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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_905_Библиотеки_им_академика_М_И_Перельмана.pdf
Index
345
Dome down technique versus open cholecystectomy, 212
DPR, see Direct peritoneal resuscitation (DPR)
Driver licensing, 319
Drug and alcohol abuse, 8
Dual tracer technique, 173
Dudrick, Stanley J., 11, 327–331
Dutch randomized controlled trial, 241
DVT prophylaxis, 251
Dynamic visual acuity, 319
E
Early denitive surgical intervention, 85
Early total care (ETC), 283
Eastern Association for the Surgery of Trauma, 308
EIEIO, 223
Elective surgery, 93
Electronic health records, 3
Electronic medical records (EMR), 57
Emergency department thoracotomy (EDT), 282
Emergency function theory of adrenal-medulla function,
43
Emergency general surgery (EGS), 93, 135
patients or procedures, 93
Emergency management
clinical examination, 293
local anesthesia, 293
Emergency medical service (EMS) personnel, 284
Emergency orthopedic surgery, 133
Emergency plastic surgery, 133
Emergency surgery score (ESS), 59
Emergency thoracic surgery, 133
Emergency vascular surgery, 133
Emergent colorectal procedures, 236
Emergent re-operation, 75
Emotional and psychological distress, 315
Emotional detachment, 304
Emotional exhaustion, 46
Emotional wellbeing, 305
Empirical research on attention and memory processes, 43
End of life care, 302
End organ perfusion, 250
Endarterectomy, 255
Endocrine surgery, 4
Endodontium (dental pulp), 290, 294
Endoscopic intervention, 184
Endoscopic or surgical necrosectomy, 208
Endoscopic retrograde cholangiopancreatography
(ERCP), 196
Endoscopic therapy for intraluminal bleeding, 184
Endothelial dysfunction and organ necrosis, 75
Endovascular interventions, 84
Endovascular therapies thoracic endovascular aortic
repair (TEVAR), 247
Endurance, 322
Engine failure, 50
Engineering studies, 318
Enhanced Imaging modalities, 4
Enhanced recovery program after abdominal wall
reconstruction, 153
Enteral nutrition, 77
Entero-atmospheric stula (EAF), 106
Enterocutaneous stula and intra-abdominal infections
(tertiary peritonitis), 141
Enterocutaneous stulas (ECFs), 106, 145
Enterotomies, 149
Epidural anesthesia, 283
ESKD life-plan, 268
Esophageal atresia, 162
Ethical analysis, 226
Ethical consultation, 162
Ethical decision-making VITDM, 228
Ethical issues in surgical decision making
characteristics, 221
cognitive monitoring, 224
consent, 224
conservative management, 227
context features, 226
goal of care, 228
information, 224
informed consent process, 227
intra-intervention, 227
medical indications, 226
patient preferences, 226
personal values, 226
post-intervention, 227
preconditions, 224
pre-intervention, 227
quality of life, 226
self-interest, 224
situation awareness, 224
stages, 227
surgical operative decision, 221
therapeutic decision-making process, 227
therapeutic intervention, 221
uncertainty, 222
Eversion endarterectomy
bleeding, 256
cerebral Hyper-perfusion Syndrome, 256
complications, 256
cranial and other nerve injuries, 257
hypertension, 256
hypotension, 256
injury to glossopharyngeal, 257
laryngeal nerve, 257
neurologic decit, 257
patient selection, 256
recurrent laryngeal nerve trauma, 257
spinal accessory nerve, 257
surgical considerations, 258
Evidenced-based surgery and data-driven results, 57
Expected vs. unexpected deaths, 301, 302
Exposure/environment, 279
Extensive training, 54
Extracolonic obstruction, 242
Extracorporeal life support, 74
Extracorporeal membrane oxygenation (ECMO), 73
for heart and/or lung support, 74
Extrusion, 290
Eye-hand coordination, 324
346
Index
F
Facial fractures, 289
Facial soft tissue lacerations, 295
Family withdrew care, 20
Fasciotomy, 139
Fatigue and sleep deprivation, 21
Federal Aviation Administration, 320
