CASE REPORT: CONTINUOUS BILATERAL QUADRATUS LUMBORUM BLOCKS IN AN INFANT

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ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (116 download)

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Book Synopsis CASE REPORT: CONTINUOUS BILATERAL QUADRATUS LUMBORUM BLOCKS IN AN INFANT by : Bergek Christian

Download or read book CASE REPORT: CONTINUOUS BILATERAL QUADRATUS LUMBORUM BLOCKS IN AN INFANT written by Bergek Christian and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: BackgroundQuadratus lumborum block (QLB) is becoming popular in paediatric anaesthesia but few mentions of continuous QLB exist.1,2Our patient was born at week 36, with bladder exstrophy. He had surgery first at birth, and 2 months later for duodenal stenosis. Now, at 6 months, weighing 6.5 kg he had surgery again to close the bladder and the abdominal wall, and bilateral pelvic osteotomies to make it possible. Postoperatively he was confined to the supine position with the legs elevated in a stretching device to release tension in the surgical area. Because of vertebral malformations (upper thorax and lower part of sacrum) any central block was deemed contraindicated. Peroperatively large doses of fentanyl was given. Postoperatively he was kept intubated in PICU until stable analgesia and respiration, which turned out to be difficult to achieve. (Table 1) MethodsAt day 2 I performed bilateral QLB blocks with catheters. The catheters were secured with Dermabondu00ae mini, and TegadermTM. For practical reasons I did a transmuscular QLB on the right side and a QLB type 2 on the left side. (Fig 1&2) Because of surgical dressings both injections were done from medial aiming laterally. Starting doses were 2.5 ml of levobupivacaine (1.6 mg/ml) on each side. Thereafter 3 ml levobupivacaine (0.625 mg/ml) on each side every 4th hour.ResultsThe patient became calmer and other analgesics could be withdrawn step by step. Catheters were withdrawn after 9 days. No side effects were noted. (Table 1)ConclusionsContinuous QLB seems applicable also in infants.

BILATERAL SINGLE-SHOT QUADRATUS LUMBORUM BLOCK FOR POST-OPERATIVE PAIN RELIEF IN A BREASTFEEDING WOMAN.

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ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (116 download)

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Book Synopsis BILATERAL SINGLE-SHOT QUADRATUS LUMBORUM BLOCK FOR POST-OPERATIVE PAIN RELIEF IN A BREASTFEEDING WOMAN. by :

Download or read book BILATERAL SINGLE-SHOT QUADRATUS LUMBORUM BLOCK FOR POST-OPERATIVE PAIN RELIEF IN A BREASTFEEDING WOMAN. written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Backgroud and aimsPost-laparotomy pain is often difficult to control, and intravenous analgesia must be careful in breastfeeding women. Bilateral single-shot quadratus lumborum block (QLB) produces sensitive block from T6-L2 which promotes visceral and somatic pain relief for an extended period, diminishing the need of a continuous technique.Methods:Breastfeeding woman, 39, ASA I, with fever and leukocytosis, PCR 15,99 mg/dL. Exploratory laparotomy was performed by dehiscence of the uterine anastomosis, 6 days after cesarean section. A general anesthesia was performed, with multimodal analgesia in the intraoperative period. A bilateral QLB was performed with ropivacaine 0.375%, 20 ml each side, ultrasound guided at the of the surgery. The patient reported pain EN 0/10, without requirement of aditional analgesic therapy at the PACU. Paracetamol 1g 3 tid was added to the analgesic regimen. Patient reported pain EN 2/10 up to 36h post-operatively. Results: Pain control after laparotomy with intravenous analgesia is difficult without the use of large doses of opioids. Effective pain management is of great importance in a puerperal patient with the need for breastfeeding of the newborn. The possibility of bacteremia is a relative contra-indication for epidural catheterization. In this case report, the bilateral singleu2013shot QLB has been shown to be effective in pain control without the need for IV opioids or epidural catheterization. Conclusions: This case suggests the effectiveness of bilateral single-shot QLB in the control of post laparotomy pain, decreasing the use of intravenous analgesia in a breastfeeding woman.

