Decompressive Craniotomy in Trauma

Apr 6, 2017 by in CRITICAL CARE Comments Off on Decompressive Craniotomy in Trauma

Fig. 22.1 Indications for surgery for acute epidural hematoma Volume of hematoma >30 mL regardless of GCS Midline shift >5 mm GCS <9 Thickness of hematoma >15 mm Timing of…

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Endoscopic Control of Upper GI Bleeding

Apr 6, 2017 by in CRITICAL CARE Comments Off on Endoscopic Control of Upper GI Bleeding

Fig. 1.1 Forrest classification can be summarized as grade: (Aa) Arterial hemorrhage (“spurting”). (Ab) Diffuse hemorrhage (“oozing”). (Ba) Non-bleeding visible vessel. (Bb) Adherent clot. (Bc) Flat pigmented spot. (C) Ulcer…

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Epistaxis

Apr 6, 2017 by in CRITICAL CARE Comments Off on Epistaxis

Trauma  Craniofacial trauma  Nasal/nasoseptal fracture  Digital trauma (nose picking)  Foreign body  Nasal instrumentation (Nasogastric tubes, nasal intubation)  Barotrauma  Postsurgical trauma Structural  Nasal septal deviation  Septal spur  Septal perforation  Necrosis of…

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Tracheostomy and Cricothyroidotomy

Apr 6, 2017 by in CRITICAL CARE Comments Off on Tracheostomy and Cricothyroidotomy

Fig. 23.1 Optimal patient positioning for tracheostomy Fig. 23.2 Important neck anatomy for tracheostomy Tracheostomy Operative Technique A transverse incision is made two finger breadths above the sternal notch. This…

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Surgical Management of Ectopic Pregnancy

Apr 6, 2017 by in CRITICAL CARE Comments Off on Surgical Management of Ectopic Pregnancy

Fig. 28.1 Algorithm for diagnosing ectopic pregnancy In patients with hemodynamic instability or hematoperitoneum without a strong indication of an ectopic pregnancy, the possibility of other causes such as a…

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Cesarean Section in a Rural Setting

Apr 6, 2017 by in CRITICAL CARE Comments Off on Cesarean Section in a Rural Setting

Fig. 27.1 Joel-Cohen and Pfannenstiel incisions A 10–12 cm curvilinear convex incision 2 cm above the symphysis pubis is made with a scalpel. The subcutaneous tissue is then incised and…

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Repair of Fingertip Amputations

Apr 6, 2017 by in CRITICAL CARE Comments Off on Repair of Fingertip Amputations

Fig. 25.1 Anatomy of fingertip in sagittal section. Lateral view of finger depiction dorsal aspect to volar aspect of nail, nail bed, distal phalanx, and volar tip from distal proximal…

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Partial Cholecystectomy

Apr 6, 2017 by in CRITICAL CARE Comments Off on Partial Cholecystectomy

Fig. 5.1 Critical view of safety as defined by strassberg There is no additional preparation needed than that done for a laparoscopic or open cholecystectomy. Consent for a laparoscopic cholecystectomy…

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