Federal legislation, 319
Feed forward sweep (FFS), 37
Femoral access, 250
Fistula, 189
management, 107–109
provision and optimization of nutrition, 107
Fluid imbalance, 72
Fluid management in open abdomen, 76
Focal ischemia of small bowel, 116
Focused assessment with sonography (FAST)
examination, 278
Foreign bodies, 165
Four-box model, 226
Fracture injuries of the dental hard tissues, 290
Frailty, 62, 63
Functional Rehabilitation Potential, 168
Futility, 228
G
Gaining competency in trauma and critical care, 11
Gallstone pancreatitis, 206
The Gambler, 317
Gastric band, 179
erosion, 180
Gastric bypass surgery, 183, 184
anastomotic leak, 185
feeding access, 186
feeding tubes, 186
intra-abdominal drains, 185
intraluminal drainage, 186
late bleeding, 185
postoperative intestinal dysmotility, 186
prevention strategies, 185
Roux-en-O conguration, 186, 187
surgical anastomosis, 186
Gastroenterology, role of, 195
Gastrogastric stula, 189
Genetic testing, 4
Genomic research, 3
and molecular proling, 4
Geriatric assessment, 173
Gingiva and facial soft tissue, 295
Gingiva or oral mucosa, 292
Glasgow Coma Scale (GCS), 280
Glucocorticoids, 43
receptors, 44
Glycemic control, 88
Goal directed hemodynamic therapy, 71
“Gordian knot” problem, 323
Grade A anastomotic leakage, 98
Grade B leakage, 98
Grade C anastomotic leakage, 98
Gray hair effect, 15
Gregory, John, 227
Grief, 303
Guilt, 302
“Gut feeling” evaluations, 38
H
Hartmann procedure, 240
Healthcare resource utilization, 85
Healthcare systems, 19
Heart rate during maximal exercise, 318
Hemodialysis/hemoltration, 88, 245, 267–269
Hemostatic adjuvants, 134
Hemostatic resuscitation studies, 85, 278
Hemothorax, 283
HEPAG classication, 291, 293
Heparin, 255
Hepatic failures in MOF, 88
Hepatic gluconeogenesis, 88
Hepatic injury grading, 216, 217
Hepaticojejunostomy, 199
Hepatobiliary surgery, 4
Hepatocystic triangle, 211
Hepato-pancreatic-biliary (HPB) surgery
diagnostic and therapeutic interventional radiologic
procedures, 196
disease progression, 196
intraoperative complications, 197
intraoperative decision, 196
intraoperative decision-making process, 197
intraoperative ultrasound, 196
monitoring and patient education, 197
multidisciplinary decision making
central cystic mass with enhancing solid
components, 200
ne-needle aspiration (FNA) biopsy, 200
median hepatic artery, 198
portal vein, 198, 199
right colectomy, 199
right hemihepatectomy, 199
right trisectionectomy (ALPPS stage 2), 201
volumetry imaging, 199
multidisciplinary step-up approach, 197
outpatient follow-up, 197
patient preoperative evaluation, 196
patient selection and preoperative optimization, 196
postoperative period, 197
preoperative decision, 195
preoperative discussion, 196
staging, 196
surgical decision-making
anatomical complexity, 193
disruptive innovations, 193
in general abdominal surgery, 193
morbidity rates, 193
systemic therapeutic regimens, 193
surgical treatment, 197
systemic therapy, 198
Hippocratic tradition of medical ethics, 226
Index
347
Hospital Frailty Risk Score (HFRS), 62
Human error, 54
Human performance under psychological stress, 51
Hyperbaric oxygen therapy for NSTI, 112
Hyperextension, 254
Hypotension, 280
Hypothetical reasoning, 57
Hypoxia, 280
Hysterectomies, 4
I
Ileocolic intussusception, 161
Ileocolonic anastomoses, 238
Immunotherapy, 171, 194
and targeted systemic therapies, 176
Inappropriate disposition, 64
Indocyanine green (ICG) uoroscopy, 119, 212
Inductive reasoning, 223
Infection prevention and antibiotics, 284
Inferior mesenteric artery (IMA), 240
Inferior mesenteric vein (IMV), 240
Informed consent, 94
Informed decision-making model (informed choice), 223
Inguinal hernia, risks, 164
In-hospital support, 282
Institute of Medicine, 24, 42
