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Book Details
Abstract
This issue of Anesthesiology Clinics covers the latest updates in thoracic anesthesia written by the world-leading experts on the topic. Procedurally-focused articles cover best practices in anesthestic management of one-lung ventilation, airway stenting, esophagectomy, mediastinal biopsies, postthoracotomy atrial fibrillation, and more. Achieve the best outcomes and reduce risks and complications in your thoracic anesthesia practice.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Anesthesiology Clinics: Thoracic Anesthesia | i | ||
| Copyright Page | ii | ||
| Table of Contents | vii | ||
| Contributors | iii | ||
| Foreword | xiii | ||
| Preface: Thoracic Anesthesia | xv | ||
| Chapter 1. The Pathophysiology of Perioperative Lung Injury | 573 | ||
| INTRODUCTION | 573 | ||
| DIAGNOSTIC CRITERIA | 574 | ||
| ANATOMY OF ARDS: ENDOTHELIAL AND EPITHELIAL INJURY | 574 | ||
| MECHANICAL VENTILATION AND ALI | 576 | ||
| IMAGING FINDINGS | 578 | ||
| DIFFERENTIAL DIAGNOSIS OF ALI | 579 | ||
| PATHOPHYSIOLOGY | 579 | ||
| PHASES OF ALI/ARDS | 579 | ||
| RESOLUTION | 584 | ||
| TRANSLATION INTO THE OPERATING ROOM | 584 | ||
| SUMMARY: FUTURE DIRECTIONS? | 585 | ||
| REFERENCES | 586 | ||
| Chapter 2. Perioperative Oxygen Toxicity | 591 | ||
| OXYGEN TOXICITY | 591 | ||
| PERIOPERATIVE HYPEROXIA | 594 | ||
| PHYSIOLOGIC EFFECTS OF HYPEROXIA | 596 | ||
| CLINICAL EFFECTS OF HYPEROXIA | 598 | ||
| SUMMARY | 602 | ||
| REFERENCES | 602 | ||
| Chapter 3. Perioperative Lung Protection Strategies in Cardiothoracic Anesthesia: Are They Useful? | 607 | ||
| INTRODUCTION | 607 | ||
| MECHANICAL VENTILATION | 608 | ||
| VENTILATOR-INDUCED LUNG INJURY | 609 | ||
| PERIOPERATIVE SURGICAL ENVIRONMENT FACTORS | 609 | ||
| PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE | 610 | ||
| PERIOPERATIVE THERAPY OF COPD TO DECREASE LUNG INJURY | 611 | ||
| ONE-LUNG VENTILATION | 612 | ||
| ROLE OF VOLATILE ANESTHETIC AGENTS IN LUNG PROTECTION | 615 | ||
| TRANSFUSION-RELATED LUNG INJURY | 616 | ||
| CARDIOPULMONARY BYPASS | 617 | ||
| ULTRAPROTECTIVE LUNG VENTILATION | 617 | ||
| FLUIDS, INFLAMMATION, AND THE GLYCOCALYX | 619 | ||
| OTHER THERAPIES FOR LUNG PROTECTION | 621 | ||
| SUMMARY | 622 | ||
| REFERENCES | 622 | ||
| Chapter 4. Advances in Therapy for Acute Lung Injury | 629 | ||
| INTRODUCTION | 629 | ||
| EXTRACORPOREAL LUNG SUPPORT | 631 | ||
| INDICATIONS FOR ECMO | 631 | ||
| TECHNICAL ASPECTS OF ECMO | 632 | ||
| ECMO CANNULATION | 632 | ||
| VENTILATOR SETTINGS DURING VENO-VENOUS ECMO | 632 | ||
| WEANING ECMO (ACCORDING TO DEJA AND COLLEAGUES AND VON DOSSOW-HANFSTINGL AND COLLEAGUES) | 633 | ||
| COMPLICATIONS ASSOCIATED WITH ECMO | 633 | ||
| WEANING CRITERIA ILA (ACCORDING TO DEJA AND COLLEAGUES AND VON DOSSOW-HANFSTINGL AND COLLEAGUES) | 634 | ||
| OTHER THERAPEUTIC RECOMMENDATIONS | 635 | ||
| PERSPECTIVES | 635 | ||
| REFERENCES | 635 | ||
| Chapter 5. Fluid Management in Thoracic Surgery | 641 | ||
| THE STARTING POINT: FLUID BALANCE IN THE PERIOPERATIVE PERIOD | 642 | ||
| STRATEGIES OF FLUID MANAGEMENT: AVOIDING ALI | 644 | ||
| FLUID MANAGEMENT AND THE KIDNEYS | 648 | ||
| FLUID MANAGEMENT AND THE HEART | 650 | ||
| INDIVIDUALIZED, GOAL-DIRECTED FLUID MANAGEMENT | 650 | ||
| SUMMARY | 651 | ||
| REFERENCES | 652 | ||
| Chapter 6. Transesophageal Echocardiography in Noncardiac Thoracic Surgery | 657 | ||
| INTRODUCTION | 657 | ||
| CURRENT MONITORING PRACTICES IN THORACIC SURGERY | 658 | ||
