Sometimes in medicine the only way to know what is truly going on in a patient is to operate, to look inside with one's own eyes. This book is exploratory surgery on medicine itself, laying bare a science not in its idealized form but as it actually is -- complicated, perplexing, and profoundly human.
Atul Gawande offers an unflinching view from the scalpel's edge, where science is ambiguous, information is limited, the stakes are high, yet decisions must be made. In dramatic and revealing stories of patients and doctors, he explores how deadly mistakes occur and why good surgeons go bad. He also shows us what happens when medicine comes up against the inexplicable: an architect with incapacitating back pain for which there is no physical cause; a young woman with nausea that won't go away; a television newscaster whose blushing is so severe that she cannot do her job. Gawande offers a richly detailed portrait of the people and the science, even as he tackles the paradoxes and imperfections inherent in caring for human lives.
At once tough-minded and humane, Complications is a new kind of medical writing, nuanced and lucid, unafraid to confront the conflicts and uncertainties that lie at the heart of modern medicine, yet always alive to the possibilities of wisdom in this extraordinary endeavor.
Complications is a 2002 National Book Award Finalist for Nonfiction.
We live in a world of great and increasing complexity, where even the most expert professionals struggle to master the tasks they face. Longer training, ever more advanced technologies—neither seems to prevent grievous errors. But in a hopeful turn, acclaimed surgeon and writer Atul Gawande finds a remedy in the humblest and simplest of techniques: the checklist. First introduced decades ago by the U.S. Air Force, checklists have enabled pilots to fly aircraft of mind-boggling sophistication. Now innovative checklists are being adopted in hospitals around the world, helping doctors and nurses respond to everything from flu epidemics to avalanches. Even in the immensely complex world of surgery, a simple ninety-second variant has cut the rate of fatalities by more than a third.
In riveting stories, Gawande takes us from Austria, where an emergency checklist saved a drowning victim who had spent half an hour underwater, to Michigan, where a cleanliness checklist in intensive care units virtually eliminated a type of deadly hospital infection. He explains how checklists actually work to prompt striking and immediate improvements. And he follows the checklist revolution into fields well beyond medicine, from disaster response to investment banking, skyscraper construction, and businesses of all kinds.
An intellectual adventure in which lives are lost and saved and one simple idea makes a tremendous difference, The Checklist Manifesto is essential reading for anyone working to get things right.
Suffering a career-ending, potentially crippling injury to her back and right leg, a young dancer named Elaine Petrone tried everyone from orthopedists to yogis to turn her pain and prognosis around. Nothing worked--until she healed herself through a unique program of therapy and exercise based around the use of two small, squishy balls. From there she turned her passion into a mission that is helping the thousands of people who visit her classes conquer pain, stress, and injury.
Now, for relief for sufferers everywhere, comes The Miracle Ball Method. The work itself is simple. Take a sore back: By resting your aching back on grapefruit-sized balls and letting your body sink into them, you're unworking the muscles that hurt. Pain and tension drain out of the body. Petrone shows how proper breathing (which she demonstrates) works in conjunction with a range of unexercises that call for placing the balls under the back, head, knees, hip, elbow--wherever there's pain--and then resting, rolling, or rotating on them. She points out that relief can come in surprising ways: Lower back pain may be helped by placing the ball under your neck, or a bad knee might be helped by hip work. It's a revolutionary program of relief, from head to toe.
'If I could have any wish it wouldn't be a part in High School Musical. I'd like to live just one day without having to rest when my heart gets tired: I'd just waste my energy, doing stuff with friends. But I can't and feeling unhappy about it is a waste of time. Being happy gives me energy - so much so that sometimes I want to do a cartwheel even though I can't actually manage it. My decision wasn't about dying. It's about living.'
When her daughter Hannah was only four years old, Kirsty Jones received the news that no mother ever wants to hear. Her little girl had leukaemia. But Kirsty knew that Hannah was a fighter, and after gruelling chemotheraphy she beat the disease. But there was more trauma to come: the chemotherapy drugs had damaged Hannah's heart.
At first, doctors hoped that Hannah's body would compensate for the damaged muscle, but when Hannah was only twelve her heart failed without warning. As her life hung in the balance, Doctors advised that Hannah's only chance of survival was a heart transplant, but the operation was very risky and the anti-rejection drugs might bring back the leukaemia.
