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Libros sobre el tema "Intraoperative assessment"

Autor: Grafiati

Publicado: 7 de junio de 2025

Última modificación: 2 de agosto de 2025

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1

Preston, Flanigan D., ed. Perioperative assessment in vascular surgery. Dekker, 1987.

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2

W, Millikan Keith, Saclarides Theodore J. 1956-, and SpringerLink (Online service), eds. Common Surgical Diseases: An Algorithmic Approach to Problem Solving. Springer Science+Business Media, LLC, 2008.

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3

Vinnik, Yuriy, Sergey Miller, Ol'ga Teplyakova, Valeriy Kubyshkin, and Evgeniy Grigor'ev. Minimally invasive urgent pancreatobiliary surgery in patients of older age groups. INFRA-M Academic Publishing LLC., 2022. http://dx.doi.org/10.12737/1863100.

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The monograph presents a comparison of the results of the use of carboxyperitoneum and laparolift when performing video laparoscopic cholecystectomy and an assessment of the effectiveness of the use of the author's design tools when performing cholecystectomy from mini-access for destructive forms of acute cholecystitis. Rational surgical tactics for complicated forms of acute cholecystitis have been determined. The effectiveness of the use of laparolift in the initial surgical treatment of patients with severe acute pancreatitis with high surgical and anesthetic risk has been studied. The dyn

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4

Schackman, Julie, and Erin S. Williams. Intraoperative Wheezing. Edited by Erin S. Williams, Olutoyin A. Olutoye, Catherine P. Seipel, and Titilopemi A. O. Aina. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190678333.003.0017.

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Intraoperative wheezing is a can occur for a number of reasons. The pediatric anesthesiologist must be facile with the various causes of wheezing in order to appropriately diagnose and subsequently treat the wheezing. The key tool that is paramount in the assessment of wheezing is the stethoscope. Without careful and vigilant auscultation, the cause of wheezing can be missed and or misinterpreted, which can potentially lead to increased morbidity. This chapter explains the causes of wheezing, explores the risk factors for perioperative bronchospasm, and discusses how to manage the child with i

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5

Gonioscopy A Video Assisted Skill Transfer Approach (Including Intraoperative Procedures and Self-assessment Video Quiz). Jaypee Brothers Medical Publishers (P) Ltd., 2016. http://dx.doi.org/10.5005/jp/books/14257.

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6

Coventry, Brendon J. General Surgery Risk Reduction. Springer, 2014.

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7

Coventry, Brendon J. General Surgery Risk Reduction. Springer London, Limited, 2014.

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8

Coventry, Brendon J. General Surgery Risk Reduction. Springer, 2016.

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9

Kaye, Alan David, and Scott Francis Davis. Principles of Neurophysiological Assessment, Mapping, and Monitoring. Springer, 2013.

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10

Kaye, Alan David, and Scott Francis Davis. Principles of Neurophysiological Assessment, Mapping, and Monitoring. Springer, 2019.

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11

Kaye, Alan David, and Scott Francis Davis. Principles of Neurophysiological Assessment, Mapping, and Monitoring. Springer London, Limited, 2013.

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12

Abatzis, Vaia T., and Edward C. Nemergut. Transsphenoidal/Pituitary Surgery. Edited by David E. Traul and Irene P. Osborn. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190850036.003.0004.

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Patients with tumors of the pituitary gland represent a heterogeneous yet commonly encountered neurosurgical population. Optimal anesthetic care requires an understanding of the complex pathophysiology secondary to each patient’s endocrine disease. Although patients presenting with Cushing’s disease and acromegaly have unique manifestations of endocrine dysfunction, all patients with tumors of the pituitary gland require meticulous preoperative evaluation and screening. There are many acceptable strategies for optimal intraoperative anesthetic management; however, the selection of anesthetic a

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13

Clavijo, Claudia F., and Efrain Riveros-Perez. Fundamentals of Anesthetic Care. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190885885.003.0005.

