Richard D. Urman – författare
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59 produkter
59 produkter
Inbunden, Engelska, 2018
1 986 kr
Skickas inom 5-8 vardagar
Anesthesia Outside of the Operating Room is a comprehensive, up-to-date textbook that covers all aspects of anesthesia care in OOR settings, from financial considerations to anesthetic techniques to quality assurance. With increasing numbers of procedures such as cardiac catheterization and imaging taking place outside of the main OR, anesthesia providers as well as non-anesthesia members of the patient care team will find this book critical to their understanding of the principles of anesthesia care in unique settings which may have limited physical resources. The book includes chapters on patient monitoring techniques, pre-procedure evaluation and post-procedure care, and procedural sedation performed by non-anesthesia providers. Its authors address problems of anesthesia that have unique answers in OOR settings, such as patient transport and cardiac arrest, and discuss technological progress and considerations for the future. The text also covers surgical procedures and anesthetic considerations by procedure location, such as radiology, infertility clinics, field and military environments, and pediatric settings, among many others Select guidelines from the American Society of Anesthesiologists (ASA) are provided as well. Edited by the senior faculty from Harvard Medical School and with contributions from other academic institutions, Anesthesia Outside of the Operating Room provides a unique and convenient compendium of expertise and experience.
E-bok
PDF, Engelska, 20181 742 kr
Läs direkt efter köp
Anesthesia Outside of the Operating Room is a comprehensive, up-to-date textbook that covers all aspects of anesthesia care in OOR settings, from financial considerations to anesthetic techniques to quality assurance. With increasing numbers of procedures such as cardiac catheterization and imaging taking place outside of the main OR, anesthesia providers as well as non-anesthesia members of the patient care team will find this book critical to their understanding of the principles of anesthesia care in unique settings which may have limited physical resources.The book includes chapters on patient monitoring techniques, pre-procedure evaluation and post-procedure care, and procedural sedation performed by non-anesthesia providers. Its authors address problems of anesthesia that have unique answers in OOR settings, such as patient transport and cardiac arrest, and discuss technological progress and considerations for the future. The text also covers surgical procedures and anesthetic considerations by procedure location, such as radiology, infertility clinics, field and military environments, and pediatric settings, among many others Select guidelines from the American Society of Anesthesiologists (ASA) are provided as well.Edited by the senior faculty from Harvard Medical School and with contributions from other academic institutions, Anesthesia Outside of the Operating Room provides a unique and convenient compendium of expertise and experience.
E-bok
Engelska, 20181 742 kr
Läs direkt efter köp
Anesthesia Outside of the Operating Room is a comprehensive, up-to-date textbook that covers all aspects of anesthesia care in OOR settings, from financial considerations to anesthetic techniques to quality assurance. With increasing numbers of procedures such as cardiac catheterization and imaging taking place outside of the main OR, anesthesia providers as well as non-anesthesia members of the patient care team will find this book critical to their understanding of the principles of anesthesia care in unique settings which may have limited physical resources.The book includes chapters on patient monitoring techniques, pre-procedure evaluation and post-procedure care, and procedural sedation performed by non-anesthesia providers. Its authors address problems of anesthesia that have unique answers in OOR settings, such as patient transport and cardiac arrest, and discuss technological progress and considerations for the future. The text also covers surgical procedures and anesthetic considerations by procedure location, such as radiology, infertility clinics, field and military environments, and pediatric settings, among many others Select guidelines from the American Society of Anesthesiologists (ASA) are provided as well.Edited by the senior faculty from Harvard Medical School and with contributions from other academic institutions, Anesthesia Outside of the Operating Room provides a unique and convenient compendium of expertise and experience.
