Surgical Decision Making Beyond the Evidence Based Surgery
This text provides a comprehensive and state-of-the-art overview of the major issues specific to the surgical decision-making process. These include patient’s anatomy and pathophysiology as well as the magnitude of the injury at hand, the surgeon's
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Surgical Decision Making Beyond the Evidence Based Surgery
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Surgical Decision Making
Rifat Latifi
Surgical Decision Making Beyond the Evidence Based Surgery
Rifat Latifi Department of Surgery Westchester Medical Center, New York Medical College Valhalla, NY, USA Department of Surgery University of Arizona Tucson, AZ, USA
ISBN 978-3-319-29822-1 ISBN 978-3-319-29824-5 DOI 10.1007/978-3-319-29824-5
(eBook)
Library of Congress Control Number: 2016936679 © Springer International Publishing Switzerland 2016 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG Switzerland
To Ronald C. Merrell, MD, FACS a mentor, collaborator, and a friend, whose uncompromising vision to make the world better and dedication to care for sick and injured patients have inspired and guided me over the years to make some of the best decisions I have made. Rifat Latifi, MD, FACS
Foreword
For decades, various urban legends have remarked about the ability (or lack of ability) of surgeons to make rapid decisions based on little data, to then reflect upon these decisions, and to learn from their successes and their mistakes. Surgical decision-making always starts with the ability to make correct diagnoses regarding a patient’s illness and then to decide if an intervention is indicated either alone or as part of a continuum of care, including medical therapies. Medicine is truly a team “sport,” but, fundamentally, each patient deserves to have an individual (captain model): to provide an overall view, to bring together consultants from many fields when necessary, and to present fully the pros and cons of the decided intervention, the risks and potential complications of such intervention, and the consequences of nonintervention to the patient for his/her decision as to what they wish done. Underlying this process of surgeon-patient interaction and decisio