Interdisciplinary concept, 296
Intermittent hemodialysis (iHD), 73
Internal carotid artery clamping, 254
International Association of Dental Traumatology
(IADT) guidelines, 290, 293
International Society for Cardiovascular Surgery, 318
Inter-organ cross-talk in MOF, 88
Interpretability of AI models, 5
Interventional radiological procedures, 84
Intestinal atresia, 163
Intestinal ischemia, 115, 116
Intestinal stoma, 236
Intraabdominal hypertension or abdominal compartment
syndrome, 75
Intra-abdominal infection, 106
Intracranial pressure (ICP), 136
Intrahepatic and perihilar cholangiocarcinoma, tumor-
directed therapies, 195
Intraluminal bleeding in early postoperative phase, 184
Intraoperative decision-making process, 6, 236
Intraoperative imaging systems, 4
Intraoperative indocyanine green (ICG), 149
Intraoperative surgical decision-making, 16
Intraperitoneal hemorrhage, 185
Intravascular lithotripsy (IVL), 258, 259, 261
in PAD, 262, 263
Intuition, 15, 18, 20, 37
decision-making, 33
in surgical decision-making process, 33
Invasive melanoma, 175
Irreversible metabolic shock, 5
“ISOWATS PL” strategy, 106, 146
Ivatury
author, 12
editor, 12
researcher, 12
J
Juxta hepatic venous injuries, 217
K
Kaizen conferences, 19
Karnofsky performance status, 173
KDOQI guidelines for access selection, 269
L
Laboratory risk indicator for necrotizing fasciitis
(LRINEC) scoring system, 112
Laboratory study in rodent models, 86
Laparoscopic banding, 179, 180
port complications, 180
Laparoscopic cholecystectomy (LC), 35
Laparoscopic gastric bypass, 184
Laparoscopic necrosectomy, 208
Laparoscopic sleeve gastrectomy, 181–183
Laparoscopic (versus robotic) surgery, 43
Laparotomy approach, 129, 230
Large scale advances in robotic assisted surgery, 3
Late Career Practitioner Policy, 323
Latent knowledge, 37
Lateral luxation injury, 291
Late-stage navy aviator training failure, 50
Leaders in surgery, 331, 332
Leaks after gastric bypass surgery, 185
Learning and memory processes, 44
Learning and memory retention, 44
Left ventricular assist device (LVAD), 149
Lethal triad of hypothermia, acidosis and coagulopathy, 133
Liver hepatotomy during the rst procedure, 201
Liver imaging post-right portal vein embolization, 199, 200
Liver injury, 216
Liver trauma, management, 10
Liver volumetry at 1 week post-op, 201
Local invasion, 235
Long-term memory, 37
Look-detect-scan, 36
Lung-sparing techniques, 138
Luxation injuries, 290
Lymphadenectomy, 198, 234, 235
M
Machine learning (ML), 58
algorithm, 64
MANCTRA-1 (Compliance With Evidence-Based
Clinical Guidelines in the Management of
Acute Biliary Pancreatitis) data set, 206
Maslach Burnout Inventory, 309
Massive transfusion protocol (MTP) and hemostatic
agents, 134
348
Index
Maxillofacial trauma, 289
and dental trauma, 296
Maximal strength, 318
May Thurner Syndrome (MTS), 245, 263–267
Mechanistic underpinnings of surgical decision-
making, 36
Median length of hospitalization, 93
Medical errors, independent predictors, 310
Medically complex pediatric surgical patient, 160
Medical/surgical community, 24
Melanoma
excision, 174, 175
closure, 174
split-thickness skin graft/local ap, 175
staging, 174
systemic therapies, 171, 176
Melanoma targeted therapies, 171
MELD (model for end-stage liver disease) score, 210
Memory disruption, 45
Merrell's global leadership in telemedicine, 12
Metastasectomy, 176
Metastatic disease, resection, 176
Microbially induced healing disorders, 293
Micro-puncture system under ultrasound guidance, 261
Midgut volvulus in newborn, 160
Midline laparotomy incision, 238
Minimal access retroperitoneal pancreatic necrosectomy
(MARPN), 208
Minimally invasive initial treatment, 293–295
Minimally invasive methods for debridement of infected
NP, 208
