Hemostasis in Head and Neck Surgery, An Issue of Otolaryngologic Clinics of North America , livre ebook

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Bleeding is a major factor that hinders visualization in head and neck surgery and is a risk factor for intraoperative complications and perioperative morbidity. Endoscopic approaches also pose significant technical challenges to managing expected intraoperative bleeding and vascular injury. The approach for this publication in Otolaryngologic Clinics is to provide clinically relevant information in a problem-based manner that encompasses assessment to identify patients with a high risk for vascular complications, pre-operative, intra-operative and post-operative strategies to manage expected bleeding and major vessel injury during endoscopic sinus and skull base surgery for inflammatory and neoplastic diseases. Clinically relevant anatomy, physiology, pharmacology, and surgical and interventional radiology techniques to manage bleeding are outlined and an algorithm for management of major vessel injury such as internal carotid artery injury is presented. Because skull base surgery is generally undertaken as a team approach, this information is relevant to the subspecialized ENT surgeon from rhinology or head and neck specializations, to neurosurgeons, to interventional radiologists, and to neurophysiologists who monitors intraoperative cerebral and cranial nerve activity for these operations. Carl Snyderman leads this issue with Harshita Pant and has composed topics and assembled an expert group of practitioners to provide information. The reader will find this a novel, focused, and indispensable resource on all issues of hemostatis in head and neck surgery.
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Date de parution

06 juillet 2016

Nombre de lectures

0

EAN13

9780323402613

Langue

English

Poids de l'ouvrage

3 Mo

Hemostasis in Head and Neck Surgery
Otolaryngologic Clinics of North America
EDI TO RS
Harshita Pant, BMBS, PhD Department of Otolaryngology, Head and Neck Surgery, The University of Adelaide School of Medicine, Adelaide, South Australia, Australia Carl H. Snyderman, MD, MBA Departments of Otolaryngology and Neurological Surgery, University of Pittsburgh School of Medicine, UPMC Center for Cranial Base Surgery, Pittsburgh, PA, USA Clinics Review Articles www.oto.theclinics.com June 2016 • Volume 49 • Number 3
Table of Contents
Cover image
Title page
Copyright
CME Accreditation Page
Contributors Editors Authors
Forthcoming Issues Forthcoming Issues Recent Issues
Preface. Hemostasis in Otolaryngology—Head and Neck Surgery
Preoperative Assessment of Risk Factors Key learning points Introduction Discussion Summary References Suggested readings
Anesthetic Techniques in Endoscopic Sinus and Skull Base Surgery Key learning points Introduction
Preoperative evaluation of pituitary and skull base surgical patients
Endoscopic skull base surgery
Local versus general anesthesia in sinus and skull base surgery
Endotracheal tube versus laryngeal mask
Preparation of the patient for surgery
Maintenance of anesthesia
Total intravenous anesthesia versus inhalational anesthesia
Spontaneous versus positive pressure ventilation
Emergence of anesthesia
Postoperative care
Looking into the future References Suggested readings
Blood-Sparing Techniques in Head and Neck Surgery Key learning points Introduction
Jehovah’s witnesses
Complications of blood transfusions
Preoperative techniques
Intraoperative techniques Summary References
Suggested readings
Quality Control Approach to Anticoagulants and Transfusion Key learning points Introduction
Managing anticoagulants in the acute and perioperative settings
Quality in blood transfusion Developing a quality plan for hemostasis and transfusion Summary
References Suggested Readings
Hemostatic Materials and Devices Key learning points Introduction Discussion How have materials and devices in endoscopic sinus and skull base surgery evolved?
What are the benefits and drawbacks of topical materials in use today?
Authors’ insights
Summary References Suggested readings
Surgical Adhesives in Facial Plastic Surgery Key learning points Introduction
Surgical tissue adhesives Summary References
Suggested Readings
Hemostasis in Pediatric Surgery Key learning points Preoperative evaluation
Pediatric bleeding and blood disorders in surgery
Sickle cell disease
Thrombocytopenia
Methods of hemostasis during surgery
Mechanical hemostasis
Chemical hemostasis
Biomaterials
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