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Effective leadership is critical to ensuring safety, efficiency and maximum productivity in the operating room (OR). This practical, evidence-based third edition focuses on the dynamics of a successful OR environment to underline the key techniques for management of policies, systems, staff members and teams. Fully updated to include recent clinical guidelines, the book provides the 'A-Z' of OR management, including sections on metrics, scheduling, human resource management, leadership principles, economics, quality assurance, recovery, ambulatory practice and topics specific to anesthesia and pain service providers. Featuring new chapters on the role of artificial intelligence in transforming operating room perform, training, certification and career development, instrumentation management, and safety of operating room personnel. With contributions from authors with unrivalled experience in the field, this new edition continues to be an essential guide for anyone working in the OR including anaesthesiologists, surgeons, nurses, and administrators.
The practice of surgery has been revolutionized since the introduction of video-assisted endoscopy. Minimally invasive procedures are now available for almost all severe gynecologic diseases and conditions and innovations such as the use of video-assisted and robotic-assisted hysteroscopy and vaginoscopy make this one of the most dynamic and technically demanding specialties. The new edition of this authoritative textbook covers the full spectrum of laparoscopic and hysteroscopic procedures used in gynecologic surgery. Containing descriptions of new techniques such as fetoscopic surgery and practical advice on how to set up the operating theater, the avoidance and management of complications will be stressed throughout. Over 700 high-quality images and accompanying videos are included in the book, illustrating the concepts covered and helping readers incorporate information.
Written by highly experienced clinicians and examiners, this thoroughly revised and expanded second edition is an essential text for orthopaedic trainees preparing for FRCS (Tr&Orth) examination. Highly illustrated and containing over 1,000 single best answer questions (SBAs), it is a high-quality, useful revision tool. Rather than promoting simple recall like most orthopaedic MCQ texts, SBAs encourage higher order thinking and judgement which will support more comprehensive revision and understanding for trainees. This edition builds on key features from the first, containing new and updated exam questions that cover the spectrum of the orthopaedic syllabus. This includes difficult subject areas such as biomechanics, prosthetics/orthotics, anatomy and statistics. The text also contains two new chapters covering the impact of ethics and diseases on orthopaedic surgery. Crucially, this edition is tailored to post pandemic examination and deals with the more difficult isosteric ambiguous types of SBA questions that often appear in the real test.
Written by the candidates who ranked first and second nationally in the 2023 Core Surgical Training (CST) application process, this book is a definitive guide to success in the CST interview. This book takes candidates through the CST interview process, covering all of the clinical, ethical, and leadership components that an applicant can expect to be tested on. Over 55 clinical and ethics-based cases and hundreds of interview questions are used as part of a spiral curriculum that covers common stations and helps to build a replicable approach to each station. It also covers important aspects of communication and presentation skills. The authors share their tips and tricks for scoring highly, helping candidates to maximise their chances and stand out in a highly competitive field. This book will be an invaluable resource for foundation-year doctors and international medical graduates preparing to apply for CST.
Combining two successful texts, Clinical Fluid Therapy in the Perioperative Setting, 2nd edition and Perioperative Hemodynamic Monitoring and Goal Directed Therapy, this revised volume provides a guide to fluid management and hemodynamic therapy for the perioperative practitioner. The book begins with an up-to-date overview of the basics before then exploring most of the current and controversial topics within hemodynamic monitoring and fluid therapy. This is followed by a section on practical use which explores hemodynamic and fluid therapy in various types of surgery and patient conditions. The book closes with a discussion of the future concepts in fluid and hemodynamic therapy ranging from microcirculation, to closed-loop and mobiles technologies. With contributions from the world's leading experts, chapters guide the reader in the application of fluid and hemodynamic therapy in all aspects of perioperative patient care. A valuable resource for those involved in perioperative patient management, including anaesthesiologists, intensivists, and surgeons.
This classic textbook on cardiac anatomy has been updated in its fifth edition with additional high quality surgical and pathological photographs, as well as new information and recent findings of the last decade. Beginning with an overview of surgical approaches to the heart, the book goes on to discuss the surgical anatomy of the cardiac chambers, the valves, and the circulation and conduction system within the heart, moving on to cover malformations, lesions, and abnormalities. This edition is informed by the most up-to-date research findings, and a new chapter has been added which reviews cardiac development. A complimentary digital companion now accompanies the book, allowing readers to view the images in high-resolution on screen. Written from the stance of the cardiac surgeon, this updated book is essential reading for consultants and trainees in cardiac surgery, cardiology and cardiovascular radiology, and anatomists.
