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Emergency General Surgery in Geriatrics

Emergency General Surgery in Geriatrics PDF Author: Rifat Latifi
Publisher: Springer Nature
ISBN: 3030622150
Category : Medical
Languages : en
Pages : 503
Book Description
There is a growing need for a book on emergency general surgery in the elderly, as adults age 65 and older are the fastest growing segment of the population worldwide, and their number is expected to double to 89 million between now and 2050. Based on these changing demographics, it is expected that there will be a concurrent rise in the demand for a variety of surgical services, including vascular surgery (with a projected growth of 31%) and general surgery (with a projected growth of 18%), as well as in all sub-disciplines of surgery (thoracic, cardiac, oncology, hepatobiliary, transplant, plastic colorectal, orthopedic, gynecologic, urology and neurosurgery).In addition, older surgical patients often require a different level of care than younger patients during the preoperative, intraoperative and postoperative phases. Many of our geriatric population have multiple chronic illnesses beyond the one for which surgery is required, and therefore are prone to developing postoperative complications, functional decline, loss of independence, and other undesirable outcomes. In response, this book offers surgeons, geriatrists and nurses state-of-the-art surgical approaches and essential information on the complex perioperative care of the elderly.

Emergency General Surgery in Geriatrics

Emergency General Surgery in Geriatrics PDF Author: Rifat Latifi
Publisher: Springer Nature
ISBN: 3030622150
Category : Medical
Languages : en
Pages : 503
Book Description
There is a growing need for a book on emergency general surgery in the elderly, as adults age 65 and older are the fastest growing segment of the population worldwide, and their number is expected to double to 89 million between now and 2050. Based on these changing demographics, it is expected that there will be a concurrent rise in the demand for a variety of surgical services, including vascular surgery (with a projected growth of 31%) and general surgery (with a projected growth of 18%), as well as in all sub-disciplines of surgery (thoracic, cardiac, oncology, hepatobiliary, transplant, plastic colorectal, orthopedic, gynecologic, urology and neurosurgery).In addition, older surgical patients often require a different level of care than younger patients during the preoperative, intraoperative and postoperative phases. Many of our geriatric population have multiple chronic illnesses beyond the one for which surgery is required, and therefore are prone to developing postoperative complications, functional decline, loss of independence, and other undesirable outcomes. In response, this book offers surgeons, geriatrists and nurses state-of-the-art surgical approaches and essential information on the complex perioperative care of the elderly.

Emergency General Surgery in Geriatrics

Emergency General Surgery in Geriatrics PDF Author:
Publisher:
ISBN: 9783030622169
Category : Older people
Languages : en
Pages : 490
Book Description
There is a growing need for a book on emergency general surgery in the elderly, as adults age 65 and older are the fastest growing segment of the population worldwide, and their number is expected to double to 89 million between now and 2050. Based on these changing demographics, it is expected that there will be a concurrent rise in the demand for a variety of surgical services, including vascular surgery (with a projected growth of 31%) and general surgery (with a projected growth of 18%), as well as in all sub-disciplines of surgery (thoracic, cardiac, oncology, hepatobiliary, transplant, plastic colorectal, orthopedic, gynecologic, urology and neurosurgery). In addition, older surgical patients often require a different level of care than younger patients during the preoperative, intraoperative and postoperative phases. Many of our geriatric population have multiple chronic illnesses beyond the one for which surgery is required, and therefore are prone to developing postoperative complications, functional decline, loss of independence, and other undesirable outcomes. In response, this book offers surgeons, geriatrists and nurses state-of-the-art surgical approaches and essential information on the complex perioperative care of the elderly.

Emergency General Surgery

Emergency General Surgery PDF Author: Carlos V. R. Brown
Publisher: Springer
ISBN: 3319962868
Category : Medical
Languages : en
Pages : 531
Book Description
The field of emergency general surgery encompasses a wide array of surgical diseases, ranging from the simple to the complex. These diseases may include inflammatory, infectious, and hemorrhagic processes spanning the entire gastrointestinal tract. Complications of abdominal wall hernias, compartment syndromes, skin and soft tissue infections, and surgical diseases are significantly complex in special populations, including elderly, obese, pregnant, immunocompromised, and cirrhotic patients. This book covers emergency general surgery topics in a succinct, practical and understandable fashion. After reviewing the general principles in caring for the emergency general surgery patient, this text discusses current evidence and the best practices stratified by organ system, including esophageal, gastroduodenal, hepatobiliary and pancreatic, small and large bowel, anorectal, thoracic, and hernias. Chapters are written by experts in the field and present a logical, straightforward, and easy to understand approach to the emergency general surgery patient, as well as provide patient care algorithms where appropriate. Emergency General Surgery: A Practical Approach provides surgeons and surgery residents with a practical and evidence-based approach to diagnosing and managing a wide array of surgical diseases encountered on emergency general surgery call.

