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Venous Thromboembolism In Orthopedics Ecab
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Book Synopsis Venous Thromboembolism in Orthopedics - ECAB by : SKS Marya
Download or read book Venous Thromboembolism in Orthopedics - ECAB written by SKS Marya and published by Elsevier Health Sciences. This book was released on 2012-09-14 with total page 139 pages. Available in PDF, EPUB and Kindle. Book excerpt: Most discussions concerning the prophylaxis of Deep Vein Thrombosis usually end up with the resolution stating ‘we agree to disagree.’ The confusion persists and that is what makes this topic extremely exciting and challenging. The book is a result of multispecialty contribution to put together this manual with multispecialty contribution from vascular surgeon, anesthesiologist, physiotherapists, orthopedicians and most critically anatomists. The importance of venous thromboembolism (VTE) cannot be over empathized. Many questions may still be unanswered. Venous thromboembolism is a common disease; it includes both deep vein thrombosis (DVT) and pulmonary embolism (PE). It is a common, lethal disorder that affects hospitalized and nonhospitalized patients, recurs frequently, and is often overlooked, under-diagnosed, with an average annual incidence of more than 1 case per 1000 persons. We however hope that we have once again lit a fire of inquisitiveness in your mind.
Book Synopsis Deep Vein Thrombosis - ECAB by : O P Yadava
Download or read book Deep Vein Thrombosis - ECAB written by O P Yadava and published by Elsevier Health Sciences. This book was released on 2013-04-26 with total page 318 pages. Available in PDF, EPUB and Kindle. Book excerpt: Venous thromboembolism is a common and potentially lethal disease. Patients who have pulmonary embolism are at especially high risk for death. Sudden death is often the first clinical manifestation. Only a reduction in the incidence of venous thromboembolism can reduce sudden death owing to pulmonary embolism and venous stasis syndrome owing to deep vein thrombosis. Improvement in the incidence of venous thromboembolism will require (i) better recognition of persons at risk, (ii) improved estimates of the magnitude of risk, (iii)avoidance of risk exposure when possible, (iv)more widespread use of safe and effective prophylaxis when risk is unavoidable, and (v) targeting of prophylaxis to those persons who will benefit most. Early and timely diagnosis and management of deep vein thrombosis and pulmonary embolism considerably reduces the subsequent morbidity and mortality.
Book Synopsis Thromboembolism in Orthopedic Surgery by : Juan Llau
Download or read book Thromboembolism in Orthopedic Surgery written by Juan Llau and published by Springer Science & Business Media. This book was released on 2012-10-18 with total page 173 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book reviews the main topics in thromboprophylaxis around orthopedic surgery, from a general scope of the problems with the disease highlighting them in orthopedics to the new specific protocols involving, for example, new oral anticoagulants. The prevalence of the venous thromboembolism in each procedure (from “easy” to “hard” surgeries, with different rates of related thrombosis) and the risk factors to bear in mind in each one (related and non-related with the orthopedic procedure) are also revised. A chapter focus on the diagnosis and treatment of venous thromboembolism, which is commonly “forgotten” in many books addressed to orthopedic surgeons and anaesthesiologists. The methods for thromboprophylaxis have three specific chapters: the most common drugs used and recommended when pharmacological prophylaxis is needed, new drugs which are arising day by day and which management will be of main importance in a close near future, and mechanical methods, recommended both as additional when possible and for sole indications when the risk of bleeding could move us to minimize the real risk of thrombosis. Anaesthetic implications for thromboprophylaxis and, also, main implications of the application of antithrombotic protocols in the anaesthetic practice are covered by another chapter. In our opinion it was very important to divide the orthopedic procedures according to their own thrombotic risk, so having their own protocols for thromboprophylaxis: high risk, day surgery procedures and “special” surgical procedures are included in three different chapters, from three different authors with complementary views. Finally, in a last chapter, we review the problems involving the perioperatory management of antiaggregated and anticoagulated patients, with a special part in hip fracture surgery.
