Mastectomy
Figure 10.1 Simple mastectomy without reconstruction The skin flaps for all mastectomies should be created between the breast capsule and the skin. A bloodless tissue plane is often identified with…
Axillary Procedures for Breast Cancer
Sentinel lymph node biopsy Axillary lymph node dissection Infection 1–11 % [3–5] 8–15 % [3, 5] Seroma 6–7.1 % [4, 5] 14 % [5] Hematoma 1.4 % [4] NA…
Laparoscopic Adrenalectomy: Retroperitoneal Approach
Figure 7.1 Operating table modified to facilitate retroperitoneal approach Required Equipment Ports: 5 mm bladeless trocar × 2 10 mm disposable Balloon trocar (Autosuture) 5 mm bladeless trocar × 1…
Breast Conservation Surgery (Surgical Biopsy, Lumpectomy, Nipple Exploration, Partial Mastectomy)
Figure 9.1 (a) Left breast wire localization prior to lumpectomy. (b) Radioactive seed localization of inferior breast lesion Surgical Procedure Anesthesia for a breast surgery can involve the use of…
Breast Biopsy
Figure 8.1 (a) Ultrasound of a breast mass. (b) Core biopsy of the mass Punch Biopsy While there are several different methods that may be used to biopsy skin, punch…
Oxygenation and Acid–Base Balance Monitoring
Figure 6-1 Relationship of alveoli and pulmonary capillaries. (From Patton KT, Thibodeau GA: Anatomy & physiology, ed 7, St. Louis, 2010, Mosby.) Blood Flow All of the blood ejected from…
Hemodynamic and Intracranial Dynamic Monitoring in Neurocritical Care
Figure 21-1 Hyperemia. Small volume increases in one or two of the intracranial contents can be tolerated with a reciprocal decrease in the other one or two volumes. This compensation…
Ultrasonography-Based Hemodynamic Monitoring
Patient Education Patients and families appreciate the hands-on approach that is needed for point-of-care ultrasonographic evaluations, and the interactions provide an opportunity for the understanding of the patient’s condition…
Venous Oxygen Saturation Monitoring
Figure 7-1 Exchange of oxygen and carbon dioxide in the lungs and tissues. (Courtesy of Edwards LifeSciences.) Oxygen Delivery Oxygen delivery (DO2) comprises three steps: (1) gas exchange at the…
Doppler Hemodynamic Monitoring
Figure 10-1 Simplified relationship of therapy (volume, inotropes, vasopressors, vasodilator medications), physiology, hemodynamics and oxygen demand (VO2), and delivery (DO2), demonstrating the central role of stroke volume index (SVI) as…
