work up and revision of specific complications *Insights from renowned experts that explain how to handle malpractice lawsuits; navigate the modern dangers of electronic health records; apply the pragmatic "IKEA approach" for patient advocacy; and much more *A must-read for all practicing surgeons, independent of the surgical subspecialty

Syndromes: Rapid Recognition and Perioperative Implications, 2nd ed. by Bruno Bissonnette, 2019 The ULTIMATE reference about syndromes to have on hand to facilitate rapid recognition and perioperative implications --- in full color. Syndromes: Rapid Recognition and Perioperative Implications, Second Edition, is the ultimate reference for anesthesiologists, surgeons, internists, pediatricians, emergency physicians and nurses caring for patients affected with special operative needs and acute medical care. This updated book provides a complete A-to-Z encyclopedic clinical presentation of more than 2,200 syndromes. Extensive cross-referencing of international synonyms, classifications, and other conditions to be considered in the differential diagnosis further expands coverage to more than 5,000 entries..It is the most comprehensive reference on the subject. Syndromes: Rapid Recognition and Perioperative Implications, Second Edition, is enhanced by 200 high-quality photographs, in addition to tables, classifications and clinical management considerations. The addition of color tabs, a new feature, improve consultation and speed information retrieval. Each syndrome, listed in alphabetical order.