Image-Guided Interventions E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323612059
Total Pages : 1193 pages
Book Rating : 4.3/5 (236 download)

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Book Synopsis Image-Guided Interventions E-Book by : Kenneth R. Thomson

Download or read book Image-Guided Interventions E-Book written by Kenneth R. Thomson and published by Elsevier Health Sciences. This book was released on 2020-03-13 with total page 1193 pages. Available in PDF, EPUB and Kindle. Book excerpt: Completely revised to reflect recent, rapid changes in the field of interventional radiology (IR), Image-Guided Interventions, 3rd Edition, offers comprehensive, narrative coverage of vascular and nonvascular interventional imaging—ideal for IR subspecialists as well as residents and fellows in IR. This award-winning title provides clear guidance from global experts, helping you formulate effective treatment strategies, communicate with patients, avoid complications, and put today's newest technology to work in your practice. - Offers step-by-step instructions on a comprehensive range of image-guided intervention techniques, including discussions of equipment, contrast agents, pharmacologic agents, antiplatelet agents, and classic signs, as well as detailed protocols, algorithms, and SIR guidelines. - Includes new chapters on Patient Preparation, Prostate Artery Embolization, Management of Acute Aortic Syndrome, Percutaneous Arterial Venous Fistula Creation, Lymphatic Interventions, Spinal and Paraspinal Nerve Blocks, and more. - Employs a newly streamlined format with shorter, more digestible chapters for quicker reference. - Integrates new patient care and communication tips throughout to address recent changes in practice. - Highlights indications and contraindications for interventional procedures, and provides tables listing the materials and instruments required for each. - Features more than 2,300 state-of-the-art images demonstrating IR procedures, full-color illustrations of anatomical structures and landmarks, and video demonstrations online. - 2014 BMA Medical Book Awards Highly Commended in Radiology category!

Veterinary Image-Guided Interventions

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Author :
Publisher : John Wiley & Sons
ISBN 13 : 111837827X
Total Pages : 683 pages
Book Rating : 4.1/5 (183 download)

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Book Synopsis Veterinary Image-Guided Interventions by : Chick Weisse

Download or read book Veterinary Image-Guided Interventions written by Chick Weisse and published by John Wiley & Sons. This book was released on 2015-01-30 with total page 683 pages. Available in PDF, EPUB and Kindle. Book excerpt: Veterinary Image-Guided Interventions is the only book dedicated to interventions guided by imaging technology. Written and edited by leading experts in the field, interventional endoscopy, cardiology, oncology and radiology are covered in detail. Chapters include the history and background of the procedures, patient work-up, equipment lists, detailed procedural instructions, potential complications, patient follow-up protocols, and expected outcomes. Split into body systems, the technical aspects of each procedure are presented using highly illustrated step-by-step guides. Veterinary Image-Guided Interventions is a must-have handbook for internists, surgeons, cardiologists, radiologists, oncologists and criticalists, and for anyone interested in cutting-edge developments in veterinary medicine. Key features include: A highly practical step-by-step guide to image-guided procedures Relevant to a wide range of veterinary specialists. Written and edited by respected pioneers in veterinary image-guided procedures A companion website offers videos of many procedures to enhance the text

Image-Guided Interventions

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 0387738584
Total Pages : 576 pages
Book Rating : 4.3/5 (877 download)

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Book Synopsis Image-Guided Interventions by : Terry Peters

Download or read book Image-Guided Interventions written by Terry Peters and published by Springer Science & Business Media. This book was released on 2008-05-21 with total page 576 pages. Available in PDF, EPUB and Kindle. Book excerpt: Responding to the growing demand for minimally invasive procedures, this book provides a comprehensive overview of the current technological advances in image-guided surgery. It blends the expertise of both engineers and physicians, offering the latest findings and applications. Detailed color images guide readers through the latest techniques, including cranial, orthopedic, prostrate, and endovascular interventions.