Kirsty knew one thing: Hannah deserved to decide her own destiny. Wise beyond her years after learning to cope with so much, Hannah made her choice: she did not want the transplant. She'd had enough of hospitals and wanted to be at home with her family.
Then in July 2009, the right side of Hannah’s heart completely stopped working and her kidneys started to fail. Days later Hannah celebrated her 14th birthday – a milestone she was never expected to reach – and Hannah was ready to make a different choice. She agreed to have the transplant.
Now Kirsty and Hannah tell their unique story and, with wit and honesty, their interweaving voices describe how facing and overcoming death has taught them so much about living. Filled with wisdom and grace, tears and laughter, Hannah's Choice is about beating the odds and finding joy in each day.
This is a collection of essays I wrote before and after my transplant. I published it to educate readers about organ donation, bust myths about transplants, offer some inspiration for those going through the same things I did and to show how a good sense of humor can be the best medicine.
A Significant Day
Waiting and More Waiting
10 Surprising Facts About Kidney Transplants I Learned While Waiting for One
Found: One Kidney
The Good and Bad of Anti-Rejection Meds
Side Effects of Side Effects of Side Effects
Putting Off My Annual Physical Nearly Killed Me
4 Reasons You Won’t Wake Up in an Ice Bath Missing a Kidney - and 1 You Might
Kidney Transplants on TV
Maynard Soloman vs. The Kidney Thieves (Fiction)
Imagine undergoing an operation without anesthesia performed by a surgeon who refuses to sterilize his tools—or even wash his hands. This was the world of medicine when Thomas Dent Mütter began his trailblazing career as a plastic surgeon in Philadelphia during the middle of the nineteenth century.
Although he died at just forty-eight, Mütter was an audacious medical innovator who pioneered the use of ether as anesthesia, the sterilization of surgical tools, and a compassion-based vision for helping the severely deformed, which clashed spectacularly with the sentiments of his time.
Brilliant, outspoken, and brazenly handsome, Mütter was flamboyant in every aspect of his life. He wore pink silk suits to perform surgery, added an umlaut to his last name just because he could, and amassed an immense collection of medical oddities that would later form the basis of Philadelphia’s Mütter Museum.
Award-winning writer Cristin O’Keefe Aptowicz vividly chronicles how Mütter’s efforts helped establish Philadelphia as a global mecca for medical innovation—despite intense resistance from his numerous rivals. (Foremost among them: Charles D. Meigs, an influential obstetrician who loathed Mütter’s "overly" modern medical opinions.) In the narrative spirit of The Devil in the White City, Dr. Mütter’s Marvels interweaves an eye-opening portrait of nineteenth-century medicine with the riveting biography of a man once described as the "P. T. Barnum of the surgery room."
A question-and-answer format, Key Points boxes, bulleted lists, mnemonics, and a two-color page layout make information remarkably easy to reference and review.
Practical tips from the authors provide valuable insights into best practices.
The book's portable size lets you carry it comfortably in your lab coat pocket.Thorough updates throughout equip you with the most up-to-date information on all areas of anesthesia, including the most current standards of care.
Understand the rationale behind the answers to each question with clear, illustrated explanations from Elsevier’s trusted surgical references including Cameron’s Current Surgical Therapy.
Master the latest need-to-know information in your field with abundant new chapters and updates throughout reflecting the latest surgical techniques and practices, as well as an increased emphasis on ethics to help you prepare for this increasingly important aspect of the boards.
Effectively manage special patient populations with a focus on pediatric, geriatric, and adult patients.
Master the ins and outs of a wide range of diseases, from common to rare, through detailed discussions of each diseases unique features. Stay at the forefront of your field with the most updated information on each coexisting conditions definition; current pathophysiology; significant pre-, intra-, and postoperative factors of the disease process; anesthetic judgment; and management.
Keep current with changing patient populations with a new chapter on managing morbidly obese patients.
Access the information you need quickly thanks to a disease-based organization.
Overcome the toughest challenges your with the latest guidelines and evidence integrated into each chapter.
