PRISE EN CHARGE MULTIDISCIPLINAIRE DES HEMORRAGIES GRAVES DU POST-PARTUM (DES ANESTHESIE-REANIMATION CHIRURGICALE)

PRISE EN CHARGE MULTIDISCIPLINAIRE DES HEMORRAGIES GRAVES DU POST-PARTUM (DES ANESTHESIE-REANIMATION CHIRURGICALE) PDF Author: Mathias Rossignol
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ISBN:
Category :
Languages : fr
Pages :

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Stratégie de prise en charge des hémorragies graves du post-partum

Stratégie de prise en charge des hémorragies graves du post-partum PDF Author: Philippe Vandelet
Publisher:
ISBN:
Category :
Languages : fr
Pages :

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Book Description
Dans le cadre des hémorragies graves du post-partum, l'amélioration du pronostic maternel nécessite une étroite collaboration entre l'obstétricien, l'anesthésiste, le laboratoire d'hématologie biologique et le radiologue. L'embolisation artérielle est une technique efficace en cas de saignement artériel grave du post-partum qui doit être intégrée le plus précocement possible dans la stratégie de prise en charge. L'échec de la technique ne compromet pas le traitement chirurgical dans un deuxième temps. Des protocoles régionaux doivent être formalisés afin de favoriser un transfert médicalisé rapide et de première intention vers un plateau technique équipé. Dans un centre non équipé ou à distance du plateau technique, une instabilité hémodynamique en dépit de la réanimation impose un traitement chirurgical immédiat. Une stratégie thérapeutique des hémorragies graves du post-partum est proposée sous forme d'un arbre décisionnel

Awareness During Anesthesia

Awareness During Anesthesia PDF Author: Mohamed M. Ghoneim (M.D.)
Publisher: Butterworth-Heinemann
ISBN:
Category : Medical
Languages : en
Pages : 216

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Book Description
* First comprehensive source on facts about consciousness while under anesthesia * Includes a detailed pharmacology of drugs * Details techniques for detection and prevention. * Author is leading expert in field

Trauma Induced Coagulopathy

Trauma Induced Coagulopathy PDF Author: Hunter B. Moore
Publisher: Springer Nature
ISBN: 3030536068
Category : Medical
Languages : en
Pages : 802

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Book Description
The first edition of this publication was aimed at defining the current concepts of trauma induced coagulopathy by critically analyzing the most up-to-date studies from a clinical and basic science perspective. It served as a reference source for any clinician interested in reviewing the pathophysiology, diagnosis, and management of the coagulopathic trauma patient, and the data that supports it. By meticulously describing the methodology of most traditional as well as state of the art coagulation assays the reader is provided with a full understanding of the tests that are used to study trauma induced coagulopathy. With the growing interest in understanding and managing coagulation in trauma, this second edition has been expanded to 46 chapters from its original 35 to incorporate the massive global efforts in understanding, diagnosing, and treating trauma induced coagulopathy. The evolving use of blood products as well as recently introduced hemostatic medications is reviewed in detail. The text provides therapeutic strategies to treat specific coagulation abnormalities following severe injury, which goes beyond the first edition that largely was based on describing the mechanisms causing coagulation abnormalities. Trauma Induced Coagulopathy 2nd Edition is a valuable reference to clinicians that are faced with specific clinical challenges when managing coagulopathy.

Joint Arthroplasty

Joint Arthroplasty PDF Author: Shinichi Imura
Publisher: Springer Science & Business Media
ISBN: 4431685294
Category : Medical
Languages : en
Pages : 428

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Book Description
The introduction of total joint arthroplasty throughout the world has contributed manifold benefits to patients who suffer from joint diseases. Concurrently, however, there has been an increase in revision surgery. Many orthopedic surgeons agree that durability of prostheses is an eternal problem. In particular, periprosthetic osteolysis recently has been identified as one of the serious problems affecting prosthetic dura bility. To improve durability, osteolysis and many other problems must be investi gated and solved both experimentally and clinically with respect to such aspects as prosthetic material, design, and biological and biomechanical behavior. This book comprises 37 papers that were presented by orthopedic surgeons and biomedical engineers at the 28th Annual Meeting of the Japanese Society for Replace ment Arthroplasty, held in March 1998 in Kanazawa, Japan. The volume is thus a compilation of the latest knowledge about the pathogenesis and reduction of osteolysis and wear, newly developed total hip prostheses, and other current topics of total knee arthroplasty. We earnestly hope that this book will be of benefit to clinicians and researchers, and that it will contribute to the creation of more durable total joint prostheses in the future. SHINICHI IMURA v Contents Preface .................... '" .. .. .. ... . .. .. .. . ... .. . . .. . ... . . .. . V List of Contributors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . XI . . . . . . . . . . . . Part 1 Wear and Pathogenesis of Osteolysis Friction and Wear of Artificial Joints: A Historical Review N. AKAMATSU ................................................ , 3 Matrix Degradation in Osteoclastic Bone Resorption Under Pathological Conditions .

