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This is a comprehensive practical guide to the practice of the new subspecialty of critical care echocardiography. The text covers all aspects of clinical practice and describes how to use transthoracic echocardiography to approach and manage common clinical questions. Specific emphasis is placed on the appropriate use of clinical echocardiographic data in the context of the patient’s critical illness; this is illustrated by the frequent use of case studies including both still and moving echocardiographic images. The text covers assessment of, and disorders affecting, the left and right heart, including shock and sepsis. It also looks at how to interpret diastolic information during critical illness and the effect of that illness on valve disease and function. The important subject of fluid responsiveness is explored in detail, as is the influence of organ support and illness on the diagnosis of cardiac tamponade. The information given in the text is summarized using algorithms in a field guide for the critical care echocardiographer, which also provides a rapid guide to assessing time-critical patient presentations.Less

Breast cancer affects 1 in 10 women and the majority of UK women will attend a breast clinic at least once during their lives. The patient's journey through assessment and management is one that involves a huge range of healthcare professionals, in which the truly multidisciplinary management style required has previously been only sparsely addressed. This resource provides a practical guide on how to investigate and manage common breast problems for all members of the breast disease team, and covers the whole of the patient journey from assessment through to surgery and adjuvant treatments, giving a practical overview of the whole process of care. It includes the latest evidence, guidance and references on breast disease, together with discussions on current controversies in the field including the management of margins, management of the axilla and the evidence surrounding the NHS Breast Screening Programme. To give practical advice on the realities of being part of a breast care team, this resource also has several chapters devoted to leadership and management including MDT requirements, audit and research, avoiding complaints and the organisation of a breast unit.Less

Burn injuries are recognized as a major health problem worldwide, causing morbidity and mortality in individuals of all ages. Written in the concise, easy-to-navigate Oxford Handbook style, this new book outlines the assessment, management, and rehabilitation of burns patients. With contributions from international experts, this handbook covers all aspects of burn patient care, from first aid to reconstructive techniques and physiotherapy. This new, pocket-sized title is an invaluable resource for all those who come into contact with burns patients, from accident and emergency doctors to allied health professionals, as well as specialists and trainees in burns units. Filling an important niche in the market for an accessible quick-access guide for those first on the scene, The Oxford Specialist Handbook of Burns is a comprehensive and detailed new title on all aspects of burn care.Less

This handbook covers all areas of adult and paediatric, cardiac and thoracic surgery, and intensive care, providing rapid, on-the-spot access to practical management advice and succinct overviews of most cardiothoracic procedures.Less

Part of the Challenging Concepts in series, this book is a case-based guide to challenging clinical scenarios in neurosurgery covering the major sub-speciality areas of oncology, vascular neurosurgery, brain and spine trauma, paediatrics, spinal degenerative disease, peripheral and cranial nerves, functional neurosurgery and infection. Specific cases are examined with consideration of clinical presentation, diagnostics, and surgical principles, with a summary of evidence from the neurosurgical literature highlighting areas of interest and controversy. Less

By several measures, no human experience is more important than pain. Chasing Pain discusses the evolution of scientific and clinical evidence that supports contemporary concepts of how pain is created by the nervous system. These concepts influence medical practice, neuroscientific research, and philosophical ideas about pain and other neurological functions. Historically, pain has been conceived as emerging either from an undefined pattern of neural activity or from anatomically localized and physiologically unique structures in the nervous system. Research during the early and middle 20th century showed that pain normally requires both sensory detectors of noxious events (nociceptors) and brain mechanisms that generate emotional experience. Realistic models of pain neurobiology must also consider that the normally tight link between pain and tissue damage is strongly affected by several neurological diseases, emotionally compelling circumstances, complex cognitive processes, and pain itself. As one example of physiological pain modulation, readers may access the author’s videos of surgery performed with acupuncture as the sole analgesic method. Chasing Pain reviews the neuroscientific research and clinical experience that has, over time, greatly enriched our understanding of pain neurobiology, guided medical practice, and influenced contemporary concepts of neurological functions. The limitations of our current conceptual models of pain are exemplified by considering several common, clinically challenging conditions that remain very poorly understood.Less

This is an essential revision tool for general surgical trainees preparing for the FRCS examination, and in particular those declaring colorectal surgery as an area of special interest.

Addressing controversial and topical issues in the field of salivary gland disease and surgical management of salivary gland disease, this new edition integrates the newest clinical findings with the historical pathological records, and attempts to resolve any conflicts between the two. Fully-illustrated and updated since the first edition in 2002, it is particuarly useful for trainees sitting their final exam, because it deals with new controversial subjects which are topical at all the conferences and exam vivas.Less

This textbook provides the reader with up-to-date concepts in cardiac surgery encompassing many of its subdisciplines, including coronary artery surgery and conduit choice, valvular heart surgery, minimally invasive approaches, and surgery for heart and lung failure. It includes concise reviews of the relevant literature in addition to important technical details. The individual chapters are written by internationally renowned experts in their respective fields, providing the practicing cardiac surgeon with current updates in the specialty, and also covering controversial issues that would have a direct impact in everyday practice. This textbook is an invaluable resource for senior cardiac surgical trainees and practicing cardiac surgeons.Less

Current Surgical Guidelines provides a unique summary of current guidelines in surgery, covering all key topics in surgical practice, and formulated to answer most real-life clinical practice questions with contemporary facts and figures, decision recommendations, and treatment options. The book uses a bullet-point concise format to allow easy digestion of rather scattered information, and ‘anchor points’ for easy recall of relevant information when and where needed. The book organizes clinical information in a special uniform and structured way to allow better knowledge management and to enhance readers’ ability to apply evidence–based practice in real case scenarios. The authors have ensured that the 2nd edition include all key updates in guidelines, with second reviewers from each specialty to ensure the recommendations reflect current best practice in the field. The book follows the training curriculum for basic and higher surgical training for doctors and nurses in the UK, but also provide an invaluable source of best practice in surgery to hospital managers at different levels, to admin staff, and to all those involved in the care of patients in surgery. Medical students can benefit from having a reference guide to real–life contemporary practical recommendations in surgery, allowing them to bridge the ever-widening gap between theory and practice.Less