A Practice of Anesthesia for Infants and Children, E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323825613
Total Pages : 5839 pages
Book Rating : 4.3/5 (238 download)

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Book Synopsis A Practice of Anesthesia for Infants and Children, E-Book by : Charles J. Cote

Download or read book A Practice of Anesthesia for Infants and Children, E-Book written by Charles J. Cote and published by Elsevier Health Sciences. This book was released on 2024-05-18 with total page 5839 pages. Available in PDF, EPUB and Kindle. Book excerpt: Covering everything from preoperative evaluation to neonatal emergencies to the PACU, Coté, Lerman and Anderson's A Practice of Anesthesia in Infants and Children, 7th Edition, features state-of-the-art advice on the safe, effective administration of general and regional anesthesia and sedation strategies for young patients. This text reviews underlying scientific information, addresses preoperative assessment and anesthesia management in detail, and provides guidelines for postoperative care, emergencies, and special procedures. Comprehensive in scope and thoroughly up to date, this edition delivers unsurpassed coverage of every key aspect of pediatric anesthesia. - Presents must-know information on standards, techniques, and the latest advances in pediatric anesthesia from global experts in the field. - Contains thoroughly updated content throughout, with new contributors to lend a fresh perspective, updated figures and tables, and the latest information on perioperative fluid management, pharmacology, interventional devices, resuscitation, and more. - Covers key topics such as anesthetizing children with cancer, neonatal and pediatric emergencies, the obese child and bariatric surgery, interventional devices for children with congenital heart defects, cardiopulmonary resuscitation, simulation in pediatric anesthesia, patient safety and quality assurance, and more. - Features an extensive video library of pediatric anesthesia procedures, particularly difficult airway management strategies, new positioning devices, cardiac assist devices in action, management of burn injuries, how to perform ultrasound-guided regional anesthesia blocks and techniques, and much more. - Essentials chapters provide focused input from expert subspecialty pediatricians who share the latest information concerning hematology, pulmonology, oncology, hepatology, nephrology, and neurology. - Includes a laminated pocket reference guide with essential, practical information, and key references at the end of each chapter that provide a quick summary for review.

Opioid Therapy in Infants, Children, and Adolescents

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Publisher : Springer Nature
ISBN 13 : 3030362876
Total Pages : 355 pages
Book Rating : 4.0/5 (33 download)

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Book Synopsis Opioid Therapy in Infants, Children, and Adolescents by : Ravi D. Shah

Download or read book Opioid Therapy in Infants, Children, and Adolescents written by Ravi D. Shah and published by Springer Nature. This book was released on 2020-02-21 with total page 355 pages. Available in PDF, EPUB and Kindle. Book excerpt: Opioid analgesics are among the most effective medications for pain management but are associated with serious and increasing public health problems, including abuse, addiction, and death from overdose. Currently, there is an opioid epidemic in the United States with the rate of prescription opioid-related overdose deaths quadrupling over the last 15 years. Pediatric patients are particularly vulnerable to the devastating consequences of opioid misuse. Adolescents who are prescribed opioids are at a higher risk for abusing illicit drugs later in life. Clinicians managing pediatric pain must account for such issues while still delivering effective analgesia to young patients who suffer from both acute and chronic pain. Opioid Therapy in Children and Adolescents is designed to explore the unique aspects of opioid therapy in pediatric patients. An introductory framework provides historical context and describes the epidemiology of the opioid crisis with focus on pediatric implications. Subsequent chapters focus on pediatric opioid pharmacology, safe opioid prescribing practices, and non-opioid alternatives to managing pediatric pain states, including multimodal analgesic strategies, interdisciplinary approaches, and complementary medicine. Mitigation strategies against pediatric opioid diversion and misuse are addressed to help clinicians develop practice changes that protect pediatric patients from opioid-related morbidity and mortality. Clinical case examples are also utilized throughout the text to provide grounding for each chapter and a context within which to examine pertinent issues. This first of its kind book provides a comprehensive approach that will guide clinicians to appropriately and safely prescribe opioid analgesics to pediatric patients suffering from pain. It is an invaluable resource for pediatricians, family practitioners, anesthesiologists, pediatric oncologists, and other clinicians who manage pediatric pain.