Pain in Infants, Children, and Adolescents

Pain in Infants, Children, and Adolescents PDF Author: Neil L. Schechter
Publisher: Lippincott Williams & Wilkins
ISBN: 9780781726443
Category : Medical
Languages : en
Pages : 924

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Book Description
This Second Edition is a significant revision of the leading text and clinical reference on pediatric pain. Written by an international group of experts from all relevant disciplines, this new edition is a vital reference for all pain practitioners, and for nurses, psychologists, PTs, anesthesiologists, and pediatricians dealing with acute and chronic pediatric pain. This edition includes new and expanded information on NSAIDs, opioids, and regional anesthesia. New chapters cover sedation, pain in the ICU, multidisciplinary pain services, palliative care, and the long-term consequences of pain. User-friendly new features include many more illustrations of techniques.

Medical Disorders in Obstetric Practice

Medical Disorders in Obstetric Practice PDF Author: Michael De Swiet
Publisher: John Wiley & Sons
ISBN: 047075236X
Category : Medical
Languages : en
Pages : 624

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Book Description
Obstetricians must have a firm grounding in the diagnosis and management of diseases affecting pregnant women as in some cases these may threaten the life of mother or baby or both. This book still remains the standard reference work on medical disorders in obstetric practice in the UK and UK-influenced areas such as the former Commonwealth. Exhaustive in its coverage, it provides clear practical advice on the major medical disorders the obstetrician is likely to encounter. Each chapter reviews the pathophysiology of a complaint then applies the physiological and pathophysiological changes to the problem of diagnosis and management of the disorder as well as giving clear guidance on the welfare of the unborn One of the major strengths of the book is that each chapter teaches the principles of care and gives an appreciation of the natural history of the disease rather than just the facts. Although a scholarly and rigourous account it manages to point out the clinically relevant information that the practising obstetrician will actually need.

Pocket Book for Simulation Debriefing in Healthcare

Pocket Book for Simulation Debriefing in Healthcare PDF Author: Denis Oriot
Publisher: Springer
ISBN: 3319598821
Category : Education
Languages : en
Pages : 117

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Book Description
This book is a concise manual on debriefing techniques in a clinical educational context. It presents the most popular debriefing techniques and, hence, can be used as a reference manual by educators to help them achieve their intended debriefing objectives. The overarching objective of debriefing is to promote reflection and improve patient safety awareness at an individual and a team level. This book provides clear explanations of what constitutes a valuable and effective debriefing, and presents the various approaches that can be used and how debriefing differs from feedback. It includes key recommendations on aspects that directly or indirectly impact debriefing with different populations of learners such as students or qualified healthcare professionals of various levels of seniority. This book can also be used as a survival guide for both simulation educators and clinicians during debriefings. It includes several useful sections explaining the different phases of a debriefing session, which help learners develop and consolidate their knowledge, and identify potential knowledge or performance gaps and near misses. The underlying philosophy of this book is to also promote profound respect for the trainee by using a non-offensive debriefing approach. Debriefing facilitators will appreciate the several key sentences that will help them lead and engage their learners in the various phases of expressing their emotions and analyzing their experience and actions.

Health System Performance Comparison: an Agenda for Policy, Information and Research

Health System Performance Comparison: an Agenda for Policy, Information and Research PDF Author: Irene Papanicolas
Publisher: McGraw-Hill Education (UK)
ISBN: 033524727X
Category : Medical
Languages : en
Pages : 418

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Book Description
International comparison of health system performance has become increasingly popular, made possible by the rapidly expanding availability of health data. It has become one of the most important levers for prompting health system reform. Yet, as the demand for transparency and accountability in healthcare increases, so too does the need to compare data from different health systems both accurately and meaningfully. This timely and authoritative book offers an important summary of the current developments in health system performance comparison. It summarises the current state of efforts to compare systems, and identifies and explores the practical and conceptual challenges that occur. It discusses data and methodological challenges, as well as broader issues such as the interface between evidence and practice. The book draws out the priorities for future work on performance comparison, in the development of data sources and measurement instruments, analytic methodology, and assessment of evidence on performance. It concludes by presenting the key lessons and future priorities, and in doing so offers a rich source of material for policy-makers, their analytic advisors, international agencies, academics and students of health systems.

A National Trauma Care System

A National Trauma Care System PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309442850
Category : Medical
Languages : en
Pages : 531

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Book Description
Advances in trauma care have accelerated over the past decade, spurred by the significant burden of injury from the wars in Afghanistan and Iraq. Between 2005 and 2013, the case fatality rate for United States service members injured in Afghanistan decreased by nearly 50 percent, despite an increase in the severity of injury among U.S. troops during the same period of time. But as the war in Afghanistan ends, knowledge and advances in trauma care developed by the Department of Defense (DoD) over the past decade from experiences in Afghanistan and Iraq may be lost. This would have implications for the quality of trauma care both within the DoD and in the civilian setting, where adoption of military advances in trauma care has become increasingly common and necessary to improve the response to multiple civilian casualty events. Intentional steps to codify and harvest the lessons learned within the military's trauma system are needed to ensure a ready military medical force for future combat and to prevent death from survivable injuries in both military and civilian systems. This will require partnership across military and civilian sectors and a sustained commitment from trauma system leaders at all levels to assure that the necessary knowledge and tools are not lost. A National Trauma Care System defines the components of a learning health system necessary to enable continued improvement in trauma care in both the civilian and the military sectors. This report provides recommendations to ensure that lessons learned over the past decade from the military's experiences in Afghanistan and Iraq are sustained and built upon for future combat operations and translated into the U.S. civilian system.