8Figure 8.1 Example of a splint (left) and cast (right).Figure 8.2 Plaster (top) and fiberglass (bottom) casting material.Figure 8.3 Intracompartmental monitoring device.Figure 8.4 Orthopedic screws (top) and examples of screw and plate combinati...Figure 8.5 Orthopedic pins.Figure 8.6 Acetabular fixation failure.Figure 8.7 Sliding hip screw failure with intertrochanteric fracture.Figure 8.8 Example of an intramedullary rod (left) and intramedullary rod pl...Figure 8.9 Periprosthetic tibial fracture with an intramedullary device.Figure 8.10 Anchor attached to distal humerus.Figure 8.11 Example of an external fixator device.Figure 8.12 Pin site infection and surrounding cellulitis.Figure 8.13 Periprosthetic fracture associated with a total hip arthroplasty...Figure 8.14 Catastrophic failure of a total hip arthroplasty with hip disloc...
8 Chapter 9Figure 9.1 Clinical photograph of a polyaxial pedicle screw.Figure 9.2 Clinical photograph of a transverse process hook.Figure 9.3 Hybrid construct in a child with cerebral palsy; wires can be see...Figure 9.4 Anteroposterior and lateral view of a patient with adolescent idi...Figure 9.5 Lateral view of a patient with a congenital wedge deformity after...Figure 9.6 Growing rod construct; the site of expansion is circled.Figure 9.7 Anteroposterior and lateral view of a rib‐to‐spine vertical expan...Figure 9.8 Anteroposterior and lateral view of a rib‐to‐pelvis vertical expa...Figure 9.9 Anteroposterior view of a magnetically controlled growing rod wit...Figure 9.10 Lateral radiograph of a patient after fusion for spondylolisthes...Figure 9.11 Anteroposterior view of a child with cerebral palsy with pelvic ...Figure 9.12 Anteroposterior view of a child with cerebral palsy with a unit ...Figure 9.13 Lateral view of a child with cerebral palsy with proximal juncti...
9 Chapter 10Figure 10.1 Lateral radiograph of halo device for frontal and midface advanc...Figure 10.2 Mandibular distractor with spindle arm connected.Figure 10.3 Cranial distractor with spindle arms.Figure 10.4 Illustration of retrognathic patient (a), mandibular distraction...Figure 10.5 Algorithm for the management strategy of a distraction patient i...
10 Chapter 11Figure 11.1 Examples of methods of maxillomandibular fixation (MMF). (a) Eri...Figure 11.2 Titanium and porous polyethylene implant used for orbital floor ...Figure 11.3 (a) Preoperative CT of severe craniofacial trauma from a gunshot...
11 Chapter 12Figure 12.1 Major growth centers of the skull.Figure 12.2 Diagrammatic demonstration of right unilateral plagiocephaly inv...Figure 12.3 Bird's‐eye view of patient with right positional plagiocephaly b...Figure 12.4 Various forms of ear molding from custom‐fabricated (far left) t...
12 Chapter 13Figure 13.1 Myringotomy tubes – standard.Figure 13.2 T‐tubes.Figure 13.3 Myringotomy tube in place.Figure 13.4 Conventional hearing aid.Figure 13.5 Conventional hearing aid on patient.Figure 13.6 Cochlear implant schematic.Figure 13.7 Bone‐anchored hearing aid (BAHA).Figure 13.8 Auricular prosthesis (medial view).Figure 13.9 Auricular prosthesis (external surfaces).Figure 13.10 Nasal tampons..Figure 13.11 Nasal tampons with balloon catheters.Figure 13.12 Septal button.Figure 13.13 Sinus stent.Figure 13.14 Nasolacrimal duct stent.Figure 13.15 Nasolacrimal duct stent in the punctum of medial canthus.
13 Chapter 14Figure 14.1 Common characteristics of (a) VP shunts and (b) types of valves....Figure 14.2 Algorithmic approach of a patient with suspected shunt malfuncti...
14 Chapter 15Figure 15.1 Schematic diagram for a deep brain stimulation implant. Electrod...Figure 15.2 Diagram of a vagus nerve stimulator. An electrode is wound aroun...Algorithm 1 Management of acute ITB malfunction.Algorithm 2 Management of fever in patients with ITB.Algorithm 3 Management of acute baclofen overdose.