Smith's Anesthesia for Infants and Children E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323698263
Total Pages : 2112 pages
Book Rating : 4.3/5 (236 download)

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Book Synopsis Smith's Anesthesia for Infants and Children E-Book by : Peter J. Davis

Download or read book Smith's Anesthesia for Infants and Children E-Book written by Peter J. Davis and published by Elsevier Health Sciences. This book was released on 2021-11-30 with total page 2112 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written and edited by renowned experts in pediatric anesthesia, Smith's Anesthesia for Infants and Children provides clear, concise guidance on effective perioperative care for any type of pediatric surgery. The 10th Edition contains significantly revised content throughout, bringing you fully up to date with recent advances in clinical and basic science that have led to changes in today's clinical practice. - Offers comprehensive coverage of physiology, pharmacology, and clinical anesthetic management of infants and children of all ages. - Contains new chapters on Airway Physiology and Development, Normal and Difficult Airway Management, Ultrasound, Acute Pain Management, Chronic Pain Management, Palliative Pain Management, Infectious Diseases, and Education; plus extensively revised content on cardiovascular physiology; induction, maintenance, and recovery; organ transplantation, and more. - Features more than 100 video demonstrations, including regional anesthesia videos, echocardiograms of congenital heart lesions, anatomic dissections of various congenital heart specimens with audio explanations, various pediatric surgical operative procedures, airway management, and much more. - Provides outstanding visual guidance throughout, including full-color photographs, drawings, graphs and charts, and radiographic images. - Includes quick-reference appendices online: drug dosages, growth curves, normal values for pulmonary function tests, and a listing of common and uncommon syndromes. - Provides an interactive question bank online for review and self-assessment. - 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.

Regional Anesthesia and Acute Pain Medicine

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Publisher : Oxford University Press
ISBN 13 : 0197518516
Total Pages : 617 pages
Book Rating : 4.1/5 (975 download)

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Book Synopsis Regional Anesthesia and Acute Pain Medicine by : Anesthesiology Vice Chair of Clinical Operations Nabil Elkassabany

Download or read book Regional Anesthesia and Acute Pain Medicine written by Anesthesiology Vice Chair of Clinical Operations Nabil Elkassabany and published by Oxford University Press. This book was released on 2023-04-21 with total page 617 pages. Available in PDF, EPUB and Kindle. Book excerpt: Regional Anesthesia and Acute Pain Medicine: A Problem-Based Learning Approach provides a comprehensive review of regional anesthesia and acute pain medicine for medical learners to integrate theoretical knowledge into clinical practice. Its problem-based format incorporates a pool of multiple-choice questions for self-assessment. Each of its 50 case-based chapters is accompanied by questions and answers accessible online in a full practice exam. These chapters cover several areas such as pharmacology, obstetric and pediatric regional anesthesia, complex acute pain problems, anticoagulation, and regional anesthesia and complicated nerve blocks. The cases presented are also unique, as each chapter starts with a case description, usually a compilation of several actual cases, which branches out through case-based questions to increasingly complex situations. This structure is designed to create an authentic experience mirroring the nuances of a complicated clinical scenario. The discussion sections that follow offer a comprehensive approach to the chapter's subject matter, thus creating a modern, complete, and up-to-date medical review of the topic.

