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Avoiding common surgical errors

Author: Lisa Marcucci; Michael J Moritz; Herbert Chen; Ovid Technologies, Inc.
Publisher: Philadelphia : Lippincott Williams & Wilkins, ©2006.
Series: LWW medical book collection.
Edition/Format:   eBook : Document : EnglishView all editions and formats

Lists 186 errors commonly made by attendings, residents, interns, nurse practitioners, and physician assistants when working with surgical patients on the ward or in the operating room, emergency  Read more...


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Material Type: Document, Internet resource
Document Type: Internet Resource, Computer File
All Authors / Contributors: Lisa Marcucci; Michael J Moritz; Herbert Chen; Ovid Technologies, Inc.
ISBN: 9780781747424 0781747422
OCLC Number: 429189686
Reproduction Notes: Electronic reproduction. New York, N.Y. : Ovid Technologies, Inc. [200u]. Mode of access: World Wide Web.
Description: xxiv, 496 pages : illustrations
Contents: Tube, Drain, Line, and Catheter SnafusEmergency Room SnafusOperating Room SnafusWard SnafusLaboratory SnafusMedication SnafusSurgical Subspecialty SnafusMiscellaneous SnafusHave a high index of suspicion for incarcerated or strangulated hernia if a patient has a bowel obstruction and no previous abdominal surgery Consider aortic injury or thoracic great vessel injury if a patient has fractures of the first or second ribsEvaluate the patient for mediastinal or heart injuries if a sternal fracture is presentAdmit a knee dislocation for observation if an arteriogram is not performed to rule out popliteal artery injuryHave a high index of suspicion for nerve injures in humeral fractures and dislocations Look for a rupturing or dissecting aneurysm with any patient who complains of flank pain Make the opening sufficiently wide to adequately drain and pack the cavity when performing an incision and drainage of an abscessPromptly dispose of your own sharps after doing a bedside or emergency room procedureClose the galea as a separate layer when repairing a full thickness laceration to the scalp.Treat crepitus on physical exam as a surgical emergency that requires definitive debridement in the operating roomDo not shave the eyebrow when repairing a laceration to this areaDo not rule out intraabdominal trauma by clinical exam if the patient is intoxicated or has altered sensorium Do not allow a "negative CT" to prevent you from taking a case of suspected appendicitis to the operating room if the diagnosis is supported clinicallyDo not remove a knife that is penetrating tissue unless you have a direct intraoperative vision and controlAvoid undue traction on the left renal vein to expose the neck of an aortic aneurysmDo not hesitate to convert a laparoscopic cholecystectomy to an open cholecystectomyUse the left side when harvesting a full-thickness skin graft from the groin area or lower abdomenRemember when reviewing Doppler ultrasound results that the superficial femoral vein is a component of the "deep" venous systemConsider gastric dilatation when a patient is having respiratory difficultyDo not debride a dry/black eschar overlying a decubitus ulcer in a bedridden patient that has no evidence of underlying cellulitisConsider an addisonian state if it "looks like sepsis and smells like sepsis" but you can not identify a causative microbe.Go above the rib when placing a chest tube or needle into the chest cavityPrescribe Lactobacillus (or other probiotic therapy) when a patient receives any dose of antibioticsMake sure the heparin is removed from the intravenous flushes if a patient is diagnosed with heparin-induced thrombocytopeniaObtain a pregnancy test on every female between the ages of ten and fifty years.Do not call the anesthesiologists or nurse anesthetists "anesthesia" or "Dr. Anesthesia"
Series Title: LWW medical book collection.
Responsibility: editors, Lisa Marcucci, Michael J. Moritz, Herbert Chen.


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