Perioperative Drug Manual

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Author :
Publisher : Saunders
ISBN 13 :
Total Pages : 566 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Perioperative Drug Manual by : Paul F. White

Download or read book Perioperative Drug Manual written by Paul F. White and published by Saunders. This book was released on 2005 with total page 566 pages. Available in PDF, EPUB and Kindle. Book excerpt: Essential at-a-glance guidance whenever and wherever it's needed. Previously published as the Anesthesia Drug Manual, this handy guide, now entitled Perioperative Drugs, once again concisely reviews the essential pharmacokinetic and pharmacodynamic properties of more than 400 drugs in 36 drug classes to give readers an informed basis for sound decision-making. It enables clinicians to quickly review the pharmacologic properties of all of the drugs a patient might be taking, and to anticipate interactions between these medications and anesthetics. The concisely organized, templated format facilitates quick reference, and a PDA version makes it accessible any setting. Describes the drugs a surgical patient might be taking for other medical conditions, and how these drugs interact with anesthetics. Details approximately 400 drugs in 36 different drugs classes, including drugs recently approved by the FDA. Uses a concise, bulleted format to present-generic and trade name - pharmacokinetics - indications - pharmaco-dynamics involving the central nervous, cardiovascular, pulmonary, hepatic, renal, gastrointestinal, and musculoskeletal systems - dosages/concentrations for adults and children - specific contraindications - and interactions/allergic responses-for each drug. Includes a "key point" for every drug entry that summarizes the clinical implications of the drug for the patient's perioperative course. Is meticulously updated throughout to incorporate all of the latest information. Features new sections on transplant drugs as well as alternative and herbal medications, and offers expanded coverage of blood substitutes.

Caring for the Perioperative Patient

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Author :
Publisher : John Wiley & Sons
ISBN 13 : 1118687175
Total Pages : 69 pages
Book Rating : 4.1/5 (186 download)

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Book Synopsis Caring for the Perioperative Patient by : Paul Wicker

Download or read book Caring for the Perioperative Patient written by Paul Wicker and published by John Wiley & Sons. This book was released on 2013-05-10 with total page 69 pages. Available in PDF, EPUB and Kindle. Book excerpt: Caring for the Perioperative Patient is a practical, evidence-based and innovative book that identifies and discusses the essential core skills and knowledge required by perioperative practitioners to care for their patients. Divided into two sections, the first explores core perioperative issues, such as pharmacology, communication, homeostasis, and equipment. The second part of the book looks at more specific perioperative practice issues, including enhanced competence, patient preparation, and care of the patient during anaesthesia, surgery, and recovery. This updated new edition is skills-focused and uses examples of techniques or procedures to illustrate how skills can be applied in perioperative practice. It is essential reading for nurses or operating department practitioners (ODPs) who perform scrub, circulating, anaesthetic and recovery roles whilst caring for perioperative patients, as well as nursing and ODP students working in perioperative care. New edition of a successful text for perioperative practitioners and students Emphasises holistic patient centred care Focused on key skills and knowledge required by practitioners Explores the evidence-base for safe and effective practice

Pharmacology and Physiology for Anesthesia E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323568866
Total Pages : 986 pages
Book Rating : 4.3/5 (235 download)

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Book Synopsis Pharmacology and Physiology for Anesthesia E-Book by : Hugh C. Hemmings

Download or read book Pharmacology and Physiology for Anesthesia E-Book written by Hugh C. Hemmings and published by Elsevier Health Sciences. This book was released on 2018-10-19 with total page 986 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pharmacology and physiology are the foundation of every anesthesia provider's training and clinical competency. Pharmacology and Physiology for Anesthesia: Foundations and Clinical Application, 2nd Edition, delivers the information you need in pharmacology, physiology, and molecular-cellular biology, keeping you current with contemporary training and practice. This thoroughly updated edition is your one-stop, comprehensive overview of physiology, and rational anesthetic drug selection and administration, perfect for study, review, and successful practice. - Contains new chapters on Special Populations (anesthetic pharmacology in obesity, geriatrics, and pediatrics), Oral and Non-IV Opioids, Thermoregulation, Physiology and Pharmacology of Obstetric Anesthesia, Chemotherapeutic and Immunosuppresive Drugs, and Surgical Infection and Antimicrobial Drugs. - Incorporates entirely new sections on Physics, Anatomy, and Imaging. - Includes new information on consciousness and cognition, pharmacodynamics, the immune system, and anti-inflammatory drugs. - Features user-friendly tables, figures, and algorithms (including 100 new illustrations), all presented in full color and designed to help explain complex concepts. - Helps you understand the molecular mechanism of drug actions and identify key drug interactions that may complicate anesthesia with dedicated sections on these areas.