Minimally invasive surgery (MIS) techniques, 3, 4, 150,
209, 270, 283
Minimally invasive treatment modalities, failure, 208
Missed enterotomies, 98, 99
Mobility testing, 296
Modular Egress Training Simulator (METS) device, 51
Molecular discoveries, 194
Molecular pathogenesis of liver tumors, 194
Molecular proling, 3, 4
Morbid obesity, 183
Motor evoked potential (MEP), 251
Movement violations, 319
Moynihan’s hump, 212
Multidisciplinary approach, 4, 5, 161
Multidisciplinary team meetings (MDT), 193–195
Multidisciplinary treatment approach, 284, 285
Multiple genitourinary anomalies, 168
Multiple healthcare professionals, 4
Muscle wasting and weakness, 318
Myelomeningocele, 163
Myocardial injury, 86
MySurgeryRisk platform, 61
National Inpatient Sample data base, 7
National Kidney Foundation’s Kidney Disease Outcomes
Quality Initiative (KDOQI), 268
National Practitioner Bank (NPDB) of the United States,
24, 42
Naval aviation, 51
Neck hematoma or hoarseness, 254
Necrosectomy procedures, 207
Necrotizing fasciitis (NF), 112
Necrotizing pancreatitis (NP), 204
Necrotizing soft tissue infections (NSTIs), 109–112
Neoadjuvant chemotherapy and radiation therapy, 235
Neonatal abdominal catastrophes, 162
Neonatal and pediatric physiology, 169
Neonatal intensive care unit (NICU), 162
Nerve conduction impulse velocity, 318
Neurogenic bladder dysfunction, 169
Neurosurgery, DC, 136
New York Academy of Medicine, 253
Newcastle group, 84
No role at all, 330, 331
Non-Invasive Cardiac Output Monitor (NICOM) for
Goal-directed Fluid Resuscitation for
Inpatients With Hypotension and/or Septic
Shock, 71
Non-mapping sentinel lymph node, 173
Non-technical skills, 52
NSTI, see Necrotizing soft tissue infections (NSTIs)
Nutrition, 76
O
Obstructive colon lesions, 241
O’Connell, John, 49
Omega-3 fatty acids, 77
Oncology, role of, 194, 195
Onlay placement, 152
Open abdomen management, 141
in severely injured patients, 134
Open abdominal wound and denitive abdominal
closure, 140, 141
Open cholecystectomies, 120, 121
in training programs, 119
Open surgical necrosectomy, 208, 209
for acute pancreatitis, 209
Open technique, colorectal oncologic emergency, 238
The Operating Theater, 20, 41
Operation Frailty Risk Score (OFRS), 62
Operative endurance, 318
Orthopedic injuries, 283, 284
Ostomy surgery, 236, 237
Otolaryngology consult, 257
N
NASCET (North American Symptomatic Carotid
Endarterectomy Trial, 253
National Comprehensive Cancer Network (NCCN), 234,
235
P
Pain control, 283
Pain management, 64
Palliative care, 230
Palliative Care Medicine consultation team early, 78
Pancreatic and peripancreatic necrosis, 207
Index
349
Pancreatic debridement, endoscopic and surgical step-up
approach, 208
Pancreatic injuries, 213
surgical treatment, 214
Pancreatic necrosectomy, 208
open necrosectomy, 208
Pancreatic trauma, 213, 214
complications, 216
post-surgical care, 216
Pancreatic walled off necrosis (WON), 207
Pancreaticocutaneous stulas, 208
Pancreaticoduodenectomy (Whipple Procedure), 51, 115,
215, 216
Panter trial from Dutch pancreatitis group, 208
Parasympathetic system, 43
Parenchymal disruption, 216
Parenteral nutrition, 77
Paternalistic model, 223
Pathology, role of, 194
Patient and family-centered care, 168
Patient and hospital factors, 303, 304
Patient disposition and pain management, 65
Patient-centered care, 223, 311
goals, 77, 78
Patient-centered decision making, 78
Patient-surgeon relationship, 223, 224
Pediatric surgery, difcult situations, 159
Pediatric surgical decision-making, ethical
considerations, 170
Pediatric surgical emergencies, resource limited setting
ileocolic intussusception, 161
midgut volvulus in the newborn, 160
testicular torsion, 160
trauma, 160
Pediatric trauma, 160
amputations, 167
Pediatric urology, difcult situations, 168
