Schein's Common Sense: Prevention and Management of Surgical by Moshe Schein, Paul N. Rogers, Ari Leppaniemi, Danny Rosin

By Moshe Schein, Paul N. Rogers, Ari Leppaniemi, Danny Rosin

The enthusiastic suggestions bought from readers of the overseas best-seller "Schein's logic Emergency belly surgical procedure" encouraged the editors to do an identical e-book devoted to surgical problems: useful, non-formal, across the world appropriate (in all kinds of perform and degrees of hospitals) -- and certainly now not politically right: what's thought of taboo by way of others isn't taboo for us; the following we talk about every thing! As within the editors past publication, using references is particular to absolutely the minimal, and bringing up figures and probabilities is shunned up to attainable. The chapters during this ebook are the opinion of specialists -- each one contributor has an enormous own wisdom and scientific adventure within the box he's writing approximately. This publication may also help all surgeons (and their patients), steer clear of the distress of issues, and should supply recommendation at the administration of these which are unavoidable. issues and demise are an vital section of surgical procedure. Surgeons need to glance dying within the eyes, try and hinder it and vanquish it -- this is often what this publication is all approximately.

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Extra resources for Schein's Common Sense: Prevention and Management of Surgical Complications: for Surgeons, Residents, Lawyers, and Even Those Who Never Have Any Complications

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Major and minor surgery. JAMA 1965; 91: 114-6. qxd 18-09-2013 18:35 Page 30 Schein’s Common Sense Prevention and Management of Surgical Complications the greater its rate of complications. Unlike anesthesiology, which is like flying (it’s the takeoff and landing that count, the rest is just cruising, unless something goes wrong), surgery is like diving: you start descending carefully, hoping to find what you are looking for. Once you are at your target, you start ascending being watchful to do that in an orderly fashion to avoid complications.

A Foley catheter is the best monitoring device to assess the adequacy of resuscitation and perfusion! Avoid unnecessary blood transfusion (see above and  Chapter 3) also in the postoperative phase. For most patients, a hematocrit of 30% is more than satisfactory. We would rarely transfuse a postoperative patient with a hemoglobin above 7g/dL unless he is critically ill or suffers from an underlying cardiorespiratory disease. Consider transfused blood a potential poison. Control pain! Hippocrates said it thousands of years ago: “…for since the person being cut usually suffers pain, this suffering should last for the least time possible…”, but even today many randomly questioned postoperative patients complain that they are under-treated for pain.

Forster Is your hospital the right choice for the planned operation? Even if you are confident of your surgical powers to execute the operation, should it be done in your hospital? In other words: if you were the patient, would you want to undergo such an operation in your own hospital — that is, if you could find locally a surgeon as talented as you are? ☺ This is an opportunity to get acquainted with the term “failure to rescue” (FTR). The mortality rates after major surgery and trauma differ among hospitals: there are ‘low-mortality hospitals’ and ‘high-mortality hospitals’.

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