15 Chapter 16Figure 16.1 Visible loop of tubing.Figure 16.2 Direct visualization of a silicone plate.Figure 16.3 Glaucoma drainage devices.Figure 16.4 External silicone devices.
16 Chapter 17Figure 17.1 The implant on the left is a shaped textured silicone implant, w...Figure 17.2 This implant‐based breast reconstruction shows signs of swelling...Figure 17.3 The center of this reconstructed breast mound has a small area o...Figure 17.4 The dark skin discoloration, most prominent along the lateral as...Figure 17.5 Bilateral capsular contracture causing significant visible disto...
17 Chapter 19Figure 19.1 Components of orthodontic braces.Figure 19.2 Components of an orthodontic crown.
18 Chapter 20Figure 20.1 Schema of basic design and key components of an NPWTD.Figure 20.2 Approach to a low pressure alarm.Figure 20.3 Approach to the patient with pain.Figure 20.4 Evaluating the patient with NPWTD.
19 Chapter 22Figure 22.1 AUS components.Figure 22.2 Penile prostheses.Figure 22.3 InterStim device.Figure 22.4 Algorithm for emergency patient presenting with InterStim device...Figure 22.5 Algorithm for emergency patient presenting with a penile prosthe...
20 Chapter 23Figure 23.1 SJM Regent™ mechanical heart valve. SJM Regent and St. Jude Medi...Figure 23.2 Medtronic Mosaic™ bioprosthetic valve.Figure 23.3 Anticoagulation of prosthetic valves.
21 Chapter 25Figure 25.1 (a) Left ventricular assist device components. (b) Left ventricu...Figure 25.2 Pressure–volume loops of a. left ventricle and b. right ventricl...
22 Chapter 26Figure 26.1 Demonstration of Shock coil.Figure 26.2 Algorithm to determine the manufacturer using battery and device...
23 Chapter 27Figure 27.1 Examples of three portable ventilators, circuits, and active hum...Figure 27.2 Examples of ventilator circuits showing flow during phases of re...Figure 27.3 Forms of humidification: The first is an active humidifier, whic...Figure 27.4 Example of a troubleshooting pathway for a ventilated patient wi...Figure 27.5 Examples of resuscitation bags – the left is a Mapleson D circui...Figure 27.6 Example of soiled partially occluded intake filter.
24 Chapter 28Figure 28.1 Three examples of self‐contained aerosolized medication devices:...Figure 28.2 Jet nebulizer (JN).Figure 28.3 Vibrating mesh nebulizer: On the left is an ‘in‐line’ type mesh ...Figure 28.4 Valved holding chamber.Figure 28.5 Spacer used for delivery with mechanical ventilation.
25 Chapter 29Figure 29.1 Examples of cough assist devices.Figure 29.2 Chest physiotherapy positions.Figure 29.3 Examples of percussion devices. Top row: Pneumatic percussor. Mi...Figure 29.4 IPV (left) and Metaneb (right) machines configured to work with ...Figure 29.5 Examples of therapeutic high‐frequency chest wall oscillatory ma...Figure 29.6 Handheld devices used as adjuncts for clearance. Top row: Two si...
26 Chapter 30Figure 30.1 Examples of common pediatric nasal interfaces: Noni, Mini‐Me, an...Figure 30.2 Examples of nasal pillow interfaces: SNAPP, Airfit P10, and Swif...Figure 30.3 Vented and non‐vented versions of the FitLife mask (Philips), an...Figure 30.4 CPAP and BlPAP waveforms: tracings are pairs of pressure and flo...Figure 30.5 Example of a mouthpiece interface that can be used by a patient ...Figure 30.6 Flow in a single limb circuit with an intentional leak valve dur...Figure 30.7 Graph showing intentional leak flow required to achieve pressure...
27 Chapter 31Figure 31.1 Tracheostomy anatomy. Pictured is a Bivona FlexTend TTS tracheos...Figure 31.2 Examples of labelling on tracheostomy flanges. Note that usually...Figure 31.3 Examples of tracheostomy tubes and their obturators. From left t...Figure 31.4 Relationship of OD and length for single cannula tracheostomies ...Figure 31.5 Examples of tracheostomy cuffs: From left to right: air (Shiley™...Figure 31.6 Chest X‐ray showing tracheostomy placement, noting both vertebra...Figure 31.7 A systematic approach to troubleshooting tracheostomy problems....
Guide
2 Emergency Management of the Hi‐Tech Patient in Acute and Critical Care
5 Preface