Pelvic fractures, 283
Penetrating trauma, 9, 10
PENGUIN trial, 208
Perception, 53
Perclose ProGlide system technique, 251
Percutaneous cholangiography, 198
Percutaneous drainage of pseudocyst, 207
Performance issues and resilience, 303
Perineal or a vestibular stula, 162
Periodontal ligament, 290
Periodontium, 290, 294
Perioperative decision-making process, 5
Perioperative resuscitation strategies, 141
Peripancreatic collections, 204
Peripancreatic uid collections in interstitial edematous
AP, 206
Peripheral artery disease (PAD), 258, 259, 261
Peripheral intravascular lithotripsy, 259
Peripheral vascular disease, 245
Peripheral vascular surgery, 246
Persistent severe postinjury hypotension, 282
Personalized medicine, 4, 270
Personalized surgical approaches, 3
PETICOAT (provisional extension to induce complete
attachment), 248
Pharmacological robots, 64
Physical health considerations, 330
Physician traits, 321
Physiologic aging, 319
Physiological reserve, 140
Planned postoperative disposition, 59
Planned repeat laparotomy, 209
Pneumothorax, 283
Pogo, 316
Point of Care Ultrasound (POCUS), 72
POINTER trial, 207
Point-of-care ultrasound, 160
Polytrauma
evidence-based, 277
management, 279
patient physiology, 85
Port rotation or migration, 180
Post operative enterocutaneous stulas, 105–107
Post operative necrotizing soft tissue infections, 110–112
Post-damage control surgery, 146
Posterior component separation (PCS), 151
Post-hepatectomy liver failure (PHLF), 61, 62
Postinjury liver failure
in acute phase, 88
in ICU, 88
Postinjury multiple organ failure (MOF)
damage control, 85
denitive musculoskeletal stabilisation, 85
description, 83
early appropriate care, 85
early denitive surgery, 85
epidemiology, 83
hematological parameters, 84
mortality rate, 83
multicenter prospective observational study, 84
in polytrauma cohorts, 84
population demographics, 84
safe denitive surgery, 85
subclinical renal impairment and thrombocytopenia,
84
surgical interventions, 85
surgical timing, 85
trauma and critical care, 83
Postoperative complications, risk, 59
Postoperative eneteromy repair and anastomotic leaks,
113–115
Post-operative hemorrhage, 99, 184, 216
after gastric bypass surgery, 184
Post-sleeve gastrectomy, 181
Post-splenectomy vaccination in the trauma patient
population, 215
Pouch enlargement, 180
Practice of surgery, 6
Precision medicine, 4
Predictive models, and risk stratication tools, 4
Predictive OpTimal Trees in Emergency Surgery Risk
Calculator (POTTER), 59–61
Pre-hospital trauma support, 282
350
Index
Primary fascial closure, 140
Primum non nocere, 42
PROCOAG randomized superiority clinical trial, 135
Professor Rao Ivatury, 9–11
Projection, 53
Prostatectomies, 4
Prothrombin complex concentrates (PCCs), 134
Proximal diverting ileostomy, 240
Psychological stress on attrition, 51
Psychological stressors, 20
Psychosocial and Developmental Impact, 168
Pulmonary artery catheter (PAC), 71
Q
Quitting surgery, 324
R
Radiology, role of, 194
Randomized control trials, 223
Ranson criteria, 204
Recognition-primed decision-making, 20
Reconstruction of complex abdominal wall defects, 145
Recovering, 312
Rectal adenocarcinoma with extraperitoneal perforation,
240, 241
Rectal cancer, 240
Recurrent processing (RP), 37
Regenerative therapies, 270
Re-intervention, 69
Relative adrenal insufciency, 88
Reliability of the memory, 37
Remote monitoring technologies, 270
Renal replacement therapy (RRT), 267
Reoperation after abdominal surgery, long-term
unplanned reason, 100
Re-operative surgery, 20
acute blood loss anemia, 69
anastomotic disruption, 69
end-organ dysfunction or physiologic perturbation,
69
hemodynamic instability, 69
hypertonic saline, 75
intravenously administered hypertonic saline, 75