Procedural Dictations in Image-Guided Intervention

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Author :
Publisher : Springer
ISBN 13 : 3319408453
Total Pages : 655 pages
Book Rating : 4.3/5 (194 download)

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Book Synopsis Procedural Dictations in Image-Guided Intervention by : Bedros Taslakian

Download or read book Procedural Dictations in Image-Guided Intervention written by Bedros Taslakian and published by Springer. This book was released on 2016-09-03 with total page 655 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is designed to provide the practicing interventionist with a comprehensive list of procedural reports that covers the vast majority of the currently performed interventional procedures outside the cardiac system. It offers up-to-date explanatory notes, synopsis of the indications, contraindications and potential complications in an organized and practical format that follows the various body systems and progresses from the simple image guided FNA to the most complex procedures and incorporates the current societal guidelines. The book is divided for ease of reference into three main parts: Non vascular, Vascular and Neurovascular interventions. This information is not currently available in any single publication. The text provides residents, fellows as well as staff members with a quick, detailed and user-friendly resource for documentation of image-guided interventional procedures that will facilitate their tasks, improve the standard of documentation and reduce errors. The text can serve as a valuable tool for a quick review prior to a procedure or in preparation for an oral board certifying examination. The entries are vetted by recognized experts in the field of image-guided intervention. Procedural Dictations in Image-Guided Intervention: Non-Vascular, Vascular & Neuro Interventions covers the vast majority of the currently practiced image-guided interventions in the various body systems. This information is supported by up-to-date references and international guidelines. This book is a must-have for residents and fellows undergoing training and all specialists in image-guided intervention.

Image Guided Interventions of the Spine

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Author :
Publisher : Springer Nature
ISBN 13 : 3030800792
Total Pages : 395 pages
Book Rating : 4.0/5 (38 download)

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Book Synopsis Image Guided Interventions of the Spine by : Majid Khan

Download or read book Image Guided Interventions of the Spine written by Majid Khan and published by Springer Nature. This book was released on 2021-10-18 with total page 395 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a comprehensive review of image guided interventions of the spine. Beginning with a chapter dedicated to the history of image guided spinal interventions, authors set the stage for the role these procedures have and will play in the field. Chapters cover the key procedures, techniques, and considerations to maximize effectiveness and patient care. Some major topics covered include: imaging osseo-ligamentous spine anatomy, percutaneous vertebroplasty, image guided tumor ablation, and vascular spine intervention. Additional features include high-quality illustrations with concise descriptions and clinical cases discussions. This is an ideal guide for interventional neuroradiologists, radiologists, pain management physicians, neurosurgeons, orthopedic spine surgeons, and related residents, fellows, and students wanting in depth information on image guided interventions of the spine.

Image-Guided Interventions E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 1455753971
Total Pages : 1842 pages
Book Rating : 4.4/5 (557 download)

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Book Synopsis Image-Guided Interventions E-Book by : Matthew A. Mauro

Download or read book Image-Guided Interventions E-Book written by Matthew A. Mauro and published by Elsevier Health Sciences. This book was released on 2013-09-09 with total page 1842 pages. Available in PDF, EPUB and Kindle. Book excerpt: 2014 BMA Medical Book Awards Highly Commended in Radiology category! Image-Guided Interventions, a title in the Expert Radiology Series, brings you in-depth and advanced guidance on all of today?s imaging and procedural techniques. Whether you are a seasoned interventionalist or trainee, this single-volume medical reference book offers the up-to-the-minute therapeutic methods necessary to help you formulate the best treatment strategies for your patients. The combined knowledge of radiology experts from around the globe provides a broad range of treatment options and perspectives, equipping you to avoid complications and put today's best approaches to work in your practice. "... the authors and editors have succeeded in providing a book that is both useful, instructive and practical" Reviewed by RAD Magazine, March 2015 Formulate the best treatment plans for your patients with step-by-step instructions on important therapeutic radiology techniques, as well as discussions on equipment, contrast agents, pharmacologic agents, antiplatelet agents, and protocols. Make effective clinical decisions with the help of detailed protocols, classic signs, algorithms, and SIR guidelines. Make optimal use of the latest interventional radiology techniques with new chapters covering ablation involving microwave and irreversible electroporation; aortic endografts with fenestrated grafts and branch fenestrations; thoracic endografting (TEVAR); catheter-based cancer therapies involving drug-eluting beads; sacroiliac joint injections; bipedal lymphangiography; pediatric gastrostomy and gastrojejunostomy; and peripartum hemorrhage. Know what to look for and how to proceed with the aid of over 2,650 state-of-the-art images demonstrating interventional procedures, in addition to full-color illustrations emphasizing key anatomical structures and landmarks. Quickly reference the information you need through a functional organization highlighting indications and contraindications for interventional procedures, as well as tables listing the materials and instruments required for each. Access the fully searchable contents, online-only material, and all of the images online at Expert Consult.