Cardiopulmonary exercise testing (CPET) is an increasingly important investigation for anaesthesiologists, surgeons, cardiologists, pulmonologists, physiologists, and peri-operative physicians. For trainees, non-experts, or simply those seeking an introduction to interpreting CPETs, this essential book builds layers of knowledge that can be applied in case studies and in future practice. It will help you learn and understand: What is CPET and what are the principles of exercise physiology How to conduct a CPET How to interpret a CPET nine-panel plot How to assess exercise capacity and limitation. This practical and clinical guide is both easy to read and easy to understand and features diagrams illustrating key principles. It outlines the basic physiological principles and takes a step-by-step approach to conducting and interpreting a cardiopulmonary exercise test, together with case studies to consolidate learning. Chapters cover the indications and contraindications of CPET, test safety and complications, spirometry, writing a CPET report, and shared decision-making.
This newly updated and expanded second edition brings together the information that every trainee needs to know when faced with paediatric cases in their clinical practice and the FRCS (Tr and Orth) examination, as well as the European Board of Orthopaedics and Traumatology, FRACS (Orth), FRCSC (Orth) and the American Board of Orthopaedic Surgery examinations. The content is organised according to body regions, with step-by-step guides to common paediatric orthopaedic operations. This new edition includes colour illustrations, additional clinical photographs, charts and radiographs, and updated management guidelines. Tips, tricks and avoidance of common pitfalls guide candidates to success in their examinations, and the book gives particular attention to areas of the syllabus that trainees find particularly challenging. The concise, evidence-based chapters are written by practising paediatric orthopaedic surgeons to reflect the core knowledge expected of a newly appointed consultant. This is the essential revision guide for the paediatric component of the FRCS (Tr and Orth) and other orthopaedic examinations.
Approximately one in twenty men have sperm counts low enough to impair fertility but little progress has been made in answering fundamental questions in andrology or in developing new diagnostic tools or management strategies in infertile men. Many of these problems increase with age, leading to a growing population of men seeking help. To address this, there is a strong movement towards integrating male reproductive and sexual healthcare involving clinicians such as andrologists, urologists, endocrinologists and counselors. This book will emphasize this integrated approach to male reproductive and sexual health throughout the lifespan. Practical advice on how to perform both clinical and laboratory evaluations of infertile men is given, as well as a variety of methods for medically and surgically managing common issues. This text ties together the three major pillars of clinical andrology: clinical care, the andrology laboratory, and translational research.
This gold standard text has kept its readers abreast of rapid advancements in reproductive medicine and surgery since 1983. Continuing this tradition, this fifth edition has been fully updated and revised to provide clear, didactic advice on best practice for a variety of clinical situations faced by practitioners across many specialties - including urologists, gynecologists, reproductive endocrinologists, medical endocrinologists and many in internal medicine and family practice who see men with suboptimal fertility and reproductive problems. Completely restructured to include pedagogical features such as easily accessible key concepts that cement understanding and real-world use. Covering everything from foundations of anatomy and embryology, through clinical evaluation, diagnostic approaches, treatment and fertility care in context within the healthcare system and society, thrilling advances and future directions are also included. This new edition is an essential reference for all who are working in this young and rapidly evolving field.
The third edition of Cardiopulmonary Bypass offers a comprehensive, and up-to-date reference text to extracorporeal cardiopulmonary support. This book provides a clinically-focused tutorial with chapters spanning the technical aspects, patient related considerations, and human factors essential to contemporary practice of cardiopulmonary bypass. Written concisely to allow the reader to gain and apply critical knowledge to the clinical setting and featuring artwork that has been extensively updated to include numerous figures and color plates imbedded into each chapter. A remarkable collection of international experts in the fields of perfusion, anesthesiology, and cardiac surgery were recruited to co-author chapters, providing a multidisciplinary approach to case management. This completely updated edition includes expanded content on developments in minimally invasive extracorporeal circulation, anticoagulation, organ injury, and human factors. The comprehensive coverage of perfusion practice in a concise, highly illustrated format makes it the go-to, portable reference manual for perfusionists, cardiac surgeons, and anesthesiologists.
A thoroughly revised second edition providing the knowledge and evidence-base needed for the perioperative practitioner, clarifying the underlying principles needed for an understanding of anaesthetic, surgical, and recovery practice. This book defines the level of knowledge required for perioperative practitioners and provides a comprehensive reference to the principles and practice of modern operating department practice. Featuring a diverse range of topics, it offers a multidisciplinary overview of new techniques and technologies, changes in medico-legal requirements, changes to professional accountability, and requirements for continuous professional development. Twelve new chapters cover healthcare ethics and professional regulation, health and safety, infection prevention and control, basic patient monitoring, human factors, and perioperative care of the paediatric patient. Incorporating a new focus on the provision of evidence-based practice and holistic care in all areas of perioperative care, this invaluable book is essential reading for anyone working in this sector, in both education and practice.