E-bok
PDF, Engelska, 2013424 kr
Läs direkt efter köp
Millions of procedures, surgical and non-surgical, are performed around the world each year. Management of perioperative pain is of great importance to patients, and a critical management issue for physicians and other health professionals who provide perioperative care. Healthcare facilities and national accrediting organizations have established standards surrounding proper management of perioperative pain. There is now an increased burden on every hospital and training program to ensure that healthcare providers understand the essentials of pain management and are able to recognize and treat pain in a timely fashion. Poorly controlled pain leads to patient dissatisfaction and contributes to increased morbidity and mortality, such as myocardial infarction, pneumonia, and emotional effects. Proper management, including appropriate pharmacologic management and regional analgesic techniques, can improve function and shorten length of hospital stay. Patients who are undergoing procedures under sedation or anesthesia need to receive adequate pain relief with drugs or regional anesthetic techniques. In the recovery room following the procedure, the staff taking care of the patient needs to be properly trained to diagnose and treat post-procedural pain. Part of the Oxford American Pain Library, this concise, evidence-based clinical guide serves as a tool for every clinician who wishes to understand the basic mechanisms, pharmacology, invasive and noninvasive treatment modalities, guidelines and development of pain management protocols. The authors address new technologies, chronic pain issues, running an acute pain service, opioid and non-opioid pharmacology (including newly approved drugs), epidural and other regional anesthesia, and special populations such as pediatric patients, the elderly, and patients with a co-existing disease.
Häftad, Engelska, 2016
1 335 kr
Skickas inom 5-8 vardagar
Up to 35% of adults suffer from chronic pain, and a substantial number of these patients are admitted to hospitals every year. A major concern of these patients is whether the pain will be adequately controlled during hospitalization. these patients are more likely to have poor pain control and may experience an exacerbation of their co-exisitng chronic pain condition during hospital admission. Adequate pain control is directly related to clinical outcomes, length of hospital stay, and patient satisfaction. A considerable body of evidence demonstrates the medical, social, and economic benefits of satisfactory inpatient pain control. Currently, there are limited pain control guidelines to address this challenging inpatient population. In fact, there are no guidelines outlinign best practices for postoperative pain control in patients with chronic pain. The complex nature of chronic pain and a dearth of publications addressing the concerns of these patients make the creation of relevant guidelines difficult. The goal of this book is to equip clinicians to provide safe and effective management of hospitalized patients with co-existing chronic pain. Each chapter addresses a particular clinical question and is written by an expert in the field. Chapters describe basic principles and specific clinical situations commonly encountered during the care of patients with co-existing chronic pain in hospital settings.
E-bok
PDF, Engelska, 2016972 kr
Läs direkt efter köp
Up to 35% of adults suffer from chronic pain, and a substantial number of these patients are admitted to hospitals every year. A major concern of these patients is whether the pain will be adequately controlled during hospitalization. these patients are more likely to have poor pain control and may experience an exacerbation of their co-exisitng chronic pain condition during hospital admission. Adequate pain control is directly related to clinical outcomes, length of hospital stay, and patient satisfaction. A considerable body of evidence demonstrates the medical, social, and economic benefits of satisfactory inpatient pain control. Currently, there are limited pain control guidelines to address this challenging inpatient population. In fact, there are no guidelines outlinign best practices for postoperative pain control in patients with chronic pain. The complex nature of chronic pain and a dearth of publications addressing the concerns of these patients make the creation of relevant guidelines difficult. The goal of this book is to equip clinicians to provide safe and effective management of hospitalized patients with co-existing chronic pain. Each chapter addresses a particular clinical question and is written by an expert in the field. Chapters describe basic principles and specific clinical situations commonly encountered during the care of patients with co-existing chronic pain in hospital settings.
E-bok
Engelska, 2016972 kr
Läs direkt efter köp
Up to 35% of adults suffer from chronic pain, and a substantial number of these patients are admitted to hospitals every year. A major concern of these patients is whether the pain will be adequately controlled during hospitalization. these patients are more likely to have poor pain control and may experience an exacerbation of their co-exisitng chronic pain condition during hospital admission. Adequate pain control is directly related to clinical outcomes, length of hospital stay, and patient satisfaction. A considerable body of evidence demonstrates the medical, social, and economic benefits of satisfactory inpatient pain control. Currently, there are limited pain control guidelines to address this challenging inpatient population. In fact, there are no guidelines outlinign best practices for postoperative pain control in patients with chronic pain. The complex nature of chronic pain and a dearth of publications addressing the concerns of these patients make the creation of relevant guidelines difficult. The goal of this book is to equip clinicians to provide safe and effective management of hospitalized patients with co-existing chronic pain. Each chapter addresses a particular clinical question and is written by an expert in the field. Chapters describe basic principles and specific clinical situations commonly encountered during the care of patients with co-existing chronic pain in hospital settings.
