| section One Correlation of Theory and Practice |
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|
Introduction for the Learner |
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3 | (18) |
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3 | (1) |
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|
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4 | (1) |
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Reason for Surgical Intervention |
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4 | (1) |
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5 | (1) |
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6 | (2) |
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8 | (1) |
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9 | (1) |
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Application of Theory to Practice |
|
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10 | (2) |
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Expected Behaviors of Operating Room Personnel |
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12 | (5) |
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Realities of Clinical Practice |
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17 | (4) |
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Foundations of Patient-Centered Care |
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21 | (14) |
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21 | (2) |
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23 | (1) |
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Standards of Perioperative Clinical Practice |
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24 | (7) |
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Clinical Competency of Perioperative Nurse |
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|
31 | (1) |
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31 | (2) |
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33 | (2) |
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Accountability and Professional Obligations |
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35 | (14) |
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35 | (1) |
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Professional Obligations to Patient |
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|
36 | (4) |
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Professional Obligations to Perioperative Team |
|
|
40 | (2) |
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Importance of Standardization |
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42 | (2) |
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Quality Improvement and Performance |
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44 | (5) |
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49 | (22) |
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49 | (4) |
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Documentation of Patient Care |
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53 | (3) |
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Guidelines for Patient Safety |
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56 | (4) |
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60 | (5) |
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|
65 | (6) |
| section Two The Perioperative Health Care Team |
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The Direct Patient Care Team |
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71 | (8) |
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71 | (1) |
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71 | (4) |
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75 | (2) |
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Dependence of Patient on Qualified Team |
|
|
77 | (2) |
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Operating Room Staff and Supporting Services |