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This chapter focuses on the anesthesia process which can be divided into phases, from the preoperative assessment to induction, maintenance, emergence and finally to discharge. Throughout the whole process, patient safety is of paramount importance. This chapter focuses on safety measures such as surgical time-out, use of checklists, and prevention of intraoperative awareness. Fluid management, and intraoperative complications such as hypoxemia, electrolyte imbalances, and hypotension and hypertension are also discussed. The chapter discusses specific circumstances regarding anesthesia interve

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14

Lark, Meghan E., Nasa Fujihara, and Kevin C. Chung. Median Neuropathy—Carpal Tunnel Syndrome. Edited by Meghan E. Lark, Nasa Fujihara, and Kevin C. Chung. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190617127.003.0001.

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This chapter presents general treatment strategies for carpal tunnel syndrome using a clinical case example. It discusses assessment and planning, diagnostic pearls, decision-making, surgical procedures (open and endoscopic carpal tunnel release), management pearls, aftercare, complications and their management, and evidence and outcomes. Physical exams, such as Phalen’s test or a Tinel sign over the median nerve, are introduced, whereas steps in the surgical procedure are shown with intraoperative photographs. The chapter provides information on modern practices for comprehensive management o

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15

Mansinghani, Sethesh, Xiaoming Qi, and Jason H. Huang. Radial Neuropathy—Saturday Night Palsy and Posterior Interosseous Neuropathy. Edited by Meghan E. Lark, Nasa Fujihara, and Kevin C. Chung. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190617127.003.0006.

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The chapter presents a case of radial neuropathy—specifically, a patient who presented with weakness in his left hand after a fall 2 months earlier. The patient had significant weakness in the fingers of the left hand on physical examination. The assessment process is outlined, along with differential diagnosis of radial nerve entrapment at the spiral groove and posterior interosseous neuropathy. Diagnostic pearls, physical examination findings, and indications for surgical intervention are discussed. A detailed description of the surgical exploration is supplied, along with illustrations of b

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16

Lucas, Joshua, Dawn Fishback, and Steven Giannotta. Skull Base Schwannoma. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190696696.003.0013.

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This chapter presents a case example of a patient with progressive unilateral hearing loss who was ultimately diagnosed with a skull base schwannoma. The workup and differential diagnosis are presented and options for treatment are reviewed based on published evidence. Treatment options include observation, stereotactic radiosurgery, and surgical resection. The objective status of a patient’s hearing as well as the patient’s age influence treatment recommendations and the surgical approach. Intraoperative neuromonitoring provides real-time assessment of facial nerve irritation as well as cochl

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17

Hylton, Jared, and Sarah Deverman. Necrotizing Enterocolitis. Edited by Kirk Lalwani, Ira Todd Cohen, Ellen Y. Choi, and Vidya T. Raman. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190685157.003.0001.

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Necrotizing enterocolitis (NEC) is a potentially life-threatening condition that affects mainly preterm infants. It is one of the most common surgical emergencies in the neonatal intensive care unit. While medical management is the first line of treatment, if that fails, NEC becomes a surgical emergency, and the pediatric anesthesiologist must be prepared. This chapter covers the pathogenesis, risk factors, clinical presentation and diagnosis, prevention, medical and surgical management, pre- and intraoperative anesthetic assessment, and postoperative management of NEC. Topics covered include

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18

Chen, Martin, and Muoi Trinh. Cardiogenic Shock. Edited by Matthew D. McEvoy and Cory M. Furse. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190226459.003.0010.

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Heart failure and cardiogenic shock are important causes of perioperative morbidity and mortality that require prompt recognition prior to the institution of specialized monitoring and treatment, including the consideration of circulatory assist devices. Patients at risk for perioperative heart failure require special consideration with respect to preoperative evaluation, medical optimization prior to proceeding with surgery, and monitoring throughout the perioperative period. The intraoperative and postoperative management need to be carefully planned in order to avoid the development of acut

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19

Alarcón, Gonzalo, and Antonio Valentín. Intracranial electroencephalographic recordings. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199688395.003.0012.

