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Anticoagulation and Hemostasis in Neurosurgery

https://libcat.nshealth.ca/en/permalink/provcat40033
Christopher M. Loftus, editor. --Cham: Springer , c2016.
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This book is an up-to-date reference on all aspects of anticoagulation and hemostasis in neurosurgery. After an opening section on basic principles and drug classes in current use, detailed consideration is given to coagulation issues relevant to all patients, not just neurosurgical ones. The coverage includes, for example, deep vein thrombosis, pulmonary embolism, and disseminated intravascular coagulation. A variety of important issues specific to neurosurgical practice are then addressed, an…
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Other Authors
Loftus, Christopher M
Responsibility
Christopher M. Loftus, editor
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2016
Physical Description
1 online resource (xi, 404 p. : 61 illus., 43 illus. in color)
ISBN
9783319273273
9783319273259 (print ed.)
Subjects (MeSH)
Anticoagulants - therapeutic use
Blood Coagulation Disorders - therapy
Blood Coagulation - drug effects
Blood Loss, Surgical - prevention & control
Hemostasis, Surgical
Neurosurgical Procedures
Perioperative Care
Abstract
This book is an up-to-date reference on all aspects of anticoagulation and hemostasis in neurosurgery. After an opening section on basic principles and drug classes in current use, detailed consideration is given to coagulation issues relevant to all patients, not just neurosurgical ones. The coverage includes, for example, deep vein thrombosis, pulmonary embolism, and disseminated intravascular coagulation. A variety of important issues specific to neurosurgical practice are then addressed, and the book concludes with a summary of current guidelines and best practices. As the population ages and prophylactic anticoagulation for different cardiac disorders is validated by cooperative trials, it is becoming ever more important that practicing neurosurgeons have the requisite knowledge to manage optimally the opposing processes of anticoagulation and hemostasis. Nevertheless, only a modest amount of structured information is at present available on the subject, with the consequence that decision making is too often insufficiently informed. This book, written by recognized experts, is designed to rectify this situation by bringing together the latest knowledge from across the entire discipline. It will be of daily value for neurosurgeons and trainees worldwide and will also be of interest to emergency room physicians, surgeons in general, critical care physicians, neurologists, and hospital medicine specialists.
Contents
Part 1. General Principles -- Physiology of Hemostasis -- Laboratory Assessment of Physiologic and Pathologic Hemostasis -- Current Anticoagulation Drugs and Mechanisms of Action -- Reversal of Target-Specific Oral Anticoagulants -- Overview, Treatment, Measurement, and Modification of Platelet Function -- Role of Antiplatelet Therapy in Neurosurgery: Efficacy and Safety Profiles -- Part 2. Coagulation Issues Across all Patient Spectrums -- Congenital Coagulation Disorders -- Acquired Coagulation Disorders -- Regulation and Dysregulation of Fibrinolysis -- Risks Associated with Administration of Allogeneic Blood Components -- Common Coagulation Disorders That May Arise Intraoperatively -- Evaluation and Management of Untoward Intraoperative Bleeding -- Treatment of Disseminated Intravascular Coagulation (DIC) -- Heparin-Induced Thrombocytopenia (HIT) -- Anticoagulation in Cardiovascular Diseases -- Workup and Treatment of Pulmonary Embolus -- Part 3. Coagulation Issues Specific to Neurosurgery -- Classes of Drugs and Blood Products for Acute Reversal of Anticoagulant Effect -- Rescue Strategies to Facilitate Emergency Neurosurgery in Patients on Antiplatelet or Anticoagulant Agents -- Considerations for Coagulation in the Multi-Trauma Patient -- Cerebral Venous Sinus Thrombosis -- Coagulation Studies in Preoperative Neurosurgery Patients -- Safe Strategies for Gradual Suspension and Re-institution of Anticoagulation to Permit Elective Surgery -- Spontaneous Intracerebral Hemorrhage due to Coagulation Disorders -- Prophylactic Screening for Venous Thromboembolism in Neurosurgical Patients -- Venous Thromboembolism Prophylaxis in Neurosurgery -- Can Patients with Known Intracranial and Intraspinal Vascular Lesions be Anticoagulated? -- Intrathecal Access and Devices in Patients on Antiplatelet or Anticoagulant Therapy -- Is it Safe to Shunt Anti-coagulated NPH Patients? -- Surgical Hemostasis in the Era of Anticoagulation: Guidelines and Recommendations Summary.