Book Synopsis Venous Thromboembolism Prophylaxis in Orthopedic Surgery by :
Download or read book Venous Thromboembolism Prophylaxis in Orthopedic Surgery written by and published by . This book was released on with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Venous Thromboembolism Prophylaxis in Orthopedic Surgery (Main Report) by : U. S. Department Human Services
Download or read book Venous Thromboembolism Prophylaxis in Orthopedic Surgery (Main Report) written by U. S. Department Human Services and published by CreateSpace. This book was released on 2013-05-08 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Venous Thromboembolism Prophylaxis in Orthopedic Surgery: Main Report" (see also "Venous Thromboembolism Prophylaxis in Orthopedic Surgery: Appendices") - Major orthopedic surgery (total hip replacement, total knee replacement or hip fracture surgery) carries a high risk of venous thromboembolism. Pulmonary embolism following orthopedic surgery is reported to be rare. However, without prophylaxis, historical data suggest that hospital acquired deep venous thrombosis has been estimated to occur in 40 to 60 percent of cases in the 7 to 14 days following surgery compared with 10 to 40 percent among medical or general surgical patients. While asymptomatic deep vein thrombosis is identified more frequently than symptomatic deep vein thrombosis in clinical trials due to routine screening, there is disagreement as to the clinical relevance of asymptomatic cases. While certain patient characteristics (i.e. age, immobility, comorbidities) have been suggested to increase the risk of venous thromboembolism regardless of the clinical setting, major orthopedic surgery contributes additional factors such as use of general anesthesia which may prolong immobility and surgical involvement of the femoral vein. A variety of strategies to prevent venous thromboembolism are available and with routine use, the rate of symptomatic venous thromboembolism in patients within 3 months of surgery is 1.3 to 10 percent. The main limitation of pharmacologic venous thromboembolism prophylaxis is the risk of bleeding. Based on historical data major bleeding following total hip replacement and total knee replacement is estimated to be 1 to 3 percent. Determining the incidence of major bleeding with pharmacologic thromboprophylaxis is complicated by the variability in the definitions used in published literature and paucity of data in control patients. Following removal of an infected prosthesis and extended intravenous antibiotic treatment further surgery may be required to either implant a new prosthesis or perform an arthrodesis of the joint. There are many unknowns that need to be explored in a comparative effectiveness review. In contemporary practice, the risk of venous thromboembolism, pulmonary embolism, and deep vein thrombosis, and the causal link between deep vein thrombosis and pulmonary embolism has not been well established. Previous observations of the incidence of pulmonary embolism in patients who have undergone orthopedic surgery with confirmed deep vein thrombosis suggests that pulmonary embolism and deep vein thrombosis are related disorders. However, whether the presence of deep vein thrombosis affects the risk of pulmonary embolism and to what degree if so remains unclear in the literature. Widespread use of anticoagulants to treat venous thrombomebolism for many decades along with the evolution of diagnostic strategies have limited the availability of literature regarding the natural history of venous thromboembolism. In addition to major orthopedic surgery, there are a variety of other orthopedic surgeries in which the impact of venous thromboembolic prophylaxis has not been well evaluated. These orthopedic surgeries of interest include knee athroscopy, surgical repair of lower extremity injuries distal to the hip, and elective spine surgery. While prophylactic strategies may decrease the risk of venous thromboembolism, pulmonary embolism, and deep vein thrombosis, the magnitude of benefit in contemporary practice using rigorous definitions of endpoints and the impact of duration of prophylaxis on outcomes is not well delineated. Whether dual prophylactic strategies are superior to a single modality is not well defined. In addition, in order to determine comparative effectiveness, both the benefits and harms need to be appreciated. Finally, several previous meta-analyses and guidelines allowed the use of medications or devices that are not available for use in the United States reducing their applicability.
