Decision Making for Minimally Invasive Spine Surgery PDF Download

Author: Faheem A. Sandhu
Publisher: Thieme
ISBN: 1604062673
Category : Medical
Languages : en
Pages : 369

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Book Description
The essential decision making primer for minimally invasive spine procedures Decision Making for Minimally Invasive Spine Surgery provides the critical tools needed to determine exactly when, for whom, and why minimally invasive spine surgery (MISS) is a viable option. Ten tightly focused chapters each begin with a decision making algorithm that explains how to ascertain if MISS will benefit the patient more than traditional open surgery. Following each algorithm, concise yet detailed information on the preoperative evaluation, surgical techniques, and possible outcomes helps the reader to formulate a clear surgical strategy. The book closes with an incisive analysis of radiosurgery, instrumentation systems, image guidance, and promising advances in MISS that will stimulate further discussion of this emerging area. Features: A realistic assessment of both the advantages and drawbacks of MISS by pioneers in the field Evaluative algorithms allow readers to form rapid, fully informed treatment decisions Intuitive organization by spinal region facilitates quick reference Spine surgeons, residents, or fellows in orthopedic surgery or neurosurgery will refer to this easily accessible manual every time they consider performing a minimally invasive spine procedure.

Author: Jennifer A. Frontera
Publisher: Thieme
ISBN: 1604061634
Category : Medical
Languages : en
Pages : 356

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Book Description
A concise guide to evidence-based approaches in neurocritical care From important aspects of the physical examination to imaging studies to treatment options and dosage guidelines, Decision Making in Neurocritical Care provides a solid introduction to the evidence-based management of patients in the neurological intensive care unit. Succinct text in a highly accessible bullet-point format details the essentials of history-taking, physical examination, differential diagnosis, diagnostic evaluation, and treatments for a range of neurological problems in the critical care setting. Special features: Brief vignettes of typical cases emphasize key questions for the physician to consider and urgent orders to be given Coverage of the basics of neurocritical care, including techniques of intubation, ventilator management, sedation, and multimodality monitoring Pearls and pitfalls highlight key points in patient management Convenient medication tables, including dosages, adverse effects, and contraindications Consistent presentation in each chapter enhances ease of use Ideal for neurologists, neurosurgeons and critical care physicians at all levels, this book is invaluable for optimizing patient care. It is also an excellent choice for board review preparation in these specialties.

Author: Leonardo Rangel-Castilla
Publisher: Thieme
ISBN: 1626237786
Category : Medical
Languages : en
Pages : 1406

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Book Description
Neurovascular medicine has emerged as an established, semi-independent subspecialty of neurology and neurosurgery. Decision Making in Neurovascular Disease focuses on the challenging process of determining the best approach for managing patients with intracranial atherosclerosis, carotid artery disease, stroke, aneurysms, arteriovenous malformations, arteriovenous fistulae, cavernous malformations, and hypervascular tumors. Leonardo Rangel-Castilla, Robert Spetzler, esteemed coauthors, and an impressive cadre of experts discuss highly divergent modalities including medical management, open cerebrovascular, endovascular, radiosurgery, and combined/multimodality alternatives. The book is organized into seven sections: Ischemic Stroke and Vascular Insufficiency, Aneurysms – Anterior Circulation, Aneurysms – Posterior Circulation, Aneurysms – Other, Arteriovenous Malformations and Fistula, Cavernous Malformations, and Hypervascular Tumors. Chapters include an introduction, decision-making algorithm, whether to treat, conservative management, anatomical considerations, clinical and imaging evaluation, differential diagnosis, treatment options, images, clinical and radiographic follow-up, and suggested reading. Key highlights Simple algorithms accompanying 71 chapters supported by the latest, most updated information in the literature More than 300 radiologic images help elucidate disease-specific treatment decision making Step-by-step guidance, clinical pearls, surgical nuances, complication avoidance, and evidence-based outcomes provide in-depth understanding Point/counterpoint expert commentary on each case provides balanced insights on potential implications of specific treatments This essential step-by-step book is a must-have for residents and fellows in neurosurgery, neurology, endovascular, interventional radiology, vascular neurology, and neurocritical care, as well as veteran clinicians in these specialties.

