Full Description
This revised and expanded new edition reviews surgical decision-making in complex surgical procedures, including making difficult decisions, continuous awareness of the patient's physiologic status, the biochemical profile, endpoint resuscitation and the surgeon's own physiologic status. Other specific surgical decisions are discussed, such as when to operate and when not to operate, re-operations and operations in specific conditions and age groups. This new edition addresses these and other elements that are important for the intraoperative and perioperative decision-making process, including basic questions that have not been answered appropriately in the literature.
Many of us make decisions based on current evidence, but much of it based on "a gut feeling" or "intuition" or the "gray hair effect," among other techniques. In this book, the anatomy of such decisions is explored from a theoretical standpoint as well as objective data that we as surgeons use to make surgical decisions. Nowhere else is the matter of how we make a decision -- often with a very limited amount of data, decisions that will decide between someone living or dying -- more prevalent than in trauma surgery and other complex surgeries, including the unplanned return to the operating room. Our collective firsthand experience as surgeons points to a combination of factors contributing to our perioperative and intraoperative decision-making process, including education, clinical know-how, mentoring, and the creativity and excellence that come with long practice and strict discipline.
The second edition of Surgical Decision-Making: Evidence and Beyond provides a unique and valuable resource in the field for surgeons currently in training and for those already in clinical academic or community surgery practice.
Contents
Part I. Changing the World and the Legacy of Surgical Decision-Making.- Surgical Decision-Making and the Changing World.- Professor Rao Ivatury: A Legacy of Surgical Decision-Making in Trauma Surgery, Excellence, Compassion, and Humility.- Surgical Decisions-Making: More Questions than Answers?- Part II. The Complexity of Surgical Decision: Setting the Stage.- The Anatomy of the Surgeon's Decision-Making.- The Role of Surgeon's Physiology and the State of Mind on Surgical Decision-Making Process: An Update.- Surgeons and Pilots: What Do We Have in Common?- Planning and Preparing for the Operation: The Role of Artificial Intelligence in Modern Surgery.- Decision-Making in Critical Care Rescue for Re-operative Surgery.- Part III. Surgical Decision-Making in Difficult Scenarios of Acute Care Surgery.- Surgical Decision-Making in Postinjury Multiple Organ Failure.- The Unplanned Return to the Operating Room in Acute Setting.- Surgical Decision-Making in Complex Clinical Scenarios in Abdominal Surgery: A Case-Based Discussion and Approach to the Eight Most Common Problems with Nine Patients.- Surgical Decision-Making in Damage Control Surgery: A System-Based Approach.- Surgical Decision-Making and Definitive Abdominal Wall Reconstruction: An Update.- Surgical Decision-Making in Difficult Situations in Pediatric Surgery.- Surgical Decision-Making in Melanoma.- Surgical Decision-Making in Post-Bariatric Complications.- Surgical Decision-Making in Hepato-Biliary and Pancreatic Surgery.- Surgical Decision-Making in Hepatobiliary and Pancreatic Surgery: Acute Care Surgeon's Perspective.- Ethical Issues in Surgical Decision-Making.- Emergency Management of Colon and Rectal Malignancies.- Surgical Decision-Making in Vascular Surgery: Practical Approaches to New Innovative Techniques and Revisiting Old Ones.- Surgical Decision-Making in the Management of Polytrauma Patients.- Surgical Decision-Making in Complex Dento-Alveolar Trauma in the Maxillofacial Region.- Part IV. Special Issues in Surgical Decision-Making.- The Surgeon's Response to a Patient Death.- The Surgeon's Burnout: How to Deal with It.- When Should We Quit Operating?- Stanley J. Dudrick: A Life of a Giant in Surgery and Surgical Decision-Making: To Transition to a New Role or No Role at All.- Part V. The Final Word.- Epilogue.