Book Synopsis Venous Thromboembolism Prophylaxis in Major Orthopedic Surgery by : Ethan Balk
Download or read book Venous Thromboembolism Prophylaxis in Major Orthopedic Surgery written by Ethan Balk and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: BACKGROUND: Major orthopedic surgeries, such as total knee replacement (TKR), total hip replacement (THR), and hip fracture (HFx) surgery, carry a high risk for venous thromboembolism (VTE)--deep vein thrombosis (DVT) and pulmonary embolism (PE). METHODS: Updating a 2012 review, we compare interventions to prevent VTE after TKR, THR, and HFx surgery. We searched four databases and other sources through June 3, 2016, for randomized controlled trials (RCTs) and large nonrandomized comparative studies (NRCSs) reporting postoperative VTE, major bleeding, and other adverse events. We conducted pairwise meta-analyses, Bayesian network meta-analyses, and strength of evidence (SoE) synthesis. RESULTS: Overall, 127 RCTs and 15 NRCSs met criteria. For THR: low molecular weight heparin (LMWH) has lower risk than unfractionated heparin (UFH) of various VTE outcomes (moderate to high SoE) and major bleeding (moderate SoE). LMWH and aspirin have similar risks of total PE, symptomatic DVT, and major bleeding (low SoE). LMWH has less major bleeding (low SoE) than direct thrombin inhibitors (DTI), but DTI has lower DVT risks (moderate SoE). LMWH has less major bleeding than vitamin K antagonists (VKA) (high SoE). LMWH and factor Xa inhibitor (FXaI) comparisons are inconsistent across VTE outcomes, but LMWH has less major bleeding (high SoE). VKA has lower proximal DVT risk than mechanical devices (high SoE). Longer duration LMWH has lower risk of various VTE outcome risks (low to high SoE). Higher dose LMWH has lower total DVT risk (low SoE) but more major bleeding (moderate SoE). Higher dose FXaI has lower total VTE risk (low SoE). For TKR: LMWH has lower DVT risks than VKA (low to high SoE), but VKA has less major bleeding (low SoE). FXaI has lower risk than LMWH of various VTE outcomes (low to moderate SoE), but LMWH has less major bleeding (low SoE) and more study-defined serious adverse events (low SoE). Higher dose DTI has lower DVT risk (moderate to high SoE) but more major bleeding (low SoE). Higher dose FXaI has lower risk of various VTE outcomes (low to moderate SoE). For HFx surgery: LMWH has lower total DVT risk than FXaI (moderate SoE). CONCLUSIONS: VTE prophylaxis after major orthopedic surgery trades off lowered VTE risk with possible adverse events--in particular, for most interventions, major bleeding. In THR, LMWH has lower VTE and adverse event risks than UFH, LMWH and aspirin have similar risks of VTE and major bleeding, DTI has lower DVT risk than LMWH but higher major bleeding risk, and higher dose LMWH has lower DVT risk but higher major bleeding risk than lower dose. In TKR, VKA has higher DVT risk than LMWH but lower major bleeding risk, and higher dose DTI has lower DVT risk but higher major bleeding risk than lower dose. In HFx surgery and for other intervention comparisons, there is insufficient evidence to assess both benefits and harms, or findings are inconsistent. Importantly, though, most studies evaluate "total DVT" (an outcome of unclear clinical significance since it includes asymptomatic and other low-risk DVTs), but relatively few studies evaluate PE and other clinically important outcomes. This limitation yields a high likelihood of selective outcome reporting bias. There is also relatively sparse evidence on interventions other than LMWH.
Book Synopsis Venous Thromboembolism in Orthopaedic Surgery by : Justin R. Knight
Download or read book Venous Thromboembolism in Orthopaedic Surgery written by Justin R. Knight and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Venous Thromboembolism in Orthopaedic Surgery.
Book Synopsis Handbook of Pediatric Urology by : Laurence S. Baskin
Download or read book Handbook of Pediatric Urology written by Laurence S. Baskin and published by Lippincott Williams & Wilkins. This book was released on 2018-04-16 with total page 345 pages. Available in PDF, EPUB and Kindle. Book excerpt: Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. Now in full color for the first time, the third edition of the Handbook of Pediatric Urology helps you better understand the diagnosis and treatment of all major urologic disorders and conditions in infants, children, and adolescents. A new third editor, Dr. Jeffery A. Stock—Director of Pediatric Urology at Kravis Children's Hospital, Icahn School of Medicine at Mount Sinai in New York—and over 25 contributors provide thorough, concise coverage of the entire field, making this quick-reference ideal for bedside use as well as deep-dive research.
