Download Current therapy in colon and rectal surgery by Victor W Fazio; James M Church; C P Delaney PDF

By Victor W Fazio; James M Church; C P Delaney

Greatly revised, this second version focuses completely on sensible scientific technology and advances in colon and rectal surgical procedure. It keeps to supply ''expert'' views and crucial info on present therapies--ranging from new diagnostic modalities and clinical therapeutics to surgical procedure concepts, together with minimum entry surgical procedure. offers a ''quick session with experts'' on contemporary Read more...

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24 “Failureto-rescue,” as described by Silber, is a measure of surgical quality defined as death after diagnosis of one or more specific complications noted as follows: • • • • • • • • Pressure ulcer Deep venous thrombosis Pulmonary embolism Aspiration Central line infection Malnutrition Postoperative infection Postoperative cardiac complications Birkmeyer and Dimick also noted that failure to manage these seminal complications could often cause the patient to acquire downstream complications such as ventilator-associated pneumonia (VAP), acute respiratory distress syndrome (ARDS), and multiple organ dysfunction syndrome (MODS), leading to death.

The task for the surgeon then is to screen for these characteristics whenever possible and to take the appropriate steps in optimizing patients for surgery, or to pursue other avenues if surgery is relatively or absolutely contraindicated. 1. Tools have also been developed to help surgeons predict perioperative risk and hence counsel patients about their actual perioperative risks prior to surgery. Complications in Surgery and Trauma Aust et al. 31 With this calculator, patients can be appropriately counseled regarding the likelihood of perioperative mortality after surgery.

These factors combine to create a “perfect storm” for medical errors. Errors during treatment occur during all phases of care of the trauma patients: resuscitation phase, operative phase, and critical care phase. 6%) preventable or potentially preventable deaths. Of these fatal errors, 36% occurred in the resuscitative phase, 14% in the operative phase, and 50% in the critical care phase. 11 These incidents were also analyzed by phase of trauma management, showing a similar distribution of fatal patient errors.

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