Emergencies in neuromuscular disorders / / edited by Maxwell Damian and Marianne de Visser

• Record Nr.: UNINA9910616391803321
• Pubbl/distr/stampa: Cham, Switzerland : , : Springer, , [2022]; ©2022
• ISBN: 3-030-91932-3
• Descrizione fisica: 1 online resource (460 pages)
• Disciplina: 616.744
• Soggetti: Neurological emergencies
• Lingua di pubblicazione: Inglese
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Nota di bibliografia: Includes bibliographical references and index.
• Nota di contenuto: Intro -- Foreword -- Preface -- Contents -- Contributors -- Chapter 1: Recognition and Assessment of the Neuromuscular Emergency -- Introduction -- Presentation in the Emergency Department -- History-Taking -- Neurological Examination -- Risk Assessment -- Examination of Cardiac, Autonomic, and Respiratory Function and Skin Inspection -- Conclusion -- Self Assessment Questions -- References -- Chapter 2: Diagnostic Tests in the Acute Setting: Strengths and Limitations -- Introduction: Known and Unknown Unknowns -- Laboratory Values -- Electrolytes (Sodium, Potassium, Calcium, Magnesium) -- Serum Creatine Kinase Activity -- Troponins -- Thyroid-Stimulating Hormone (TSH) -- C-Reactive Protein (CRP) -- "Liver Function Tests': Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), and γ-Glutamyl Transferase (γGT) -- Creatinine -- Erythrocyte Sedimentation Rate (ESR) -- Blood Count -- Blood Gas Analysis -- Lactate -- CSF -- Myoglobin -- Immunofixation -- Virology -- Porphyria Screening -- Toxicology Screening -- Autoantibodies -- Soluble Interleukin-2 Receptor -- Ferritin -- Molecular Genetics -- Electrodiagnostic Studies -- Introduction -- Indications -- Caveats -- Brief Summary of Electrodiagnostic Techniques -- Additional Studies Used in a Critical Care Setting -- Phrenic Motor Study -- Diaphragmatic EMG -- Direct Muscle Stimulation (DMS) -- Patterns of Abnormalities Encountered in Neuromuscular Disorders in the Critical Care Unit -- Practical ; Aspects of Performing Electrodiagnostic Studies in the Intensive Care Setting -- Limitations and Statistical Considerations -- Spirometry -- Imaging -- Imaging in the Detection of Acute Muscle Damage, That Is, Oedema -- Imaging for the Detection (and Possibly Classification) of Acute Peripheral Nerve Damage -- Imaging of the Diaphragm -- Imaging of the CNS -- Spinal Imaging -- Brain Imaging.; Stroke-Like Episodes -- White Matter Abnormalities -- Cardiac Imaging -- Histology/Cytology -- Muscle Biopsy -- Nerve Biopsy -- Blood Film Examination -- Self Assessment Questions -- References -- Chapter 3: Respiratory Management in Acute Neuromuscular Disease -- Introduction -- Central Components of Mechanical Respiratory Failure -- Peripheral Component of Mechanical Respiratory Failure -- Measurable Pathophysiology in Mechanical Respiratory Failure -- Clinical Recognition of Acute Respiratory Failure -- Causes of Acute Mechanical Respiratory Failure -- Neurophysiological and Dynamic Testing -- ICU Level of Care -- Tracheostomy -- Liberating the Patient from Mechanical Ventilation -- Summary -- Self Assessment Questions -- References -- Chapter 4: Management of Respiratory Emergencies in Chronic Neuromuscular Disease -- Introduction -- Respiratory Muscle Weakness Due to Neuromuscular Disease -- Insufficient Ventilation -- Bulbar Dysfunction -- Ineffective Cough -- Evaluation -- Respiratory Muscle Weakness -- Diaphragmatic Function -- Cough Assessment -- Symptoms and Signs of Respiratory Failure -- Management of Acute Respiratory Failure -- Mechanical Ventilation -- Interfaces -- NIPPV: Initial Settings and Practical Aspects -- Air Stacking and Mechanical In- and Exsufflation -- Conclusion -- Self Assessment Questions -- References -- Chapter 5: Weaning from the Ventilator and Long-Term Respiratory Support -- Current Concepts on Long-Term Ventilation of Neuromuscular Patients -- Considerations of Respiratory Management in Children -- Patterns of Respiratory Muscle Dysfunction and Spinal and Thoracic Complications in Neuromuscular Diseases -- Setting Up and Follow-Up of Home Ventilation in an