Thoracic Anesthesia (Lange Medical Book) 1st edition by Barbeito Atilio, Shaw Andrew, Grichnik Katherine – Ebook PDF Instant Download/Delivery: 0071625666, 978-0071625661
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Product details:
ISBN 10: 0071625666
ISBN 13: 978-0071625661
Author: Barbeito Atilio, Shaw Andrew, Grichnik Katherine
What every resident and practicing anesthesiologist needs to know about thoracic anesthesia―in one concise handbook
Thoracic Anesthesia is the definitive introduction for anesthesiologists in training and the must-have reference for anesthesiologists who do not practice thoracic anesthesia exclusively. Here, you’ll find a current, detailed review of the basic, need-to-know concepts of thoracic anesthesia, along with clear, practical suggestions for handling commonly encountered scenarios. Written by top specialists in the field, the book is filled with high-yield insights into such pivotal topics as respiratory physiology, pulmonary pharmacology, imaging, one-lung ventilation, and postoperative care.
FEATURES
- The ultimate thoracic anesthesia primer, designed for residents and experienced anesthesiologists/nurse anesthetists who must meet the growing demand for skilled practitioners in the thoracic operating room
- Comprehensive, yet concise presentation and compact format make the text a perfect at-a-glance reference in the OR
- Acknowledged experts in each topic area review key concepts that clarify a given condition―and summarize the best management strategies for delivering safe and effective perioperative care to thoracic surgical patients
- Focus on the major principles of thoracic anesthesia covers chest physiology, mechanisms of pain, biology of chest malignancies, and lung separation techniques
- Chapter on practice improvement and patient safety highlights the delivery of modern, high-quality perioperative thoracic care through a multi-disciplinary, team approach
- Top-to-bottom coverage of the latest thoracic anesthesia techniques and procedures: Preoperative risk stratification, Closed thorax procedures, Lung resections for cancer and benign chest tumors, Extrapleural pneumonectomy, Pericardial window procedures, Esophageal cancer operations, Bronchopleural fistula, Lung transplantation, Thoracic trauma management
- Special chapter on anesthesia for pediatric thoracic surgery presents the most current clinical perspectives that help you achieve positive outcomes even in the most challenging pediatric cases
- Section on postoperative management of thoracic surgical patients thoroughly reviews routine postoperative care as well as how to handle respiratory, renal, and cardiovascular complications, and both acute and chronic post thoracotomy pain
Thoracic Anesthesia (Lange Medical Book) 1st Table of contents:
Part 1 The Principles of Thoracic Anesthesia
Chapter 1 History and Scope of Anesthesia for Thoracic Surgery
The Early Years of Thoracic Surgery
Endotracheal Intubation and Anesthesia
Advances in Thoracic Surgery
Alternatives to General Anesthesia
Early One-Lung Ventilation
Development of Intraoperative Mechanical Ventilation
Advances in Intraoperative Monitoring
Improvements in Oxygenation for One-Lung Ventilation
Improvements in Postoperative Analgesia
Current Scope of Anesthesia for Thoracic Surgery
Chapter 2 Practice Improvement and Patient Safety in Thoracic Anesthesia: A Human Factors Perspective
Prospective Memory Enhancement: Checklists, Guidelines, Protocols, and Cognitive Aids
Teamwork
Monitoring and Alarms
Medication Errors
Respiratory Events
Chapter 3 Physiology of One-Lung Ventilation
Pulmonary Ventilation
Normal Lung Volumes and Effects of Anesthesia, Positioning, and Positive Pressure Ventilation
Ventilation and Pulmonary Gas Exchange
Pulmonary Circulation
Pulmonary Circulation Pressure-Flow Relationships
Pulmonary Vasodilation and Vasoconstriction
Apneic Oxygenation
Physiology of One-Lung Ventilation (OLV)
Hemodynamic Changes During OLV
Oxygenation During OLV
Effects of Drugs and Anesthesia on Blood Flow Distribution
Summary
Chapter 4 Perioperative Management of the Patient with Pulmonary Hypertension
Normal Pulmonary Physiology and Hypoxic Pulmonary Vasoconstriction
Pulmonary Hypertension
Effects of Pulmonary Resection on Right Ventricular and Pulmonary Vascular Dynamics
Preoperative Medical Management of Patients with Pulmonary Hypertension
Preoperative Preparation
Perioperative Care
Intraoperative Hypotension
Initial Management of Intraoperative Pulmonary Hypertension
Selective Pulmonary Vasodilators
Supportive Medications
Postoperative Recovery
