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An Evidence Based Departmental Guideline For Provision Of Regional Anaesthesia In Breast Surgery
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Book Synopsis OVERCOMING DIVERGENT SURGICAL OPINION TO SUCCESSFULLY IMPLEMENT AN EVIDENCE BASED REGIONAL ANAESTHETIC GUIDELINE: A MARRIAGE OF PUBLISHED EVIDENCE AND CONSULTANT PREFERENCE by : Rafiq Kanji
Download or read book OVERCOMING DIVERGENT SURGICAL OPINION TO SUCCESSFULLY IMPLEMENT AN EVIDENCE BASED REGIONAL ANAESTHETIC GUIDELINE: A MARRIAGE OF PUBLISHED EVIDENCE AND CONSULTANT PREFERENCE written by Rafiq Kanji and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: BackgroundRegional anaesthesia (RA) in breast surgery (BS) reduces post-operative pain,1,2,3 chronic pain4 and possibly risk of malignant recurrence.5,6 However, diversity of surgical opinion, available blocks and absence of any national or local protocol has lead to miscellany of what RA, if any, is offered regardless of its evidence based benefits. Despite such challenges, we devised and successfully implemented a departmental guideline which integrated opposing views with available evidence to enhance the provision of RA in BS. MethodAll Anaesthetists and Surgeons undertaking BS at Surrey and Sussex NHS Trust were invited to give their opinion of RA in BS, preferred blocks and those they feel are problematic. A literature review was conducted and each respondent interviewed in person. The guideline was an amalgamation of these elements.ResultsAnaesthetists universally preferred PECSI&II blocks for their efficacy, ease and speed. All Surgeons reported interference with the surgical field with PECSI&II with one advising the disruption was sufficiently deleterious to precluded axillary dissection. However, on further discussion and explanation was only dissatisfied with PECSI and Serratus Anterior blocks. Most found preoperative RA unnecessary in most cases and were only agreeable to its routine use in BS when exposed to the growing evidence of possible oncological benefit. ConclusionStandardising the practice of RA is challenging in a workplace of conflicting opinion of what if any blocks should be employed even in the face of proven value. We have shown that in such circumstances, interprofessional liaison, education and compromise is necessary for successful implementation; evidence alone is insufficient.
Book Synopsis Disease Control Priorities, Third Edition (Volume 1) by : Haile T. Debas
Download or read book Disease Control Priorities, Third Edition (Volume 1) written by Haile T. Debas and published by World Bank Publications. This book was released on 2015-03-23 with total page 445 pages. Available in PDF, EPUB and Kindle. Book excerpt: Essential Surgery is part of a nine volume series for Disease Control Priorities which focuses on health interventions intended to reduce morbidity and mortality. The Essential Surgery volume focuses on four key aspects including global financial responsibility, emergency procedures, essential services organization and cost analysis.
Book Synopsis Breastfeeding and Medication by : Wendy Jones
Download or read book Breastfeeding and Medication written by Wendy Jones and published by Routledge. This book was released on 2018-05-11 with total page 536 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sadly, women often feel they have no alternative but to give up breastfeeding, having been prescribed or purchased medication. In many cases, however, this is unnecessary. This book outlines the evidence base for the use of medication during breastfeeding. Breastfeeding and Medication presents a comprehensive A to Z guide to the most frequently prescribed drugs and their safety for breastfeeding mothers. Evaluating the evidence for interventions and using a simple format for quickly identifying medications that are safe or unsafe to use, it also highlights those drugs where there is inconclusive evidence. Additional contextual information makes this the most complete text for those practitioners who support and treat breastfeeding women. It: provides an overview of the anatomy and physiology of the breast together with hormonal influences to better understand how complications, such as mastitis, arise and inform the approach to their treatment; includes a section on conditions that affect women specifically when they are lactating where prescription of medication may be necessary; discusses the importance of breastfeeding and its advantages, as well as its disadvantages; and explores how to support breastfeeding mothers, and presents a counselling model approach. This new edition contains information on more drugs and a chapter on the management of some chronic conditions which may affect breastfeeding mothers. In most cases there are options to support the mother’s optimal care whilst allowing her to continue to breastfeed her baby as long as she wishes. This is a topic which raises many questions on social media, which informed the choice of conditions to consider. This is an invaluable reference for all health practitioners and volunteers who work with, support and treat breastfeeding women, including lactation consultants, breastfeeding support workers, health visitors, GPs, practice nurses, pharmacists and midwives.
Book Synopsis Enhanced Recovery After Surgery by : Olle Ljungqvist
Download or read book Enhanced Recovery After Surgery written by Olle Ljungqvist and published by Springer Nature. This book was released on 2020-03-30 with total page 654 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is the first comprehensive, authoritative reference that provides a broad and comprehensive overview of Enhanced Recovery After Surgery (ERAS). Written by experts in the field, chapters analyze elements of care that are both generic and specific to various surgeries. It covers the patient journey through such a program, commencing with optimization of the patient’s condition, patient education, and conditioning of their expectations. Organized into nine parts, this book discusses metabolic responses to surgery, anaesthetic contributions, and optimal fluid management after surgery. Chapters are supplemented with examples of ERAS pathways and practical tips on post-operative pain control, feeding, mobilization, and criteria for discharge. Enhanced Recovery After Surgery: A Complete Guide to Optimizing Outcomes is an indispensable manual that thoroughly explores common post-operative barriers and challenges.