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e-Book
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Online
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Gynecologic and Obstetric Prophylactic Hemostasis by Intra-arterial Balloon Occlusion

https://libcat.nshealth.ca/en/permalink/provcat42626
Satoru Takeda, Ryohei Kuwatsuru, editors. --Singapore: Springer , c2018.
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This book offers a highly informative guide to interventional radiology such as arterial embolization and arterial balloon occlusion for the prevention of massive hemorrhage and management of cervical myomectomy and cesarean hysterectomy. Recently, catheter intervention for hemostasis in obstetric patients has been increasingly used. Before myomectomy of large cervical leiomyoma or cesarean hysterectomy for placenta percreta with expected massive hemorrhage, a balloon occlusion catheter is inse…
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Other Authors
Takeda, Satoru
Kuwatsuru, Ryohei
Responsibility
Satoru Takeda, Ryohei Kuwatsuru, editors
Place of Publication
Singapore
Publisher
Springer
Date of Publication
c2018
Physical Description
1 online resource (vii, 39 p.) : 21 illus., 16 illus. in color
ISBN
9789811088339
9789811088322 (print ed.)
9789811088346 (print ed.)
Subjects (MeSH)
Balloon Occlusion
Hemostasis, Surgical
Pregnancy Complications, Hematologic - surgery
Uterine Hemorrhage - prevention & control
Specialty
Gynecology
Hematology
Obstetrics
Surgical Procedures, Operative
Abstract
This book offers a highly informative guide to interventional radiology such as arterial embolization and arterial balloon occlusion for the prevention of massive hemorrhage and management of cervical myomectomy and cesarean hysterectomy. Recently, catheter intervention for hemostasis in obstetric patients has been increasingly used. Before myomectomy of large cervical leiomyoma or cesarean hysterectomy for placenta percreta with expected massive hemorrhage, a balloon occlusion catheter is inserted into arteries. In cesarean hysterectomy operations, ligation of internal iliac artery is not always effective in hemostasis of uterine bleeding: the success rate is about 40 -60%. Uterine blood flow during pregnancy is much different from that in non-pregnant women because large numbers of complicated collateral arteries develop during pregnancy, especially in patients with placenta previa. If the internal iliac artery and hypogastric artery are ligated, peripheral blood flow is still maintained, which causes intraoperative problems. The authors argue that effective transcatheter balloon occlusion requires a detailed knowledge of blood flow in both pregnant and non-pregnant women. As such the book provides extensive, detailed anatomical figures and videos offer readers vivid insights into methods of intercepting the uterine blood supply and the surgical methods. The book offers a new and indispensable reference guide for all obstetricians, not only for residents, but also for experienced professionals. It is also a valuable resource for radiologists and radiological technicians and radiology specialists.
Contents
1. Anatomy of Uterine Blood Supply and the Prevention of Massive Hemorrhage -- 2. Application and Methods of the Arterial Balloon Occlusion for the Prophylaxis of Massive Hemorrhage in Gynecologic Fields -- 3. Application and Methods of Arterial Embolization for Prophylaxis and Treatment of Massive Hemorrhage in Obstetric Fields -- 4. Temporary Endovascular Balloon Occlusion of the Internal Iliac Arteries to Prevent Hemorrhage During Uterine Cervical Myomectomy -- 5. Temporary Arterial Balloon Occlusion for Obstetrical Field.
Format
e-Book
Location
Online
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Hemostasis in Dentistry

https://libcat.nshealth.ca/en/permalink/provcat42634
Richard P. Szumita, Paul M. Szumita, editors. --Cham: Springer , c2018.
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This book offers a thorough, clinically oriented review of hemostasis and its impact on the practice of dentistry. Readers will gain a sound understanding of the pathophysiology of hemostasis and the pharmacology of antithrombotic and prothrombotic medications. Perioperative dental management strategies of value in patients with different congenital and acquired disorders of hemostasis are carefully explained, and the role of surgical techniques and local and topical agents in helping to minimi…
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Other Authors
Szumita, Richard P.
Szumita, Paul M.
Responsibility
Richard P. Szumita, Paul M. Szumita, editors
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2018
Physical Description
1 online resource (viii, 204 p.) : 32 illus., 26 illus. in color
ISBN
9783319712406
9783319712390 (print ed.)
9783319712413 (print ed.)
9783030100339 (print ed.)
