Complications

A Surgeon's Notes on an Imperfect Science

Author: Atul Gawande

Publisher: Metropolitan Books

ISBN: 9781429972109

Category: Medical

Page: 288

View: 1193

A brilliant and courageous doctor reveals, in gripping accounts of true cases, the power and limits of modern medicine. Sometimes in medicine the only way to know what is truly going on in a patient is to operate, to look inside with one's own eyes. This book is exploratory surgery on medicine itself, laying bare a science not in its idealized form but as it actually is -- complicated, perplexing, and profoundly human. Atul Gawande offers an unflinching view from the scalpel's edge, where science is ambiguous, information is limited, the stakes are high, yet decisions must be made. In dramatic and revealing stories of patients and doctors, he explores how deadly mistakes occur and why good surgeons go bad. He also shows us what happens when medicine comes up against the inexplicable: an architect with incapacitating back pain for which there is no physical cause; a young woman with nausea that won't go away; a television newscaster whose blushing is so severe that she cannot do her job. Gawande offers a richly detailed portrait of the people and the science, even as he tackles the paradoxes and imperfections inherent in caring for human lives. At once tough-minded and humane, Complications is a new kind of medical writing, nuanced and lucid, unafraid to confront the conflicts and uncertainties that lie at the heart of modern medicine, yet always alive to the possibilities of wisdom in this extraordinary endeavor. Complications is a 2002 National Book Award Finalist for Nonfiction.

Complications in Surgery

Author: Michael W. Mulholland,Gerard M. Doherty

Publisher: Lippincott Williams & Wilkins

ISBN: 9780781753166

Category: Medical

Page: 826

View: 6146

This volume offers authoritative, evidence-based recommendations for preventing and managing complications in all current general surgery procedures. The opening sections discuss institutional risk management issues and risks common to all operations, such as wound healing problems, infection, shock, and complications in immunosuppressed patients. Subsequent sections focus on complications of specific procedures in thoracic, vascular, gastric, endocrine, breast, and oncologic surgery, as well as organ transplantation and pediatric surgery. For each procedure, the authors discuss surgical goals, expected outcomes, preoperative identification of risk factors, intraoperative technique, and postoperative risk. Numerous decision-making algorithms, drawings of techniques, and tables complement the text.

Complications of Urologic Surgery and Practice

Diagnosis, Prevention, and Management

Author: Kevin R. Loughlin

Publisher: CRC Press

ISBN: 9781420013955

Category: Medical

Page: 576

View: 5254

Divided into five sections focusing on perioperative, surgical, pediatric, endoscopic and laparoscopic, and miscellaneous complications, this guide supplies state-of-the-art strategies for the identification, prevention, and management of the myriad complications that can arise during urologic surgical treatment. With contributors from leading health centers across the United States, this source reviews the potential complications of the latest laparoscopic procedures, as well as those related to systemic conditions.

Surgical Complications

Diagnosis and Treatment

Author: Nadey S. Hakim,Vassilios E. Papalois

Publisher: Imperial College Press

ISBN: 1860946925

Category: Medical

Page: 991

View: 9819

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.

Complications of Shoulder Surgery

Treatment and Prevention

Author: Thomas J. Gill,Richard J. Hawkins

Publisher: Lippincott Williams & Wilkins

ISBN: 9780781757294

Category: Medical

Page: 187

View: 9142

Written by internationally recognized master surgeons, this book is a comprehensive, practical guide to prevention, diagnosis, and management of complications in shoulder surgery. Major sections focus on open and arthroscopic surgery, and each section includes chapters on specific procedures, such as surgery for anterior shoulder instability, surgery for posterior/multidirectional instability, rotator cuff repair, arthroplasty, fracture management, arthrodesis, subacromial decompression, acromioclavicular joint resection, and thermal capsulorrhaphy. For each procedure, the authors discuss the full range of potential complications and present their preferred approaches to prevention, diagnosis, and treatment of these problems. More than 200 illustrations complement the text.