Diagnostic and Interventional Ultrasound in Pediatrics and Pediatric Surgery

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Publisher : Springer
ISBN 13 : 3319216996
Total Pages : 289 pages
Book Rating : 4.3/5 (192 download)

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Book Synopsis Diagnostic and Interventional Ultrasound in Pediatrics and Pediatric Surgery by : Stefan Scholz

Download or read book Diagnostic and Interventional Ultrasound in Pediatrics and Pediatric Surgery written by Stefan Scholz and published by Springer. This book was released on 2015-11-25 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents a comprehensive, state-of the-art guide and review of ultrasound applications for children and infants with surgical problems. It is meant as a single source to provide information about sonographic application, interpretation and technique for a diversity of pediatric surgical care providers, making it a useful tool for the ultrasound novice as well as the more advanced ultrasonographer. Sections address initial obstacles faced by a physician starting with ultrasound such as the scanning techniques, underlying anatomy and normal sonographic findings. The initial chapter provides an introduction and basic overview about ultrasound theory and techniques. Subsequent chapters focus on specific body parts and systems and their disease processes as it pertains to pediatric and neonatal patients. The text also includes a chapter on abdominal trauma and its evaluation with the FAST (focused abdominal sonography for trauma) exam. Diagnostic and Interventional Ultrasound in Pediatric Surgery serves as a useful resource for a broad spectrum of pediatric care providers, including a growing number of ultrasound users, surgeons and pediatricians alike.

Canine and Feline Anesthesia and Co-Existing Disease

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Publisher : John Wiley & Sons
ISBN 13 : 1119604044
Total Pages : 708 pages
Book Rating : 4.1/5 (196 download)

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Book Synopsis Canine and Feline Anesthesia and Co-Existing Disease by : Rebecca A. Johnson

Download or read book Canine and Feline Anesthesia and Co-Existing Disease written by Rebecca A. Johnson and published by John Wiley & Sons. This book was released on 2022-01-26 with total page 708 pages. Available in PDF, EPUB and Kindle. Book excerpt: A fully updated new edition of the only text solely focused on anesthesia of dogs and cats with co-existing disease The revised Second Edition of Canine and Feline Anesthesia and Co-Existing Disease expands and updates the only book solely dedicated to practical anesthetic techniques for dogs and cats with co-existing disease. The book now includes additional images in full color, new discussions of cutting-edge drugs and techniques, and updated chapters and information throughout. This text provides in-depth and clinically-useful information that can easily be incorporated into the progressive companion animal practice. It offers more than 200 new images and 4 new chapters focusing on urogenital concerns, genetic diseases, nociceptive disorders, and cardiopulmonary resuscitation and post-resuscitation care. It is intuitively organized by body system to allow for quick and easy reference. Key features: Presents concise, yet comprehensive anesthetic considerations and management plans for dogs and cats with co-existing disease and patients with altered physiology Explores commonly-encountered disease processes and their anesthetic management, including cardiovascular, respiratory, renal, neurologic, endocrine, and hepatic diseases, among others Highlights important physiologic alterations encountered in neonatal, pregnant, and geriatric patients and their implications for anesthetic management Includes access to a companion website with relevant clinical videos at www.wiley.com/go/johnson/canine Canine and Feline Anesthesia and Co-Existing Disease is a must-have reference for veterinarians, veterinary technicians, and veterinary students seeking a one-stop resource for anesthetic techniques in veterinary patients with co-existing disease and/or altered physiology.

Practical Management of Pain E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323711022
Total Pages : 1520 pages
Book Rating : 4.3/5 (237 download)

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Book Synopsis Practical Management of Pain E-Book by : Honorio Benzon