Häftad, Engelska, 2013
520 kr
Skickas inom 5-8 vardagar
Millions of procedures, surgical and non-surgical, are performed around the world each year. Management of perioperative pain is of great importance to patients, and a critical management issue for physicians and other health professionals who provide perioperative care. Healthcare facilities and national accrediting organizations have established standards surrounding proper management of perioperative pain. There is now an increased burden on every hospital and training program to ensure that healthcare providers understand the essentials of pain management and are able to recognize and treat pain in a timely fashion. Poorly controlled pain leads to patient dissatisfaction and contributes to increased morbidity and mortality, such as myocardial infarction, pneumonia, and emotional effects. Proper management, including appropriate pharmacologic management and regional analgesic techniques, can improve function and shorten length of hospital stay. Patients who are undergoing procedures under sedation or anesthesia need to receive adequate pain relief with drugs or regional anesthetic techniques. In the recovery room following the procedure, the staff taking care of the patient needs to be properly trained to diagnose and treat post-procedural pain. Part of the Oxford American Pain Library, this concise, evidence-based clinical guide serves as a tool for every clinician who wishes to understand the basic mechanisms, pharmacology, invasive and noninvasive treatment modalities, guidelines and development of pain management protocols. The authors address new technologies, chronic pain issues, running an acute pain service, opioid and non-opioid pharmacology (including newly approved drugs), epidural and other regional anesthesia, and special populations such as pediatric patients, the elderly, and patients with a co-existing disease.
Inbunden, Engelska, 2011
725 kr
Skickas inom 10-15 vardagar
This empowering book provides a comprehensive resource to help readers of all ages understand pain, seek the right diagnosis and treatment, and allow them to take control of their pain.Unfortunately, pain is a universal human experience. For many, their experience of pain transcends an occasional or nagging discomfort and disrupts their lives. Understanding Pain: What You Need to Know to Take Control presents insights that will be useful to anyone who wants to be more knowledgeable about recognizing pain conditions through symptoms and telltale signs, and needs to be fully informed about the various treatment options available.Providing information that is at once cutting-edge, comprehensive, and easy-to-understand, the chapters also provide the resources needed to obtain further information about the topic. The book covers all major pain syndromes in a manner accessible to those without backgrounds in science or pain treatment, explicitly explaining symptoms, tests that may be needed, and treatments and rehabilitation techniques that are possible. The last section of the text discusses pain issues of specific populations, such as children, the elderly, and women during childbirth.
E-bok
PDF, Engelska, 2011803 kr
Läs direkt efter köp
This empowering book provides a comprehensive resource to help readers of all ages understand pain, seek the right diagnosis and treatment, and allow them to take control of their pain.Unfortunately, pain is a universal human experience. For many, their experience of pain transcends an occasional or nagging discomfort and disrupts their lives. Understanding Pain: What You Need to Know to Take Control presents insights that will be useful to anyone who wants to be more knowledgeable about recognizing pain conditions through symptoms and telltale signs, and needs to be fully informed about the various treatment options available.Providing information that is at once cutting-edge, comprehensive, and easy-to-understand, the chapters also provide the resources needed to obtain further information about the topic. The book covers all major pain syndromes in a manner accessible to those without backgrounds in science or pain treatment, explicitly explaining symptoms, tests that may be needed, and treatments and rehabilitation techniques that are possible. The last section of the text discusses pain issues of specific populations, such as children, the elderly, and women during childbirth.
2 328 kr
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Substance Use and Addiction Research: Methodology, Mechanisms, and Therapeutics is an up-to-date, comprehensive, practical book on research methodologies for substance use and addiction that is intended for researchers and consumers of research information at all levels. The book is divided into four major sections, including an Introduction, Research Methodology for clinical trials, animal research and retrospective studies, Mechanisms of Use and Addiction, and Investigative Therapeutics: Designing and Measuring Outcomes. It serves a source for addressing all aspects of research design, methods and analysis within the context of the field of opioids, alcohol and other substances.The book covers what is known in the field of quantitative and qualitative research methods, provides future directions, and introduces new models for investigation. It is organized around a translational science framework, with the contents addressing substance use/addiction research in the context of epidemiology, etiology, intervention efficacy and effectiveness, and implementation of evidence-informed interventions.- Presents a practical, easy to read text designed to appeal to both experienced and beginner researchers in the field of substance abuse/addiction science- Provides a concise, well-organized handbook that is a complete guide to methodologies in conducting substance abuse/addiction research- Contains contributions from leading academic institutions- Includes ample diagrams, tables and figures to help organize the information for easy reference, along with a list and explanation of existing useful measurement tools, websites, statistical methods and other resources
Häftad, Engelska, 2023
1 637 kr
Skickas inom 10-15 vardagar
Substance Use and Addiction Research: Methodology, Mechanisms, and Therapeutics is an up-to-date, comprehensive, practical book on research methodologies for substance use and addiction that is intended for researchers and consumers of research information at all levels. The book is divided into four major sections, including an Introduction, Research Methodology for clinical trials, animal research and retrospective studies, Mechanisms of Use and Addiction, and Investigative Therapeutics: Designing and Measuring Outcomes. It serves a source for addressing all aspects of research design, methods and analysis within the context of the field of opioids, alcohol and other substances.