Anesthetic Pharmacology

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Author :
Publisher : Cambridge University Press
ISBN 13 : 1139497022
Total Pages : 2902 pages
Book Rating : 4.1/5 (394 download)

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Book Synopsis Anesthetic Pharmacology by : Alex S. Evers

Download or read book Anesthetic Pharmacology written by Alex S. Evers and published by Cambridge University Press. This book was released on 2011-03-10 with total page 2902 pages. Available in PDF, EPUB and Kindle. Book excerpt: In recent years our understanding of molecular mechanisms of drug action and interindividual variability in drug response has grown enormously. Meanwhile, the practice of anesthesiology has expanded to the preoperative environment and numerous locations outside the OR. Anesthetic Pharmacology: Basic Principles and Clinical Practice, 2nd edition, is an outstanding therapeutic resource in anesthesia and critical care: Section 1 introduces the principles of drug action, Section 2 presents the molecular, cellular and integrated physiology of the target organ/functional system and Section 3 reviews the pharmacology and toxicology of anesthetic drugs. The new Section 4, Therapeutics of Clinical Practice, provides integrated and comparative pharmacology and the practical application of drugs in daily clinical practice. Edited by three highly acclaimed academic anesthetic pharmacologists, with contributions from an international team of experts, and illustrated in full colour, this is a sophisticated, user-friendly resource for all practitioners providing care in the perioperative period.

Decision Making in Perioperative Medicine: Clinical Pearls

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Author :
Publisher : McGraw Hill Professional
ISBN 13 : 1260468119
Total Pages : 351 pages
Book Rating : 4.2/5 (64 download)

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Book Synopsis Decision Making in Perioperative Medicine: Clinical Pearls by : Steven L. Cohn

Download or read book Decision Making in Perioperative Medicine: Clinical Pearls written by Steven L. Cohn and published by McGraw Hill Professional. This book was released on 2021-05-22 with total page 351 pages. Available in PDF, EPUB and Kindle. Book excerpt: Minimize risk for every surgery-bound patient with this concise, high-yield clinical reference “The accuracy and readability of this [book] is excellent... the writing style is appropriate, informative, and suitable for the primary care clinician. The topics are well researched [and] the clinical recommendations reflect the most current guidelines.”—Robert C. Lavender, MD, FACP “The editor and contributing authors are all highly credible authorities and experienced clinicians... This is an extremely well-written, evidence-based text that fills a real gap. It should be useful not only to its intended audience, but also to surgeons and surgical trainees who often provide the initial management of these situations in the absence of consultants.”—Doody’s Review Service With new surgical advances and innovations, more older, sicker, higher-risk patients are undergoing surgery. Expertly assessing and managing patients with comorbidities who are undergoing surgical procedures is an absolutely critical task today—and Decision Making in Perioperative Medicine: Clinical Pearls will ensure that you make the right decisions through every step of the process. Which risk calculator should you use? How long should you delay surgery after percutaneous coronary intervention? Should the patient continue taking aspirin? How long before surgery should you stop a direct-acting oral anticoagulant? Decision Making in Perioperative Medicine: Clinical Pearls answers your questions when it comes to perioperative care. Filled with algorithms, tables, and clinical pearls, this practical resource is organized into three sections: Key takeaways on preoperative evaluation, testing, anesthesia, and medication management Expert guidance on evaluating the effect of comorbidities on surgical outcome and providing strategies for medical optimization to minimize risk Review of common postoperative medical complications and treatment Whether you’re a hospitalist, internist, family physician, anesthesiologist, physician assistant, or nurse practitioner, Decision Making in Perioperative Medicine: Clinical Pearls provides the evidence-based information and insights you need to make sure every surgery-bound patient receives the quality of care and management they deserve.

Surgical Metabolism

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Author :
Publisher : Springer
ISBN 13 : 149391121X
Total Pages : 303 pages
Book Rating : 4.4/5 (939 download)

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Book Synopsis Surgical Metabolism by : Kimberly A. Davis

Download or read book Surgical Metabolism written by Kimberly A. Davis and published by Springer. This book was released on 2014-07-22 with total page 303 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume is a comprehensive, state-of-the-art review for clinicians with an interest in the peri-operative nutritional management of all surgical patients. The text reviews normal physiology, the pathophysiology of starvation and surgical stressors, and focuses on appropriate nutritional repletion for various common disease states. Specifically, the text addresses the severe metabolic demands created by systemic inflammation, infection, and major insults such as trauma and burns. In addition, the book addresses the growing problem of obesity in surgical populations, including appropriate strategies directed towards the metabolic management of these patients. The text is designed for clinicians across levels of training and provides clear and concise evidence based guidelines for the metabolic management and nutritional support of the surgical patient. Written by experts in the field, Surgical Metabolism: The Metabolic Care of the Surgical Patient is a valuable resource for all clinicians involved in the care of the critically ill.