Subjects (MeSH)
Hemostasis, Surgical
Oral Hemorrhage - prevention & control
Oral Surgical Procedures
Specialty
Dentistry
Hematology
Abstract
This book offers a thorough, clinically oriented review of hemostasis and its impact on the practice of dentistry. Readers will gain a sound understanding of the pathophysiology of hemostasis and the pharmacology of antithrombotic and prothrombotic medications. Perioperative dental management strategies of value in patients with different congenital and acquired disorders of hemostasis are carefully explained, and the role of surgical techniques and local and topical agents in helping to minimize and control bleeding is described. Helpful instruction is also provided on the indications for antithrombotic medications and the management of patients receiving such therapy, including the risks of altering medications. As the number of available oral antithrombotic agents continues to increase, dentists will encounter significantly more patients receiving treatments that affect hemostasis. In presenting comprehensive, up-to-date information on hemostasis, hemostatic disorders, antithrombotic therapy, and safe dental management, this book will serve as a rich source of information and a useful guide for practitioners and students alike.
Contents
Part I. Review of Hemostasis -- 1. Local Tissues in Hemostasis and Platelet Review -- 2. Coagulation Enzymes Review and Review of Hemostasis: Putting It All Together -- Part II. Pathophysiology and Pharmacotherapy of Hemostasis in Dentistry -- 3. Review of von Willebrand Disease and Perioperative Management in Dentistry -- 4. Review of Hemophilia A and B and Perioperative Management in Dentistry -- 5. Review of Thrombocytopenia and Perioperative Management in Dentistry -- 6. Review of Liver Disease and Perioperative Management in Dentistry -- 7. Malignancy and Hemostasis -- 8. Stratifying Thromboembolic Risk: Why Is Your Patient on Antithrombotic Medications? -- 9. Review of Antiplatelet Agents -- 10. Review of Anticoagulants -- 11. Pharmacologic Reversal Agents -- Part III. Management of the Dental Patient on Antithrombotic Therapy -- 12. Perioperative Management of Dental Patients on Antiplatelet Medications -- 13. Perioperative Management of Patients on Anticoagulant Medications: General Principles in Medicine and Surgery -- 14. Perioperative Management of Dental Patients on Anticoagulants -- 15. Local Techniques and Pharmacologic Agents for Management of Bleeding in Dentistry.
Format
e-Book
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Online
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Open, laparoscopic and robotic hepatic transection : tools and methods

https://libcat.nshealth.ca/en/permalink/provcat31259
Isidoro Di Carlo, editor ; foreword by Jacques Belghiti. --Milan: Springer , c2012.
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Bleeding from the liver surface during hepatic transection is one of the main factors affecting mortality and morbidity of liver resection. For this reason, numerous devices have been developed that employ a variety of techniques to minimize parenchymal damage and so improve the safety of resection. This book describes all the devices that are currently available for hepatic transection via open, laparoscopic, and robotic approaches. Procedures are explained and illustrated step by step using …
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Di Carlo, Isidoro
Responsibility
Isidoro Di Carlo, editor ; foreword by Jacques Belghiti
Place of Publication
Milan
Publisher
Springer
Date of Publication
c2012
Physical Description
1 online resource (xviii, 164 p. : 119 ill. in color)
ISBN
9788847026223
Subjects (MeSH)
Blood Loss, Surgical - prevention & control
Hemostasis, Surgical - methods
Hepatectomy - instrumentation
Hepatectomy - methods
Liver Transplantation - instrumentation
Liver Transplantation - methods
Subjects (LCSH)
Oncology
Surgery
Abdomen - Surgery
Abstract
Bleeding from the liver surface during hepatic transection is one of the main factors affecting mortality and morbidity of liver resection. For this reason, numerous devices have been developed that employ a variety of techniques to minimize parenchymal damage and so improve the safety of resection. This book describes all the devices that are currently available for hepatic transection via open, laparoscopic, and robotic approaches. Procedures are explained and illustrated step by step using informative color figures and photographs. This landmark reference in the field will be an ideal guide for liver surgeons as well as a valuable tool for students, residents, and general surgeons.
Contents
Part I. Open Hepatic Transection -- Part II. Laparoscopic Transection -- Part III. Robotic Transection -- Index.
Format
e-Book
Location
Online
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Patient Blood Management in Cardiac Surgery

https://libcat.nshealth.ca/en/permalink/provcat44464
Christian von Heymann, Christa Boer, editors. --Cham: Springer , c2019.
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This book provides a multidisciplinary approach to the maintenance of hemostasis and minimisation of blood loss in patients undergoing cardiac surgery. All aspects of patient blood management are covered that may contribute to a reduction in perioperative bleeding and transfusion requirements in cardiac surgery. This is achieved through practical cases and a theoretical background that gives a better understanding of patient hemostasis and the occurrence of bleeding complications. This book is …
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von Heymann, Christian
Boer, Christa
Responsibility
Christian von Heymann, Christa Boer, editors
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2019
Physical Description
1 online resource (xx, 219 p.) : 33 illus., 30 illus. in color
ISBN
9783030153427
9783030153410 (Print ed.)