*Concise and portable for “on-the-spot” treatment advice
*Comprehensive overview of the initial evaluation and treatment
*Features the most frequently encountered problems in a specialty
*Includes laboratory and diagnostic tests, procedures, and commonly used medications
*Perfect for residents and students on the wards
Over 80 of the most common internal medicine problems. Thoroughly revised to reflect current practices and treatment options.
Each procedure includes indications, contraindications, preparation, technique, postprocedure management, and prevention and management of complications. Simple line drawings demonstrate relevant anatomy and procedures. Coverage also includes risk management, nursing management, and drugs and dosages. The outline format helps readers find information quickly, and the compact pocket size enables residents and practitioners to carry all the information they need with them.
Designed for portable prep, Dr. Pestana's Surgery Notes helps you refresh your knowledge in between cases. You'll get the most concise, up-to-date review that incorporates recent changes in medical guidelines, including HIV status, organ donation, urological emergencies, classification of shock, pelvic fracture, ARDS, and cardiothoracic surgery.
The Best Review
Concise high-yield review of core surgery material180 vignettes for self-testing, updated for more challenging and exam-like practice10 brief essays providing a surgical perspective on selected tools from the diagnostic and therapeutic armamentariumFeatures regional and institutional differences in surgical practice, and clarifies how the USMLE Step 2 CK and shelf exams will likely address these variationsExpert GuidanceRevised and full up-to-date content from distinguished surgery instructor Dr. Carlos PestanaFor over a decade, Dr. Pestana's Surgery Notes has helped med students excel on the surgery shelf exam and USMLE Step 2 CK
ABSITE-style question format familiarizes readers with the test’s presentation and content. This edition features twice the number of questions as in the previous edition, offering even more opportunities for self-paced review. Rationales for correct and incorrect responses help to identify the test-taker’s strengths and weaknesses. This book is ideal not only for those preparing for the ABSITE, but also for surgeons and residents studying for the general surgery qualifying exam and for all surgical residents seeking to review key topics during rotations.
The AJCC Cancer Staging Atlas, 2nd Edition, is an official publication of the American Joint Committee on Cancer, the recognized international leader in state-of-the-art information on cancer staging. This Atlas has been created as a companion to the updated 7th Edition of the AJCC Cancer Staging Manual, which continues to disseminate the importance of anatomical and pathological staging in the management of cancer. This state-of-the-art, invaluable 2nd Edition includes a CD containing PowerPoint slides of all illustrations, additional color, and a user-friendly, easy-to-read layout. The AJCC Cancer Staging Atlas, 2nd Edition will serve as an indispensable reference for clinicians, registrars, students, trainees, and patients.
Designed to be used in conjunction with medical textbooks and other study guides, Passing the General Surgery Oral Board Exam, Second Edition prepares candidates to think on their feet and answer exam questions confidently and accurately. It is an essential guide for surgical residents, fellows across the surgical subspecialties, and practicing surgeons who are board eligible.
Includes companion downloadable files
LANGE Q&A: Surgical Technology Examination, 6e delivers 1,700 Q&As covering topics found on the national certification examination. The book includes detailed answer explanations and covers all major areas of surgical technology curriculum. The Sixth Edition has been updated to cover the latest surgical techniques, instruments and procedures.
FeaturesCompanion files enable you to customize your exams and keep track of your scores Organized into six core sections: Fundamental Knowledge, Infection Control, Concepts of Patient Care, Preoperative Preparation, Intraoperative and Postoperative Procedures, and Technology in the Operating Room NEW chapters on robotics and endoscopic surgery Update your surgical know-how with the latest information on specific procedures such as orthopedics, plastic surgery, and emergency procedures NEW instrument chapter with more than 60 photos Great for use during coursework and for intensive exam preparation
2009 PROSE Awards (awarded by Association of American Publishers for professional and scholarly excellence)Finalist/Honorable Mention, Clinical MedicineFeatures 1200 easy-to-follow, step-by-step anatomic drawings that clearly depict the full spectrum and breadth of surgical techniques—both open and minimally invasive.
Covers hot topics such as Thyroidectomy, Parathyroidectomy, Hepaticojejunostomy, Choledochojejunostomy, Splenectomy, Hernia Repair, Exploration of Neck for Trauma, and Subclavian Artery Stab.