Adult with a Neuromuscular Disease -- Initiating Home Ventilation at the Pediatric Age -- Weaning an Adult from Ventilation.; Weaning a Child with Neuromuscular Disease -- Self Assessment Questions -- References -- Chapter 6: Emergencies in Motor Neuron Diseases -- Introduction -- Emergencies in Spinal Muscular Atrophy -- Diagnosis -- Choking -- Respiratory Emergency -- Metabolic Management During Emergency/Surgical Procedures -- Fractures -- Emergencies in Amyotrophic Lateral Sclerosis -- Respiratory Failure -- Choking -- Risks of Gastrostomy Tube Placement -- Laryngospasm and Stridor -- Deep Venous Thrombosis and Pulmonary Embolus -- Concluding Remarks -- Self Assessment Questions -- References -- Chapter 7: Emergencies in Peripheral Neuropathies -- Introduction -- Guillain-Barré Syndrome -- Epidemiology -- Pathophysiology -- Clinical Presentation -- Variants of GBS -- Diagnosis and Diagnostic Investigations -- Differential Diagnosis -- Therapeutic Management -- Initial Evaluation in the Emergency Department -- Management in the Intensive Care Unit -- Immunomodulatory Therapy -- Prognosis -- Other Peripheral Neuropathy Emergencies -- Self Assessment Questions -- References -- Chapter 8: Infectious Diseases of the Peripheral Nerve and Spinal Cord -- Introduction -- Localisation by Site of Involvement -- Cranial Nerves -- Spinal Cord -- Dorsal Root Ganglion, Nerve Roots and Plexus -- Peripheral Nerve -- Subgroups that Warrant Special Attention -- Children, Pregnant Women and Elderly Populations -- Immunosuppression Due to Treatment -- Neuromuscular Emergencies in Low-Income Societies -- The Returning ; Traveller -- The Non-immunised/Partially Immunised Host -- Specific Infections -- Viruses -- HIV -- Corona Virus: Sars-CoV-2 (COVID-19) -- Rabies -- Bacteria -- Borrelia Burgdorferi (Lyme Disease) -- Clostridium Botulinum (Botulism) -- Corynebacterium Diphtheriae (Diphtheria) -- Clostridium Tetani (Tetanus) -- Treponema Pallidum (Syphilis).; Mycobacterium Tuberculosis (Tuberculosis) -- Helminths -- Schistosomiasis -- Self Assessment Questions -- References -- Chapter 9: The Acute and Emergency Management of Neuromuscular Junction Disorders -- Introduction: The Physiology of Neuromuscular Junction Transmission -- Autoimmune Myasthenia Gravis -- Epidemiology and Clinical Presentation -- Pathophysiology -- Diagnosis of MG -- General Principles of Treatment of MG -- Assessment of the Acutely Unstable MG Patient -- Myasthenic Crisis: Management in the ICU -- Elective ICU Admission in Myasthenia Gravis -- Myasthenia Related to Immune Checkpoint Inhibitors -- Other Neuromuscular Junction Syndromes -- Lambert-Eaton Syndrome -- Botulism -- Nerve Agents -- Congenital Myasthenic Syndromes (CMS) -- Epidemiology and Classification -- Clinical Presentation and Diagnosis -- General Principles of Treatment of CMS -- Pharmacological Treatment of CMS -- Self Assessment Questions -- References -- Chapter 10: Emergencies in Acute Myopathies: Acute Toxic Myopathies, Rhabdomyolysis, and Malignant Hyperthermia -- Rhabdomyolysis and Acute Toxic Myopathies -- Introduction and Definition -- Epidemiology and Clinical Presentation -- Clinical Presentation -- Pathophysiology -- Diagnosis -- Prognosis -- General Principles of Rhabdomyolysis Treatment -- Malignant Hyperthermia -- Introduction and Definition -- Epidemiology -- Clinical Description -- Etiology and Pathophysiology -- Diagnosis -- Principles of Malignant Hyperthermia (MH) Treatment -- Prognosis and Prevention -- Self Assessment Questions -- References -- Chapter 11: Emergencies in Idiopathic Inflammatory Myopathies -- Introduction -- Idiopathic Inflammatory Myopathies -- Epidemiology and Clinical Presentation of Idiopathic Inflammatory Myopathies -- Epidemiology -- Clinical Presentation and Ancillary Investigations -- Muscle Involvement.; Skin Abnormalities -- Respiratory Failure -- Dysphagia -- Systemic Symptoms -- Cardiac Involvement -- Presentation in Children -- Pathophysiology -- Dermatomyositis -- Other Subtypes -- Diagnosis and Classification of Idiopathic Inflammatory Myopathies -- Diagnostic