The book covers what is known in the field of quantitative and qualitative research methods, provides future directions, and introduces new models for investigation. It is organized around a translational science framework, with the contents addressing substance use/addiction research in the context of epidemiology, etiology, intervention efficacy and effectiveness, and implementation of evidence-informed interventions.
Presents a practical, easy to read text designed to appeal to both experienced and beginner researchers in the field of substance abuse/addiction science Provides a concise, well-organized handbook that is a complete guide to methodologies in conducting substance abuse/addiction research Contains contributions from leading academic institutions Includes ample diagrams, tables and figures to help organize the information for easy reference, along with a list and explanation of existing useful measurement tools, websites, statistical methods and other resources
E-bok
PDF, Engelska, 2010425 kr
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Anesthesia Student Survival Guide: A Case-Based Approach is an indispensable introduction to the specialty. This concise, easy-to-read, affordable handbook is ideal for medical students, nursing students, and others during the anesthesia rotation. Written in a structured prose format and supplemented with many diagrams, tables, and algorithms, this pocket-sized guide contains essential material covered on the USMLE II-III and other licensing exams. The editors, who are academic faculty at Harvard Medical School, summarize the essential content with 32 informative and compelling case studies designed to help students apply new concepts to real situations. Pharmacology, basic skills, common procedures and anesthesia subspecialties are covered, too, with just the right amount of detail for an introductory text. The unique book also offers a section containing career advice and insider tips on how to receive good evaluations from supervising physicians. With its combination of astute clinical instruction, basic science explanation, and practical tips from physicians that have been there before, this handbook is your one-stop guide to a successful anesthesia rotation.
Häftad, Engelska, 2011
1 113 kr
Skickas inom 10-15 vardagar
This concise, evidence-based text contains essential topics important for every pain management student, trainee, and practitioner. Both acute and chronic pain management principles and techniques are discussed, while numerous case vignettes help reinforce basic concepts and improve clinical decision making. Throughout, a multidisciplinary approach to pain is stressed. Behavioral and physical therapies, plus ethical considerations, are also discussed in this indispensable guide for anyone involved in the management of pain.
E-bok
PDF, Engelska, 20111 459 kr
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This concise, evidence-based text contains essential topics important for every pain management student, trainee, and practitioner. Both acute and chronic pain management principles and techniques are discussed, while numerous case vignettes help reinforce basic concepts and improve clinical decision making. Throughout, a multidisciplinary approach to pain is stressed. Behavioral and physical therapies, plus ethical considerations, are also discussed in this indispensable guide for anyone involved in the management of pain.
Inbunden, Engelska, 2024
1 201 kr
Skickas inom 10-15 vardagar
In this issue of Anesthesiology Clinics, guest editors Drs. Zdravka Zafirova and Richard D. Urman bring their considerable expertise to the topic of Preoperative Patient Evaluation. Top experts in the field discuss this important opportunity to identify co-morbidities that may lead to patient complications during the anaesthetic, surgical, or post-operative period, including anticoagulation preop management and regional anesthesia recent updates/guidelines; marijuana use and vaping; enhanced recovery pathways: preoperative considerations in children; management of preoperative anemia; and more.
