Critical Issues in Surgery

1. Front Matter

   Pages i-viii

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2. The Role of Nutrition in Wound Healing

   • Stanley J. Dudrick

   Pages 1-12

3. Chronic Wounds: Growth Factors and Comprehensive Surgical Care

   • David R. Knighton

   Pages 13-23

4. Wound Healing and Infection

   • Donald E. Fry

   Pages 25-31

5. The Plug Repair for Recurrent Inguinal Hernias

   • Alex G. Shulman

   Pages 33-40

6. Open Tension-Free Repair of Primary Inguinal Hernias in Adult Males

   • Alex G. Shulman

   Pages 41-49

7. Sepsis and its Related Disorders: Definitions, Epidemiology, Pathogenesis and Pathophysiology

   • Bruce Friedman

   Pages 51-61

8. The Septic Patient: Future Directions

   • T. James Gallagher

   Pages 63-68

9. Prophylaxis and Therapeutic Clinical Trials in Severe Sepsis and Septic Shock

   • Gus J. Slotman

   Pages 69-75

10. Pharmacologic Management of Postoperative Infections

    • Jacqueline D. Sutton

    Pages 77-87

11. The Resuscitation Game

    • Mary McCarthy

    Pages 89-94

12. Transfusion Guidelines for Elective Surgery: The Transfusion Trigger

    • Richard K. Spence

    Pages 95-102

13. Physiologic Predictors of Transfusion Need in the Intensive Care Unit

    • Loren D. Nelson

    Pages 103-122

14. Preoperative Autologous Blood Donation

    • Lawrence T. Goodnough

    Pages 123-130

15. Component Therapy

    • Keith F. O’Malley

    Pages 131-136

16. The Anesthesiologist’s Viewpoint: Transfusion, Hemodilution and Cooperation

    • Linda Stehling

    Pages 137-143

17. Endovascular Surgery

    • Sushil K. Gupta, Nissage Cadet, Thomas K. Whang

    Pages 145-151

18. Hypomagnesemia as a Predictor of Mortality in Critically Ill Trauma Patients

    • Philip C. Wry, Anthony J. Mure, Steven E. Ross

    Pages 153-157

19. Abdominal Paracentesis

    • Alan D. Miranda, David R. Gerber

    Pages 159-164

20. Nutritional Immunomodulation in Surgical Patients

    • Brian J. Daley, Collin E. M. Brathwaite

    Pages 165-175

The topics in this book represent the presentations given at the First and Second Annual Meetings entitled "Critical Issues in Surgery" held at the Frenchman's Reef Beach Resort, st. Thomas, U.S. Virgin Islands, November 1992 and 1993. This symposium was sponsored by the Department of Surgery, and the Department of Nursing Education and Quality Assurance of Cooper Hospital/University Medical Center, the University of Medicine and Den­ tistry of New Jersey, Robert Wood Johnson Medical School, Camden, New Jersey, as well as the Academy of Medicine of New Jersey. Chapter authors were charged with the task of writing brief overviews of major issues related to the field of general surgery and critical care medicine. The book is specifically tailored to the needs of general surgeons, allied health professionals and nursing personnel involved in all phases of caring for the surgical patient. Although intended as a reference source with emphasis on up-dated approaches applied in general surgery, it is hoped that the discussion of these topics will compliment other texts and manuscripts. Obviously, a book of this length cannot cover the whole multidiSCiplinary and complex field of surgery. However, the co-editors are certain that the annual appearance of this text will highlight comprehensive, new and interesting approaches to the field of surgery.

• Sepsis
• Surgery
• infections
• intensive care medicine
• pathophysiology
• physiology

• Robert Wood Johnson Medical School at Camden, University of Medicine and Dentistry of New Jersey, Camden, USA

  Aurel C. Cernaianu, Anthony J. DelRossi, Richard K. Spence

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