|
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79 | (18) |
|
Operating Room Nursing Staff |
|
|
79 | (1) |
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Operating Room Nursing Administrative Personnel |
|
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80 | (2) |
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Operating Room Staff Nursing Personnel |
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|
82 | (3) |
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Interdepartmental Relationships |
|
|
85 | (6) |
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Coordination Through Committees |
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|
91 | (2) |
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93 | (4) |
| section Three The Patient as a Unique Individual |
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The Patient: the Reason for Your Existence |
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97 | (10) |
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97 | (1) |
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97 | (1) |
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98 | (1) |
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Patient Reactions to Illness |
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99 | (6) |
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Patient Perceptions of Nursing Care |
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|
105 | (1) |
|
Family / Significant Others |
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105 | (2) |
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Patients with Special Needs |
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107 | (22) |
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107 | (1) |
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108 | (1) |
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109 | (3) |
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112 | (2) |
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114 | (1) |
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Chronic Cardiopulmonary Illnesses |
|
|
115 | (1) |
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Pregnant Surgical Patients |
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|
116 | (6) |
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Immunocompromised Patients |
|
|
122 | (2) |
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|
124 | (5) |
| section Four The Surgical Environment |
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129 | (12) |
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Physical Layout of Operating Room Suite |
|
|
129 | (1) |
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Vestibular/Exchange Areas |
|
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130 | (1) |
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131 | (2) |
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133 | (6) |
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139 | (2) |
|
Potential Sources of Injury to Caregiver and Patient |
|
|
141 | (22) |
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|
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141 | (1) |
|
Physical Hazards and Safeguards |
|
|
142 | (11) |
|
Chemical Hazards and Safeguards |
|
|
153 | (3) |
|
Biologic Hazards and Safeguards |
|
|
156 | (1) |
|
|
|
157 | (6) |
| section Five Surgical Asepsis, Instrumentation, and Equipment |
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Attire, Surgical Scrub, Gowning, and Gloving |
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|
163 | (20) |
|
|
|
163 | (1) |
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164 | (6) |
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170 | (2) |
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|
|
172 | (11) |
|
Essentials of Asepsis: Application of Principles of Aseptic and Sterile Techniques |