E-bok
PDF, Engelska, 2024728 kr
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Häftad, Engelska, 2024
598 kr
Skickas inom 7-10 vardagar
With the number of surgical procedures requiring sedation increasing every year, most hospitals and other facilities now have a procedural (moderate/deep) sedation program. The third edition of this popular handbook provides concise, practical, and evidence-based guidance on safe and effective procedural sedation. Featuring contributions from national experts, chapters cover the description/definition of sedation levels, patient evaluation, pharmacology, legal and quality assurance issues, as well as sedation for specific populations (ambulatory/office settings, elderly, pediatric, ICU, emergency room, endoscopy, reproductive technologies). The book also reviews the specific clinical and administrative considerations for the nursing and PA staff often involved in administering sedation. Comprehensively updated to incorporate the most current, evidence-based information including updates to existing guidelines, patient outcomes data from the most recently published papers and expanded sedation-related content in sub-specialties. An essential manual for a wide array of healthcare providers to develop safer techniques, policies, and procedures for moderate and sedation.
E-bok
Engelska, 2024728 kr
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Inbunden, Engelska, 2026
934 kr
Skickas inom 7-10 vardagar
Effective leadership is critical to ensuring safety, efficiency and maximum productivity in the operating room (OR). This practical, evidence-based third edition focuses on the dynamics of a successful OR environment to underline the key techniques for management of policies, systems, staff members and teams. Fully updated to include recent clinical guidelines, the book provides the 'A-Z' of OR management, including sections on metrics, scheduling, human resource management, leadership principles, economics, quality assurance, recovery, ambulatory practice and topics specific to anesthesia and pain service providers. Featuring new chapters on the role of artificial intelligence in transforming operating room perform, training, certification and career development, instrumentation management, and safety of operating room personnel. With contributions from authors with unrivalled experience in the field, this new edition continues to be an essential guide for anyone working in the OR including anaesthesiologists, surgeons, nurses, and administrators.
E-bok
Engelska, 2026899 kr
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E-bok
PDF, Engelska, 20261 141 kr
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Inbunden, Engelska, 2015
1 172 kr
Skickas inom 7-10 vardagar
Practical Ambulatory Anesthesia covers all aspects of sedation, anesthesia, and pain relief for patients undergoing day (ambulatory) surgery. Written and edited by leading clinical anesthesiologists from the USA and Europe, it provides clear guidance on how to handle particular patients in particular situations. Comprehensive in scope, each chapter summarizes major studies and review papers, followed by practical advice based on the authors' and editors' clinical and scientific expertise. This combination of authoritative evidence-based guidance and personal advice ensures the reader benefits from the latest scientific knowledge and the authors' wealth of experience. Chapters discuss how to plan, equip and staff an ambulatory unit, pharmacology, key concepts of ambulatory care, pre- and post-operative issues, quality assurance, and current controversies. There are also dedicated chapters for topics including regional anesthesia for ambulatory surgery and pediatric ambulatory anesthesia. This text provides a much-needed comprehensive and evidence-based guide for clinical anesthesiologists.
Häftad, Engelska, 2015
1 027 kr
Skickas inom 7-10 vardagar
This concise, evidence-based board review book, organized according to the ABA keyword list, covers all the fundamental concepts needed to pass written and re-certification board examinations. Each chapter begins with a case scenario or clinical problem from everyday practice, followed by concise discussion and clinical review questions and answers. Discussion progresses logically from preoperative assessment and intraoperative management to postoperative pain management, enhancing the reader's knowledge and honing diagnostic and clinical management skills. New guidelines and recently developed standards of care are also covered. Serving as a companion to the popular textbook Essential Clinical Anesthesia, this resourceful work reflects the clinical experiences of anesthesia experts at Harvard Medical School as well as individually known national experts in the field of anesthesiology. This practical review is an invaluable resource for anesthesiologists in training and practice, whether studying for board exams or as part of continuing education and ABA recertification.
E-bok
Engelska, 20181 447 kr
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Effective leadership is critical to ensuring safety, efficiency and maximum productivity in the operating room (OR). This practical, evidence-based book unpicks the dynamics of a successful OR environment to underline the key techniques for management of policies, systems, staff members and teams. Fully updated to include recent clinical guidelines, the book provides the ''A-Z'' of OR management, including sections on metrics, scheduling, human resource management, leadership principles, economics, quality assurance, recovery and ambulatory practice. New chapters include future healthcare models, emergency preparedness and budgets amongst other topics. Written by authors with unrivalled experience in the field, chapters are laid out in an easy and clinically helpful format to assist learning, and real-life case studies cover seventy-three different clinically relevant pain topics. This book is an essential guide for anyone working in the OR including anaesthesiologists, surgeons, nurses, and administrators.