9783030153434 (Print ed.)
9783030153441 (Print ed.)
Subjects (MeSH)
Blood Loss, Surgical - prevention & control
Cardiac Surgical Procedures - methods
Hemostasis, Surgical
Perioperative Care - methods
Specialty
Cardiovascular Surgical Procedures
Abstract
This book provides a multidisciplinary approach to the maintenance of hemostasis and minimisation of blood loss in patients undergoing cardiac surgery. All aspects of patient blood management are covered that may contribute to a reduction in perioperative bleeding and transfusion requirements in cardiac surgery. This is achieved through practical cases and a theoretical background that gives a better understanding of patient hemostasis and the occurrence of bleeding complications. This book is relevant to cardiac surgeons, anesthesiologists, clinical perfusionists, hematologists and intensivists.
Contents
Team Approach -- Part I. Identification of patients at high risk for bleeding -- Definition and Risk Factors of Bleeding -- Relevance of Blood Loss and Economic Impact -- Part II. Preoperative measures to reduce anemia -- Risk of Anemia -- Therapy of Anemia -- Part III. Perioperative drug management to prevent bleeding and thrombosis -- Antiplatelet Drug Management -- Preoperative Management of Anticoagulants -- Bridging -- Part IV. Monitoring of coagulation and hemostasis -- Platelet Function Monitoring -- Coagulation Monitoring -- Part V. Intraoperative measures to reduce bleeding and maintain hemostasis -- Anticoagulant Management -- Fibrinolysis -- Cardiopulmonary Bypass -- Blood Conservation Strategies -- Minimally Invasive Extracorporeal Circulation Systems -- Volume Replacement -- The Jehovah’s Witness -- Part VI. Postoperative treatment of coagulopathy and microvascular bleeding -- Treatment Algorithms for Bleeding -- Treatment with Procoagulants -- Transfusion Thresholds for Packed Red Blood Cells -- Bleeding Management in the Intensive Care Unit -- Venous Thromboembolism Prophylaxis.
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e-Book
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Online
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Perioperative Hemostasis : Coagulation for Anesthesiologists

https://libcat.nshealth.ca/en/permalink/provcat39404
Carlo Enrique Marcucci, Patrick Schoettker, editors. --Berlin, Heidelberg: Springer , c2015.
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All anesthesiologists are confronted with patients who show bleeding disorders, whether congenital, acquired, or pharmacologically induced. Although many studies, meta-analyses, guidelines, and textbooks have been published on the subject, they mostly cover specific aspects or require a thorough knowledge of hemostasis. The goal of this book is to provide the anesthetist with an overview of hemostasis and the mechanisms underlying bleeding and coagulation in general and to assist in the underst…
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Marcucci, Carlo Enrique
Schoettker, Patrick
Responsibility
Carlo Enrique Marcucci, Patrick Schoettker, editors
Place of Publication
Berlin, Heidelberg
Publisher
Springer
Date of Publication
c2015
Physical Description
1 online resource (xviii, 454 p. : 64 illus., 55 illus. in color)
ISBN
9783642550041
9783642550034 (print ed.)
Subjects (MeSH)
Anesthesia
Blood Coagulation
Hemostasis, Surgical
Perioperative Care
Abstract
All anesthesiologists are confronted with patients who show bleeding disorders, whether congenital, acquired, or pharmacologically induced. Although many studies, meta-analyses, guidelines, and textbooks have been published on the subject, they mostly cover specific aspects or require a thorough knowledge of hemostasis. The goal of this book is to provide the anesthetist with an overview of hemostasis and the mechanisms underlying bleeding and coagulation in general and to assist in the understanding of specific coagulation disorders as they may occur in the various anesthetic subspecialties. It is hoped that, through the provision of practical information and tools, the book will help residents and trained anesthetists to manage one of the most frustrating challenges that they face: the bleeding patient. A full understanding of coagulation requires a lifelong career, and this book is not intended to replace the consulting hematologist, whose expert opinion should always be sought. The available procoagulant blood products and drugs all have potentially dangerous side-effects; furthermore, in bleeding disorders pitfalls are frequent and a misdiagnosis can have potentially catastrophic consequences. The aim of the editors is thus instead to enhance the collaboration between the disciplines of Anesthesiology and Hematology.