Neurologic Complications of Cancer

Author: Lisa M DeAngelis,Jerome B Posner

Publisher: Oxford University Press

ISBN: 9780199710553

Category: Medical

Page: 656

View: 5839

Patients with cancer can suffer from a bewildering variety of neurologic signs and symptoms. The neurologic symptoms are often more disabling than the primary cancer. Symptoms including confusion, seizures, pain and paralysis may be a result of either metastases to the nervous system or one of several nonmetastatic complications of cancer. The physician who promptly recognizes neurologic symptoms occurring in a patient with cancer and makes an early diagnosis may prevent the symptoms from becoming permanently disabling or sometimes lethal. This monograph, an update of the first edition published in 1995, is divided into 3 sections. The first classifies the wide variety of disorders that can cause neurologic symptoms the patient with cancer, discusses the pathophysiology of nervous system metastases, the pathophysiology and treatment of brain edema and the approach to supportive care of common neurologic symptoms such as seizures, pain, and side effects of commonly used supportive care agents. The second section is devoted to nervous system metastases, addressing in turn, brain, spinal cord, meningeal and cranial and peripheral nerve metastases, describing clinical symptoms, approach to diagnosis and current treatment. The third section addresses several nonmetastatic complications of cancer and includes sections on vascular disease, infections, metabolic and nutritional disorders, side chemotherapy, radiation and other diagnostic and therapeutic procedures. The final chapter addresses paraneoplastic syndromes. The book is intended for practicing oncologists, neurologists, neurosurgeons and radiation oncologists as well as internists who treated patients with cancer. Our attempt was to write a book that would assist oncologists in understanding neurologic problems and neurologists in understanding oncologic problems. The book is also intended for physicians training to specialize in any of the above areas. It includes a practical approach to the diagnosis and management of patients with neurologic disease who are with known to have cancer or in whom cancer is suspected.

Dermatologic Complications with Body Art

Tattoos, Piercings and Permanent Make-Up

Author: Christa de Cuyper,Maria Luisa Cotapos

Publisher: Springer Science & Business Media

ISBN: 9783642032929

Category: Medical

Page: 110

View: 7102

Body piercings, tattoos, and permanent make-up have become very popular as a fashion statement in recent decades. This book guides the reader through the world of body art. An overview is first provided of the history and epidemiology of tattoos and piercings. Subsequent chapters go on to examine in detail the materials and devices used in various forms of body art, and the techniques employed. All relevant risks and potential complications are clearly described with the aid of color illustrations. Special attention is paid to allergic reactions and the management of complications. The closing chapter examines the techniques and devices used for tattoo removal, with a particular focus on the use of different lasers.

Complications in Vascular Surgery, Second Edition

Author: Jonathan B. Towne,Larry H. Hollier

Publisher: CRC Press

ISBN: 0824756789

Category: Medical

Page: 744

View: 2843

Substantially revised to reflect the most recent surgical techniques and practices, this reference describes the most effective strategies to prevent, identify, and manage complications in vascular surgery-guiding surgeons through patient selection; instances of entrapment, malpositioning, and rupture; emerging endovascular treatments; and specific device-related complications.

Complications

Author: Garrett T. Caples

Publisher: N.A

ISBN: N.A

Category: Poetry

Page: 127

View: 3671

Poetry. COMPLICATIONS is the second full-length poetry collection by Oakland-based poet Garrett Caples. Reflecting the moral disintegration of the post-9/11 world, COMPLICATIONS is an even wilder, darker, funnier exploration of poetic consciousness than its predecessor, THE GARRETT CAPLES READER. From semiotic reportage to automatic writing, oulipian constraint to straightforward elegy, COMPLICATIONS is an eclectic tour de force in the service of a fundamental proposition: "surreality is real." About THE GARRETT CAPLES READER, Philip Lamantia earlier said, "a wonderful book of prose and poetry" while Robert Creeley called it "a lovely piece of work all the way through."