|
|
183 | (24) |
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183 | (1) |
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184 | (1) |
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184 | (4) |
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188 | (6) |
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194 | (4) |
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|
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198 | (1) |
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Sterile Techniques and Their Applications |
|
|
199 | (6) |
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No Compromise of Sterility |
|
|
205 | (2) |
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Sterilization and Disinfection |
|
|
207 | (36) |
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|
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207 | (1) |
|
Sterilization vs. Disinfection |
|
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207 | (2) |
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|
|
209 | (2) |
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211 | (13) |
|
|
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224 | (8) |
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|
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232 | (1) |
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233 | (2) |
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|
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235 | (8) |
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243 | (22) |
|
|
|
243 | (1) |
|
Fabrication of Metal Instruments |
|
|
244 | (1) |
|
Classification of Instruments |
|
|
245 | (7) |
|
|
|
252 | (3) |
|
|
|
255 | (2) |
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|
|
257 | (1) |
|
Packaging and Sterilizing |
|
|
258 | (3) |
|
Repairing or Restoring vs. Replacing Instruments |
|
|
261 | (1) |
|
Powered Surgical Instruments |
|
|
261 | (2) |
|
|
|
263 | (2) |
|
Specialized Surgical Equipment |
|
|
265 | (34) |
|
|
|
265 | (5) |
|
|
|
270 | (9) |
|
|
|
279 | (6) |
|
|
|
285 | (9) |
|
|
|
294 | (1) |
|
|
|
295 | (1) |
|
|
|
295 | (4) |
| section Six Preoperative Patient Care |
|
|
Preoperative Preparation of the Patient |
|
|
299 | (18) |
|
|
|
299 | (1) |
|
|
|
300 | (1) |
|
Preparation of All Patients for Surgical Procedure |
|
|
300 | (10) |
|
Transportation to Operating Room Suite |
|
|
310 | (1) |
|
Admission to Operating Room Suite |
|
|
310 | (7) |
| section Seven Anesthesia Concepts and Considerations |
|
|
General Anesthesia: Techniques and Agents |
|
|
317 | (28) |
|
|
|
317 | (1) |
|
|
|
318 | (1) |
|
|
|
318 | (1) |
|
Preanesthesia Premedication |
|
|
318 | (4) |
|
|
|
322 | (1) |
|
|
|
322 | (1) |
|
|
|
323 | (14) |
|
|
|
337 | (1) |
|
|
|
337 | (3) |
|
Care of Anesthetized Patient |
|
|
340 | (1) |
|
Care of Anesthesia Equipment |
|
|
341 | (4) |
|
Local and Regional Anesthesia |
|
|
345 | (16) |
|
|
|
345 | (1) |
|
|
|
345 | (1) |
|
|
|
346 | (3) |
|
Spinal and Epidural Anesthesia |
|
|
349 | (3) |
|
|
|
352 | (3) |
|
Monitoring of Patient Receiving Local Anesthetic |
|
|
355 | (1) |
|
Complications of Local and Regional Anesthesia |
|
|
356 | (2) |
|
Alternatives to Anesthesia |
|
|
358 | (3) |
|
Patient Monitoring and Potential Complications Related to Anesthesia |
|
|
361 | (48) |
|
|
|
361 | (1) |
|
Adverse Systemic Reactions to Anesthetics |
|
|
362 | (1) |
|
Monitoring of Vital Functions |
|
|
362 | (16) |
|
Complications of Surgical Procedure With Patient Under Anesthesia |
|
|
378 | (17) |
|
Intravenous Cardiovascular Drugs |
|
|
395 | (4) |
|
Cardiopulmonary Resuscitation |
|
|
399 | (10) |
| section Eight Intraoperative Patient Care |
|
|
Coordinated Roles of Scrub Person and Circulator |
|
|
409 | (28) |
|
|
|
409 | (2) |
|
|
|
411 | (14) |
|
Sponges, Sharps, and Instrument Counts |
|
|
425 | (4) |
|
Other Nursing Considerations |