Book Synopsis Operative Techniques: Orthopaedic Trauma Surgery E-Book by : Emil Schemitsch
Download or read book Operative Techniques: Orthopaedic Trauma Surgery E-Book written by Emil Schemitsch and published by Elsevier Health Sciences. This book was released on 2019-08-17 with total page 1124 pages. Available in PDF, EPUB and Kindle. Book excerpt: Part of the practical, highly illustrated Operative Techniques series, this fully revised book from Drs. Emil H. Schemitsch and Michael D. McKee brings you up to speed with must-know surgical techniques in today's technically demanding orthopaedic trauma surgery. Step-by-step, evidence-based guidance walks you through both common and unique cases you're likely to see in your practice, including upper extremity, lower extremity, spine, pelvis, and acetabulum trauma. Practical features such as pearls of wisdom, key points, and potential pitfalls detailed by the authors in order to successfully manage patients with complex fracture patterns have all been reinforced in this new edition. - Includes all-new chapters on Acromioclavicular Joint Injuries, Sternoclavicular Joint Open Reduction and Internal Fixation, Intramedullary Fixation of Clavicle Shaft Fractures, Use of the Reamer Irrigator Aspirator (RIA) for Bone Graft Harvesting, Fractures of the Posterior Tibial Plateau, Reverse Total Shoulder Arthroplasty for Proximal Humerus Fractures, and many more. - Features high-quality line drawings, diagnostic and intraoperative images, and radiographs alongside expert technical guidance on instrumentation, placement, step-by-step instructions and more – all supported by best evidence. - Includes practical videos online to support visual understanding and implementation into practice. - A bulleted, highly templated format allows for quick understanding of surgical techniques. - Outlines positioning, exposures, instrumentation, and implants to equip you to be more thoroughly prepared for every procedure. - Offers post-operative management guidelines and discussions of expected outcomes to help you avoid mistakes and offer quality, patient-focused care. - Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices.
Book Synopsis Major Incident Medical Management and Support by : Advanced Life Support Group (ALSG)
Download or read book Major Incident Medical Management and Support written by Advanced Life Support Group (ALSG) and published by John Wiley & Sons. This book was released on 2019-01-04 with total page 185 pages. Available in PDF, EPUB and Kindle. Book excerpt: The new edition of Major Incident Medical Management and Support is a vital component in the blended learning course from Advanced Life Support Group (ALSG), which aims to provide hospital staff at all levels with essential information on the preparation, management and support elements of dealing with casualties in a major incident. Split into five sections, each focuses on the elements requisite in preparing for, and responding, to a major incident. The first section discusses the epidemiology and incidences of major incidents and the structured approach to the hospital response. The second section contains the preparation required in planning for major incidents, including equipment and training. The third section covers the management of a major incident, concentrating on the clinical, nursing and management hierarchies. The fourth includes the various stages of support in a major incident, including declaring an incident and activating the plan, the reception, triage, definitive care and recovery phases of an incident. The final section focuses on special incidents which require additional consideration, including those involving hazardous chemicals, burns and children. Written in collaboration with the National Emergency Planning, Major Incident Medical Management and Support is an invaluable reference in the emergency department and beyond for staff needing to prepare for the rare, but inevitable, hospital major incidence response.
Book Synopsis Thesis Writing for Master's and Ph.D. Program by : Subhash Chandra Parija
Download or read book Thesis Writing for Master's and Ph.D. Program written by Subhash Chandra Parija and published by Springer. This book was released on 2018-11-03 with total page 315 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book on Thesis Writing for Master’s and Ph.D. program focuses on the difficulties students encounter with regard to choosing a guide; selecting an appropriate research title considering the available resources; conducting research; and ways to overcome the hardships they face while researching, writing and preparing their dissertation for submission. Thesis writing is an essential skill that medical and other postgraduates are expected to learn during their academic career as a mandatory partial requirement in order to receive the Master’s degree. However, at the majority of medical schools, writing a thesis is largely based on self-learning, which adds to the burden on students due to the tremendous amount of time spent learning the writing skills in addition to their exhausting clinical and academic work. Due to the difficulties faced during the early grooming years and lack of adequate guidance, acquiring writing skills continues to be a daunting task for most students. This book addresses these difficulties and deficiencies and provides comprehensive guidance, from selecting the research title to publishing in a scientific journal.