non-surgical complications, 71
postoperative complications
comprehensive assessment, 94
diagnostic investigations, 94
early hemorrhage or abdominal catastrophe, 95
early post-operative period, 96, 97
immediate threat to the patient’s condition, 94
operating room, 95
pain management, 95
patient's recovery and outcome, 95
physiologic status, 94
planned return to the operating room, 97, 98
shared surgical decision making, 94
source control, 94
unplanned surgery, 95
respiratory failure, 69
source control, infectious complications, 98
staged operations, 69
unanticipated pathophysiology or technical failure, 69
Replantation considerations, 167
Rescue therapy with high associated mortality, 75
Research and Innovation, 168
Resuscitation, 69
broad-spectrum antibiotics, 70
endoscopy or interventional radiology suite, 70
markers, 69
phases, 70
physiologic derangements, 69
principles, 69
for surgical complications, 69
Resuscitation Angiography Percutaneous Treatments and
Operative Resuscitations (RAPTOR) suite, 85
Resuscitative endovascular balloon occlusion of the aorta
(REBOA), 139
Reverse vasoconstriction, 75
Right colectomy, 238
Risk stratication models, 4
Robotic assistance for procedures, 4
Robotic assisted surgery, large scale advances, 3
Robotic left hepatectomy, 198
Robotic surgical systems, 3, 120
ROSE model, 70
Rotational thromboelastometric (ROTEM) analysis, 72
Rouviere’s sulcus, 212
Roux-en-Y (RNY) gastric bypass, 183
Ruptured omphalocele, 164
S
Salvageable postinjury cardiac arrest, 282
Scan-look-detect, 36
Science development of surgery, 245
Second Victim Syndrome, 302, 303
Self-esteem, 321
Self-expandable metal stent (SEMS), 207
Self-expanding colonic stents, 242
Sentinel lymph node biopsies, 171, 172
after previous excision, 175
for invasive melanomas, 172
Sepsis, 61, 72
and source control, 107
Septic insult, 238
Severe common iliac vein stenosis, 265
Shared decision-making (SDM), 4, 161, 196, 223
Shockwave Medical Peripheral IVL System, 259, 260
Shockwave Peripheral IVL Catheter Balloons, 260
Short-term memory, 38
Signal/noise ratio, 318
Single-port robotic cholecystectomy, 120
Single-stage reconstructive procedure, 150
Situational awareness, 35, 36, 52
and sense-making, 52, 53
Skin grafts, 174
Skull fractures and dento-alveolar injuries, 289
Sleep, 21
Index
351
Sleep deprivation, 21, 45
among professionals, 310
innovative thinking and verbal uency, 45
on medical staff functioning, 45
Sleep-disturbance on cognitive processing, 45
Sleep in surgeon's lifestyle, 22
Slow continuous ultraltration (SCUF), 73
Slow down moment, 34
during surgery, 34
Slow down your heart rate, 34
Slowing down phenomenon, 34
Small bowel ischemia, 116
Small bowel obstruction, gastric bypass surgery, 187, 188
Small molecule inhibitors, 194
Small surgical microcosm, 7
Social support and logistics, 268
Somatosensory evoked potential (SSEP), 251
SOWATS, 145
treatment guideline, 106
Splinting, 296
and immobilization, 295, 296
STABILISE-stent-assisted balloon-induced intimal
disruption, 248
STABILISE technique, 248, 251
Staged abdominal reconstruction, 140
Stanford Health, 323
State of mind of surgeon, 41
Stenosis at anastomoses, 188, 189
Stenotic infrapopliteal arteries, 263
Stigma associated with retirement, 321
Stoma retraction, 237
Stopping rules, 35
Stress
coordination, 43
environmental demands, 43
negative outcomes, 43
physiological reactions, 43
procedural complexity, 43
task pressure, 43
time pressure, 43
Stress tolerance in military pilots, 51
Stroke volume variation (SVV), 71
Subluxation, 290
Substance abuse, 305
Substance-saving restorations, 296
Subtotal colectomy, 239
Subtotal fenestrated approach, 212
Subtotal reconstituting cholecystectomy, 212
Super computers, 16
Superior mesenteric artery (SMA) embolism, 115