Atlas of Image-Guided Spinal Procedures E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323497349
Total Pages : 683 pages
Book Rating : 4.3/5 (234 download)

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Book Synopsis Atlas of Image-Guided Spinal Procedures E-Book by : Michael B. Furman

Download or read book Atlas of Image-Guided Spinal Procedures E-Book written by Michael B. Furman and published by Elsevier Health Sciences. This book was released on 2017-10-25 with total page 683 pages. Available in PDF, EPUB and Kindle. Book excerpt: Give your patients the non-surgical spine pain relief they need with help from the Atlas of Image-Guided Spinal Procedures by Dr. Michael Bruce Furman. This medical reference book features a highly visual atlas format that shows you exactly how to safely and efficiently perform each technique step-by-step. A unique, systematic, safe, and efficient approach makes Atlas of Image-Guided Spinal Procedures your go-to resource for spine pain relief for your patients. The highly visual format shows you exactly how to perform each technique, highlighting imaging pearls and emphasizing optimal and suboptimal imaging. Updated content includes ultrasound techniques and procedures for "spine mimickers," including hip and shoulder image-guided procedures, keeping you on the cutting edge of contemporary spine pain-relief methods. - Safely and efficiently relieve your patients' pain with consistent, easy-to-follow chapters that guide you through each technique. - Highly visual atlas presentation of an algorithmic, image-guided approach for each technique: trajectory view (demonstrates fluoroscopic "set up"); multi-planar confirmation views (AP, lateral, oblique); and safety view (what should be avoided during injection), along with optimal and suboptimal contrast patterns. - Special chapters on Needle Techniques, Procedural Safety, Fluoroscopic and Ultrasound Imaging Pearls, Radiation Safety, and L5-S1 Disc Access provide additional visual instruction. - View drawings of radiopaque landmarks and key radiolucent anatomy that cannot be viewed fluoroscopically. - Includes new unique and diagrams demonstrating cervical, thoracic and lumbar radiofrequency probe placement and treatment zones on multiplanar views, as well as new unique tables and examples differentiating between optimal and suboptimal epidural contrast flow - Features new coverage of ultrasound techniques, as well as new presentation of procedures for "spine masqueraders" such as the hip and shoulder. - Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to access and search all of the text, figures, images, videos, and references from the book on a variety of devices

Demystifying Interventional Radiology

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Author :
Publisher : Springer
ISBN 13 : 3319172387
Total Pages : 195 pages
Book Rating : 4.3/5 (191 download)

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Book Synopsis Demystifying Interventional Radiology by : Sriharsha Athreya

Download or read book Demystifying Interventional Radiology written by Sriharsha Athreya and published by Springer. This book was released on 2015-08-27 with total page 195 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a concise introduction to the interventional radiology field and is designed to help medical students and residents understand the fundamental concepts related to image-guided interventional procedures and determine the appropriate use of imaging modalities in the treatment of various disorders. It covers the history of interventional radiology; radiation safety; equipment; medications; and techniques such as biopsy and drainage, vascular access, embolization, and tumor ablation. The book also describes the indications, patient preparation, post-procedure care, and complications for the most common interventional radiology procedures.

