Decision Making Practices And Assessments Concerning Stability Of The Spine And Early Mobilisation In Patients Admitted With Metastatic Spinal Cord Compression Mscc
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Decision Making Practices And Assessments Concerning Stability Of The Spine And Early Mobilisation In Patients Admitted With Metastatic Spinal Cord Compression Mscc
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Author : Audrey Morrison
language : en
Publisher:
Release Date : 2017
Decision Making Practices And Assessments Concerning Stability Of The Spine And Early Mobilisation In Patients Admitted With Metastatic Spinal Cord Compression Mscc written by Audrey Morrison and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with categories.
Metastatic Spinal Cord Compression
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Author : National Collaborating Centre for Cancer (Great Britain)
language : en
Publisher: Young Writers
Release Date : 2008
Metastatic Spinal Cord Compression written by National Collaborating Centre for Cancer (Great Britain) and has been published by Young Writers this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008 with Bone metastasis categories.
It is difficult to know what the true incidence of metastatic spinal cord compression (MSCC) is in England and Wales because the cases are not systematically recorded. However, evidence from an audit carried out in Scotland between 1997 and 1999 and from a published study from Ontario, Canada, suggests that the incidence may be up to 80 cases per million population per year. This would mean around 4000 cases per year in England and Wales or more than 100 cases per cancer network per year. The Clinical Resource and Audit Group (CRAG) audit clearly showed that there were significant delays from the time when patients first developed symptoms until hospital doctors and general practitioners recognised the possibility of spinal cord compression and made the appropriate referral. The median times from the onset of back pain and nerve root pain to referral were 3 months and 9 weeks respectively. As a result, 48% of patients were unable to walk at the time of diagnosis and of these the majority (67%) had recovered no function at 1 month. Of those walking unaided at the time of diagnosis (34%), 81% were able to walk (either alone or with aid) at 1 month. The ability to walk at diagnosis was also significantly related to overall survival. At present, relatively few patients with malignant spinal cord compression in the UK receive surgery for the condition. But research evidence suggests that early surgery may be more effective than radiotherapy in a selected subset of patients.
Postgraduate Orthopaedics
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Author : Paul A. Banaszkiewicz
language : en
Publisher: Cambridge University Press
Release Date : 2012-08-16
Postgraduate Orthopaedics written by Paul A. Banaszkiewicz and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-08-16 with Medical categories.
The must-have book for candidates preparing for the oral component of the FRCS (Tr and Orth).
Metastatic Bone Disease
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Author : R. Coleman
language : en
Publisher: Parthenon Publishing
Release Date : 1992-06
Metastatic Bone Disease written by R. Coleman and has been published by Parthenon Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 1992-06 with Bone and bones categories.
Vessel Health And Preservation The Right Approach For Vascular Access
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Author : Nancy L. Moureau
language : en
Publisher: Springer
Release Date : 2019-06-10
Vessel Health And Preservation The Right Approach For Vascular Access written by Nancy L. Moureau and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-06-10 with Medical categories.
This Open access book offers updated and revised information on vessel health and preservation (VHP), a model concept first published in poster form in 2008 and in JVA in 2012, which has received a great deal of attention, especially in the US, UK and Australia. The book presents a model and a new way of thinking applied to vascular access and administration of intravenous treatment, and shows how establishing and maintaining a route of access to the bloodstream is essential for patients in acute care today. Until now, little thought has been given to an intentional process to guide selection, insertion and management of vascular access devices (VADs) and by default actions are based on crisis management when a quickly selected VAD fails. The book details how VHP establishes a framework or pathway model for each step of the patient experience, intentionally guiding, improving and eliminating risk when possible. The evidence points to the fact that reducing fragmentation, establishing a pathway, and teaching the process to all stakeholders reduces complications with intravenous therapy, improves efficiency and diminishes cost. As such this book appeals to bedside nurses, physicians and other health professionals.
Management Of Acute Pulmonary Embolism
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Author : Stavros V. Konstantinides
language : en
Publisher: Springer Science & Business Media
Release Date : 2007-12-31
Management Of Acute Pulmonary Embolism written by Stavros V. Konstantinides and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007-12-31 with Medical categories.