| TEE FOR ACUTE PULMONARY HYPERTENSION | 662 | ||
| LUNG RESECTION SURGERY AND PNEUMONECTOMY | 662 | ||
| LUNG TRANSPLANTATION | 663 | ||
| TEE FOR THORACIC AORTIC SURGERY | 664 | ||
| ECHOCARDIOGRAPHIC CONSIDERATIONS FOR THE INTERROGATION OF THE THORACIC AORTA DURING THORACIC SURGERY | 664 | ||
| INITIATION OF ECMO | 665 | ||
| SUMMARY | 666 | ||
| SUPPLEMENTARY DATA | 666 | ||
| REFERENCES | 666 | ||
| Chapter 7. How to Choose the Double-Lumen Tube Size and Side: The Eternal Debate | 671 | ||
| INTRODUCTION | 671 | ||
| THE CONUNDRUM OF THE SIZE | 672 | ||
| LEFT VERSUS RIGHT: WHICH SIDE TO USE? | 675 | ||
| REFERENCES | 680 | ||
| Chapter 8. Managing Hypoxemia During Minimally Invasive Thoracic Surgery | 683 | ||
| INTRODUCTION | 683 | ||
| THORACOSCOPY: WHAT IS DIFFERENT? | 684 | ||
| PREDICTORS FOR HYPOXEMIA DURING OLV | 685 | ||
| PREVENTATIVE MEASURES TO AVOID HYPOXEMIA | 685 | ||
| TREATMENT OF HYPOXEMIA DURING THORACOSCOPY | 686 | ||
| IDENTIFY AND TREAT COMMON CAUSES | 688 | ||
| ADVANCED INTERVENTIONS WITH NO IMPACT ON EXPOSURE | 688 | ||
| ADVANCED INTERVENTIONS WITH POTENTIAL IMPACT ON EXPOSURE | 690 | ||
| RISK OF HYPOXIA | 693 | ||
| REFERENCES | 693 | ||
| Chapter 9. Advancements in Robotic-Assisted Thoracic Surgery | 699 | ||
| VIDEO-ASSISTED THORACOSCOPIC SURGERY | 699 | ||
| RATS | 700 | ||
| DRAWBACKS TO RATS | 700 | ||
| DESCRIPTION OF OPERATIVE APPROACHES FOR THORACIC SURGERY | 701 | ||
| ANESTHESIA FOR RATS | 702 | ||
| VENOUS RETURN IMPAIRMENT | 703 | ||
| PATIENT IMMOBILITY | 705 | ||
| POSITIONING NEUROPATHY | 705 | ||
| PROPHYLAXIS CONSIDERATIONS | 705 | ||
| SINGLE-LUNG VENTILATION | 706 | ||
| BLADDER CATHETERIZATION | 706 | ||
| TEMPERATURE MANAGEMENT | 706 | ||
| LEARNING CURVE | 706 | ||
| EMERGENCY PLANNING | 706 | ||
| SUMMARY | 707 | ||
| REFERENCES | 707 | ||
| Chapter 10. Anesthesia for Tracheal Resection and Reconstruction | 709 | ||
| INTRODUCTION | 709 | ||
| ANATOMY AND PHYSIOLOGY | 710 | ||
| SURGICAL INDICATIONS | 712 | ||
| PREOPERATIVE EVALUATION | 713 | ||
| INTRAOPERATIVE MANAGEMENT | 714 | ||
| POSTOPERATIVE CARE | 721 | ||
| COMPLICATIONS | 721 | ||
| DEPARTURES FROM THE BASIC CASE | 724 | ||
| SUMMARY | 727 | ||
| REFERENCES | 728 | ||
| Chapter 11. Anesthetic Management for Esophageal Resection | 731 | ||
| INTRODUCTION | 731 | ||
| PULMONARY MORBIDITY | 733 | ||
| VENTILATORY MANAGEMENT | 733 | ||
| THORACIC EPIDURAL ANALGESIA | 734 | ||
| INTRAOPERATIVE FLUID MANAGEMENT | 734 | ||
| THE ESOPHAGOGASTRIC ANASTOMOSIS AND GASTRIC CONDUIT PERFUSION | 735 | ||
| VASOPRESSOR THERAPY | 736 | ||
| ANASTOMOTIC LEAK | 737 | ||
| OTHER INTRATHORACIC COMPLICATIONS: ATELECTASIS, PNEUMONIA, PLEURAL EFFUSIONS, AND CHYLOTHORAX | 738 | ||
| CARDIAC ARRHYTHMIAS | 739 | ||
| VENOUS THROMBOEMBOLISM | 739 | ||
| NUTRITION AND GASTROINTESTINAL FUNCTION | 740 | ||
| SUMMARY | 740 | ||
| REFERENCES | 741 | ||
| Chapter 12. Perioperative Management of the Pregnant Patient with an Anterior Mediastinal Mass | 749 | ||
| OBJECTIVES | 749 | ||
| SYMPTOMS | 749 | ||
| PERIOPERATIVE MANAGEMENT | 750 | ||
| ANESTHETIC MANAGEMENT | 753 | ||
| CASE SUMMARY | 756 | ||
| REFERENCES | 757 | ||
| Chapter 13. Pulmonary Pathophysiology and Lung Mechanics in Anesthesiology: A Case-Based Overview | 759 | ||
| INTRODUCTION | 759 | ||
| CASE I: LUNG RESECTION IN A PATIENT WITH COPD | 760 | ||
| CASE II: CARDIAC SURGERY | 765 | ||
| SUMMARY | 774 | ||
| ACKNOWLEDGMENTS | 775 | ||
| REFERENCES | 775 | ||
| Index | 785 |