Oxford Handbook of Clinical Surgery

2021 ◽  
Keyword(s):  
Decision Making ◽  
Surgical Patient ◽  
Evidence Based ◽  
Day Case ◽  
Day Case Surgery ◽  
Anatomy And Physiology ◽  
Surgical Trainees ◽  
Case Surgery ◽  
Rural Surgery ◽  
Management Algorithms

This new edition of the Oxford Handbook of Clinical Surgery is thoroughly revised with the latest guidelines, management algorithms, and guidance on decision-making. It features three new chapters, on day case surgery, remote and rural surgery, and emergency surgery. The book also offers surgically relevant anatomy and physiology, quick reference symbols, key diagrams, and a focus on evidence-based practice with key references throughout. It is thoroughly comprehensive, without sacrificing the clear, concise, and quick-reference style the Oxford Medical Handbooks are known for. Ultimately, the new edition provides an accessible pocket reference for surgical trainees, medical students, and all those involved in the care of the surgical patient.

scholarly journals Overnight in-hospital observation following tonsillectomy: retrospective study of post-operative intervention

2017 ◽  
Vol 132 (1) ◽  
pp. 46-52 ◽  
Author(s):  
S Morris ◽  
E Hassin ◽  
M Borschmann
Keyword(s):  
Patient Characteristics ◽  
University Hospital ◽  
Evidence Based ◽  
Airway Compromise ◽  
Day Case ◽  
Day Case Surgery ◽  
Case Surgery ◽  
American Society ◽  
Evidence Based Guidelines ◽  
Critical Intervention

AbstractObjective:The safety of day-case tonsillectomy is widely documented in the literature; however, there are no evidence-based guidelines recommending patient characteristics that are incompatible with day-case tonsillectomy. This study aimed to identify which patients should be considered unsafe for day-case tonsillectomy based on the likelihood of needing critical intervention.Method:Retrospective review of 2863 tonsillectomy procedures performed at University Hospital Geelong from 1998 to 2014.Results:Of the patients, 7.81 per cent suffered a post-tonsillectomy complication and 4.15 per cent required intervention. The most serious complications, haemorrhage requiring a return to the operating theatre and airway compromise, occurred in 0.56 per cent and 0.11 per cent of patients respectively. The following patient characteristics were significantly associated with poorer outcomes: age of two years or less (p < 0.01), tonsillectomy indicated for neoplasm (p < 0.01) and quinsy (p < 0.05).Conclusion:The authors believe that all elective tonsillectomy patients should be considered for day-case surgery, with the following criteria necessitating overnight observation: age of two years or less; an indication for tonsillectomy of neoplasm or quinsy; and an American Society of Anesthesia score of more than 2.

General considerations

2020 ◽  
pp. 11-72
Keyword(s):  
Intensive Care ◽  
Meta Analysis ◽  
Surgical Patient ◽  
Evidence Based ◽  
Paediatric Surgery ◽  
Neurologically Impaired ◽  
Legal Requirements ◽  
Day Case Surgery ◽  
Case Surgery ◽  
Based Medicine

This chapter covers the general considerations in safely and effectively performing paediatric surgery. It starts with the ethical and legal requirements, including withdrawal of treatment, treating children in the Jehovah’s Witness faith, and safeguarding. It then outlines evidence-based medicine, including meta-analysis, statistics, and reporting trials. Transport of the sick child, anaesthesia, analgesia, intensive care, sepsis, and the use of antibiotics in children are all covered. Day-case surgery, from its history to indications, pre- and postoperative care, and proper documentation, is described. Pre-assessment, care of the neurologically impaired child, basics of vascular access and radiology, and nutrition in the surgical patient are all covered.

scholarly journals Day case surgery training for surgical trainees: A disappearing act?

2010 ◽  
Vol 8 (2) ◽  
pp. 135-139 ◽  
Author(s):  
S. Gopakumar ◽  
B. Kumar ◽  
J. Ahmed ◽  
N. Siddiqi ◽  
S. Mehmood ◽  
...  
Keyword(s):  
Day Case ◽  
Day Case Surgery ◽  
Surgery Training ◽  
Surgical Trainees ◽  
Case Surgery

scholarly journals General paediatric surgery for patients aged under 5 years: a 5-year experience at a district general hospital

2016 ◽  
Vol 98 (7) ◽  
pp. 479-482 ◽  
Author(s):  
C-S Kwok ◽  
AC Gordon
Keyword(s):  
District General Hospital ◽  
Complication Rates ◽  
Paediatric Surgery ◽  
Day Case ◽  
Day Case Surgery ◽  
Surgical Trainees ◽  
Case Surgery ◽  
The Uk ◽  
Training Opportunities ◽  
Electronic Hospital

Introduction The gradual shift of general paediatric surgery (GPS) provision from district general hospitals (DGH) to specialised units is well recognised in the UK. The consequences of centralisation include a reduction in exposure to GPS for current surgical trainees. The GPS practice of a DGH is examined here. Methods All operations performed on children aged under 5 years over a 5-year period were identified using the local electronic operation database. Electronic hospital records and clinic letters were accessed to collect data on demographics, operations performed and outcome measures. Results 472 GPS operations were performed on children between the age of 22 days and 5 years between 2009 and 2014, of which 43 were on an emergency basis and 105 were performed on patients aged less than 1 year. Three patients were admitted following day case surgery. Six patients were readmitted within 30 days. Complication rates for all procedures and the four most common procedures were similar to those found in published literature. Conclusions GPS for patients aged less than 5 years is comparatively safe in the DGH setting. The training opportunities available at DGHs are invaluable to surgical trainees and vital for sustaining the future provision of GPS by such hospitals.

scholarly journals Comparison of Propofol and Thiopentone Anaesthesia (with Special Reference to Recovery Characteristics)

1987 ◽  
Vol 15 (4) ◽  
pp. 389-393 ◽  
Author(s):  
W. M. Weightman ◽  
M. Zacharias
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Day Case ◽  
Early Recovery ◽  
Day Case Surgery ◽  
Pain On Injection ◽  
High Incidence ◽  
Case Surgery ◽  
Repeated Doses ◽  
The Mean

Thiopentone and propofol were used for the induction and maintenance of anaesthesia in unpremedicated patients undergoing minor gynaecological procedures. There were no significant differences in the induction and maintenance characteristics except for a high incidence of pain on injection and a greater fall in the mean systolic blood pressure associated with propofol in comparison with thiopentone. Propofol was associated with a quicker early recovery as well as a faster psychomotor recovery, as tested by a peg-board. However, complete psychomotor recovery was not achieved for up to three hours in some patients receiving propofol and so caution is advised regarding the early street fitness of patients receiving repeated doses of the drug for day case surgery.

scholarly journals COMPARISON BETWEEN MIDAZOLAM AND THIOPENTONE-BASED BALANCED ANAESTHESIA FOR DAY-CASE SURGERY

1984 ◽  
Vol 56 (2) ◽  
pp. 165-169 ◽  
Author(s):  
M.E. CRAWFORD ◽  
P. CARL ◽  
R.S. ANDERSEN ◽  
B.O. MIKKELSEN
Keyword(s):  
Day Case ◽  
Day Case Surgery ◽  
Case Surgery ◽  
Balanced Anaesthesia
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