Book Synopsis Global Gidelines for the Pevention of Surgical Site Infection by : World Health Organization
Download or read book Global Gidelines for the Pevention of Surgical Site Infection written by World Health Organization and published by . This book was released on 2017-01-27 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: Surgical site infections are caused by bacteria that get in through incisions made during surgery. They threaten the lives of millions of patients each year and contribute to the spread of antibiotic resistance. In low- and middle-income countries, 11% of patients who undergo surgery are infected in the process. In Africa, up to 20% of women who have a caesarean section contract a wound infection, compromising their own health and their ability to care for their babies. But surgical site infections are not just a problem for poor countries. In the United States, they contribute to patients spending more than 400 000 extra days in hospital at a cost of an additional US $10 billion per year. No international evidence-based guidelines had previously been available before WHO launched its global guidelines on the prevention of surgical site infection on 3 November 2016, and there are inconsistencies in the interpretation of evidence and recommendations in existing national guidelines. These new WHO guidelines are valid for any country and suitable to local adaptations, and take account of the strength of available scientific evidence, the cost and resource implications, and patient values and preferences.
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.
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :030949687X Total Pages :223 pages Book Rating :4.3/5 (94 download)
Book Synopsis Framing Opioid Prescribing Guidelines for Acute Pain by : National Academies of Sciences, Engineering, and Medicine
Download or read book Framing Opioid Prescribing Guidelines for Acute Pain written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-03-20 with total page 223 pages. Available in PDF, EPUB and Kindle. Book excerpt: The opioid overdose epidemic combined with the need to reduce the burden of acute pain poses a public health challenge. To address how evidence-based clinical practice guidelines for prescribing opioids for acute pain might help meet this challenge, Framing Opioid Prescribing Guidelines for Acute Pain: Developing the Evidence develops a framework to evaluate existing clinical practice guidelines for prescribing opioids for acute pain indications, recommends indications for which new evidence-based guidelines should be developed, and recommends a future research agenda to inform and enable specialty organizations to develop and disseminate evidence-based clinical practice guidelines for prescribing opioids to treat acute pain indications. The recommendations of this study will assist professional societies, health care organizations, and local, state, and national agencies to develop clinical practice guidelines for opioid prescribing for acute pain. Such a framework could inform the development of opioid prescribing guidelines and ensure systematic and standardized methods for evaluating evidence, translating knowledge, and formulating recommendations for practice.
Book Synopsis Acute Pain Management by : Pamela E. Macintyre
Download or read book Acute Pain Management written by Pamela E. Macintyre and published by . This book was released on 2010-01-01 with total page 491 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Difficult Airway by : David B. Glick
Download or read book The Difficult Airway written by David B. Glick and published by Springer Science & Business Media. This book was released on 2012-12-05 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Difficult Airway provides a comprehensive textual and visual coverage of how to deal with patients who have expected or unexpected difficult airways. The text begins with a description of the incidence and importance of the difficult airway and then describes the ASA Difficult Airway Algorithm created to facilitate the management of “difficult airways.” The majority of the book features a comprehensive step-by-step approach to the rescue techniques listed as part of the ASA Algorithm. Noted experts in each of the techniques have been recruited by the book editors to present the information. Figures throughout the book illustrate important points and procedures. This is a wonderful resource for professionals in the health care field including anesthesiologists, intensive care physicians, emergency room physicians, nurses, and out-of-hospital first responders.
Book Synopsis Evidence-Based Interventional Pain Medicine by : Jan Van Zundert
Download or read book Evidence-Based Interventional Pain Medicine written by Jan Van Zundert and published by John Wiley & Sons. This book was released on 2011-10-19 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: Unrelieved chronic pain is a worldwide epidemic Chronic pain has been subject to multiple international initiatives through the World Health Organization. Interventional Pain Medicine, the use of minimally invasive techniques to relieve pain, is the best approach when simpler measures such as physical therapy or medications fail. However, these procedures can be associated with significant risk and expense. Establishing uniformity in diagnostic criteria and procedural performance can reduce both morbidity and unnecessary procedures, and hence healthcare expenditures. While other texts explain how to perform these procedures, little focus has been given to diagnostic considerations: if and when these procedures should be performed. Evidence-Based Interventional Pain Medicine focuses on a balance between effectiveness and safety of interventional management for specific diagnoses, across all areas of chronic pain including: Head, neck and shoulder pain Lower back pain Neuropathic pain syndromes Complex Regional Pain Syndrome Pain in patients with cancer Vascular and visceral pain Evidence-Based Interventional Pain Medicine provides essential knowledge for anyone who uses, or intends to use, interventional pain techniques.