This practical volume highlights traditional, novel, and evolving aspects of the diagnosis and treatment of pulmonary embolism (PE). The contributors comprise an international team of experts. Important aspects of diagnosis, risk stratification, and differential treatment of patients with PE are presented in a concise, yet comprehensive manner. Emphasis is placed on specific issues related to PE, including pregnancy, cancer, thrombophilia, and air travel.
Surgical Approaches To The Spine
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Author : Robert G. Watkins
language : en
Publisher: Springer Science & Business Media
Release Date : 2012-12-06
Surgical Approaches To The Spine written by Robert G. Watkins and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-12-06 with Medical categories.
The desire to expose the spine for surgery by anterior approaches at any level between the head and the sacrum is not new. Spinal pathology is often located anterior to the spinal cord and nerve roots in the cervical and thoracic spine, and anterior to the peripheral nerves that emerge from the lumbosacral spine below the first lumbar ver tebra. To treat such pathology one prefers to expose the front of the spine directly and widely enough to eradicate the pathology and to have full control of bleeding throughout the procedure. The posterior elements of the spine are important for mechanical stability of the spine, and therefore for the protection of the neural and vascular structures in the spine that would be threatened by instability. Extensive eradication of pathology posterior to the spinal canal and the intervertebral foraminae, including the transverse processes, may leave no adequate bony bed for the surgical creation of a stabilizing osseous fusion. In such a situation, an anterior fusion procedure is the only viable alternative to a posterior or posterolateral fusion. In situations where it is critically important to obtain a stable fusion, as in tuberculosis of the spine, both an anterior and a posterior fusion operation at the same motion segments is, in almost every instance, a guarantee of a stable osseous fusion. One should know both approaches.
Surgery Of The Spine And Spinal Cord
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Author : Erik van de Kelft
language : en
Publisher: Springer
Release Date : 2018-05-31
Surgery Of The Spine And Spinal Cord written by Erik van de Kelft and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-05-31 with Medical categories.
This book offers essential guidance on selecting the most appropriate surgical management option for a variety of spinal conditions, including idiopathic problems, and degenerative disease. While the first part of the book discusses the neuroanatomy and biomechanics of the spine, pain mechanisms, and imaging techniques, the second guides the reader through the diagnostic process and treatment selection for disorders of the different regions of the spine, based on the principles of evidence-based medicine. I.e., it clearly explains why a particular technique should be selected for a specific patient on the basis of the available evidence, which is carefully reviewed. The book identifies potential complications and highlights technical pearls, describing newer surgical techniques and illustrating them with the help of images and accompanying videos. Though primarily intended for neurosurgeons, the book will also be of interest to orthopaedic surgeons, specialists in physical medicine, and pain specialists.
Spinal Instability
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Author : Robert N.N. Holtzman
language : en
Publisher: Springer Science & Business Media
Release Date : 2012-12-06
Spinal Instability written by Robert N.N. Holtzman and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-12-06 with Medical categories.
In this volume, world authorities on spinal surgery from the fields of Neurosurgery, Orthopaedic Surgery, and Neuroscience present current data on the basic science and clinical management of the unstable spine. Unique to this book: a frank presentation of controversies in the field.
Orthogeriatrics
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Author : Paolo Falaschi
language : en
Publisher: Springer Nature
Release Date : 2021
Orthogeriatrics written by Paolo Falaschi and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021 with Anesthesiology categories.
This new open access edition supported by the Fragility Fracture Network aims at giving the widest possible dissemination on fragility fracture (especially hip fracture) management and notably in countries where this expertise is sorely needed. It has been extensively revised and updated by the experts of this network to provide a unique and reliable content in one single volume. Throughout the book, attention is given to the difficult question of how to provide best practice in countries where the discipline of geriatric medicine is not well established and resources for secondary prevention are scarce. The revised and updated chapters on the epidemiology of hip fractures, osteoporosis, sarcopenia, surgery, anaesthesia, medical management of frailty, peri-operative complications, rehabilitation and nursing are supplemented by six new chapters. These include an overview of the multidisciplinary approach to fragility fractures and new contributions on pre-hospital care, treatment in the emergency room, falls prevention, nutrition and systems for audit. The reader will have an exhaustive overview and will gain essential, practical knowledge on how best to manage fractures in elderly patients and how to develop clinical systems that do so reliably.