Download or read book Practical Management of Pain E-Book written by Honorio Benzon and published by Elsevier Health Sciences. This book was released on 2022-02-10 with total page 1520 pages. Available in PDF, EPUB and Kindle. Book excerpt: For more than 30 years, Practical Management of Pain has offered expert guidance to both clinicians and trainees, covering every aspect of acute and chronic pain medicine for adult and pediatric patients. The fully revised 6th Edition brings you fully up to date with new developments in patient evaluation, diagnosis of pain syndromes, rationales for management, treatment modalities, and much more. Edited by a team of renowned pain clinicians led by Dr. Honorio Benzon, this authoritative reference is a comprehensive, practical resource for pain diagnosis and treatment using a variety of pharmacologic and physical modalities. - Presents a wealth of information in a clearly written, easily accessible manner, enabling you to effectively assess and draw up an optimal treatment plan for patients with acute or chronic pain. - Takes a practical, multidisciplinary approach, making key concepts and techniques easier to apply to everyday practice. - Shares the knowledge and expertise of global contributors on all facets of pain management, from general principles to specific management techniques. - Discusses the latest, best management techniques, including joint injections, ultrasound-guided therapies, and new pharmacologic agents such as topical analgesics. - Covers recent global developments regarding opioid induced hyperalgesia, neuromodulation and pain management, and identification of specific targets for molecular based pain. - Includes current information on the use of cannabinoids in pain management and related regulatory, professional, and legal considerations. - Includes the latest guidelines on facet injections and safety of contrast agents. - Provides new, evidence-based critical analysis on treatment modality outcomes and the latest information on chronic pain as a result of surgical interventions. - 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.

Regional Anesthesia in Infants, Children, and Adolescents

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Publisher : Lippincott Williams & Wilkins
ISBN 13 :
Total Pages : 572 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Regional Anesthesia in Infants, Children, and Adolescents by : Bernard J. Dalens

Download or read book Regional Anesthesia in Infants, Children, and Adolescents written by Bernard J. Dalens and published by Lippincott Williams & Wilkins. This book was released on 1995 with total page 572 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Pediatric Regional Anesthesia

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Publisher : Routledge
ISBN 13 : 1351425595
Total Pages : 168 pages
Book Rating : 4.3/5 (514 download)

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Book Synopsis Pediatric Regional Anesthesia by : BernardJ. Dalens

Download or read book Pediatric Regional Anesthesia written by BernardJ. Dalens and published by Routledge. This book was released on 2019-08-15 with total page 168 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a precise description of safe and reliable procedures for regional anesthesia in children. It covers the advantages and disadvantages, specific features related to the pediatric range of ages, and the practical importance of the described procedures. Written in two main parts, emphasis is placed on scientific basis and technical approach. It includes both anatomical and psychological aspects of pain, as well as detailed viewpoints of parents, children, surgeons, and anesthetists. This book is a must for all anesthesiologists and will be particularly useful to students of medicine and anesthesiology and nurses working with intensive care units.

Pediatric Neurology

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Publisher : Lippincott Williams & Wilkins
ISBN 13 : 9780781778886
Total Pages : 360 pages
Book Rating : 4.7/5 (788 download)

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Book Synopsis Pediatric Neurology by : Tena Rosser

Download or read book Pediatric Neurology written by Tena Rosser and published by Lippincott Williams & Wilkins. This book was released on 2007 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pediatric Neurology for the Oral Boards: A Case-Based Review is the first pediatric neurology review book written specifically for neurology residents preparing for the oral boards. The book presents sixty cases with discussions structured according to the neurology oral boards format: localization of neurologic findings; differential diagnosis and most likely diagnosis; diagnostic workup; and patient management. The cases will help readers lay a foundation of knowledge in pediatric neurology and develop an organized approach to clinical decision-making. An introduction explains in detail what to expect on the examination and gives helpful hints on preparing for and taking the exam.