Chapter 5 Lung Separation Techniques
Double-Lumen Endotracheal Tubes
Bronchial Blockers
Arndt Blocker
Cohen Flexitip Endobronchial Blocker
Fuji Uniblocker
Comparison of Independent Bronchial Blockers
Univent Endotracheal Tube
Complications with the use of Bronchial Blockers
Lung Separation in the Tracheostomized Patient
Lung Collapse Following Lung Separation
Summary
Chapter 6 Mechanisms of Pain in Thoracic Surgery
Overview of Pain Pathways and Neurochemistry
The Development of Hyperalgesia and Central Sensitization
Mechanisms of Neuropathic Pain
Analgesia
Chapter 7 The Biology of Lung and Esophageal Cancer
Oncogenes
Tumor Suppressors
Genomics and Proteomics
Mouse Models
Cancer Stem Cells
Conclusion
Chapter 8 Anatomy, Imaging and Practical Management of Selected Thoracic Surgical Procedures
Anatomy
Airway and Lungs
Esophagus
Mediastinum
Diagnostic Imaging Modalities
Practical Management of Thoracic Surgical Procedures
Summary
Part 2 Thoracic Anesthesia Practice
Chapter 9 Preoperative Risk Stratification of the Thoracic Surgical Patient
Evaluation of Respiratory Function
Cardiac Evaluation
Chemotherapy and Radiation
Radiation Therapy
Pulmonary Rehabilitation
Smoking Cessation
Perioperative Respiratory Medications
Metastatic Disease
Metabolic and Paraneoplastic Effects of Cancer
Lung Isolation and Postoperative Pain Control
Conclusion and Recommendations
Chapter 10 Bronchoscopy, Mediastinoscopy, and Chamberlain Procedure
Flexible Fiberoptic Bronchoscopy
Rigid Bronchoscopy
Mediastinoscopy
Chapter 11 Therapeutic Bronchoscopy, Airway Stents, and Other Closed Thorax Procedures
Rigid Bronchoscopy
Anesthetic Management for Rigid Bronchoscopy
Therapeutic Procedures
Therapies with Delayed Effect
Airway Stenting
Case Reports
Conclusion
Chapter 12 Mediastinal Masses: Implications for Anesthesiologists
Clinical Aspects of Mediastinal Masses
Anterior Mediastinal Masses—Anesthetic Aspects
Anesthetic Management
Superior Vena Cava Syndrome
Chapter 13 Lung Resections for Cancer and Benign Chest Tumors
Types of Lung Tumors
Lung Resection—Procedure Planning
Preoperative Assessment
Anesthetic Plan
Chapter 14 Extrapleural Pneumonectomy
Malignant Pleural Mesothelioma
Technique of Extrapleural Pneumonectomy
Patient Selection
Anesthetic Management
Complications after Extrapleural Pneumonectomy
Trimodality Therapy for Mesothelioma
Conclusion
Chapter 15 Lung Volume Reduction Surgery
Pathophysiology of COPD
Surgical Techniques for Lung Volume Reduction Surgery
Preoperative Assessment and Patient Selection
Perioperative Management
Pain Management in Lung Volume Reduction Surgery
Summary
Chapter 16 Pericardial Window Procedures
Pathophysiology of Cardiac Tamponade
Diagnosis of Pericardial Effusion and Tamponade
Surgical Management
Anesthetic Considerations
Summary
Chapter 17 Esophageal Cancer Operations
Esophageal Cancer
Chapter 18 Bronchopleural Fistula: Anesthetic Management
Clinical Presentation
Management
Prognosis
Prevention
Summary
Chapter 19 Anesthesia for Lung Transplantation
Background
Preoperative Evaluation and Preparation
Intraoperative Management
Postoperative Management
Anesthesia after Lung Transplantation
Chapter 20 Thoracic Trauma Management
Blunt Versus Penetrating Trauma
Triage and Initial Management
Pulmonary Contusion
Pulmonary Laceration
Diaphragmatic Injury
Laryngeal and Tracheobronchial Trauma
Cardiac Trauma
Great Vessel Trauma
Chapter 21 Anesthesia for Pediatric Thoracic Surgery
Overview
Specific Conditions
Congenital Cystic Adenomatous Malformations
Foreign Body in the Airway
Pediatric Anterior Mediastinal Mass
Summary
Part 3 Postoperative Management of Thoracic Surgical Patients
Chapter 22 Routine Postoperative Care of the Thoracic Surgical Patient
Risk Stratification
Assessment Upon Admission
Postoperative Ventilatory Support
Pulmonary Physiotherapy and Early Ambulation
Pneumonia Prevention
Chest Tube Management
Fluid Management
Prophylactic Antibiotics
Nutrition
Glycemic Control
Venous Thromboembolism Prophylaxis
Summary
Chapter 23 Respiratory, Renal, and Cardiovascular Postoperative Complications
Respiratory Complications
Postpneumonectomy Pulmonary Edema
Pneumonia
Bronchopleural Fistula
Acute Lung Injury
Prolonged Mechanical Ventilation and the Need for Tracheostomy
Renal Complications
Cardiac Complications
Conclusion
Chapter 24 Acute and Chronic Post-Thoracotomy Pain
Mechanisms of Pain
Management of Acute Post-Thoracotomy Pain
Chronic Post-Thoracotomy Pain
Conclusion
Index
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Tags: Barbeito Atilio, Shaw Andrew, Grichnik Katherine, Thoracic Anesthesia