|
|
429 | (8) |
|
|
|
437 | (12) |
|
Preliminary Considerations |
|
|
437 | (1) |
|
Anatomic and Physiologic Considerations |
|
|
438 | (1) |
|
Equipment for Positioning |
|
|
439 | (3) |
|
|
|
442 | (5) |
|
Modifications for Individual Patient Needs |
|
|
447 | (2) |
|
Skin Preparation and Draping of the Surgical Site |
|
|
449 | (20) |
|
Physical Preparation of Patient |
|
|
449 | (1) |
|
Urinary Tract Catheterization |
|
|
449 | (1) |
|
Skin Preparation of Patient |
|
|
450 | (1) |
|
Patient's Skin Prep on Operating Table |
|
|
451 | (6) |
|
|
|
457 | (9) |
|
|
|
466 | (3) |
|
Hemostasis and Blood Loss Replacement |
|
|
469 | (22) |
|
|
|
469 | (1) |
|
|
|
470 | (1) |
|
|
|
471 | (9) |
|
|
|
480 | (4) |
|
|
|
484 | (3) |
|
|
|
487 | (4) |
|
|
|
491 | (28) |
|
|
|
491 | (1) |
|
|
|
492 | (6) |
|
|
|
498 | (4) |
|
Common Suturing Techniques |
|
|
502 | (1) |
|
|
|
503 | (1) |
|
Sutures and Needles: Packaging and Preparing |
|
|
504 | (1) |
|
|
|
505 | (2) |
|
|
|
507 | (1) |
|
|
|
508 | (1) |
|
Tissue Replacement Materials |
|
|
509 | (4) |
|
|
|
513 | (1) |
|
Drug and Medical Device Legislation |
|
|
514 | (5) |
| section Nine Postoperative Care of the Patient and Environment |
|
|
Surgical Wounds: Factors Influencing Healing and Infection |
|
|
519 | (24) |
|
|
|
519 | (1) |
|
|
|
520 | (1) |
|
|
|
521 | (1) |
|
Mechanism of Wound Healing |
|
|
522 | (1) |
|
Factors Influencing Wound Healing |
|
|
523 | (4) |
|
|
|
527 | (3) |
|
|
|
530 | (2) |
|
Complications of Wound Healing |
|
|
532 | (2) |
|
|
|
534 | (1) |
|
Classification of Infections |
|
|
535 | (1) |
|
|
|
536 | (3) |
|
|
|
539 | (1) |
|
Postoperative Wound Infections |
|
|
540 | (3) |
|
Postoperative Patient Care |
|
|
543 | (6) |
|
Postoperative Observation of Patient |
|
|
543 | (1) |
|
|
|
543 | (3) |
|
Other Postoperative Considerations |
|
|
546 | (1) |
|
Death of Patient in Operating Room |
|
|
547 | (2) |
|
Postoperative Care of the Physical Environment |
|
|
549 | (12) |
|
After Surgical Procedure Is Completed |
|
|
549 | (1) |
|
Room Cleanup Between Patients |
|
|
549 | (4) |
|
|
|
553 | (1) |
|
Weekly or Monthly Cleaning |
|
|
553 | (1) |
|
Considerations for Use of Disposable Products |
|
|
554 | (2) |
|
|
|
556 | (1) |
|
|
|
556 | (5) |
| section Ten Surgical Specialties |
|
|
|
|
561 | (16) |
|
|
|
561 | (2) |
|
|
|
563 | (8) |
|
Magnetic Resonance Imaging |
|
|
571 | (1) |
|
Positron Emission Tomography |
|
|
572 | (1) |
|
|
|
572 | (1) |
|
|
|
573 | (1) |
|
|
|
574 | (1) |
|
|
|
575 | (2) |
|
|
|
577 | (28) |
|
|
|
577 | (1) |
|
Special Features of General Surgery |
|
|
578 | (1) |
|
|
|
578 | (1) |
|
|
|
579 | (2) |
|
Abdominal Surgical Incisions |
|
|
581 | (4) |
|
|
|
585 | (2) |
|
|
|
587 | (1) |
|
|
|
588 | (1) |
|
|
|
589 | (1) |
|
|
|
590 | (1) |
|
|
|
591 | (1) |
|
|
|
591 | (4) |
|
|
|
595 | (1) |
|
Hemicolectomy, Transverse Colectomy, Anterior Resection, Total Colectomy |
|
|
596 | (2) |
|
|
|
598 | (1) |
|
|
|
599 | (1) |
|
Complications of Abdominal Surgery |
|
|
599 | (1) |
|
|
|
600 | (1) |
|
Excision of Pilonidal Cyst and Sinus |
|
|
601 | (1) |
|
|
|
601 | (1) |
|
Amputation of Extremities |
|
|
602 | (3) |
|
Gynecologic and Obstetric Surgery |
|
|
605 | (26) |
|
|
|
605 | (1) |
|
|
|
606 | (3) |
|
|
|
609 | (2) |
|
|
|
611 | (1) |
|
|
|
612 | (3) |
|
|
|
615 | (3) |
|
|
|
618 | (4) |
|
|
|
622 | (1) |
|
|
|
623 | (1) |
|
|
|
623 | (5) |
|
|
|
628 | (3) |
|
|
|
631 | (24) |
|
|
|
631 | (1) |
|
|
|
632 | (1) |
|
|
|
633 | (4) |
|
Surgical Procedures in Urinary Tract |
|
|
637 | (10) |
|
|
|
647 | (1) |
|
|
|
647 | (5) |
|
Postoperative Complications |
|
|
652 | (3) |
|
|
|
655 | (30) |
|
|
|
655 | (1) |
|
|
|
656 | (1) |
|
Special Features of Orthopaedic Surgery |
|
|
657 | (7) |
|
|
|
664 | (1) |
|
|
|
665 | (4) |
|
|
|
669 | (7) |
|
Repair of Tendons and Ligaments |
|
|
676 | (1) |
|
|
|
677 | (2) |
|
|
|
679 | (3) |
|
|
|
682 | (1) |
|