Complications in Dermatologic Surgery

Author: Keyvan Nouri

Publisher: Elsevier Health Sciences

ISBN: 0323045464

Category: Medical

Page: 353

View: 6880

World-renowned experts in the field guide you through the potential intra- and post-operative risks associated with the dermatologic surgeries you perform every day. You'll find cutting-edge knowledge on how to avoid and manage complications resulting from laser surgery, photodynamic therapy, hair transplantation, chemical peeling, dermabrasion, leg vein treatments, temporary fillers, permanent fillers, botulinum toxin, liposuction, blepharoplasty, facelifts and ancillary facial cosmetic surgery procedures, skin cancer surgery/Mohs' micrographic surgery, reconstructive surgery, electrosurgery, cryosurgery, nail surgery, and contact dermatitis in dermatologic surgery. The preparation of the patient, psychosocial issues, and anesthesia complications for all procedures are also covered. World-renowned experts guide you through the potential intra- and post-operative complications, preventive measures, and treatment options relating to dermatologic surgery. Comprehensive coverage of the most common dermatologic surgical procedures, including cosmetic, general, and cutaneous oncology surgeries, helps you assess the risks associated with a particular surgery and determine which option is best for your patient. Detailed evaluations of treatment options and plans equip you with the knowledge you need to confidently manage any complication. The bonus CD-ROM contains all the book's illustrations for on-the-go reference.

Complications in Gynecological Surgery

Author: Peter O'Donovan

Publisher: Springer Science & Business Media

ISBN: 1846288835

Category: Medical

Page: 144

View: 2589

Risk management is a relatively new process that can sometimes evoke feelings of suspicion among clinicians. However, when used proactively, it offers the opportunity to act at the root cause of an incident to expose de? ?ci- cies in the system rather than in individuals. This process encourages a s- portive approach to patients, relatives, and staff. The overall aim should be to learn lessons rather than to attribute blame. References 1. Vincent C, Neale G, Woloshynowych M. Adverse events in British hospitals: a p- liminary retrospective record review. Br Med J. 2001;322:517–519. 2. Neale G, Woloshynowych M, Vincent C. Exploring the causes of adverse events in NHS hospital practice. J R Soc Med. 2001;94:322–330. 3. Walshe K. The development of clinical risk management. In: Vincent C, ed. Clinical Risk Management. London: BMJ Publishing Group; 2001, p. 45–60. 4. Department of Health. An Organization with a Memory. London: HMSO; 2000. 5. National Patient Safety Agency. Reporting incidents. Available at: http://www.npsa. nhs.uk/health/reporting. Assessed June 25, 2007. 6. National Con? ? dential Enquiry into Perioperative Deaths. Changing the way we operate. The 2001 Report of the National Con? ? dential Enquiry into Perioperative Deaths. London: National Con? ?dential Enquiry into Perioperative Deaths; 2001. Available at: http://www.ncepod.org.uk. Assessed June 25, 2007. 7. General Medical Council. Good Medical Practice. London: General Medical Council; 2006. Available at: http://www.gmc-uk.org/guidance/good_medical_practice/index. asp.

Management of Complications in Refractive Surgery

Author: Jorge L. Alió y Sanz,Dimitri T. Azar

Publisher: Springer Science & Business Media

ISBN: 9783540375845

Category: Medical

Page: 362

View: 5770

This illustrated guide is written by international opinion leaders with extensive experience in the practice of refractive surgery. It is the first book devoted to refractive complications (with practical hints and case reports on outcomes) to provide ophthalmic surgeons with the most adequate solutions for the most frequent problems. All complications are described and lavishly illustrated. The book provides ophthalmic surgeons with the most adequate solutions for the most frequent problems they face in their daily practice.