Orthopaedic Examination Techniques comprehensively covers the basic examination skills and key special tests needed to evaluate the adult and paediatric musculoskeletal system. Chapters are presented in a clear and logical way to allow readers to understand then master the techniques of orthopaedic clinical examination. Written by a diverse group of chapter authors with extensive experience in teaching clinical examination and who use a uniform system that is taught on national courses, every aspect of musculoskeletal examination is covered in the adult and paediatric patient. Numerous illustrations and new clinical photographs help readers to visualise and understand the key techniques, and five new chapters at the end of the book demonstrate the value of clinical examination through more than 80 clinical case examples. Easy-to-follow throughout, this book is invaluable reading for trainee orthopaedic surgeons, especially those preparing for the FRCS (Tr&Orth) postgraduate examination, practising orthopaedic surgeons, medical students, physiotherapists, and rheumatologists.
Sir Victor Horsley (1857–1916) was a brilliant and pioneering neurosurgeon who also shaped the direction of clinical medicine through his work with the British Medical Association, Medical Defence Union, and General Medical Council. Before the nervous system could be imaged, Horsley operated successfully on the brain and spinal cord, and performed palliative procedures on patients dying from brain tumours. Nevertheless, he became a social pariah due to his support for nationalised health insurance, child welfare and women's rights, amongst other causes. In this fascinating biography, leading neurologist Dr Michael J. Aminoff places Horsley's life and work in the context of the society in which he lived and explores his influence on the development of neurosurgery and social policies still in effect. The many underlying themes to the book include the interplay of science and politics, and the responsibility of physicians to themselves and for the welfare of society.
Examining the complex dynamics of medical treatment options and the variable character of surgical technologies, this volume broadens and transcends the notion of technological innovation.
The third edition of the Color Atlas of Emergency Trauma brings the reader to the bedside of patients with traumatic injuries, at one of the largest and busiest trauma centers in North America. It includes over 1200 images, designed as a comprehensive visual and reference guide to emergency trauma care. Organized by major body regions, this atlas explores the full spectrum of common and uncommon traumatic injuries, including those caused by firearms, stab wounds, blunt trauma, crush injury, and burns. It also covers special patient groups, such as pregnant, pediatric and geriatric populations. Each chapter is augmented with patient images at presentation, radiographic, intraoperative and autopsy images, and color illustrations and photographs showing key anatomy from the cadaver laboratory. With common pitfalls discussed and invaluable tips from a multidisciplinary group of experienced trauma care providers, this book is a useful and practical resource for all those involved in trauma care.
This updated book continues the ABCDE chapter format from the second edition, incorporating an escalating level of diagnostic and management complexity and a concise bibliography in each chapter. It remains demarcated into two sections: the first (e.g. ABCDE chapters) equips surgical trainees in managing non-ICU-based patients, whilst the second provides a basic introduction to ICU care. The chapters introduce standard definitions, pathological processes, diagnostic features and common management plans. These are based on a range of updated recommended guidelines from NICE and SIGN and common ALS principles in critical care patients, as well as current ATLS® and CCrISP® standards. The most common causes of systemic complications in surgical patients are explained, e.g. updated sections on sepsis and major haemorrhage protocols, to name but a few. A must-have revision guide for all surgical trainees, from final-year medical students through to junior surgical registrars.
Following the format change to include single best answer questions (SBAs), this book equips candidates with a full range of testing examples to develop familiarity with the format and prepare for success in their FRCS (Tr&Orth) examination. Containing over 1,000 level 2 SBA questions, detailed explanations ensure candidates understand the reasoning and evidence-based decision-making behind each answer. Covering the breadth of the orthopaedic syllabus, including more difficult subject areas such as biomechanics, prosthetics/orthotics, anatomy and statistics, this is a crucial resource for all candidates. Encouraging the integration of clinical information with problem solving, this question format helps candidates learn and retain the answers more efficiently than with simple factual recall. Written by highly experienced clinicians and examiners, these example questions are essential for preparing for the real examination.
Develop an aptitude for defining key topics, features and processes, vital for your FRCS (Tr&Orth) Viva exam success, with this newly updated and detailed guide. This new edition expertly delivers invaluable insights into tactics and planning, for candidates to sharpen exam skills, and gain confidence. Thoroughly updated to include an expanded basic science section, to answer all of your viva questions, this guide also supplies candidates with new illustrations and exam-specific diagrams; adapting to meet the expectations of a constantly changing syllabus. Vital for orthopaedic surgeons in training, this forward-looking text includes a drawing chapter, for candidates to practise creating succinct, exam-style illustrations, before the exam itself. Proactive in its approach, this book addresses the balance between trauma, general orthopaedics and basic science; by editors with extensive national and international experience of preparing candidates for the FRCS(Tr & Orth).