The Fenway Guide to Lesbian, Gay, Bisexual, and Transgender Health

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Author :
Publisher : ACP Press
ISBN 13 : 9781930513952
Total Pages : 546 pages
Book Rating : 4.5/5 (139 download)

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Book Synopsis The Fenway Guide to Lesbian, Gay, Bisexual, and Transgender Health by : Harvey J. Makadon

Download or read book The Fenway Guide to Lesbian, Gay, Bisexual, and Transgender Health written by Harvey J. Makadon and published by ACP Press. This book was released on 2008 with total page 546 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The Fenway Guide to Lesbian, Gay, Bisexual, and Transgender Health is the first truly comprehensive clinical reference to enhancing the health care and wellness of LGBT patients. Written by leading experts in the field and created in conjunction with Fenway Community Health of Boston, one of America's most respected community-based research and treatment centers, this one-of-a kind resource examines the unique issues faced by sexual minority patients and provides readers with clear and authoritative guidance." -- Book Jacket.

Equine Anesthesia

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 1437710522
Total Pages : 504 pages
Book Rating : 4.4/5 (377 download)

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Book Synopsis Equine Anesthesia by : William W. Muir III

Download or read book Equine Anesthesia written by William W. Muir III and published by Elsevier Health Sciences. This book was released on 2008-12-18 with total page 504 pages. Available in PDF, EPUB and Kindle. Book excerpt: All veterinary team members involved in the everyday care of horses that require anesthesia or special emergency care will benefit from this reliable and inclusive resource. This text provides all of the information needed to prepare, conduct, and monitor the administration of drugs in order to produce safe and effective anesthesia, treat pain, respond to adverse effects, and perform and monitor emergency and critical care treatment. It is the most comprehensive and detailed book available on these subjects, addressing the needs and concerns of practitioners in both hospital and field settings. Discusses all aspects of equine anesthesia, including history, physiology, pharmacology, drug dosages, patient preparation, induction-maintenance-recovery of anesthesia management of potential complications, and more. Provides a detailed review of the respiratory and cardiovascular physiology of the horse. Provides thorough coverage of preoperative pain management in horses. Covers emergency medical care and managing anesthetic complications in both hospital and field situations. Includes information on the latest anesthetic drugs, including safe and effective protocols for different procedures, and the most up-to-date monitoring techniques. Each contributor is a recognized expert in his or her respective equine specialty, renowned for clinical as well as academic and research expertise. A complete update of all drug information and pain management techniques. The very latest research findings and clinical applications of anesthetic agents and techniques. The most recent developments in post-anesthetic care and monitoring. A chapter on intravenous anesthetic and analgesic adjuncts to inhalation anesthesia. A chapter on anesthesia and analgesia for donkeys and mules. A chapter on perioperative pain management. Many new illustrations as well as tables, graphs, boxes, key points, and summaries that make information instantly accessible.

Preoperative Assessment and Management

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Author :
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 9780781774987
Total Pages : 509 pages
Book Rating : 4.7/5 (749 download)

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Book Synopsis Preoperative Assessment and Management by : BobbieJean Sweitzer

Download or read book Preoperative Assessment and Management written by BobbieJean Sweitzer and published by Lippincott Williams & Wilkins. This book was released on 2008 with total page 509 pages. Available in PDF, EPUB and Kindle. Book excerpt: Thoroughly updated for its Second Edition, this practical, portable handbook provides comprehensive, up-to-date information for all clinicians who need to perform preoperative assessments. The book provides a thorough understanding of the pathophysiology of disease states relevant to anesthesiology and surgery and offers guidelines on history taking, physical examination, recommended diagnostic tests, and preoperative management. A chapter of case studies in preoperative evaluation is included. New chapters in this edition cover evaluation of the pregnant patient for non-obstetric surgery and preoperative assessment for specific procedures and locations, particularly out-of-OR and ambulatory procedures. This edition's more user-friendly format includes bullet lists and tables to facilitate quick reference.

Disease Control Priorities, Third Edition (Volume 1)

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Author :
Publisher : World Bank Publications
ISBN 13 : 1464803676
Total Pages : 445 pages
Book Rating : 4.4/5 (648 download)

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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.