Supplementation of amino acids, 77
Surgeon burnout, 303
Surgeon-patient relationship, 224, 225
Surgeon retirement, 330
Surgeon's burnout, 307
signs and symptoms, 311
Surgeons feeling, 302
Surgeon’s judgment, 338
Surgeons' mental states, 18
Surgeons’ physiology and state of mind, 21
Surgeons pilots
attrition rate, 50
cognitive components, 52
difcult training, 50
dynamic environments, 51, 52
high-speed head-on collision, 51–52
sense-making, 52
surgical procedures, 52
unconscious processing of environmental cues, 52
Surgical anatomy after gastric bypass surgery, 184
Surgical bias, 57
Surgical care, 228
Surgical case or procedure, 41
Surgical competency, 322, 323
Surgical critical care, 11
fellowship, 11
at Lincoln Hospital in the Bronx, 11
Surgical decision-making process (SDMP), 12, 34, 328,
337
adaptability, 22
alcohol abuse, 25
analytical ability, 20
anatomy
anesthesia consultation, 32
anesthesia method for the patient, 32
fatal errors, 32
informed consent, 32
instructions regarding fasting requirements, 32
intuition and surgical-decision making, 33
physical examination, 32
preoperative tests, 32
prescribed preoperative medications, 32
time-out or surgical safety checklist, 32
audit communication with anesthesia, 23
balancing work and personal life, 21
clinical outcomes, 23
cognitive functions, 21
complexity, 16, 171
coefcient of heart rate variability, 18
communication, and mental models, 18
dynamic stepwise model of the surgeons’
intraoperative decision-making process, 18
evolution of technology, 18
individualization of surgical approaches, 17
intraoperative decision-making, 18
intraoperative decision-making process, 17
navigating complex and unexpected intraoperative
challenges, 18
peri- and intraoperative decision-making
process, 18
in prophylactic surgery, 19
reliance on technology, 18
R-R intervals, 18
situational awareness, 17
standardization, challenges, 16, 17
standardized surgical models, 17
surgeons’ education and training, 17
surgeon's leadership ability, 18
task visualization, 18
technological advances, 18
352
Index
Surgical decision-making process (SDMP) (cont.)
complications, 19
continuum of care, 25
in difcult situations, 161
emotional resilience and overall mental health, 21
errors and complications, 21
evidence-based explanations, 338
exibility and creativity, 20
healthy sleep patterns, 22
ileostomy and end-colostomy, 20
intermittent auditory distractions, 20
intraoperative decisions, 19
intrinsic motivation, 22
ischemic colostomy, 23
laparoscopic (versus robotic) surgery, 20
large abdominal defect, posterior component
separation, 20
life-and-death nature of surgical procedures, 22
long working hours, 21
methods, 338
multidisciplinary collaboration, 167
observational studies, 20
operating room (OR), 224
composition, 20
operative complications, 19
patient safety, 21
patient's recovery, 22
peak physical and mental condition, 22
for pediatric traumatic amputations
perioperative factors, 19
personality factors, 35
physiological factors, 35
precise movements and coordination, 21
preoperative phase, 19
procedural complexity, 20
professional responsibilities and their personal
lifestyle, 22
p-value, 33
quality improvement, 23
for rare renal tumors in children, 166, 167
semi-structured interview design, 34
situational factors, 35
standardized checklists during emergencies, 16
stress and physiological responses, 24
by surgeons and patients, 65
surgical error, 24
on surgical outcomes, 15
teamwork/communication failures, 23
technological advancements, 338
technological progress, 26
unrecognized small bowel to end-colostomy stula,
20
Surgical decisions, 338
based on multiple variables, 57
Surgical emergencies and unpredictability of cases, 22
Surgical errors, 19, 339
Surgical Ethics, 225–229
