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  • Produktbild: Surgical First Assistant: The Essentials of Practi ce
  • Produktbild: Surgical First Assistant: The Essentials of Practi ce

Surgical First Assistant: The Essentials of Practi ce The Essentials of Practice

43,99 €

inkl. gesetzl. MwSt., Versandkostenfrei

Beschreibung

Produktdetails

Einband

Taschenbuch

Erscheinungsdatum

30.01.2025

Herausgeber

Julie Quick + weitere

Verlag

John Wiley & Sons

Seitenzahl

176

Maße (L/B/H)

24,3/17,1/1,3 cm

Gewicht

312 g

Sprache

Englisch

ISBN

978-1-394-21082-4

Beschreibung

Produktdetails

Einband

Taschenbuch

Erscheinungsdatum

30.01.2025

Herausgeber

Verlag

John Wiley & Sons

Seitenzahl

176

Maße (L/B/H)

24,3/17,1/1,3 cm

Gewicht

312 g

Sprache

Englisch

ISBN

978-1-394-21082-4

Herstelleradresse

Libri GmbH
Europaallee 1
36244 Bad Hersfeld
DE

Email: gpsr@libri.de

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  • Produktbild: Surgical First Assistant: The Essentials of Practi ce
  • Produktbild: Surgical First Assistant: The Essentials of Practi ce

  • List of Contributors xi
    Foreword xiii
    Preface xv
    Acknowledgements xvii

    Part I Essential Concepts of Surgical First Assistant Practice 1

    Chapter 1 The Historical Context of the Surgical First Assistant 3
    Julie Quick and Mark Owen

    The Role of the Non-Medical Surgical Assistant During Conflict 3
    Lewin's Report 4
    Certification 5
    National Accreditation 5
    National Association of Assistants in Surgical Practice 6
    Call for Clarity Over Names 7
    A National SFA Toolkit 8
    Accredited University Courses 8
    The Responsibilities of the SFA 9
    References 10

    Chapter 2 Ethical, Legal and Professional Considerations of the SFA Role 13
    Mark Owen and Julie Quick

    Autonomy 14
    Beneficence 14
    Nonmaleficence 14
    Justice 14
    Case Studies 14
    Scenario 1 14
    Signpost 16
    Scenario 2 16
    Signpost 17
    Scenario 3 17
    Signpost 18
    Scenario 4 18
    Signpost 19
    References 19

    Part II The Perioperative Role of the SFA 21

    Chapter 3 Preoperative Assessment 23
    Jenny Abraham

    Preoperative Assessment 24
    Patient Education 26
    Venous Thromboembolism Risk Assessment 29
    Tissue Viability 30
    Patient Mobility 31
    Ward Preparation - Patient Fasting 31
    Fasting Instructions for Adult Elective Surgery Patient 31
    Fasting Instructions for Adult Emergency Surgery Patient 31
    Fasting Instruction for Children 32
    Surgical Site Marking 32
    Decision-Making and Informed Consent 33
    References 35

    Chapter 4 Pre-operative Preparation of the Patient Within the Operating Theatre 41
    Dave Lawson

    Introduction 41
    Team Brief 42
    Timeout 43
    Patient Positioning 43
    Skin Preparation 45
    Chlorhexidine Gluconate 45
    Povidone-Iodine 45
    Draping the Patient 46
    Conclusion 47
    References 47

    Chapter 5 Assisting with Surgical Incisions and Wound Closure 49
    Carolina Britton

    Surgical Incisions 49
    Before Knife-to-Skin 49
    Site and Length of Incision 51
    Choice of Instruments for Surgical Incision 52
    Minimally Invasive Surgery 53
    Skin Marking 53
    Common Types of Surgical Incisions 54
    Assisting with the Surgical Incision 55
    Wound Closure 55
    Types of Surgical Wounds 56
    Wound Healing 56
    Wound Closure 57
    Techniques for Skin Closure 58
    Suturing 58
    Other Closing Devices 58
    Assisting with Wound Closure 58
    Closing a Surgical Wound 59
    Wound Drainage 60
    References 61