Surgical Decision Making in Geriatrics

Surgical Decision Making in Geriatrics PDF Author: Rifat Latifi
Publisher: Springer Nature
ISBN: 3030479633
Category : Medical
Languages : en
Pages : 452
Book Description
This book is designed to present a comprehensive and state-of the-art approach to all aspects of geriatric surgery within the broad confines of surgery in geriatrics including general surgery, neurosurgery, thoracic surgery, vascular surgery, cardiac surgery, surgical oncology, hepatobiliary and transplant surgery, plastic, colorectal, orthopedic, gynecologic, and urologic surgery. The text is split into four parts. The first part is organized under general considerations on the geriatric surgical patient and includes current trends in geriatric surgery, and a number of important general issues such as practical approaches to reversal of bleeding/anticoagulation, role of anesthetic concerns in advanced age, frailty index and measurements of physiological reserves, nutritional support in the elderly, quality of life in the elderly, drug use, and family involvement. Part two of the book focuses on surgery specific system-based problems in geriatric surgical patients. The third part addresses many other important aspects of geriatric surgery including palliative and end of life care for the elderly, religious issues and the elderly care surgery, elderly with mental health issues, and nursing care of elderly patients. The fourth and final part describes the need for geriatric surgical care education and the components that are essential for the curriculum of current and future generations of students. Written by experts in the field, Surgical Decision Making in Geriatrics addresses patient selection, pre-operative considerations, technical conduct of the most common operations, and avoiding complications.

Geriatric Trauma and Acute Care Surgery

Geriatric Trauma and Acute Care Surgery PDF Author: Aurelio Rodriguez
Publisher: Springer
ISBN: 3319574035
Category : Medical
Languages : en
Pages : 486
Book Description
The purpose of this book is to give providers of all levels a simple and essential source of practical information in treating the elderly trauma and emergency surgery patient. The Introduction instructs practitioners how to evaluate and assess risk including frailty and use this information in Goals of Care discussions to facilitate shared decision making so crucial to this population. The individual chapters consist of best practices and care guidelines from some of the most well-known thought leaders and best trauma centers in the country across the spectrum from geriatricians to trauma and acute care surgeons and nurses. Each chapter contains easy-to-read algorithms and references that the readers can use and adapt for their own setting. Chapters on Pre-hospital care will help guide EMS organizations and even systems in the right care and triage of the elderly. Each chapter also contains a Nursing Focus section for helpful nursing tips in caring for the elderly with those injuries and problems. These sections make this book a must-have for any center looking to improve its care of the elderly patient or just trying to be sure its care is already the best it can be. A special section on Post Acute Care will introduce the provider to the common issues surrounding particular disposition destinations for the elderly patient. This will facilitate discussions with families, case managers and facilities to help improve time to disposition.

Emergency laparoscopic surgery in the elderly and frail patient

Emergency laparoscopic surgery in the elderly and frail patient PDF Author: Ferdinando Agresta
Publisher: Springer Nature
ISBN: 3030799905
Category : Medical
Languages : en
Pages : 348
Book Description
The global population is aging rapidly, and as a result emergency abdominal surgery for acute abdomen in the elderly has become a global issue. Demographic changes in the population have also altered the profile of emergency abdominal surgery, with typical causes of acute abdomen in the elderly including acute cholecystitis, incarcerated hernia, bowel obstruction and appendicitis. In these patients, recovery from surgery is often complicated, leading to longer hospital stays compared with younger patients. Laparoscopy in the emergency setting is well established and offers a number of advantages over open surgical approaches, such as reduced postoperative pain, length of hospital stay and complication rates. While laparoscopic surgery for acute diverticulitis has become more widespread, in other conditions, like small bowel obstruction and perforated peptic ulcer, laparotomy is still used in about 70% of cases. Further, despite the urgent need for knowledge regarding surgical treatment of acute abdomen in the elderly, there is still a lack of evidence in this relevant clinical field. This book analyzes the management strategies and critically evaluates the outcomes of laparoscopic emergency surgery for acute abdomen in the elderly according to the principles of evidence-based medicine. Discussing each topic clearly, and promoting the use of emergency laparoscopy in elderly patients, the book is intended for young general surgeons and surgeons in training with at least a basic knowledge of surgery for acute abdomen. It is also useful as a quick reference tool during on-call shifts.