Provides step-by-step instructions for each procedure in a highly consistent format that makes applying techniques easy.
Highlights pearls and pitfalls at the end of each chapter so you know what to expect before entering the operating room.
Presents the detailed guidance of authorities on what you need to know about common and challenging procedures.
ABSITE Slayer is a rigorous, high-yield review that focuses specifically on the American Board of Surgery In-Training Examination. Designed to reduce pre-test anxiety and help you achieve the highest score possible, this powerful study aid provides a complete framework for your exam preparation and is also the most efficient last-minute review available. You will find everything you need to ace the exam in one comprehensive package--from Q&A and full-color illustrations to "make or break" tips--from expert authors who know exactly what it takes to excel.
Here's why this is the best ABSITE review:More than 300 multiple-choice questions and more than 1,000 quick-hit single answer questions Test-taking tips that may spell the difference between success and failure on the exam Numerous full-color illustrations of must-know anatomy Valuable clinical pearls Easy-to-retain concise text Logical organ-based organization, that also includes chapters on pharmacology, anesthesia, cell biology, and fluids/electrolytes/nutrition
Each topic includes a list of all potential causes of the condition, colour coded to indicate common, occasional or rare causes. Important geographical variations are also highlighted.
Two sections cover the differential diagnosis of biochemical and haematological disorders which provide a ready check when reviewing abnormal results
The text includes a targeted guide to the relevant general and specific follow-up investigations which should be carried out as appropriate.
At the end of each topic a box highlights important learning points, or indicates symptom and signs suggestive of significant pathology which require urgent action.Eighty colour photographs of key clinical presentations have been added to assist symptom recognition.
Two new chapters on Hypotension and Photophobia.
Overcome tough challenges, manage unusual situations, and avoid complications with the most trusted advice in your field.
Prepare for tests and exams with review questions and answers online.Keep up with the very latest developments concerning abdominal wall reconstruction, tumor immunology and immunotherapy, peripheral vascular disease, regenerative medicine, liver transplantation, kidney and pancreas transplantation, small bowel transplantation, the continually expanding role of minimally invasive and robotic surgery, and many other rapidly evolving areas.
Weigh your options by reviewing the most recent outcomes data and references to the most current literature.
Overcome tough challenges, manage unusual situations, and avoid complications with the most trusted advice in your field.
Get the depth of coverage you need in an easily accessible, single volume organized by organ and along traditional lines beginning with principles common to surgical specialties including fluid and electrolyte management, metabolic support, and wound healing. Subsequent sections review the management of injury, transplantation, oncology, breast, endocrine, and abdominal procedures.
Explore topicsencountered by general surgery residents in training as well as in-depth coverage of subspecialty areas including head and neck, thoracic, vascular, urology, neurosurgery, pediatrics, and gynecology.
Visually grasp and retain difficult conceptsthanks to a full-color design featuring an abundance of illustrations, intraoperative photographs, and tables as well as more schematic diagrams that facilitate the comprehension of surgical techniques and procedures. Glean all essential, up-to-date, need-to-know information about the latest surgical perspectives and approaches to treatment including innovations in minimally invasive surgery and percutaneous devices.
Streamline clinical decision makingwith an increased number of schematic diagrams and key data on surgical outcomes.
General surgery continues to evolve. Procedures are added and many operations are done through new minimal access approaches. However, as a surgeon may be called upon to perform an operation that has become rare, Chassin’s unique “legacy” material has been retained for reference. In addition, 17 new chapters have been added, including 4 new chapters on colorectal surgery. Over 1100 elegant illustrations and new radiographs accompany detailed textual explanations. More than ever, Chassin’s Operative Strategy in General Surgery: An Expositive Atlas, Fourth Edition is an indispensable reference for all surgical residents and practicing surgeons.
Discusses the hottest topics in thoracic surgery, including lung-volume reduction surgery, video-assisted thoracoscopic surgery, and laparoscopic approaches to many procedures.
Presents more than 200 full-color illustrations and step-by-step intraoperative photographs for expert visual guidance.
Discusses pearls and pitfalls to help you avoid complications.
Uses a consistent, easy-to-follow chapter format that includes clinical anatomy, pre-operative considerations, operative steps, and post-operative care to make reference easy.
