By Emilio Etala, Etala, Alfred Axtmayer

Atlas illustrating the surgeries used to regard gastrointestinal tract illness, for practitioners. Covers surgical anatomy, the preoperative and intraoperative prognosis, and surgical indication. Translation. DNLM: Gastrointestinal process - surgical procedure - atlases.

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Additional info for Atlas of Gastrointestinal Surgery (Two-Volume Set) (Books)

Sample text

Pain and delirium frequently coexist, and each can contribute to the development of the other. Despite high reported rates of overall patient satisfaction, pain control is frequently inadequate in the perioperative setting1 with high rates of complications such as drowsiness and unacceptable levels of pain. Therefore, it is mandatory that the surgical plan for every patient include control of postoperative pain and delirium and regular monitoring of the efficacy of pain control. Pain management, like all surgical planning, begins in the preoperative assessment.

Every patient’s history should include a thorough investigation for chronic pain syndrome, addiction (active or in recovery), and adverse reactions to opioid, nonsteroidal, or epidural analgesia. The pain control strategy may include consultation with a pain control anesthesiology specialist, but it is the responsibility of the operating surgeon to identify complicated patients and construct an effective pain control plan. Opioid Analgesia Postoperative pain control using opioid medication has been in use for thousands of years.

11 The expansion in surgery that has occurred during the 20th and early 21st centuries has been a consequence of contributions by surgeons, unrelated to technical improvements. The critical maintenance of blood volume was instated by James Blundell in London over 150 years ago. In 1883, Halsted reported the first successful autoreinfusion of blood. In 1908, George W. Crile published a book detailing his laboratory and clinical experiences with transfusion. In 1915, Richard Lewisohn, a New York surgeon, introduced the sodium citrate method of blood preservation.

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