Emergency General Surgery in the Elderly: A Systematic Review

Emergency General Surgery in the Elderly: A Systematic Review PDF Author: Patrick Murphy
Publisher:
ISBN:
Category :
Languages : en
Pages :
Book Description
Emergency general surgery (EGS) in elderly patients carries significant risk of both morbidity and mortality. The growing population of patients over 65 years of age suggests General Surgeons will be tasked with managing increasing numbers of frail and co-morbid patients who are at higher risk compared to younger and non-emergent patients.An electronic literature search of PubMed, MEDLINE, EMBASE and the Cochrane Database of Collected Research was performed from 1990 to 2016. The search included u201cfrail,u201d u201celderly,u201d u201coctogenarian,u201d u201coldu201d and was limited to English papers within emergency general surgery. Observational and experimental studies were included if they included patients over 65 years of age, case reports were excluded. The New-Castle Ottawa scale was used to assess study quality.In twelve studies which met inclusion criteria five were case series, six retrospective cohorts, including two utilizing ACS-NSQIP and one prospective cohort study. Case composition indicated a higher proportion of small/large bowel surgery compared to non-elderly patients. Mortality after EGS ranged from 12-38% with morbidity ranging from 28-70%. In studies directly comparing patients older than 65 years of age to younger patients undergoing EGS, mortality was almost three times higher. Elderly patients undergoing EGS should be considered higher risk than younger patients not only based on age but on frailty and functional status. Case composition, high failure to rescue rate and delayed diagnosis may help explain the elevated mortality rate. Further study is required to identify potentially modifiable risk factors and potential process measures to improve outcomes.

Geriatrics for Specialists

Geriatrics for Specialists PDF Author: Andrew G. Lee
Publisher: Springer Nature
ISBN: 3030762718
Category : Medical
Languages : en
Pages : 393
Book Description
This book aims to be a single point of reference for advances in the care of geriatric populations across medical and surgical specialties. The aging population is a unique demographic with its own health challenges. Geriatricians are specifically trained to address these challenges but few medical students or residents enter geriatrics, even as the demand for geriatric expertise increases. The practices of many medical and surgical specialists are dominated by older patients who may themselves see many specialists but rarely visit geriatricians. This updated edition elucidates the most common medical conditions seen in aging patients and translates approaches to those conditions for physicians across specialties. Divided into three sections that assemble crosscutting issues, medical specialties, and surgical and related specialties, this book serves as a guide for clinicians of all backgrounds who will work with older patients as the demographic ages further. This second edition of Geriatrics for Specialists expands the number of specialist chapters to reflect growth in research in aging and clinical care for older people in dermatology, plastic surgery, and behavioral neurology. All original chapters from the first edition are extensively revised and updated to reflect the rapid growth of new knowledge in the field.

Resources for Optimal Care of Emergency Surgery

Resources for Optimal Care of Emergency Surgery PDF Author: Michael Sugrue
Publisher: Springer Nature
ISBN: 3030493636
Category : Medical
Languages : en
Pages : 158
Book Description
Variability in care in emergency surgery is well known, particularly in abdominal surgery, and reducing it is fundamental to improving outcomes. It is therefore vital to identify the factors that are key to improving mortality and reducing complications in various surgical emergencies. Under the leadership of the World Society of Emergency Surgery, over 200 leading experts in emergency surgery, critical care and surgical infections established a template to help define and optimise emergency surgery, particularly that relating to the abdomen. This book refines this initial work, crystallising it into a meaningful resource for practising surgeons and health care administrators alike, and paving the way for advances in emergency surgery around the globe. This book sets a benchmark for Emergency Surgery and is a must read for those wanting their patients to do better.

Acute Care Surgery Handbook

Acute Care Surgery Handbook PDF Author: Salomone Di Saverio
Publisher: Springer
ISBN: 3319153412
Category : Medical
Languages : en
Pages : 516
Book Description
This pocket manual is a practically oriented, wide-ranging guide to acute care surgery general aspects and to non-gastrointestinal emergencies. It covers the most common problems in thoracic, obstetric, gynecologic, anorectal, vascular and skin surgery and also includes chapters on postoperative complications in bariatric surgery, antibiotic management, nutrition and interventional radiology in acute care surgery. This guide stems from collaboration with the World Society of Emergency Surgery (WSES) and aims to provide general surgeons, residents and trainees with a comprehensive and up-to-date overview of the most relevant operative techniques and with useful "tips and tricks" applicable in daily clinical practice. A second volume on gastrointestinal and abdominal surgical emergencies is also available.