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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

This online guide provides the practising day surgery professional with a modern overview of current practice to act as both a reference and a practical guide to everyday challenges.

Deep brain stimulation (DBS) is increasingly used for the treatment of patients with severe Parkinson's disease and other movement disorders, but the technique and science behind it is still poorly understood by most clinicians. This resource is intended to provide an overview of the use of deep brain stimulation for movement disorders and provide an introduction to the developing arena of DBS for psychiatric disease.Less

This reference provides a practical, accessible guide to all emergency situations found before, during, and straight after surgery. It covers approaches to the emergency surgical patient, problem-based emergency surgery, disease-based emergency surgery, post-operative complications, procedures and miscellaneous material such as transfusion.Less

The ESC Textbook of Intensive and Acute Cardiovascular Care is the official textbook of the Acute Cardiovascular Care Association (ACCA) of the ESC. This new updated edition continues to comprehensively approach all the different issues relating to intensive and acute cardiovascular care. It is addressed to all those involved in intensive and acute cardiac care, from cardiologists to emergency physicians and healthcare professionals. The chapters cover the various acute cardiovascular diseases that need high quality intensive treatment, but also organizational issues, cooperation among professionals, and interaction with other specialities in medicine. The largest section of the textbook is devoted to non-cardiac disease which could acutely involve the cardiovascular system. Other noteworthy chapters are on ethical issues important in acute cardiac care, such as patient safety, donor organ management and palliative care. A unique characteristic of the title is the presence of a whole section devoted to biomarkers, which underline the growing importance of laboratory medicine in the field of intensive and acute cardiac care.Less

Covering both principles and practice, The ESC Textbook of Preventive Cardiology is a state of the art resource for both the primary and secondary prevention of atherosclerotic cardiovascular disease. Comprehensive, practical and extensively linked to practice guidelines and recommendations from the European Association of Cardiac Prevention and Rehabilitation (EACPR), it clearly connects the latest evidence base to strategies and proposals for the implementation of prevention in clinical practice. With a strong clinical focus the topics covered range from epidemiology and risk stratification through psychological factors, behaviour and motivation to secondary prevention, integrating hospital-based and community care for cardiovascular disease prevention and information on cardio-protective drugs. Case studies, clinical decision-making trees and drug tables with recommended doses and potential side-effects make it easier than ever to implement treatments in practice.Less

This resource provides a concise, up-to-date, and readable account of immunology in general and its translation into key areas of clinical practice. It provides the necessary foundation for a critical understanding of this essential and rapidly expanding area of biological science that underpins and explains the modern concepts of a range of diseases and conditions, encompassing autoimmunity, infection, trauma, cancer, nutrition, organ transplantation, and various forms of therapy.Less

FRCS Trauma and Orthopaedics Viva offers a unique approach to this high stakes exam, from the team behind the highly successful Oxford revision course. Based on the principle that viva candidates improve their technique by observing and learning from others, the author team have created a best-practice formula for dealing with the individual scenarios. Set out in a simple format, viva topics are introduced by an initial clinical photograph, radiograph or diagram, followed by sets of questions with the suggested answers on the next page. Less

Gastric and Oesophageal Surgery serves as a detailed, evidence-based guide to benign and malignant oesophageal and gastric surgery, covering in a practical and accessible manner the myriad surgical conditions that trainees and consultants in the area will face. The succinct writing style gives the reader excellent ease of reference and a thorough 'how-to' on all major surgical processes. A comprehensive, highly topical evidence base is supplemented by a wealth of expert advice, which is easily accessed as practical tips within clearly laid out chapters. This makes the resource an ideal revision aid for the FRCS General Surgery exit examinations, although its breadth and depth of coverage will benefit new consultant surgeons as well as junior surgical trainees. Highly illustrated with over 110 line drawings and photographs, it is the ideal resource to refresh the memory and consolidate knowledge in clinic or before surgery.Less

This valuable tool, written by experts, offers practical guidance in the principles of consent, alongside procedure-specific information on risks and benefits

ICU Care of Abdominal Organ Transplant Patients provides a concise resource for intensivists, surgeons, and nurses caring for abdominal organ transplant patients before and after surgery. In a concise, practical style, the authors offer concrete solutions to questions and situations confronted by ICU clinicians. Chapters address general principles of immunosuppression, infectious complications, management, and nursing considerations, plus indications, approach to anesthesia, transplant procedure, and post-operative care for liver, kidney, pancreas, islet cell, and small bowel and multivisceral transplantation.Less