Thoracic Anesthesia Lange Medical Book 1st edition by Barbeito Atilio, Shaw Andrew, Grichnik Katherine ISBN 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