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Challenging IV Access in the Patient with Septic Shock
Pages 1-13
This text provides the reader a starting point for the most difficult and uncommon complications in acute care surgery. It is designed to provide options to that ubiquitous intra-operative or bedside question “Well, now what do we do with this?” The topics have been chosen for the extreme difficulty of management and the surprising regularity that they present and the lack of large volume of accumulated evidence, where expert experience remains vital. The volume editors present a list of clinical scenario’s, intra-operative findings, and ethical circumstances that few general surgeons in their career will see in their career. The authors represent the most prolific surgeons in practice today. They present how they wound manage these challenging acute care surgery problems based on their vast clinical experience. Here, these surgeons share their personal experience with the most difficult cases. The text is divided into 4 parts. The first part is “Global Patient Issues” when a singular surgical problem presents itself in a very complicated patient with an extensive list of unstable co-morbid diseases. The second part is “Specific Disease Issues”. This is a surgical text and as such each issue is an unexpected intra-operative finding and expert management. The third part is “Post-Operative Issues” and as any seasoned surgeon knows, is the most critical part of managing a complicated surgical case. The last section is “Challenging Ethical Scenarios.” The text is designed to provide the surgeon in training or the seasoned general surgeon unique clinical or operative options for the care of their patients.
Challenging IV Access in the Patient with Septic Shock
Pages 1-13
Fluids in Septic Shock: Crystalloid, Colloids, or Blood?
Pages 15-23
Resuscitation of the Patient in Septic Shock
Pages 25-42
Intra-peritoneal Resuscitation in Trauma and Sepsis: Management Options for the Open Abdomen
Pages 43-51
How to Feed the Open Abdomen
Pages 53-64
Intra-abdominal Hypertension and Abdominal Compartment Syndrome in Acute Care Surgery
Pages 65-77
Empyema in the Acute Care Surgical Patient
Pages 79-92
Complicated Acute Gastric Emergencies
Pages 93-111
The Complicated Cholecystectomy and Management of Perforation Post-ERCP
Pages 113-128
Acute Necrotizing Pancreatitis
Pages 129-143
Small Bowel: The Problematic Duodenal Perforation
Pages 145-151
Small Bowel: Aortoenteric Fistula
Pages 153-164
Small Bowel: Pneumatosis Intestinalis
Pages 165-171
Colon: Long Hartmann and Rectal Stump Blowout
Pages 173-182
Rectum: Management of the Urgent APR and Dissecting the “Frozen” Pelvis
Pages 183-187
Complex Liver Abscess
Pages 189-197
The Complex Splenectomy
Pages 199-207
Soft Tissue Necrotizing Infection Due to Perforated Colon
Pages 209-227
The Planning for the “Planned Ventral Hernia”
Pages 229-243
Post-bariatric Complications—Leaks
Pages 245-256
The Problem Stoma
Pages 257-266
The Immunosuppressed Patient
Pages 267-303
Management of Anastomotic Leaks—Early <7 Days and Late >7 Days
Pages 305-316
The Relaparotomy in the Delayed (2–3 Week) Postoperative Period
Pages 317-326
The Management of the Entero-Atmospheric Fistula (EAF)
Pages 327-339
Unresectable Malignancy and Bowel Obstruction in the Acute Care Surgery Patient
Pages 341-352
Jehovah’s Witness and the Bleeding Surgical Patient
Pages 353-362
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