Visually master a wide range of operative techniques, with authoritative guidance
Know what to do and expectwith comprehensive coverage of almost every procedure you might need to perform.
Find answers fastthanks to a consistent and logical chapter structure. (Indications, Surgical Anatomy, Preoperative Considerations, Operative Steps, Postoperative Considerations, Pearls & Pitfalls, and References)
Review key techniquesprior to performing surgery. Clinical images capture key moments in procedures including: surgical repair of a suprarenal aortic aneurysm; surgical repair of thoracoabdominal aortic aneurysm; endovascular treatment of aneurysms of the juxtarenal and pararenal aorta; surgical exposure and harvest of the femoropopliteal vein; and endovascular treatment of aortic arch vessels, subclavian and axillary artery.
Visualize every procedurethanks to more than 1,000 full-color illustrations; including procedural photos and beautifully illustrated drawings that highlight the relevant anatomy and techniques in specific treatments.
Prevent and plan for complications prior to a procedurethanks to a step-by-step approach to each procedure accompanied by relevant imaging studies.
Glean all essential, up-to-date, need-to-know information abouthot topics including: management of peripheral arterial disease; aortic aneurysms/aortic dissection; lower extremities/critical limb ischemia; and infra-inguinal occlusive disease.
Over the past six decades, the rapid advances in transplant surgery rank among the most impressive and significant in modern human history. But the procedures, which have an astonishing power to improve or even save lives, are often fraught with an unrivaled level of complexity. Seeking to better understand the world of transplant surgery, Lee Gutkind embedded himself for four years in the University of Pittsburgh’s Presbyterian-University and Children’s Hospitals, one of the largest transplant centers in the world. He got to know the doctors, researchers, patients, and families involved, while also exploring the history of transplantation and the often insoluble ethical quandaries it poses.
Mesmerizing and unforgettable, Many Sleepless Nights depicts with uncanny insight the tremendous effort, suffering, and fortitude of the individuals whose lives have been changed forever by organ transplantation.
The chapters have a uniform reader-friendly format starting with ‘key points’ to allow rapid reference to the information included in the chapter. Illustrated with photos and line drawings, each chapter contains sections on: Surgical indications, Instrumentation and equipment, Surgical technique, Complications and future challenges.
Those who will benefit greatly from this excellent book include ophthalmic surgeons with widely varying levels of experience, from the resident to the experienced surgeon.
Covers only material required by The Academy of Medical-Surgical Nurses (AMSN):
Patient Problems by Physiological Systems :
Gastrointestinal, Pulmonary, Cardiovascular, Diabetes (types 1 & 2) and other Endocrine, Genitourinary, Renal, and Reproductive, Musculoskeletal and Neurological ,Hematological, Immunological, and Integumentary.
Domains of Nursing Practice:
Diagnostic and patient monitoring function, Administering/monitoring therapeutic interventions, Helping role, Teaching/coaching function,
Effective management of rapidly changing situations, Monitoring and ensuring quality of health care practices, Organizational and work-role competencies
334 pages, fluff free study guide
Make the most of new antibioticsto improve control of surgical infection, learn to use new antifungal agents, and implement innovative therapies to combat both methicillin- and oxacillin-resistant organisms.
Benefit from tremendous recent advancesin the field (often as a result of experience gained by military and civilian surgeons), including the development of damage control.
general principles of aortic diseases
neurologic protection strategies
options for aortic repair
surgical treatment of specific problems
Abundant illustrations demonstrate significant imaging study findings and depict key techniques and strategies.
With its detailed descriptions and thorough explanations of a wide variety of approaches to imaging, brain protection and monitoring, and aortic reconstruction, Aortic Arch Surgery: Principles, Strategies and Outcomes gives practicing and prospective thoracic and cardiovascular surgeons access to the full armamentarium of management options. Anesthesiologists, perfusionists, neurologists, radiologists, and others who have a special interest in treating patients with thoracic aortic disease will also find this book an invaluable source of dependable information.
Surgical Innovations in Glaucoma is the only book of its kind written by the top experts in the field, from inventors, clinical trial investigators, and top specialists experienced with the new devices. Written for general ophthalmologists who perform glaucoma surgery, the text walks the reader through the what, where, when, and how of the new glaucoma surgical tools, and includes supplementary online how-to videos for those interested in seeing the latest glaucoma procedures performed with these devices.