Complications Following Orthopaedic Surgery |
|
|
682 | (3) |
|
|
|
685 | (20) |
|
|
|
685 | (1) |
|
|
|
686 | (1) |
|
Ocular Surgical Procedures |
|
|
687 | (10) |
|
|
|
697 | (2) |
|
Considerations in Ophthalmic Surgery |
|
|
699 | (6) |
|
Plastic and Reconstructive Surgery |
|
|
705 | (22) |
|
|
|
706 | (1) |
|
Psychologic Support for Plastic Surgery Patients |
|
|
706 | (1) |
|
Special Features of Plastic and Reconstructive Surgery |
|
|
707 | (1) |
|
|
|
708 | (6) |
|
Head and Neck Reconstruction |
|
|
714 | (3) |
|
Reconstruction of Other Body Areas |
|
|
717 | (3) |
|
|
|
720 | (7) |
|
Otorhinolaryngology: Ear, Nose, and Throat Surgery |
|
|
727 | (16) |
|
|
|
727 | (1) |
|
|
|
728 | (2) |
|
Otologic Surgical Procedures |
|
|
730 | (4) |
|
|
|
734 | (1) |
|
Nasal Surgical Procedures |
|
|
734 | (4) |
|
|
|
738 | (1) |
|
Surgical Procedures of Oral Cavity and Throat |
|
|
739 | (1) |
|
General Considerations in Ear, Nose, and Throat Procedures |
|
|
740 | (3) |
|
|
|
743 | (20) |
|
|
|
743 | (1) |
|
|
|
744 | (1) |
|
|
|
744 | (1) |
|
Surgical Procedures of Face |
|
|
745 | (6) |
|
|
|
751 | (1) |
|
Surgical Procedures of Oral Cavity |
|
|
751 | (1) |
|
|
|
752 | (1) |
|
Surgical Procedures of Larynx |
|
|
752 | (3) |
|
Surgical Procedures of Trachea |
|
|
755 | (3) |
|
Surgical Procedures of Neck |
|
|
758 | (2) |
|
Surgical Procedures of Esophagus |
|
|
760 | (2) |
|
General Considerations in Head and Neck Surgery |
|
|
762 | (1) |
|
|
|
763 | (20) |
|
|
|
763 | (1) |
|
|
|
764 | (1) |
|
Special Considerations in Neurosurgery |
|
|
764 | (2) |
|
|
|
766 | (12) |
|
|
|
778 | (2) |
|
|
|
780 | (3) |
|
|
|
783 | (14) |
|
|
|
783 | (1) |
|
Chest and Thoracic Cavity |
|
|
783 | (2) |
|
|
|
785 | (1) |
|
Special Features of Thoracic Surgery |
|
|
786 | (2) |
|
Thoracic Incisions and Closures |
|
|
788 | (2) |
|
Thoracic Surgical Procedures |
|
|
790 | (2) |
|
|
|
792 | (1) |
|
|
|
793 | (1) |
|
Intrathoracic Esophageal Procedures |
|
|
793 | (1) |
|
Complications of Thoracic Surgery |
|
|
794 | (3) |
|
|
|
797 | (20) |
|
|
|
797 | (1) |
|
|
|
798 | (4) |
|
Special Features of Cardiac Surgery |
|
|
802 | (3) |
|
Cardiac Surgical Procedures |
|
|
805 | (9) |
|
Complications of Cardiac Surgery |
|
|
814 | (3) |
|
Peripheral Vascular Surgery |
|
|
817 | (16) |
|
|
|
817 | (1) |
|
Peripheral Vascular System |
|
|
817 | (3) |
|
Special Features of Peripheral Vascular Surgery |
|
|
820 | (2) |
|
Conservative Interventional Therapy |
|
|
822 | (1) |
|
Peripheral Vascular Surgical Procedures |
|
|
823 | (10) |
| section Eleven Multidisciplinary Perioperative Considerations |
|
|
|
|
833 | (8) |
|
Ambulatory Surgical Care Facility |
|
|
833 | (1) |
|
Ambulatory Surgical Patient |
|
|
834 | (1) |
|
Patient-Nurse Relationship |
|
|
835 | (1) |
|
Intraoperative Patient Care |
|
|
835 | (1) |
|
Recovery, Discharge, and Follow-Up |
|
|
836 | (1) |
|
|
|
837 | (1) |
|
Advantages and Disadvantages of Ambulatory Surgery |
|
|
837 | (1) |
|
Continuous Quality Improvement |
|
|
838 | (3) |
|
|
|
841 | (30) |
|
Developing a Pediatric Plan of Care |
|
|
841 | (1) |
|
Classifications of Pediatric Surgery |
|
|
842 | (2) |
|
|
|
844 | (7) |
|
|
|
851 | (5) |
|
Pediatric Patient Care Considerations |
|
|
856 | (1) |
|
Common Surgical Procedures |
|
|
857 | (11) |
|
|
|
868 | (3) |
|
|
|
871 | (26) |
|
|
|
871 | (4) |
|
Perioperative Assessment of Geriatric Patient |
|
|
875 | (18) |
|
Intraoperative Considerations |
|
|
893 | (1) |
|
Postoperative Considerations |
|
|
894 | (3) |
|
Organ Procurement, Transplantation, and Replantation |
|
|
897 | (18) |
|
|
|
897 | (1) |
|
|
|
898 | (1) |
|
|
|
898 | (3) |
|
|
|
901 | (11) |
|
Replantation of Amputated Parts |
|
|
912 | (3) |
|
|
|
915 | (16) |
|
|
|
915 | (1) |
|
Potential Causes of Cancer |
|
|
915 | (1) |
|
Treatment and Prognosis of Cancer |
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|
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