China
Africa
Explore chapters and articles related to this topic
Non-technical skills for surgeons: The NOTSS behaviour marker system
Published in Rhona Flin, George G. Youngson, Steven Yule, Enhancing Surgical Performance, 2015
A ruptured abdominal aortic aneurysm is a life-threatening event. Surgical mortality, for patients who actually survive to reach the hospital, is quite high. Communication and teamwork in the operating room are important to operative success. Upon entering the operating room, the surgeon should exchange information with the anesthesiologist, even prior to making incision. Decisions should be made about target blood pressure, as well as when to make incision, as patients are at risk for dramatic drop in blood pressure after induction of anesthesia. The surgeon needs to be prepared to operate immediately, and most recommend that the patient be prepped and draped prior to intubation so as to allow quick entry into the abdomen. The surgeon should also establish a shared understanding with the entire surgical team. All members must know the gravity and urgency of the procedure and be prepared for the critical events. Part of the surgeon’s role is to coordinate team activities, which includes confirming that the team is ready to begin, making certain that all necessary retractors, sutures, and vascular grafts are available, and notifying the team when medications such as intravenous heparin (if needed) should be administered.
InVesalius: Three-dimensional medical reconstruction software
Published in Paulo Jorge Bártolo, Artur Jorge Mateus, Fernando da Conceição Batista, Henrique Amorim Almeida, João Manuel Matias, Joel Correia Vasco, Jorge Brites Gaspar, Mário António Correia, Nuno Carpinteiro André, Nuno Fernandes Alves, Paulo Parente Novo, Pedro Gonçalves Martinho, Rui Adriano Carvalho, Virtual and Rapid Manufacturing, 2007
T.A.C.P. Martins, A. Santa Bárbara, G.B. Silva, T.V. Faria, B. Cassaro, J.V.L. Silva
The following clinical case, illustrated on Figures 11 and 12, shows the presence of an aortic aneurysm inside a patient’s abdominal region. Aneurysm is a localized bulging of the aorta (large vessel which carries blood from the heart to the rest of the body). The rupture of an abdominal aortic aneurysm is usually fatal. Therefore, it is important to repair it before it grows bigger and weakens the wall of aorta. In order to evaluate more precisely the extension of this aneurysm, Hospital das Clínicas of University of São Paulo (USP) was helped by ProMED’s team expertise, InVesalius and Rapid Prototyping.
Surgical Decision-Making: A Multimodal Approach
Published in Rhona Flin, Lucy Mitchell, Safer Surgery, 2009
Nick Sevdalis, Rosamond Jacklin, Charles Vincent
Secondly, surgery is associated with complications and their consequences, which may be difficult to predict for any individual patient, but tend to have a relatively predictable incidence overall. In other words, surgical decisions are associated with uncertainty about their outcomes at the level of the individual patient. For example, elective open repair of abdominal aortic aneurysms has a mortality of up to 7 percent in some institutions (Hertzer 2006)
The evolution of stent grafts for endovascular repair of abdominal aortic aneurysms: how design changes affect clinical outcomes
Published in Expert Review of Medical Devices, 2019
Blake R. Bewley, Andrew B. Servais, Payam Salehi
EVAR has become an attractive treatment option for the management of patients with abdominal aortic aneurysms. While endovascular repair was initially considered only for patients with straight-forward anatomy and those too high-risk for open surgical repair, evolving technology has substantially increased the pool of patients that are appropriate candidates for EVAR. As more patients become candidates for endovascular repair, including those with more complex aortic anatomy, not only the long-term outcomes but also the costs of monitoring and reintervention will remain problems to be addressed.
Update on the TREO endograft device: overview of its safety and efficacy
Published in Expert Review of Medical Devices, 2022
Efstratios Georgakarakos, Georgios I Karaolanis, Christos Argyriou, Nikolaos Papatheodorou, Dimos Karangelis, George S. Georgiadis
Endovascular Aneurysm Repair (EVAR) is considered the mainstay treatment of abdominal aortic aneurysms (AAA) since it is associated with low perioperative morbidity and mortality [1,2]. The widespread application of EVAR has reduced mortality rates for both elective and rupture cases by more than 50% during the past 10 years [3,4].