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Book Cover
E-book

Title Cerebrovascular and endovascular neurosurgery : complication avoidance and management / Chirag D. Gandhi, Charles J. Prestigiacomo, editors
Published Cham, Switzerland : Springer, 2018

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Description 1 online resource (xxi, 483 pages) : illustrations (some color)
Contents Intro; Preface; Contributing Editor; Contents; Contributors; Part I: General Aspects; 1: What Is a Complication? The Philosophical and Psychological Aspects; Introduction; Historical Perspective; What Is a Complication?; What Is a Complication? The Philosophical Aspects; Psychological Aspects; References; 2: Medicolegal Aspects of Complications; Introduction; Informed Consent; Adverse Events and Malpractice; Documentation; Disclosure; References; 3: Residency/Fellowship Training and the Complication; Introduction; Trainees and the Impact on Complication Rates
Fatigue, Burnout, and Restricted Work HoursLegal Implications of Trainee-Associated Complications; References; 4: Analyzing Complications; Introduction; History of Quality Improvement in Surgery; Morbidity and Mortality Conferences; Manufacturing Quality Improvement Methodologies; Crew Resource Management; Checklists; Formula 1 Pit Stops; References; 5: Quality Assurance; Introduction; Quality Assurance Rational; Quality Assurance Challenges; Neurosurgical Quality Assurance; Endovascular Quality Assurance; References; 6: Quality Improvement; Introduction; Peer Review: Origins
Internal Live Discussion: M & MPublic Demand: Quality Improvement; Public Data: US News and World Report; Public Data: University Health Systems Consortium; Government and Insurance Companies; Affordable Care Act of 2010; Cerebrovascular Quality Initiatives: Qualities Outcomes Database; Cerebrovascular Quality Initiatives: Neurovascular Quality Initiative (NVQI); Cerebrovascular Quality Initiatives: Comprehensive Stroke Center Status; Medicare Government Data: Hospital Compare; References; 7: Training and Standards; Introduction; Neuroendovascular Training; Early Training Guideline Efforts
Joint Society Guidelines and Accreditation Council for Graduate Medical Education Program RequirementsCurrent Training Guideline and Accreditation Efforts; Individual Certification; Other Training Initiatives; Standards in Neuroendovascular Surgery; Guidelines for Specific Operations; Hospital Privileges; Maintenance of Certification; Open Cerebrovascular Neurosurgery Training and Standards; A Changed Landscape: Fewer and More Complex Cases; Simulator Training and Fellowship Training; Guidelines for Competence; Recommendations; References; 8: Complication Avoidance and Management Research
IntroductionTypes of Research; Screening and Patient Selection; Intracranial Aneurysm; AVM; Carotid Stenosis; Occlusive Disease; Acute Stroke; Perioperative Morbidity Reduction; Follow-Up; Complication Avoidance Through Simulation; References; 9: The Checklist; Introduction; Historical Aspects; Aspects to a Checklist; Standardized; Immediate Communication; Memorized Elements; Practical; Logical; Easy to Execute; The Successful Checklist; What a Checklist Is Not; Emergency Checklists; Will the Checklist Save Medicine?; References; 10: Alternatives to the Checklist; Introduction
Summary This book is an up-to-date, well-referenced practical resource that offers detailed guidance on the avoidance and management of complications in patients treated for cerebrovascular and spinal vascular disease. All complication avoidance and management techniques currently available to the endovascular/cerebrovascular surgeon are reviewed by pioneers and leaders in the field to provide the clinician with an advanced single point of reference on the subject. The book is divided into four sections. It opens by discussing general issues, such as definition of complications, medicolegal aspects, the role of resident training, and checklists. The subsequent three sections address the avoidance and management of complicatio ns when performing surgical, endovascular, and radiosurgical procedures, covering the full range of indications and potential adverse events. All chapters have a standardized format, simplifying the search for information on a specific disease process. Numerous intraoperative images are included, and, when appropriate, algorithms for the avoidance, early recognition, and management of complications are presented. Each chapter concludes with a checklist of preparatory steps and "emergency procedures" that each member of the team must perform in order to ensure the best possible outcomes
Notes Includes index
Bibliography Includes bibliographical references and index
Notes Online resource; title from PDF title page (SpringerLink, viewed August 16, 2018)
Subject Blood-vessels -- Surgery -- Complications.
Blood-vessels -- Surgery -- Complications -- Prevention
Cerebrovascular Disorders -- surgery
Neurosurgical Procedures -- methods
Endovascular Procedures -- methods
MEDICAL -- Surgery -- General.
Blood-vessels -- Surgery -- Complications
Form Electronic book
Author Gandhi, Chirag D., editor.
Prestigiacomo, Charles, editor.
ISBN 9783319652061
3319652060