Complications in Knee and Shoulder Surgery

Management and Treatment Options for the Sports Medicine Orthopedist

Author: Robert J. Meislin,Jeffrey Halbrecht

Publisher: Springer Science & Business Media

ISBN: 9781848822030

Category: Medical

Page: 280

View: 9754

“To Err is Human...” Alexander Pope Any surgical intervention has potential risks and complications. This book is designed as a reference tool and a roadmap for the sports medicine orthopedist to minimize the complications in knee and shoulder surgery. Some complications are avoidable; some are not. By understanding the functional anatomy at risk, proper surgical setup, proper equipment, and proper patient selection, a preventative approach to complications can be instituted. The authors of these chapters represent leaders in orthopedic sports medicine and have provided novel methods for dealing with intraoperative complications and si- ations that can occur in the midst of a “routine” arthroscopic reconstruction. In d- cussing these issues, we hope to raise the surgeon’s awareness of potential complications and to provide wisdom and advice to properly avoid and treat these problems should they arise. How one deals with complications truly tests the mettle of the surgeon. Keeping one’s “cool” in the midst of an intraoperative complication will be facilitated by h- ing an algorithmic approach. We hope that this book will improve your outcome should these problems occur. Some complications are unavoidable. Arthro brosis or stiffness may take place in the best of hands. Infection may surface postoperatively in the most sterile OR. We provide you with the background to confront these challenges. A list of ten “Pearls” are offered at the beginning of most chapters as a quick reference card.

Complications of Spine Surgery

Treatment and Prevention

Author: Howard S. An,Louis G. Jenis

Publisher: Lippincott Williams & Wilkins

ISBN: 9780781757911

Category: Medical

Page: 195

View: 5848

Written by internationally recognized experts, this book is a comprehensive, practical guide to prevention, recognition, and management of complications in spine surgery. Sections cover the cervical spine and the thoracolumbar/lumbosacral spine and discuss the full range of complications that may be encountered, including those associated with the newest technologies, procedures, and instrumentation. Each chapter focuses on a specific type of problem and presents "how-to" strategies for avoiding and managing the problem in specific surgical procedures. Of special note are the detailed discussions of complications related to instrumentation. Each chapter includes extensive, up-to-date references. More than 150 illustrations complement the text.

Thromboembolic Complications During Infancy and Childhood

Author: Maureen Andrew,Paul T. Monagle,LuAnn Brooker

Publisher: PMPH USA

ISBN: 9781550090369

Category: Medical

Page: 429

View: 5084

Every year, there are several hundred thousand episodes of neonates and children experiencing thromboembolic incidents. These episodes of blood clotting have many causes, some congenital but most caused by underlying problems, such as arterial disease, renal disorders, systemic lupus erythematosis or leukemia. Many more are caused by therapeutic interventions in critical care. The author is a world recognized expert on the topic who has studied thousands of cases. Based on this clinical research, the author provides guidelines for the proper diagnosis and therapeutic interventions for thrombolic disorders, no matter what the cause. She covers the newest drug therapies including oral anticoagulation preparations.

Medical Complications of Psychiatric Illness

Author: Claire Pomeroy,James E. Mitchell,James L. Roerig,Scott J. Crow

Publisher: American Psychiatric Pub

ISBN: 9781585627769

Category: Medical

Page: 228

View: 8960

Psychiatric patients have an increased rate of morbidity and mortality due to physical illnesses. Distressingly, psychiatrists fail to recognize these comorbid medical illnesses in nearly half of all cases. All too often, the physical illness may be causing or exacerbating the psychiatric symptoms. Furthermore, the psychiatric condition itself and iatrogenic complications of medication or other treatments can result in serious medical pathology. Until now, most psychiatrists have deferred the general medical care of their patients to other practitioners. Yet because psychiatrists are uniquely positioned to provide health care that bridges somatic and mental conditions, they are increasingly being called on to ensure that their patients also receive adequate medical care. This breakthrough text responds to that call to action from a perspective unique in the literature: It focuses on the medical complications of psychiatric illnesses, rather than the more typical psychiatric complications of medical illnesses. This concise yet comprehensive book is intended for practitioners who treat adult medical patients. It is divided into two main sections: Health Care of Psychiatric Patients, organized by recommendations for routine medical management and reproductive health, focuses on the general health care maintenance of psychiatric patients with medical illnesses. Also discussed are the unique reproductive health needs of psychiatric patients, who are often at increased risk of coercive or abusive sexual relationships, rape and other sexual assaults, unplanned pregnancy, pregnancy complications, and sexually transmitted diseases. Psychiatric Disorders, organized by diagnostic groupings, focuses on those psychiatric disorders -- affective, anxiety, and somatoform disorders and dementia; schizophrenia and other psychotic disorders; Munchausen's syndrome and other factitious disorders; self-injurious behavior; eating disorders; and alcohol and drug abuse -- that most clearly can have medical complications. Using extensive notes and tables throughout, these distinguished contributors have created far more than just another compendium of medical illnesses that can present with psychiatric symptoms. Here you'll find a practical, detailed roadmap that will be welcomed not only by students, residents, and clinicians working with adult psychiatric patients who develop medical complications, but also by practitioners who manage psychiatric patients in a general medical practice.