Book Synopsis The CMS Hospital Conditions of Participation and Interpretive Guidelines by :
Download or read book The CMS Hospital Conditions of Participation and Interpretive Guidelines written by and published by . This book was released on 2017-11-27 with total page 546 pages. Available in PDF, EPUB and Kindle. Book excerpt: In addition to reprinting the PDF of the CMS CoPs and Interpretive Guidelines, we include key Survey and Certification memos that CMS has issued to announced changes to the emergency preparedness final rule, fire and smoke door annual testing requirements, survey team composition and investigation of complaints, infection control screenings, and legionella risk reduction.
Book Synopsis Strengthening Forensic Science in the United States by : National Research Council
Download or read book Strengthening Forensic Science in the United States written by National Research Council and published by National Academies Press. This book was released on 2009-07-29 with total page 348 pages. Available in PDF, EPUB and Kindle. Book excerpt: Scores of talented and dedicated people serve the forensic science community, performing vitally important work. However, they are often constrained by lack of adequate resources, sound policies, and national support. It is clear that change and advancements, both systematic and scientific, are needed in a number of forensic science disciplines to ensure the reliability of work, establish enforceable standards, and promote best practices with consistent application. Strengthening Forensic Science in the United States: A Path Forward provides a detailed plan for addressing these needs and suggests the creation of a new government entity, the National Institute of Forensic Science, to establish and enforce standards within the forensic science community. The benefits of improving and regulating the forensic science disciplines are clear: assisting law enforcement officials, enhancing homeland security, and reducing the risk of wrongful conviction and exoneration. Strengthening Forensic Science in the United States gives a full account of what is needed to advance the forensic science disciplines, including upgrading of systems and organizational structures, better training, widespread adoption of uniform and enforceable best practices, and mandatory certification and accreditation programs. While this book provides an essential call-to-action for congress and policy makers, it also serves as a vital tool for law enforcement agencies, criminal prosecutors and attorneys, and forensic science educators.
Book Synopsis Oncoplastic Breast Reconstruction by : Dick Rainsbury
Download or read book Oncoplastic Breast Reconstruction written by Dick Rainsbury and published by . This book was released on 2012 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Perioperative Pain Management by : Richard D. Urman
Download or read book Perioperative Pain Management written by Richard D. Urman and published by Oxford University Press. This book was released on 2013-05-23 with total page 141 pages. Available in PDF, EPUB and Kindle. Book excerpt: Perioperative Pain Management is an up-to-date, evidence-based guide for clinicians who diagnose and treat post-surgical patients.
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :0309459575 Total Pages :483 pages Book Rating :4.3/5 (94 download)
Book Synopsis Pain Management and the Opioid Epidemic by : National Academies of Sciences, Engineering, and Medicine
Download or read book Pain Management and the Opioid Epidemic written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-09-28 with total page 483 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.
Book Synopsis Ultrasound Guidance in Regional Anaesthesia by : Peter Marhofer
Download or read book Ultrasound Guidance in Regional Anaesthesia written by Peter Marhofer and published by OUP Oxford. This book was released on 2010-09-09 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ultrasonographic guidance for regional anaesthetic blocks is an innovative technique that allows for the direct visualization of nerves, adjacent structures and the position of the needle, as well as for the precise observation of the spread of local anaesthetic. The advantages of the technique allow for the exact administration of moderate volumes of local anaesthetic, reducing the risk of complications. Written by a physician with 16 years' experience in ultrasound-guided regional anaesthesia, this second edition of the well-received practical handbook provides a concise summary of the basics of ultrasound technology and the most recent techniques in the use of ultrasound to guide peripheral nerve blocks, focusing specifically on ultrasound-guided peripheral nerve block techniques. All chapters have been carefully revised to provide the most recent knowledge in the topic of ultrasound in regional anaesthesia. A strong focus has still been attached on anatomical descriptions and subsequent practical implementations. Paediatric applications are now included in this new edition to aid paediatric anaesthesiologists, as well as the incorporation of neuraxial techniques to complete the entire topic. With illustrated colour images throughout, this book is highly relevant to anaesthesiologists and pain specialists with an interest in regional anaesthesia.
Book Synopsis Decision-Making in Orthopedic and Regional Anesthesiology by : Michael R. Anderson
Download or read book Decision-Making in Orthopedic and Regional Anesthesiology written by Michael R. Anderson and published by Cambridge University Press. This book was released on 2015-09-17 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt: In light of evolving techniques and strategies for increasingly complex orthopedic procedures, this accessible guide to patient management outlines the considerations involved in selecting the most suitable anesthetic for both common and complex clinical scenarios. Chapters cover a multitude of clinical presentations and procedures, ranging from orthopedic trauma to total joint replacement, outpatient hand procedures and regional anesthetic placement in patients with pre-existing conditions. Each chapter discusses and evaluates multiple approaches, accompanied by a review of the current literature. Abundant case scenarios of patients undergoing orthopedic surgical or regional anesthesia provide a handy framework for specialists and consultants, as well as an invaluable guide for trainees in anesthesia, regional anesthesia and emergency medicine.