Tests -- Cancer-Related IIM -- General Principles of Treatment for Inflammatory Myopathies -- Emergencies and their Management -- Management of Severe Muscle Weakness -- Management of Severe Dysphagia -- Management of Interstitial Lung Disease -- Management of Cardiac Involvement -- Management of Cancer-Associated Myositis (CAM) -- Management of Immune Checkpoint Inhibitor-Related Myositis -- Management of Severe Cutaneous Lesions -- Conclusion -- Self Assessment Questions -- References -- Chapter 12: The Emergency and Intensive Care Management of Metabolic Myopathies -- Introduction Epidemiology, Pathophysiology, and Clinical Presentation -- Epidemiology and Classification -- Disorders of Glycogen and Glucose Metabolism -- Disorders of Fatty Acid Metabolism -- Pathophysiology -- Disorders of Glycogen and Glucose Metabolism -- Disorders of Fatty Acid Metabolism -- Clinical Presentation -- Disorders of Glycogen and Glucose Metabolism -- Disorders of Fatty Acid Metabolism -- Diagnosis and General Principles of Management -- Diagnostic Testing in Glycogenoses -- Diagnostic Testing in Disorders of Fatty Acid Metabolism -- General Principles of Management -- Management of Emergencies in Metabolic ; Myopathies -- Glycogen Storage Disorders -- Fatty Acid Oxidation Disorders -- Planned Anaesthesia and Ventilation in ICU -- Self Assessment Questions -- References -- Chapter 13: Intensive Care Implications in Primary Mitochondrial Disease -- Introduction -- Diagnostic Work-Up in Suspected Mitochondrial Disease at the ICU -- Genetics of Mitochondrial Disease.; General Approach to Critical Illness in Patients with Mitochondrial Disease.

Atlas of Breast Reconstruction / / by Mario Rietjens, Mario Casales Schorr, Visnu Lohsiriwat

• Record Nr.: UNINA9910300230703321
• Autore: Rietjens Mario
• Pubbl/distr/stampa: Milano : , : Springer Milan : , : Imprint : Springer, , 2015
• ISBN: 88-470-5519-9
• Edizione: [1st ed. 2015.]
• Descrizione fisica: 1 online resource (532 p.)
• Disciplina: 610; 611; 616994; 617
• Soggetti: Cancer - Surgery; Surgery; Surgery, Plastic; Human anatomy; Surgical Oncology; Plastic Surgery; Anatomy
• Lingua di pubblicazione: Inglese
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Note generali: Description based upon print version of record.
• Nota di bibliografia: Includes bibliographical references.
• Nota di contenuto: 1 Reconstruction technique for total mastectomy -- 2 Reconstruction technique for partial mastectomy and other partial breast deformities.- 3 Reconstruction and correction techniques for Nipple-Areola Complex -- 4 Lipofilling.- 6 Surgical correction of complications.
• Sommario/riassunto: Back Cover Text Breast reconstructive and oncoplastic surgery can reduce the sense of mutilation resulting from oncologic surgery and meets the need to provide breast cancer treatment that will not only eradicate the cancer but also re-establish the patient’s quality of life. However, the difficulties inherent in preoperative planning and the intraoperative complexity of breast reconstruction and oncoplastic techniques represent major challenges for the breast surgeon. This atlas, intended for surgeons at every level, is an all-inclusive guide that documents surgical techniques step by step by means of a wealth of more than 1000 color photos, additional high-quality drawings and illustrations, and succinct accompanying text. Both common, established procedures and the most recently introduced techniques are covered, ensuring that readers will have at their disposal multiple approaches for breast repair, remodeling, and reconstruction. In addition to the comprehensive descriptions of techniques, preoperative planning is explained, indications and contraindications are identified, and the management of surgical complications is discussed. Tips, pitfalls, and key points are highlighted. The Atlas of Breast Reconstruction is an unprecedented tool that will increase and refine the arsenal at the oncoplastic surgeon's disposal in order to ensure that the best treatment can be offered to each individual patient.