Book Synopsis Dilemmas in Abdominal Surgery by : Savio George Alberto da Piedade Barreto
Download or read book Dilemmas in Abdominal Surgery written by Savio George Alberto da Piedade Barreto and published by CRC Press. This book was released on 2020-11-12 with total page 331 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book covers the management of surgical diseases "through the eyes" of a clinician by providing an evidence-based approach to specific clinical dilemmas. The chapters take the reader through a step-by-step "decision-making" approach to commonly encountered, but difficult to manage, situations where the editors share their rationale behind the process. Emphasis is placed on the use of tables and algorithms to simplify understanding. They aim to empower the readers with the ability to manage complex abdominal surgery scenarios in a streamlined manner, thus improving the care and outcome of patients. Key Features Targets specific, difficult to manage scenarios Provides expert opinion/advice on how to tackle tricky situations Covers both benign and malignant cases Examines surgical dilemmas through illustrations
Book Synopsis Textbook of Surgical Gastroenterology, Volumes 1 & 2 by : Pramod Kumar Mishra
Download or read book Textbook of Surgical Gastroenterology, Volumes 1 & 2 written by Pramod Kumar Mishra and published by JP Medical Ltd. This book was released on 2016-03-20 with total page 665 pages. Available in PDF, EPUB and Kindle. Book excerpt: Textbook of Surgical Gastroenterology is a highly illustrated, two volume resource for residents and practising surgeons. Divided into 124 chapters across ten sections, this comprehensive textbook covers a vast range of gastroenterological conditions and their surgical management. The book begins with a general section, covering imaging, infections and antibiotics, radiation therapy, nutritional support for hospitalised patients, statistics, and interventional radiology. Subsequent sections cover specific parts of the gastrointestinal system, including oesophagus, stomach, pancreas, gall bladder, liver, spleen, and colon. Each section begins with a chapter on anatomy, before covering the surgical treatment of various disorders. The penultimate section of Textbook of Surgical Gastroenterology provides extensive information on liver transplantation, and the final section covers miscellaneous topics in gastroenterology. This book is enhanced by 1200 images, and includes two DVDs with guidance on seven surgical procedures. Key Points Two volume guide to gastroenterological surgery, incorporating a vast range of conditions 124 chapters across ten sections covering the entire gastrointestinal system Separate section devoted to liver transplantation 1200 images and two DVDs
Book Synopsis Management of Open Fractures by : Charles M Court-Brown
Download or read book Management of Open Fractures written by Charles M Court-Brown and published by CRC Press. This book was released on 2004-12-11 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: A guide to the management of open fractures. This second edition has been updated and revised throughout, to reflect advances in this rapidly-moving field.
Download or read book Oral Cytology written by Ravi Mehrotra and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: Oral Cytology: A Concise Guide provides a state-of-the-art review of the major issues specific to the field of oral cytology. The sections of the book have been structured to review the complexities of sample collection, manual/automated analysis, pitfalls, gray zones and controversies in diagnosis, as well as, issues not covered by other available materials. Recent advancements in ancillary techniques like DNA ploidy, image analysis and molecular biology are discussed in detail. This useful text is extensively illustrated with patient and microscopic pictures, which will further highlight the clinical application. Throughout the text, simultaneous inclusion of both cytologic and histologic images will allow cyto-histological correlation. Readers will find descriptions of techniques offering greater simplicity, speed, patient comfort and cost effectiveness, as well as improved diagnostic precision. This bench-side reference is a unique and valuable resource in the field of oral cytology, both for those currently in training and clinicians dealing with the diagnosis of oral lesions.
Download or read book Trauma written by Charles M. Court-Brown and published by Lippincott Williams & Wilkins. This book was released on 2006 with total page 596 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by the world's foremost trauma surgeons, this volume of our Orthopaedic Surgery Essentials Series presents all the information residents need during trauma surgery rotation or service. It can easily be read cover to cover during a rotation or used for quick reference before a patient workup or operation. The user-friendly, visually stimulating format features ample illustrations, bulleted lists, boxes, and tables. Coverage begins with brief chapters on fracture epidemiology and healing and proceeds to fracture types and injuries at each anatomic site. A section describes the various surgical and nonsurgical techniques used in fracture management. Concluding chapters discuss postoperative complications.
Book Synopsis Principles and Practice of Dialysis by : William L. Henrich
Download or read book Principles and Practice of Dialysis written by William L. Henrich and published by Lippincott Williams & Wilkins. This book was released on 2012-02-03 with total page 730 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is an evidence-based review of the practical challenges of dealing with patients receiving dialysis. The first section covers technical and procedural considerations such as choosing the hemodialysis membrane and choosing the best dialysis option. The second section covers clinical considerations such as infection and the treatment of specific renal disease complications. The book includes numerous illustrations and tables and drug charts for dialysis patients. This edition's current outcomes chapter has been expanded to include patient depression and improving quality of care. New chapters cover dialysis in the ICU, valvular heart disease, and pre-emptive renal transplantation.