CT- and MR-Guided Interventions in Radiology

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 3642335810
Total Pages : 584 pages
Book Rating : 4.6/5 (423 download)

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Book Synopsis CT- and MR-Guided Interventions in Radiology by : Andreas H. Mahnken

Download or read book CT- and MR-Guided Interventions in Radiology written by Andreas H. Mahnken and published by Springer Science & Business Media. This book was released on 2013-05-14 with total page 584 pages. Available in PDF, EPUB and Kindle. Book excerpt: Interventional radiology is an indispensable and still expanding area of modern medicine that encompasses numerous diagnostic and therapeutic procedures. The revised and extended second edition of this volume covers a broad range of non-vascular interventions guided by CT or MR imaging. Indications, materials, techniques, and results are all carefully discussed. A particularly comprehensive section is devoted to interventional oncology as the most rapidly growing branch of interventional radiology. In addition, detailed information is provided that will assist in establishing and developing an interventional service. This richly illustrated book will be a most valuable source of information and guidance for all radiologists who deal with non-vascular procedures.

Interventional Radiology in Palliative Care

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Author :
Publisher : Springer Nature
ISBN 13 : 303065463X
Total Pages : 393 pages
Book Rating : 4.0/5 (36 download)

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Book Synopsis Interventional Radiology in Palliative Care by : Peter L. Munk

Download or read book Interventional Radiology in Palliative Care written by Peter L. Munk and published by Springer Nature. This book was released on 2021-03-17 with total page 393 pages. Available in PDF, EPUB and Kindle. Book excerpt: This important book fills a gap in the literature by focusing specifically on the role of interventional radiology in patients receiving palliative medicine and supportive care, a group in which the need for minimally invasive therapy is especially high. Detailed information and guidance is provided on use of the tools of interventional radiology for the purpose of problem solving in relation to a wide variety of diseases and complications. Readers will find clear explanation of the ways in which interventional radiology techniques can assist with regard to intravenous access, feeding, musculoskeletal and neurological pain relief, tumor debulking, management of bleeding and obstructions, drainages, and treatment of fistulas. Throughout, helpful tips and tricks of value in daily practice are highlighted. The book is an ideal reference on the interventional management of palliative/supportive care and the effective use of interventional radiology techniques in a multidisciplinary environment. Beyond specialists and trainees in interventional radiology, it will have broad appeal to all who deal with patients on palliative and supportive care on a day-to-day basis.

Image-Guided Spine Interventions

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 0387403205
Total Pages : 384 pages
Book Rating : 4.3/5 (874 download)

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Book Synopsis Image-Guided Spine Interventions by : John M. Mathis

Download or read book Image-Guided Spine Interventions written by John M. Mathis and published by Springer Science & Business Media. This book was released on 2004 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practical guide thoroughly discusses both well-established and new interventions that are applied to the spine for the purpose of pain relief. Traditionally, pain procedures were in the limited purview of the pain anesthesiologist. Only a portion of these procedures were image guided. The growth in utilization of spine intervention and the realization that image guidance improves outcomes and safety has produced a need for this cutting-edge book. This book is an ideal aid for radiologists and other physicians who deal with back pain.

Vascular and Interventional Radiology

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Author :
Publisher : Saunders
ISBN 13 :
Total Pages : 744 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Vascular and Interventional Radiology by : John A. Kaufman

Download or read book Vascular and Interventional Radiology written by John A. Kaufman and published by Saunders. This book was released on 2004 with total page 744 pages. Available in PDF, EPUB and Kindle. Book excerpt: Part of the definitive Requisites series, this volumes offers all the essentials necessary to pass exams in radiology and practice in the field. Practicing radiologists will use it as a handy, practical, daily reference tool in this subspecialty area. The first part on Vascular Radiology covers the following topics: vascular imaging techniques; vascular pathology; lower extremity and pelvis; abdomen; thorax; and the great vessel. The second part on interventional radiology covers topics such as: basic principles; vascular interventional techniques; biliary tract; GU and reproductive systems; gastrointestinal system; biopsy and drainage in the abdomen; cervicothoracic biopsy; and drainage in the thorax.

