Levosimendan to Reduce Perioperative Mortality
Fig. 7.1 Levosimendan myocardial mechanism of action 7.4 Therapeutic Use Levosimendan is largely metabolized in the liver and in a smaller proportion in the intestine and is eliminated by renal and…
The Risks and Benefits of the Consensus Process
Traditional approach to consensus Web-based approach to consensus Advantages Widely used and well known Democratic Logistically easy to implement Inclusive and open Often supported by learned societies Consensus could…
Role of Inhalational Anesthetic Agents in Reducing Perioperative Mortality
Clinical summary Drug Indications Cautions Side effects Dosage Notes Inhalational agents Myocardial protection during general anesthesia for cardiac and noncardiac surgeries Myocardial protection is dose and duration of inhalational anesthetic…
Noninvasive Ventilation to Reduce Perioperative Mortality
Clinical summary Technique Indications Cautions Side effects Dosage Notes Noninvasive ventilation Postoperative acute respiratory failure Failure of NIV therapy can be considered the worse complication due to the risk of…
Response to Major Incidents and Disasters: An Important Part of Trauma Management
(1) University of Linköping, Linköping, Sweden Abstract The possibility of situations in which available resources are insufficient for the immediate need of medical care within the health care system,…
Tendon Injuries
Fig. 16.1 Ultrasound image of a torn rotator cuff 16.1.6 Organ-Specific Imaging 16.1.6.1 Magnetic Resonance Imaging and Computed Tomography In unclear cases it can be useful to obtain a magnetic…
Plastic Surgery in Trauma
Healing by secondary intention Primary closure Skin grafting Local flaps Distant pedicled flaps Tissue expansion Free tissue transfer Fig. 12.1 Reconstructive clockwork as a refinement of the reconstructive ladder. CTA…
Soft-Tissue Trauma
Classification Skin open + closed − Soft-tissue damage Fracture mild + severity mod ++ sev. +++ Contamination Fr. C 0 − − + − C I − + + to…
Pathologic Fractures
Fig. 19.1 A case of fibrous dysplasia of the proximal femur causing a pathologic fracture Chronic Osteitis: There are usually obvious bony changes with cavitation, sequestrum, and involucrum formation [5]….