Manual of Perioperative Care in Adult Cardiac Surgery

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Author :
Publisher : John Wiley & Sons
ISBN 13 : 1444318357
Total Pages : 640 pages
Book Rating : 4.4/5 (443 download)

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Book Synopsis Manual of Perioperative Care in Adult Cardiac Surgery by : Robert M. Bojar

Download or read book Manual of Perioperative Care in Adult Cardiac Surgery written by Robert M. Bojar and published by John Wiley & Sons. This book was released on 2009-08-19 with total page 640 pages. Available in PDF, EPUB and Kindle. Book excerpt: Extensively revised to cover recent advances in cardiac surgery, the fourth edition of Bojar's Manual of Perioperative Care in Adult Cardiac Surgery remains the gold standard for management of adult patients undergoing cardiac surgery. The easily referenced outline format allows health practitioners of all levels to understand and apply basic concepts to patient care—perfect for cardiothoracic and general surgery residents, physician assistants, nurse practitioners, cardiologists, medical students, and critical care nurses involved in the care of both routine and complex cardiac surgery patients. This comprehensive guide features: Detailed presentation addressing all aspects of perioperative care for adult cardiac surgery patients Outline format allowing quick access to information Chronological approach to patient care starting with diagnostic tests then covering preoperative, intraoperative, and postoperative care issues Additional chapters discussing bleeding, the respiratory, cardiac, and renal subsystems in depth, and aspects of care specific to recovery on the postoperative floor Completely updated references Extensive illustrations, including NEW figures depicting operative techniques 14 helpful appendices covering order and flow sheets, protocols, commonly used drug dosages, and procedures Practical and accessible, the Manual of Perioperative Care in Adult Cardiac Surgery is the essential reference guide to cardiac surgical patient care.

Oxford Handbook of Perioperative Practice

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Author :
Publisher :
ISBN 13 : 0199239649
Total Pages : 663 pages
Book Rating : 4.1/5 (992 download)

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Book Synopsis Oxford Handbook of Perioperative Practice by : Suzanne J. Hughes

Download or read book Oxford Handbook of Perioperative Practice written by Suzanne J. Hughes and published by . This book was released on 2009 with total page 663 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Oxford Handbook of Perioperative Practice offers readers practical, easily accessible, concise, and up-to-date evidence-based information on the essential elements of perioperative practice. It provides a thorough introduction to the principles and practice of anaesthetics, intraoperative care, and recovery nursing, focusing on the patient's journey, before, during, and after surgery. Containing many helpful illustrations and diagrams to guide the reader, along with references to national and international guidelines, the Oxford Handbook of Perioperative Practice assists practitioners in meeting the individual needs of surgical patients while ensuring safe and efficient care delivery. It enables readers to easily locate information about essential skills, patients' medical conditions, and perioperative and surgical patient management. It covers all setps of the perioperative process, and also contains an extensive section on pharmacology, as well as a section on perioperative emergencies. The book is clearly laid out and written in an easily readable note-based style. Blank pages are included for the reader, so that notes, observations, and local protocols can be included, thereby individualizing the handbook. Written by teaching staff and clinicians from the fields of nursing, operating department practice and pharmacy, the OXford Handbook of Perioperative Practice offers an interdisciplinary and interprofessional approach to perioperative practice for those studying the subject and those practicing within the perioperative environment.

Clinical Pharmacology for Anesthesiology

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Author :
Publisher : McGraw-Hill Education / Medical
ISBN 13 : 9780071736169
Total Pages : 0 pages
Book Rating : 4.7/5 (361 download)

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Book Synopsis Clinical Pharmacology for Anesthesiology by : Ken B. Johnson

Download or read book Clinical Pharmacology for Anesthesiology written by Ken B. Johnson and published by McGraw-Hill Education / Medical. This book was released on 2014-11-12 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. Apply the core principles of pharmacology for safe, effective anesthesia practice Clinical Pharmacology for Anesthesiology incorporates the latest research and effectively details what anesthesia care providers must know about the drugs they use in everyday practice. This comprehensive textbook uses a visual approach with an abundance of tables and illustrations to assist the practicing anesthesia care provider, resident, and student of anesthesia. The text begins with an overview of fundamental pharmacology concepts (pharmacokinetics, pharmacodynamics, and drug interactions) and then details all classes of drugs relevant to the anesthesiologist in a highly clinical manner. Features Applies clinical pharmacology principles to patient care, focusing on how anesthetic drugs interact with one another in regards to analgesia, sedation, and hypnosis. Delivers a concise overview of anesthetics and other drugs (diuretics, antiemetics, antiseizure medications, etc.) used in the perioperative environment Describes how patient covariates, such as body weight, blood loss, and age influence drug behavior Incorporates the use of computer simulations to visually present drug concentration and effects forselected anesthetic techniques in premedication, induction, maintenance, emergence, and sedation Includes simulations of sample anesthetic techniques for various challenging surgical procedures