E-bok
PDF, Engelska, 20181 499 kr
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Effective leadership is critical to ensuring safety, efficiency and maximum productivity in the operating room (OR). This practical, evidence-based book unpicks the dynamics of a successful OR environment to underline the key techniques for management of policies, systems, staff members and teams. Fully updated to include recent clinical guidelines, the book provides the ''A-Z'' of OR management, including sections on metrics, scheduling, human resource management, leadership principles, economics, quality assurance, recovery and ambulatory practice. New chapters include future healthcare models, emergency preparedness and budgets amongst other topics. Written by authors with unrivalled experience in the field, chapters are laid out in an easy and clinically helpful format to assist learning, and real-life case studies cover seventy-three different clinically relevant pain topics. This book is an essential guide for anyone working in the OR including anaesthesiologists, surgeons, nurses, and administrators.
E-bok
Engelska, 20171 698 kr
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Perioperative Management in Robotic Surgery covers perioperative considerations for robot-assisted surgery (RAS), from preoperative through to postoperative. This is the first extensive, evidence-based, clinical work covering the perioperative management of commonly performed and emerging RAS. Included inside are discussions of surgical procedures, preoperative evaluation, patient selection, common emergencies, complications, pain management and recovery (including same day surgery). There are also reviews of patient management, the basics of various procedures and techniques, useful patient care protocols, as well as an overview of the perioperative issues that are unique to any given RAS procedure. The book is written for anesthesiologists, surgeons, and other perioperative physicians - as well as allied health professionals, nurses, and physician assistants who assist during RAS procedures and help manage patients during the perioperative period.
E-bok
Engelska, 2017975 kr
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Millions of procedures requiring sedation are performed each year, covering a large array of medical specialties in both inpatient and outpatient settings. This tremendous growth has led to sedation being administered by a wide range of healthcare providers, including non-anesthesiologist physicians, nurses and nurse practitioners. Moderate and Deep Sedation in Clinical Practice is a concise, practical handbook for all medical and surgical professionals who sedate patients. This up-to-date, evidence-based ''how-to'' manual instructs these professionals on how to evaluate patients, updates relevant pharmacology, and guides them on legal and quality assurance issues. It contains advice on sedation for specific populations, such as elderly, pediatric, ICU, emergency room, endoscopy, and reproductive technologies. Written and edited by experts in procedural sedation and sedation education, this book will help users develop safer techniques, policies, and procedures. It is essential reading for any healthcare provider administering moderate or deep sedation.
E-bok
PDF, Engelska, 20171 760 kr
Läs direkt efter köp
Perioperative Management in Robotic Surgery covers perioperative considerations for robot-assisted surgery (RAS), from preoperative through to postoperative. This is the first extensive, evidence-based, clinical work covering the perioperative management of commonly performed and emerging RAS. Included inside are discussions of surgical procedures, preoperative evaluation, patient selection, common emergencies, complications, pain management and recovery (including same day surgery). There are also reviews of patient management, the basics of various procedures and techniques, useful patient care protocols, as well as an overview of the perioperative issues that are unique to any given RAS procedure. The book is written for anesthesiologists, surgeons, and other perioperative physicians - as well as allied health professionals, nurses, and physician assistants who assist during RAS procedures and help manage patients during the perioperative period.
E-bok
PDF, Engelska, 20171 010 kr
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Millions of procedures requiring sedation are performed each year, covering a large array of medical specialties in both inpatient and outpatient settings. This tremendous growth has led to sedation being administered by a wide range of healthcare providers, including non-anesthesiologist physicians, nurses and nurse practitioners. Moderate and Deep Sedation in Clinical Practice is a concise, practical handbook for all medical and surgical professionals who sedate patients. This up-to-date, evidence-based ''how-to'' manual instructs these professionals on how to evaluate patients, updates relevant pharmacology, and guides them on legal and quality assurance issues. It contains advice on sedation for specific populations, such as elderly, pediatric, ICU, emergency room, endoscopy, and reproductive technologies. Written and edited by experts in procedural sedation and sedation education, this book will help users develop safer techniques, policies, and procedures. It is essential reading for any healthcare provider administering moderate or deep sedation.