Principles of Surgery, Everything you Need to Know but Were Frightened to Ask
Principles of Surgery, Everything you Need to Know but Were Frightened to Ask
复制标题
手术原理，您需要知道但不敢问的一切
DOI：
10.1093/bja/aen191
复制
发表时间：
2008
期刊：
影响因子：
--
通讯作者：
M. Reed
中科院分区：
文献类型：
--
作者：
M. Wagstaff;M. Reed
作者们接受了一项艰巨的挑战。 《外科手术原理》这个标题含糊不清，对不同的人有不同的含义。它可以代表手术技术的标准、同意的细节，或者何时和何时不进行手术。为了涵盖这一点，考虑到初级外科医生正在为外科医生学院的考试做准备，他们编写了一份关于手术过程中患者护理的文本。它分为几个部分，概述了术前护理、手术室环境以及术后护理和并发症。其中包括传统上次要问题的总结，例如法医学问题、保密性和疏忽。这本书涉及广泛的主题，包括剧院环境和设备，如透热疗法、缝合线和针头。关于路径和协议的有用部分提供了有关临床治理和审计、综合护理路径、ATLS 和癌症筛查等问题的信息。文本可读、简洁，采用清晰、非正式的英语，内容、布局和索引方便快速访问相关章节，插图清晰。尽管某些领域得到了很好的覆盖，但为了保持其范围和简洁性，它牺牲了其他方面的细节。例如，在入院前，错过了覆盖一些困难的围手术期管理场景的机会，例如耶和华见证人或患有乳胶过敏的人，并且没有提及预献血作为同种异体输血的替代方案。在手术室环境部分，用于说明洗手的图表可以补充和缩写文本。对激光物理学及其用途的解释缺乏安全实践所必需的措施的说明。鉴别诊断
The authors have taken on a difficult challenge. The title Principles of Surgery is ambiguous, meaning different things to different people. It could represent standards of surgical technique, details of consent, or when and when not to operate. In order to encompass this, with junior surgeons preparing for the College of Surgeon’s examinations in mind, they have produced a text of patient care along the operative pathway. It is separated into sections outlining preoperative care, the operating theatre environment, and postoperative care and complications. These include summaries of traditionally peripheral concerns such as medicolegal issues, confidentiality, and negligence. The book approaches a broad range of subjects, including theatre environment and equipment, such as diathermy, sutures, and needles. A useful section on pathways and protocols provides information on issues such as clinical governance and audit, integrated care pathways, ATLS, and cancer screening. The text is readable and concise, in clear and informal English, with the contents, layout, and index facilitating rapid access to relevant sections with clear illustrations. Although some areas are well covered, in order to maintain its scope and brevity, it sacrifices detail in others.In pre-admission, for example, an opportunity has been missed to cover some of the difficult perioperative management scenarios such as Jehovah’s witnesses or those suffering from a latex allergy, and pre-donation of blood as an alternative to allogenic blood transfusion is not mentioned. In the operating theatre environment section, diagrams to illustrate hand scrubbing could have complemented and abbreviated the text. The explanation of laser physics and its uses lacks the illustration of measures essential for safe practice. The differential diagnosis of the