Perioperative Medicine

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 0857294989
Total Pages : 557 pages
Book Rating : 4.8/5 (572 download)

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Book Synopsis Perioperative Medicine by : Steven L. Cohn

Download or read book Perioperative Medicine written by Steven L. Cohn and published by Springer Science & Business Media. This book was released on 2011-06-21 with total page 557 pages. Available in PDF, EPUB and Kindle. Book excerpt: Perioperative Medicine uses a concise, highly practical, bulleted format designed to ensure rapid comprehension of key concepts and reinforce the reader's understanding of complex topics in perioperative medicine. It contains authoritative, up-to-date coverage of the most essential concepts in perioperative care from preoperative risk assessment to postoperative follow-up. The Editor and his contributors use their expert insight and experience to provide an in-depth review of comorbid conditions, patient and surgery-specific risk assessment, and common postoperative complications. This new book reviews recent developments in the field, including published guidelines, and emphasizes an evidence-based, cost-effective approach designed to ensure quality, patient safety, and optimal outcomes. It is intended for use by hospitalists, general internists and subspecialists as well as anesthesiologists, surgeons, and residents in training who are caring for patients before and after surgery.

Small Animal Anesthesia and Pain Management

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Author :
Publisher : CRC Press
ISBN 13 : 1351967789
Total Pages : 844 pages
Book Rating : 4.3/5 (519 download)

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Book Synopsis Small Animal Anesthesia and Pain Management by : Jeff Ko

Download or read book Small Animal Anesthesia and Pain Management written by Jeff Ko and published by CRC Press. This book was released on 2018-11-09 with total page 844 pages. Available in PDF, EPUB and Kindle. Book excerpt: 3* Doody's Review! This concise quick reference guide has been thoroughly updated in its second edition. It remains clinically focused, based on experience underpinned by published research data.With 18 brand new chapters on topics ranging from perioperative blood works and urine analysis to light therapy in pain management and rehabilitation, the book covers anesthetic equipment, monitoring, premedication, intravenous induction agents, injectable anesthetic combinations, inhalant anesthesia, anesthesia for specific diseases, fluid therapy, anesthetic emergencies and complications, acute and chronic pain management. Nine new chapters address anaesthetic considerations for different surgeries. Drug dosages and anesthetic protocols are provided in tabular form. New to this edition are chapters covering anesthesia considerations for specific conditions and diseases, including perioperative blood works and urine analysis blood transfusion medicine anesthetic considerations and interpretations rehabilitation and pain management for chronic pain patients pain management of oncologic pain and radiation therapy acupuncture and herbal medication for acute and chronic pain and low level light therapy in pain management. Containing over 300 color illustrations, Small Animal Anesthesia and Pain Management is ideal for all those who need practical information easily to hand: small animal practitioners, veterinary technicians/nurses, and veterinary students.

Registries for Evaluating Patient Outcomes

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Author :
Publisher : Government Printing Office
ISBN 13 : 1587634333
Total Pages : 385 pages
Book Rating : 4.5/5 (876 download)

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Book Synopsis Registries for Evaluating Patient Outcomes by : Agency for Healthcare Research and Quality/AHRQ

Download or read book Registries for Evaluating Patient Outcomes written by Agency for Healthcare Research and Quality/AHRQ and published by Government Printing Office. This book was released on 2014-04-01 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.

Pediatric Anesthesiology

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Author :
Publisher : Oxford University Press, USA
ISBN 13 : 0199398348
Total Pages : 713 pages
Book Rating : 4.1/5 (993 download)

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Book Synopsis Pediatric Anesthesiology by : Kai Matthes

Download or read book Pediatric Anesthesiology written by Kai Matthes and published by Oxford University Press, USA. This book was released on 2015 with total page 713 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pediatric Anesthesiology: A Comprehensive Board Review is a high-yield, streamlined study aid. It contains more than 800, realistic, multiple-choice questions tailored to the keywords in the outline of the Pediatric Anesthesiology Certification Examination published by the American Board of Anesthesiology (ABA). To maximize reading efficiency, annotated answers are followed by bulleted key facts and key references. With this book as guide, readers will be able to efficiently prepare for the written primary certification pediatric anesthesiology board exam. This online version allows access to the full content of the textbook, provides links from all references through to primary research journal articles, allows full text searches and access to the figures that can be downloaded for PowerPoint presentations.