Surgical exploration, 116
Surgical food chain, 317
Surgical interventions, 85
Surgical intuition, 33, 223
Surgical team, 230
Survival data, 57
Symptomatic gallbladder disease, non operative
management, 210
Synchronous CLRM, 199
System based damage control surgery, 135–139
Systemic vascular resistance (SVR), 71
T
TAC, see Temporary abdominal closure (TAC)
Target cell immunotherapy for cancer and other diseases,
3
Technical errors, 54
Technical prociency and human compassion, 337
Teeth dislocation, repositioning, 294
Telemedicine, 270
and trauma programs, 12
Temporary abdominal closure (TAC), 95, 116, 140, 141
and hemostatic resuscitation, 281
Tension and burnout criteria, 313
TENSION trial, 208
Testicular torsion, 160
Theories on naturalistic and complex problem-solving
methods, 16
Therapeutic plasmapheresis, 88
Thoracic Injuries, 281, 282
Thoracotomy, 283
Thorek, Max, 339
Thromboelastographic (TEG) and rotational
thromboelastometric (ROTEM) analysis of
clot kinetics, 72
Thrombotic MTS, 265
TIA (transient ischemic attack), 253
Time-sensitive emergency in a pediatric patient, 160
Time until treatment equipoise (TUTE), 227
Titanium trauma splint (TTS), 296
Tooth avulsion, 289
Total parenteral nutrition (TPN), 328, 329
Tracheo-esophageal stula, 163
Trafc violations, 319
Tranexamic acid (TXA), 134, 279
Transesophageal echocardiography for baseline
assessment of aortic arch, 250
Transitioning to retirement, 328
Transplant oncology, 193
Transplant surgery, 62
Transverse abdominis release (TAR), 152
Trauma cohorts, 84
Trauma surgery, management, 10
Trauma systems, 84
Traumatic amputation, type and level, 167
Traumatic brain injury (TBI), 280
Traumatic gingival aps, 295
Traumatic intrusion of permanent tooth, 291, 292
Triple coronary artery bypass procedure, 325
Trisectionectomy, 200
TROUT index, 63
Tumor-directed therapies, 194
Index
353
2018 Tokyo Guidelines, 119
Type A aortic dissection, 248
Type B aortic dissection (TBAD), 248
dened, 250
with organ malperfusion, 249
U
Ultraltration and diffusion methods of ltration, 73
Underlay graft placement, 152, 153
Unilateral or bilateral craniectomy, 136
United States Food and Drug Administration (FDA), 111
United States Preventive Services Task Force, 233
Unplanned surgery, 93, 94
Unplanned trips to operating room, 95
Upper endoscopy, limitations, 184
V
Vacuum-assisted closure (VAC) device, 109, 140
with continuous irrigation, 153
Vacuum-compaction devices, 109
VARD, see Video-assisted retroperitoneal debridement
(VARD)
Vascular and soft tissue assessment, 167
Vascular calcication, PAD, 258
Vascular pressor response, 88
Vascular surgery
open surgery to minimally invasive -endovascular
surgical approaches, 246
surgical decision-making
aortic measurement, 250
health status, 246
hemodialysis, 246
limb salvage opportunity, 246
non-traumatic aortic dissection, 245
open surgery to minimally invasive -endovascular
surgical approaches, 246
pain relief, 246
pathology, 245
preoperative planning of aortic dissection, 250
revascularization, 246
technical approaches, 245
Vascularized aps, 150
Vein mapping, 268
Venoarterial (VA) ECMO, 74
Venovenous (VV) ECMO, 73
Ventral hernia, 116, 125
Video-assisted retroperitoneal debridement (VARD), 208
Video-assisted thoracoscopic surgery (VATS), 283
Virginia Commonwealth University (VCU), 11
Visual tracking of cancerous masses on mammograms,
36
VITDM, 229
W
Walled off pancreatic necrosis (WOPN) after AP, 207
Whipple Procedure, 215
WHO Surgical Safety Checklist, 16
Working memory (WM), 53
Work-life balance, 305
World Society of Emergency Surgery, 120
World War II, 134
Wound dehiscence, 96
Wound infection, 153
and dehiscence, 106
X
XGBoost, 58
Y
Yerkes–Dodson law, 43
Z
Zenith TX2, 251
Zhejiang University School of Medicine, 62