Venous Interventional Radiology

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Author :
Publisher : Thieme
ISBN 13 : 1626232741
Total Pages : 429 pages
Book Rating : 4.6/5 (262 download)

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Book Synopsis Venous Interventional Radiology by : Laura K. Findeiss

Download or read book Venous Interventional Radiology written by Laura K. Findeiss and published by Thieme. This book was released on 2020-08-05 with total page 429 pages. Available in PDF, EPUB and Kindle. Book excerpt: A state-of-the-art guide on the interventional management of venous disease from renowned experts! The diagnosis and management of venous disorders is a core competency of interventional radiology, comprising up to 75% of an interventional radiologist's caseload in some institutions. Venous Interventional Radiology by prominent interventional radiologist Laura Findeiss and an impressive group of contributors is a highly practical vascular interventional radiology reference that covers a full spectrum of venous disease. The richly illustrated book starts with an opening chapter on venous anatomy, physiology, and epidemiology. Disease-specific chapters cover common to complex disorders, from varicose veins and venous ulceration, to thromboembolic disease and pulmonary embolism. Each chapter presents the latest minimally invasive image-guided interventions for the diagnosis and management of a specific disease. Clinical cases provide discussion of patient presentation/symptoms, clinical evaluation, procedural and non-invasive management strategies, and follow-up, all of which are key to delivering comprehensive patient care. Key Highlights Angiographic and cross-sectional imaging findings enhance knowledge of disease processes A chapter dedicated to vascular/venous access provides guidance on this basic yet critical component of patient care The classification, evaluation, and treatment of venous anomalies and syndromes The authors discuss pitfalls and complications, including their own pearls of wisdom and unanswered questions This highly practical guide is a must-have resource for trainee and veteran interventional radiologists and vascular surgeons.

Image-guided Interventions

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Author :
Publisher : Saunders
ISBN 13 : 9781455705962
Total Pages : 0 pages
Book Rating : 4.7/5 (59 download)

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Book Synopsis Image-guided Interventions by : Matthew A. Mauro

Download or read book Image-guided Interventions written by Matthew A. Mauro and published by Saunders. This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: 2014 BMA Medical Book Awards Highly Commended in Radiology category! Image-Guided Interventions, a title in the Expert Radiology Series, brings you in-depth and advanced guidance on all of today's imaging and procedural techniques. Whether you are a seasoned interventionalist or trainee, this single-volume medical reference book offers the up-to-the-minute therapeutic methods necessary to help you formulate the best treatment strategies for your patients. The combined knowledge of radiology experts from around the globe provides a broad range of treatment options and perspectives, equipping you to avoid complications and put today's best approaches to work in your practice. "... the authors and editors have succeeded in providing a book that is both useful, instructive and practical" Reviewed by RAD Magazine, March 2015 Formulate the best treatment plans for your patients with step-by-step instructions on important therapeutic radiology techniques, as well as discussions on equipment, contrast agents, pharmacologic agents, antiplatelet agents, and protocols. Make effective clinical decisions with the help of detailed protocols, classic signs, algorithms, and SIR guidelines. Make optimal use of the latest interventional radiology techniques with new chapters covering ablation involving microwave and irreversible electroporation; aortic endografts with fenestrated grafts and branch fenestrations; thoracic endografting (TEVAR); catheter-based cancer therapies involving drug-eluting beads; sacroiliac joint injections; bipedal lymphangiography; pediatric gastrostomy and gastrojejunostomy; and peripartum hemorrhage. Know what to look for and how to proceed with the aid of over 2,650 state-of-the-art images demonstrating interventional procedures, in addition to full-color illustrations emphasizing key anatomical structures and landmarks. Quickly reference the information you need through a functional organization highlighting indications and contraindications for interventional procedures, as well as tables listing the materials and instruments required for each. Access the fully searchable contents, online-only material, and all of the images online at Expert Consult.