Complications of Dialysis

Author: Norbert Lameire,Ravindra Mehta

Publisher: CRC Press

ISBN: 9780824745295

Category: Medical

Page: 888

View: 4538

Responding to the rising number of ESRD patients and the increasing importance of dialysis care and management, Complications of Dialysis provides a comprehensive, multidisciplinary perspective on the latest therapy options-addressing complications that may arise from dialysis and utilizing the patient-, technique-, and relationship-oriented approaches to facilitate better treatment. Investigates causality of economic stipulations contributing toward adverse outcomes! Outlines therapeutic modalities in North America, Europe, and developing countries! Clearly organized into procedure- and patient-related sections while offering a balanced combination of pathophysiology and applications, this practical resource integrates technical experience with clinical results. Written by 80 international experts, Complications of Dialysis discusses management and advice strategies for each complication explores socioeconomic and environmental aspects and the interaction of public health with environmental and economic conditions examines issues of vascular access, dialysate composition, water treatment, and the biocompatibility of membranes related to hemodialysis investigates problems associated with peritoneal membrane failure describes benefits and limitations of delivered dosages and anticoagulation in various therapies analyzes the conjunctive effects of dialysis with cardiac and bone diseases, immune dysfunction, and pulmonary and hypertension illnesses considers nutrition, endocrine, and sexual concerns for dialysis patients addresses special issues concerning renal replacement therapy in the ICU, in children, and in patients with HIV and more! With over 5000 literature references, tables, drawings, photographs, x-rays, and equations, Complications of Dialysis serves as an insightful reference for nephrologists, renal pathologists, hematologists, endocrinologists, cardiologists, critical care physicians, fellows, residents, and medical school students.

Complications in Cutaneous Surgery

Author: Hugh M. Gloster

Publisher: Springer Science & Business Media

ISBN: 0387731520

Category: Medical

Page: 246

View: 8234

This comprehensive volume examines the possible complications that can arise in cutaneous surgery. The demand for outpatient cutaneous surgery procedures has increased at a rapid rate over the last several decades. As the number of cutaneous surgery procedures rises, so will the rate of complications, which are inevitable and occur even with the most skilled, careful, and meticulous surgeons. This work will help the practicing physician to formulate a preoperative strategy that will prevent complications before they occur as well as properly diagnose and manage complications if they arise, allowing the physician to provide optimal care to the patient.

Complications in Surgery and Trauma

Author: Stephen M. Cohn

Publisher: CRC Press

ISBN: 9781420015218

Category: Medical

Page: 688

View: 5168

The only in-depth source to focus specifically on surgical complications, this reference provides practical information on the incidence, management, and avoidance of complications encountered during and after surgical procedures. Spanning the vast array of complications related to a wide variety of preoperative, intraoperative, and postoperative events such as organ transplant, amputations, nerve and fracture repair, wound repair, and skin grafting, this guide offers detailed guidance and techniques to recognize and control complications in the operating room, emergency ward, and intensive care unit.

Complications of Percutaneous Coronary Interventions

Author: Samuel M. Butman

Publisher: Springer Science & Business Media

ISBN: 9780387293011

Category: Medical

Page: 170

View: 8196

Covers the whole range of potential complications of PCI Only book exclusively dedicated to the risks of PCI Complements available texts that detail interventional cardiology Supports physicians in improving care by anticipating or recognizing problems Appeals to cardiologists or interventional radiologists Addresses cardiac arrest, legal matters and adverse event reporting Essential information is easily accessible in useful tables Text is logically organized and richly illustrated with 184 illustrations on 210 pages