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Around 30% of patients assessed for surgery for the treatment of epilepsy require intracranial electrodes to localize the epileptic focus or to identify functionally relevant cortex. Patients can be very different and the various non-invasive techniques used during presurgical assessment often render conflicting or contradictory results. Deciding the type of electrodes to be used and the sites to be implanted can be puzzling. This chapter describes the electrode types available, their indications, and various implantation strategies. This chapter also summarizes the criteria used to interpret

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20

Freedman, Rachel, Lara Herbert, Aidan O'Donnell, Nicola Ross, Iain H. Wilson, and Keith G. Allman, eds. Oxford Handbook of Anaesthesia. 5th ed. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198853053.001.0001.

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The Oxford Handbook of Anaesthesia is a comprehensive, authoritative and practical guide to the whole field of anaesthetic practice. It encompasses all ages, from neonates to the elderly, and all surgical specialties including cardiac surgery, interventional radiology and weight-reduction surgery. Local, regional and neuraxial techniques are described, including ultrasound guidance. The entire patient journey is covered, from pre-operative assessment and investigation, through informed consent and intraoperative care, to post-operative analgesia. There are substantial sections dealing with acu

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21

Hardacker, Doris M. Cushing’s Disease. Edited by Matthew D. McEvoy and Cory M. Furse. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190226459.003.0029.

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Cushing’s syndrome is caused by adrenocorticotropic hormone (ACTH)-secreting or cortisol-secreting tumors. In most cases, the hypercortisolism is caused by an ACTH-secreting tumor of the pituitary. An excess of circulating cortisol adversely affects all major organ systems, including the cardiovascular system and therefore produces a wide range of clinical features. Perioperative morbidity and mortality will largely be determined by the magnitude of cardiac dysfunction encountered. Successful perioperative management depends on a thorough preoperative assessment of affected organs, comprehensi

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22

Economou, S. G., Theodore J. Saclarides, Keith W. Millikan, and Jonathan A. Myers. Common Surgical Diseases: An Algorithmic Approach to Problem Solving. Springer, 2013.

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23

Aina, Titilopemi A. O., and Miguel Prada. Kidney Transplantation. Edited by Erin S. Williams, Olutoyin A. Olutoye, Catherine P. Seipel, and Titilopemi A. O. Aina. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190678333.003.0024.

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Patients with end-stage renal disease (ESRD) can be managed with kidney transplantation, hemodialysis, or peritoneal dialysis. The most common organ transplanted in the United States is the kidney. Kidney transplantation surgery can be divided into the following stages: incision/dissection of vessels, cross-clamping vessels, vascular anastomosis, unclamping of vessels, ureter anastomosis to bladder, and closing. The size of recipient and donor kidneys as well as the size of recipient blood vessels will determine the position of graft implantation—either intraperitoneal or extraperitoneal. At t

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24

Sharma, Deepak, and Julia Metzner. Nontraumatic Intracranial Hemorrhage. Edited by Matthew D. McEvoy and Cory M. Furse. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190226459.003.0062.

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Nontraumatic subarachnoid, intraventricular, or intraparenchymal hemorrhage can be caused by either rupture of an aneurysm or arteriovenous malformation or by coagulopathy, hypertension, or vasculitis. Pituitary apoplexy results from spontaneous hemorrhage or infarction into a pituitary tumor. Additionally, anesthesiologists must be prepared to manage intraoperative bleeding during craniotomies. Successful management of nontraumatic intracranial hemorrhage requires (1) careful preoperative evaluation and preparation considering extracranial manifestations of intracranial bleeding; (2) administ

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25

Gupta, Rajnish K., and Alexandria N. Nickless. Nerve Injuries from Positioning and Regional Blocks. Edited by Matthew D. McEvoy and Cory M. Furse. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190226459.003.0074.

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Peripheral nerve injury in the perioperative period can have a variety of etiologies, including preexisting patient factors and by surgical and anesthetic complications such as intraoperative positioning and nerve blockade. The actual incidence may be difficult to assess, because most nerve injuries resolve with time and frequently require minimal to no intervention. Injuries often manifest more than 48 hours after surgery and have even been noted in patients who undergo awake procedures and in hospitalized patients who never undergo surgery. This should not negate the fact that close attentio

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26

Moore, Michael R., and Ehab Farag. Unstable Cervical Spine and Airway Management. Edited by David E. Traul and Irene P. Osborn. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190850036.003.0012.