    Chapter 6 Assisting with Haemostasis During Surgery 65
    Georgina Lewis

    Introduction 65
    Pressure 66
    Suction and Visual Access 67
    Sutures 67
    Clips and Ties (Arterial Clamps) 67
    Single Use Clips 69
    Surgical Stapling Devices 69
    Diathermy 69
    Ultrasonic Devices 71
    Laparoscopic and Haemostasis 72
    Pharmacological Methods And Haemostatic Agents 72
    Conclusion 73
    References 73

    Chapter 7 Tissue Handling and Retraction 77
    Lee Rollason and Julie Quick

    Introduction 77
    Tissue Viability Assessment 78
    Tissue Types 78
    Skin 78
    Adipose Tissue 78
    Muscle 79
    Organs 79
    Vasculature and Nerves 79
    Bone 79
    The Responsibilities of The Sfa 80
    Handling of Tissue 80
    Types of Retractor 81
    Retraction by Hand 81
    Hand-Held Retractors 82
    Self-Retaining Retractors 82
    Implications of Tissue Handling And Retraction 83
    References 83

    Chapter 8 Instrument Handling for the Surgical First Assistant 87
    Susan Hall and Mark Robertshaw

    Introduction 87
    The Use of Handheld Retractors 88
    Retracting Away from Oneself 90
    Retracting Towards Oneself 90
    Tissue Forceps 90
    Skin Hooks 91
    Handling Artery Forceps 91
    Suture Scissors 92
    Minimal Access Surgery 95
    Other Instruments Requiring Consideration 96
    The Practitioner with Extended Skills 97
    Toothed Dissecting Forceps 97
    Needle Holders 98
    References 98

    Chapter 9 Wound Management 99
    Julie Quick and Mark Owen

    Introduction 99
    Acute and Chronic Wounds 100
    Wound Healing 100
    Phase 1 101
    Phase 2 101
    Phase 3 101
    Phase 4 101
    Haemostasis 101
    Inflammation 101
    Proliferation 102
    Remodelling/Maturation 102
    Local Factors 103
    Systemic Factors 103
    Biopsychosocial Factors 104
    Wound Care 104
    Patient Education 105
    Wound Assessment 105
    Anatomic Location and Type of Wound 105
    Degree of Tissue Damage 106
    Wound Bed and Edges 106
    Wound Size and Peri-wound 106
    Signs of Infection 106
    Pain 107
    Dressings 107
    Self-Adhesive Absorbent Dressings 107
    Soft Paraffin Gauze 107
    Alginates 108
    Negative Pressure Wound Therapy 108
    Conclusion 108
    References 108

    Chapter 10 Pain Management 111
    Felicia Cox and Nisha Bhudia

    Introduction 111
    Defining Pain 111
    Classifying Pain 112
    Assessing Pain 114
    Tools 115
    Pain Assessment Questions Using PQRST 115
    Example of a Functional Activity Scale 116
    Managing Pain 116
    Approaches to Analgesia 117
    Unrelieved Pain 117
    Role of the Inpatient Pain Management Service 117
    Patient Education 118
    Analgesic Medicines 118
    Multimodal Analgesia 118
    Paracetamol 118
    Opioids 119
    Gabapentinoids 120
    Alpha-2 Agonists: Clonidine and Dexmedetomidine 121
    Ketamine 121
    Local Anaesthetics 121
    Nerve Blocks 122Neuraxial Analgesia 122
    Fascial Plane Blocks 122
    Conclusion 123
    References 123

    Part III Human Factors and Non-technical Skills 127

    Chapter 11 Human Factors 129
    Ally Ackbarally

    Introduction 129
    Implications of Human Factors 130
    Patient Safety In Surgery 133
    Human Error 134
    Patient Safety Incident Response Framework 136
    SFA's well-being 136
    Conclusion 137
    References 137

    Chapter 12 Non-technical Skills 141
    Mandy Mangham and Julie Quick

    Introduction 141
    Classification of Non-technical Skills 142
    Situation Awareness 142
    Communication and Teamwork 143
    Task Management 145
    Leadership and Decision-Making 145
    Managing Stress and Fatigue 146
    References 146

    Index 151