Author: Leon T. Lai
Publisher: Thieme
ISBN: 1638536392
Category : Medical
Languages : en
Pages : 641

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Book Description
A structured, evidence-based approach to neurosurgical decision-making for brain pathologies Evidence-based neurosurgery is one of the most important pillars upon which to build decision management pathways. Effective delivery of care involves understanding the natural history of the disease and the evidence behind available treatment options. Neurosurgical Diseases: An Evidence-Based Approach to Guide Practice by esteemed neurosurgeons Leon T. Lai, Cristian Gragnaniello, and expert contributors covers cranial pathologies neurosurgeons commonly encounter in everyday practice. The book combines a structured approach to evidence-based neurosurgery with expert opinions, analysis of up-to-date clinical data, understanding of patient preferences and values, and firsthand experiences to facilitate translation of evidence into clinical practice. Twenty-seven consistently formatted chapters are each dedicated to a different disease state, including brain tumors, cerebrovascular disease, Cushing's disease, traumatic brain injury, trigeminal neuralgia, and normal pressure hydrocephalus. All chapters include an introduction, current statistics and data, natural history of the pathology, selected papers for further reading, procedural options and outcomes, and recommended treatment protocols from the authors. Key Features Key content summarized in reader-friendly bullets, diagrams, tables, and illustrative figures enhances acquisition of knowledge Discussion of new developments including treatment recommendations for primary and metastatic brain tumors Statistical data on cerebral aneurysm treatment outcomes and recommendations for treatment New protocols for treating head trauma, closed head injuries, and spontaneous intracranial hemorrhage This essential resource will help neurosurgical residents and junior neurosurgeons make challenging surgical treatment decisions for complex conditions, clearly and concisely and based on the best evidence.

Author: Joanne V. Hickey
Publisher: LWW
ISBN: 9781975100674
Category : Nervous system
Languages : en
Pages : 0

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Book Description
"Neuroscience nurses practice in a very complex and challenging environment, caring for equally complex patients with multiple needs. Therefore, the contemporary neuroscience nurse engages in high-level assessment, information processing, and decision making. This requires professional competency in not only the specialty of neuroscience nursing practice, but also in general nursing and interprofessional collaborative practice. Much of the care delivered is through teams, with the nurse being an integral team member. The complexities of team communications, coordination, continuity, and safety require new models of practice to achieve optimal outcomes"--

Author: Brett Cucchiara
Publisher: Elsevier Health Sciences
ISBN: 0323733689
Category : Medical
Languages : en
Pages : 483

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Book Description
Written by neurologists for neurologists, Decision-Making in Adult Neurology provides practical guidance when encountering patients whose clinical presentation is unfamiliar or complex, or whose treatment path is not completely certain. This useful handbook is filled with diagnostic and treatment algorithms that encourage you to think systematically and follow a logical sequence through the steps necessary for efficient and effective decision-making. - Outlines the key decision points in patient management, providing a wealth of systematic information that ensures you take into account the proper physical signs and test results that will guide your recommendations. - Contains 119 algorithms covering symptoms and signs, specific neurologic conditions, vascular disorders, seizures, head trauma, neoplastic disease, peripheral nervous disorders, and muscle disease. - Accompanies each algorithm with brief text that explains the significance of important decision points. - Provides step-by-step decision-making guidelines for testing and management of paraneoplastic diseases, choice of initial MS therapy, evaluation of incidentally discovered MRI white matter lesions, management of asymptomatic carotid stenosis, and much more.

Author: Stephen Honeybul
Publisher: Cambridge University Press
ISBN: 110864046X
Category : Medical
Languages : en
Pages : 275

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Book Description
Neurosurgical interventions have the potential to change a person's concept of self, as well as affect their neurological and cognitive function to an unacceptable level for both patient and family. In an increasingly complex and evolving field, the ethical implications of treatments and their eventual outcomes must be carefully balanced. Ethics in Neurosurgical Practice is a comprehensive and practical guide for managing the treatment of patients with debilitating neurosurgical conditions. Chapters address specific conditions, such as traumatic brain injuries, ischemic stroke and spinal surgery, and the ethical challenges that each of these pose. Detailed case studies present potential scenarios that readers might encounter, and their outcomes. Future developments of this fast-paced field are expanded upon, including televised live surgery and the ethical aspects of innovation in neurosurgery. A broad variety of contributors in different fields, including neurosurgeons, intensivists and bioethicists, ensures comprehensive coverage from a range of views and experiences.