'A comprehensive and attractively presented 4-colour textbook of surgery aimed primarily at medical students but also of use to junior doctors and surgical technicians. The book has two key features: firstly, it provides students with coverage of every aspect of surgery; secondly, it has been designed and written to be the 'surgical companion' to Kumar & Clark's Clinical Medicine. This new edition will also offer an online version to all purchasers of the book - the first surgical textbook in the UK to make an electronic version available.'A comprehensive account of surgery - students only need to buy one textCovers general issues such as wound healing and pain control in the first section. By grouping these issues into one section at the beginning, students are immediately given an overview of what makes surgery differentA regional approach is adopted for the largest section - section 2 - this reflects the way in which surgeons talk about surgery to each otherThe third section covers surgical specialities - paediatrics, endocrinology, urology - and also includes specialities such as ophthalmology, ENT and orthopaedics. These are often omitted from competing books to save spaceThe logical arrangement of the three sections makes the book easy to use and refer to in clinical practiceThe arrangement of contents is straightforward and easily understoodText boxes are used throughout to highlight and isolate important informationIncludes over 350 four-colour images and line drawings original to this book and greatly praised by studentsAlso includes over 100 black and white and approximately 50 full-colour clinical photographs, X-rays and scansDesigned to complement Kumar and Clark's highly successful Clinical Medicine textbook so that students can have 'matching' texts in these complementary areasWritten by an expert team of contributors Your purchase of this book entitles you to online access to the text at no extra charge. This innovative web site offers you... Access to the complete text and illustrations of this book. Integration links to bonus content in other Elsevier online titles. Content clipping for your handheld. An interactive community center with a wealth of additional resources. The more Elsevier titles you buy, the more resources you can access online! New edition of a prize-winning textbook.
Completely revised throughout to reflect recent changes in surgical practice.
New chapter on bariatric surgery for the treatment of morbidly obese patients.
Covers the increasing use of minimally invasive surgical techniques, including robotic surgery.
Emphasises the increasing impact of multimodality therapy, in particular for the treatment of cancer.
Covers improvements in imaging technology and impact on surgical decision making.
Surgical Emergencies in Clinical Practice is a compact resource which allows any clinician, without previous surgical knowledge, to be able to make an accurate diagnosis and have a treatment plan for the whole spectrum of surgical emergencies. The essential steps of initial management of all surgical emergencies is outlined in a manner that can be used on a day-to-day basis for clinical management.
Written by experts in the field, Surgical Emergencies in Clinical Practice is a valuable tool for all junior doctors and medical students in the UK, Europe, Asia and North America. It will also be of interest to nurse practitioners, general practitioners and allied health professionals managing these patients.
This book presents a comprehensive overview of both pathophysiological and practical aspects of circulatory and respiratory extracorporeal support. The basics of ECMO, including its history, the “ECMO team”, cannulation, materials, and blood-surface interactions, are first discussed. The various indications for and particular characteristics of circulatory and respiratory extracorporeal life support are then described in detail in the main part of the book. Patient care during ECMO and monitoring of the ECMO patient are also carefully covered, with explanation of the management of technical and clinical complications and transport-related problems. Further topics include long-term therapy options beyond ECMO, such as ventricular assist devices and transplants, outcome, the new frontiers of ECMO for organ procurement and future challenges.
The authors are well-known experts in the field whose authoritative contributions and attention to practical aspects will be invaluable for novices and experienced practitioners alike.
Make the most effective use of todays best open and minimally invasive techniques, including single-site umbilical laparoscopic surgery, with guidance from internationally recognized experts in the field.
Focus on evidence-based treatments and outcomesto apply todays best practices. Stay current with timely topics thanks to brand-new chapters on Choledochal Cyst and Gallbladder Disease, Tissue Engineering, and Ethics in Pediatric Surgery, plus comprehensive updates throughout.
Hone and expand your surgical skillsby watching videos of minimally invasive procedures for recto urethral fistula, biliary atresia, laparoscopic splenectomy, uterine horn, and more.
Grasp the visual nuances of surgeryfrom over 1,000 images depicting todays best surgical practices.