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In patients with cervical myelopathy, the spinal cord is already compromised to a point at which there is little reserve for surgical maneuvers and the slightest adverse action can result in dramatic consequences. Awake fiberoptic intubation and neurological assessment before induction of anesthesia could be the safest way to avoid waking up the patient before proceeding with surgery in the case of absent motor evoke potentials (MEPs) in spite of increasing the stimulating voltage together with increasing the rate of stimulating pulses. Hypotension is an additional factor, which may lead to ir

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27

Dodds, Chris, Chandra M. Kumar, and Frédérique Servin. Anaesthesia for orthopaedic surgery in the elderly. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198735571.003.0007.

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Arthritis and falls are common in the elderly and hence lead to major bone and joint surgery. Elderly patients may suffer from significant cardiorespiratory, renal, and neurologic dysfunction, and they may be malnourished; therefore, preoperative assessment is essential. Both general and regional anaesthesia techniques are commonly used, but regional anaesthesia, with or without sedation, is preferred. The use of cement during surgery is known to be associated with intraoperative morbidities, as is the use of a tourniquet. Antibiotics are routinely used, but they must be administered before th

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28

Stolker, Robert Jan, and Felix van Lier. Choice and interpretation of preoperative investigations. Edited by Jonathan G. Hardman. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199642045.003.0041.

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Preoperative risk assessment is one of the most important steps in perioperative management. In the last decades, considerable progress has been achieved. However, as more high-risk procedures are performed in more aged patients, suffering more morbidity, this may lead to an increased risk of adverse outcomes. The goal of preoperative assessment is to identify patients at extreme risk and discuss whether they should be operated on, or undergo an alternative procedure with a lower risk profile, or if conservative treatment should be continued. Furthermore, it gives the opportunity to optimize p

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29

Roscoe, Andrew, and Peter Slinger. Anaesthesia for thoracic surgery. Edited by Philip M. Hopkins. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199642045.003.0057.

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The conduct of thoracic anaesthesia requires an understanding of respiratory anatomy and physiology in order to optimize patient care whilst facilitating intrathoracic surgery. The preoperative assessment focuses on the underlying diagnosis, with emphasis on the impact of the surgical procedure on the patient’s cardiovascular and respiratory systems. Intraoperative care frequently necessitates lung isolation and proficiency at the variety of techniques available is essential. Additionally, adept management of one-lung ventilation and correction of hypoxaemia is fundamental to providing favoura

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30

Hardman, Jonathan G., Philip M. Hopkins, and Michel M. R. F. Struys, eds. Oxford Textbook of Anaesthesia. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199642045.001.0001.

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This two-volume work of 91 chapters covers all aspects of practice in anaesthesia. Volume 1 addresses the underpinning sciences of anaesthesia including physiology, pharmacology, physics, anaesthetic equipment, statistics, and evidence-based anaesthesia. Volume 1 also outlines the fundamental principles of anaesthetic practice including ethics, risk, informatics and technology for anaesthesia, human factors and simulation in anaesthetic practice, safety and quality assurance in anaesthesia, teaching, research, and outcomes, as well as all stages of the perioperative journey including preoperat

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31

Horton, Patrick, Deborah J. Peet, David G. Sutton, and Colin J. Martin. Radiotherapy: brachytherapy and unsealed radionuclide therapy. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199655212.003.0020.

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The facilities and safe procedures required for afterloading (remote low, pulsed, and high dose-rate and manual), permanent seed implants, external plaques, intraoperative radiotherapy with X-ray sources, and unsealed radionuclide therapy (inpatient and outpatient) are described. Treatment room design makes particular reference to the shielded rooms required for high dose-rate afterloading and unsealed radionuclide therapy with I-131 and examples are included for calculating shielding thickness to achieve required dose constraints. Room location, layout, good practice, and engineering controls

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