Computed Tomography & Magnetic Resonance Imaging Of The Whole Body E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323076211
Total Pages : 2816 pages
Book Rating : 4.3/5 (23 download)

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Book Synopsis Computed Tomography & Magnetic Resonance Imaging Of The Whole Body E-Book by : John R. Haaga

Download or read book Computed Tomography & Magnetic Resonance Imaging Of The Whole Body E-Book written by John R. Haaga and published by Elsevier Health Sciences. This book was released on 2008-12-08 with total page 2816 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now more streamlined and focused than ever before, the 6th edition of CT and MRI of the Whole Body is a definitive reference that provides you with an enhanced understanding of advances in CT and MR imaging, delivered by a new team of international associate editors. Perfect for radiologists who need a comprehensive reference while working on difficult cases, it presents a complete yet concise overview of imaging applications, findings, and interpretation in every anatomic area. The new edition of this classic reference — released in its 40th year in print — is a must-have resource, now brought fully up to date for today’s radiology practice. Includes both MR and CT imaging applications, allowing you to view correlated images for all areas of the body. Coverage of interventional procedures helps you apply image-guided techniques. Includes clinical manifestations of each disease with cancer staging integrated throughout. Over 5,200 high quality CT, MR, and hybrid technology images in one definitive reference. For the radiologist who needs information on the latest cutting-edge techniques in rapidly changing imaging technologies, such as CT, MRI, and PET/CT, and for the resident who needs a comprehensive resource that gives a broad overview of CT and MRI capabilities. Brand-new team of new international associate editors provides a unique global perspective on the use of CT and MRI across the world. Completely revised in a new, more succinct presentation without redundancies for faster access to critical content. Vastly expanded section on new MRI and CT technology keeps you current with continuously evolving innovations.

Pocket Interventional Radiology

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Author :
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 149638976X
Total Pages : 662 pages
Book Rating : 4.4/5 (963 download)

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Book Synopsis Pocket Interventional Radiology by : Shiraz Rahim

Download or read book Pocket Interventional Radiology written by Shiraz Rahim and published by Lippincott Williams & Wilkins. This book was released on 2018-11-16 with total page 662 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. Pocket Interventional Radiology is a practical, high-yield reference offering current, evidence-based practices and expert guidance in this fast-growing area. Featuring an easy-to-use, loose-leaf format, it contains key clinical information regarding the workup of patients, imaging, and necessary procedural details, including physical exam tips and tricks, medication information, and pre- and post-procedure patient management.

Specialty Imaging: Acute and Chronic Pain Intervention E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323680372
Total Pages : 416 pages
Book Rating : 4.3/5 (236 download)

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Book Synopsis Specialty Imaging: Acute and Chronic Pain Intervention E-Book by : Colin J. McCarthy

Download or read book Specialty Imaging: Acute and Chronic Pain Intervention E-Book written by Colin J. McCarthy and published by Elsevier Health Sciences. This book was released on 2020-03-28 with total page 416 pages. Available in PDF, EPUB and Kindle. Book excerpt: Practical and clinically oriented, Specialty Imaging: Acute and Chronic Pain Intervention provides unique, authoritative guidance on the use of image-guided techniques for periprocedural analgesia and pain management procedures. Ideal for practicing and trainee interventional radiologists, pain physicians, and anesthesiologists, this one-stop resource is tailored to your decision support needs, with coverage of everything from neuroanatomy and specific pain conditions to interventional procedures for acute and chronic pain. - Provides up-to-date content informed by best practices and the perspectives of both interventional radiology and anesthesiology - Discusses key topics such as multimodal opioid sparing techniques as adjuncts and alternatives to the use of opioids for acute pain management, as well as shared decision making in interventional radiology pain management - Demonstrates the new fascial pain blocks as well as sympathetic nerve blocks for periprocedural analgesia during interventional procedures - Covers adult and pediatric acute and chronic pain conditions - Integrates neuroanatomy and the "why" of clinical procedures for a better understanding of the pathways and various options for therapeutic intervention - Presents information consistently, using a highly templated format with bulleted text for quick, easy reference - Begins each section with a discussion of neuroanatomy, followed by succinct chapters that provide "how-to" information on a clinically useful, imaging-guided interventional procedure for treating a specific acute or chronic pain condition - Features procedural videos and clear, high-quality drawings for visual reinforcement, e.g., sequential illustrations that show where nerves are located through successive peeling of anatomic layers