Author: David Greg Anderson
Publisher: Thieme
ISBN: 1604064633
Category : Medical
Languages : en
Pages : 561

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Book Description
Decision Making in Spinal Care presents all the current information on management strategies for the most common spine problems, including trauma injuries, metabolic and degenerative diseases, and spinal deformities. Each chapter opens with a concise introduction to the topic and discussion of the classification of the injury, condition, or management approach. The authors then describe the diagnostic workup of the patient, the treatment options available, the likely outcome, and possible complications. Highlights: Treatment algorithms at the start of each chapter enable clinicians to rapidly determine the pathology of a spine condition, formulate a diagnostic plan, and choose which surgical or nonsurgical treatment is best Discussion of contemporary spinal issues, including spinal tumors, osteoporosis, minimally invasive surgery, and nonfusion techniques, keeps the clinician abreast of the latest advances Annotated lists of key references, complete with synopses of the articles and chapters referenced, enable readers to pursue topics at greater length More than 200 figures demonstrate important concepts This must-have reference is ideal for orthopedic surgeons, neurosurgeons, physiatrists, and primary care physicians seeking to sharpen their clinical decision-making skills in managing spine conditions. The book will also benefit spine fellows, medical students, and residents needing a comprehensive board review.

Author: Christopher M. Loftus
Publisher: Springer
ISBN: 3319273272
Category : Medical
Languages : en
Pages : 404

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Book Description
​This book is an up-to-date reference on all aspects of anticoagulation and hemostasis in neurosurgery. After an opening section on basic principles and drug classes in current use, detailed consideration is given to coagulation issues relevant to all patients, not just neurosurgical ones. The coverage includes, for example, deep vein thrombosis, pulmonary embolism, and disseminated intravascular coagulation. A variety of important issues specific to neurosurgical practice are then addressed, and a summary of current guidelines and best practices is provided. By bringing together the latest knowledge from across the discipline, this book will serve as a sound basis for informed decision making in surgical practice. It will be of daily value for neurosurgeons and trainees worldwide and will also be of interest to emergency room physicians, surgeons in general, critical care physicians, neurologists, and hospital medicine specialists.

Author: Kimberly A. Davis
Publisher: Thieme
ISBN: 1684200598
Category : Medical
Languages : en
Pages : 611

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Book Description
Unique book provides comprehensive discussion of MIS versus traditional techniques in modern Acute Care Surgery The combination of a surgeon shortage and poor access to emergency surgical care led to establishment of the Acute Care Surgery paradigm and subspecialty in 2003. Concurrently, minimally invasive approaches revolutionized surgical practice in the 21st century. In the U.S., acute care surgeons stand at the front line of patient care for emergency general surgery, trauma, and surgical critical care, and thus are positioned to positively impact healthcare delivery and costs. Surgical Decision Making in Acute Care Surgery by renowned surgeons Kimberly Davis and Raul Coimbra is the first text that comprehensively discusses when to use minimally invasive techniques and advanced technology versus traditional open procedures in acute traumatic and non-traumatic surgical emergencies. The text begins with three opening chapters covering the background of the Acute Care Surgery subspecialty, anatomic and physiological considerations, and the impact of acute surgical illness on pre- and post-operative critical care decisions. Subsequent chapters outline surgical approaches for commonly encountered acute conditions. Trauma chapters cover interventions for cervical, blunt and penetrating abdominal, and thoracic injuries. Emergency general surgery topics run the gamut from appendicitis to emergency management of paraesophageal hernias and esophageal perforations. An impressive group of senior surgeons and younger rising stars in American surgery share their expertise throughout the book. Key Highlights Disease-specific chapters include epidemiology, pathogenesis, diagnostic tools, treatment strategies, surgical techniques, cost analyses, complications, and national guidelines where available Subchapters feature expert commentary on preceding chapters, including clinical pearls and controversies (e.g. operative vs. nonoperative management) In-depth discussion of surgical decision making encompasses the type of surgical approach, as well as indications and contraindications for MIS The roles of MIS procedures such as laparoscopy, thoracoscopy, radiology-based percutaneous techniques, as well as endovascular surgery are examined The quintessential resource on contemporary Acute Care Surgery practice, this is a must-read for residents, junior faculty, and practicing surgeons in this discipline.