Neofax

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Publisher : Blackwell Science
ISBN 13 : 9781888703139
Total Pages : 0 pages
Book Rating : 4.7/5 (31 download)

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Book Synopsis Neofax by : Thomas E. Young

Download or read book Neofax written by Thomas E. Young and published by Blackwell Science. This book was released on 2000 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: NeoFax serves as a standard drag dosage reference for all who work in neonatal units because it includes dosage information very specific to neonate care. The unique author team of a doctor and pharmacist make this useful to doctors, nurses and pharmacists for prescribing, administering and preparing medicine for neonates. -- Includes dosages for many drags that are commonly used off-label. -- Numerous drags have been added to this edition (amphotericin B lipid complex, cefoxitin, fosphenytonin, lamivudine, nevirapine, Vitamin A, Curosurf, Infrasurf, and Similac Human Milk Fortifier) and thirty-six references have been updated in 2000. -- Dose and administration, uses, monitoring, pharmacology, adverse effects/precautions, special considerations/preparations, selected references, and date of last update are included for each entry. -- Antibiotic dosing charts are designed to reflect renal and drug elimination are correlated with Postmenstrual Age (consistent with American Academy of Pediatrics).

Acute Pain Management

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Publisher : Cambridge University Press
ISBN 13 : 0521874912
Total Pages : 729 pages
Book Rating : 4.5/5 (218 download)

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Book Synopsis Acute Pain Management by : Raymond S. Sinatra

Download or read book Acute Pain Management written by Raymond S. Sinatra and published by Cambridge University Press. This book was released on 2009-04-27 with total page 729 pages. Available in PDF, EPUB and Kindle. Book excerpt: This textbook provides an overview of pain management useful to specialists as well as non-specialists, surgeons, and nursing staff.

Congenital Cardiac Anesthesia

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Publisher : Cambridge University Press
ISBN 13 : 1108494161
Total Pages : 423 pages
Book Rating : 4.1/5 (84 download)

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Book Synopsis Congenital Cardiac Anesthesia by : Laura K. Berenstain

Download or read book Congenital Cardiac Anesthesia written by Laura K. Berenstain and published by Cambridge University Press. This book was released on 2021-09-16 with total page 423 pages. Available in PDF, EPUB and Kindle. Book excerpt: An illustrated guide for anesthesia providers for congenital heart disease patients, with a focus on non-cardiac operating room settings.

Cerebral Palsy

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Publisher : JHU Press
ISBN 13 : 0801883547
Total Pages : 537 pages
Book Rating : 4.8/5 (18 download)

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Book Synopsis Cerebral Palsy by : Freeman Miller

Download or read book Cerebral Palsy written by Freeman Miller and published by JHU Press. This book was released on 2006-05-08 with total page 537 pages. Available in PDF, EPUB and Kindle. Book excerpt: When a child has a health problem, parents want answers. But when a child has cerebral palsy, the answers don't come quickly. A diagnosis of this complex group of chronic conditions affecting movement and coordination is difficult to make and is typically delayed until the child is eighteen months old. Although the condition may be mild or severe, even general predictions about long-term prognosis seldom come before the child's second birthday. Written by a team of experts associated with the Cerebral Palsy Program at the Alfred I. duPont Hospital for Children, this authoritative resource provides parents and families with vital information that can help them cope with uncertainty. Thoroughly updated and revised to incorporate the latest medical advances, the second edition is a comprehensive guide to cerebral palsy. The book is organized into three parts. In the first, the authors describe specific patterns of involvement (hemiplegia, diplegia, quadriplegia), explain the medical and psychosocial implications of these conditions, and tell parents how to be effective advocates for their child. In the second part, the authors provide a wealth of practical advice about caregiving from nutrition to mobility. Part three features an extensive alphabetically arranged encyclopedia that defines and describes medical terms and diagnoses, medical and surgical procedures, and orthopedic and other assistive devices. Also included are lists of resources and recommended reading.

Postgraduate Orthopaedics

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Publisher : Cambridge University Press
ISBN 13 : 1107627362
Total Pages : 301 pages
Book Rating : 4.1/5 (76 download)

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Book Synopsis Postgraduate Orthopaedics by : Paul A. Banaszkiewicz

Download or read book Postgraduate Orthopaedics written by Paul A. Banaszkiewicz and published by Cambridge University Press. This book was released on 2012-08-16 with total page 301 pages. Available in PDF, EPUB and Kindle. Book excerpt: The must-have book for candidates preparing for the oral component of the FRCS (Tr and Orth).