Contents
Part I. Pre-operative haemostasis -- Cell based coagulation model -- Laboratory testing of hemostasis -- Viscoelastic tests of hemostasis -- Point of care platelet function tests -- Hemostasis assessment and evaluation -- Hereditary coagulopathies -- Acquired coagulopathies -- Drug induced - Antiplatelet drugs -- Intravenous fluids and coagulation -- Split blood products -- Isolated coagulation products -- Pro-coagulant drugs -- Patient blood management. Part II. Per-operative haemostasis -- In cardiac surgery -- In Hepatic Surgery -- In Pediatric Surgery -- In Obstetrics Surgery -- In Trauma -- In Neurosurgery -- In Orthopedic Surgery -- In Neuraxial and Peripheral Nerve blocks -- Part III. Post-operative hemostasis -- Coagulation disorders in intensive care patients -- Perioperative thromboprophylaxis -- Part IV. Economic aspects and organization -- Economic aspects and organization.
Format
e-Book
Location
Online
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Perioperative medical management for total joint arthroplasty : how to control hemostasis, pain and infection

https://libcat.nshealth.ca/en/permalink/provcat34059
edited by Andrea Baldini, Patrizio Caldora. --Cham, Switzerland: Springer , c2015.
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Other Authors
Baldini, Andrea
Caldora, Patrizio
Responsibility
edited by Andrea Baldini, Patrizio Caldora
Place of Publication
Cham, Switzerland
Publisher
Springer
Date of Publication
c2015
Physical Description
1 online resource (xix, 325 pages)
ISBN
9783319072036 (electronic bk.)
9783319072029
Subjects (MeSH)
Arthroplasty, Replacement
Hemostatic Techniques
Infection Control
Pain Management
Perioperative Care
Perioperative Period
Subjects (LCSH)
Arthroplasty
Operating room nursing
Hemostasis, Surgical
Pain - Treatment
Infection - Prevention
Contents
Part I. Hemostasis Control (Bleeding/Thromboembolism) -- 1. Modern Patient Blood Management in Arthroplasty -- 2. How to Reduce Blood Transfusion to a Minimum in Total Knee Arthroplasty -- 3. Antiplatelet Therapy in Patients with Coronary Stent Undergoing Orthopedic Surgery: Is It Still No Man’s Land? -- 4. LMWHs: Are Still the Gold Standard in Arthroplasty? Arguments in Favor -- 5. The Rationale for the Use of Multimodal Thromboprophylaxis with Limited Anticoagulation in Patients Undergoing Total Joint Replacement: Arguments Against LMWHs Being Still the Gold Standard -- 6. A Low Hemoglobin Transfusion Trigger is Not Dangerous: Arguments in Favor -- 7. A Low Hemoglobin Transfusion Trigger Is Not Dangerous: Arguments Against -- 8. Controversy: Should All Patients Undergoing TJA Receive Pre- and Postoperative Ultrasound Screening for Detection of DVT? -- Part II. Pain Control -- 9. What Works and What Does Not Work for Pain Control in Arthroplasty -- 10. Mental Preparation of the Patient to the Arthroplasty Procedure -- 11. Pain Control Protocols for Hip and Knee Arthroplasty -- 12. Cost-Effectiveness of the Various Modalities for Pain Control -- 13. Pain After Knee Arthroplasty: An Ongoing Battle -- 14. Pain Management in Total Knee Arthroplasty: A Surgeon-Anesthesiologist Cooperation -- 15. Dealing with Pain in a “Fast-Track” Protocol: The Experience of a European Professional -- 16. Dealing with Pain Using a “Fast-Track” (Multimodal) Protocol: The Experience from the United States -- 17. Perspectives: Best Techniques for Local Wound Infiltrations -- Part III. Infection Control -- 18. Prevention of Infection: The Host Factors -- 19. Prevention of Infection: The Wound Factors -- 20. Environmental Factors and Infection in Total Joint Replacement Surgery -- 21. The Fight Against the Slime: Can We Ever Win? -- 22. Antibiofilm Strategies in Orthopedics: Where Are We? -- 23. Perspectives: The Best Prophylaxis for Primary Arthroplasty -- 24. Perspectives: How to Deal with Fever (38 °C) After Arthroplasty: The Infectivologist’s Point of View -- 25. Perspectives: How to Deal with Fever (38 °C) After Arthroplasty: The Surgeon’s Point of View -- 26. Perspectives: Prolonged Wound Drainage (7 Days) After Hip Arthroplasty.
Format
e-Book
Location
Online
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