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A panel of recognized authorities comprehensively review the medical, surgical, and pathophysiologic issues relevant to lung volume reduction surgery for emphysema. Topics range from the open technique and video-assisted thoracoscopic approaches to LVRS, to anesthetic management, to perioperative and nursing care of the patient. The experts also detail the selection of candidates for LVRS, the clinical results and clinical trials in LVRS, and the effects of LVRS on survival rates.
Considering the epidemiology of COPD, this title collects all available knowledge on the subject, featuring data on the national emphysema treatment trial. It explores the epidemiology of emphysema, the management of complications and surgical controversies in lung volume reduction surgery for emphysema (LVRS).
This book provides detailed and practical information for anesthesia providers worldwide who are challenged with providing anesthesia for both emerging and infrequently performed procedures. Concise and well-structured 42 chapters in this book provide accurate and up-to-date information that helps the reader to safely anesthetise patients presenting for a variety of procedures such as conjoined twin separation, pediatric heart and lung transplantation, pancreas and small intestine transplantation, endobariatric procedures, peroral endoscopic myotomy, jugular foramen tumors, robotic gynecological surgeries, proton beam therapy and many other complex surgeries and procedures. Anaesthesia for Uncommon and Emerging Procedures fills a unique void long felt by anesthesia providers. The book is a must for in every department or library as it provides handy reference even for providers engaged in providing anesthesia for such procedures on a regular basis. Anesthesiologists, CRNAs/AAs and those in in preoperative clinics such as hospitalists and APRN/PA providers will find this book to be an invaluable resource for optimizing outcomes in anesthesia.
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
Pulmonary rehabilitation programmes are a fundamental part of the clinical management of patients with chronic respiratory diseases. This comprehensive reference book places pulmonary rehabilitation within the wider framework of respiratory disease. Now in six parts, it includes new sections on the development of PR as a discipline, global perspectives on quality control, new chapters on early PR post exacerbation and personalized rehabilitation, innovative approaches to exercise, PR in interstitial lung disease and lung transplantation, and the latest research into the application of music, dance and yoga. Key Features Global contributions compare practice around the world where differences have developed. New six Part structure covers new approaches to exercise testing, interstitial lung diseases and other diseases, and add-on interventions drawing on new technologies. Contains recommendations of the large collaborative ERS/ATS task forces on guidelines for PR as well as suggested policies for its implementation and use. Covers the important topic of balance impairment as a focus of rehabilitation for the at-risk patient and a new chapter on monitoring physical activity. The voices of patients and caregivers describe the impact of chronic respiratory disease on their lives. Features an exclusive chapter on COVID-19 that discusses the short- and long-term pathophysiological consequences, provides information about the potential role of physiotherapy in the management of hospitalized patients with confirmed or suspected COVID-19, and details on who, where, and how to deliver programs to COVID-19 and non COVID-19 patients in the lockdown and post lockdown era.
Thoracic surgery is a high-risk speciality and requires attention to detail. This book, compiled by expert surgeons from around the world, offers pearls of wisdom on how to improve the surgical outcome and how to reduce unnecessary complications. The book is designed so that it covers all common thoracic operations in both adults and children as well as dealing with much rarer indications. It includes a discussion on the complications of surgery and provides specific tips on how to avoid intra-operative and postoperative complications. Tips and Tricks in Thoracic Surgery is a fully illustrated, comprehensive text aimed at qualified and trainee thoracic surgeons.
This book provides an unbiased and evidence-based guide to the potential role of interventional pulmonology as an alternative to thoracic surgery. Interventional pulmonology is a new and quickly growing sub-specialty in pulmonary medicine and increasingly more pulmonologists are turning to interventional therapies over the more costly and invasive surgical options. The text thoroughly presents detailed coverage of and diagnostic methods for many diseases and conditions that pulmonologists encounter daily, including: diffuse lung infiltrates, solitary lung nodule, undiagnosed exudative pleural effusion, pneumothorax, hemoptysis, and airway foreign body. Experts then detail treatment options, from both a surgical and interventional perspective, with guidance on: when each procedure is most appropriate, what can be performed by a pulmonologist (with guidelines on how those procedures are done) versus what needs to be referred to a thoracic surgeon or an intervention pulmonologist, and the benefits and disadvantages involved with each option. This is an ideal guide for pulmonologists, trainees, and students to better understand the full scope of possible treatment options for their patients and to make the best informed decision about patient care.
Principles and Practice of Anesthesia for Thoracic Surgery will serve as an updated comprehensive review covering not only the recent advances, but also topics that haven't been covered in previously published texts: extracorporeal ventilatory support, new advances in chest imaging modalities, lung isolation with a difficult airway, pulmonary thrombo-endarterectomy, and chronic post-thoracotomy pain. Additionally, the book features clinical case discussions at the end of each clinical chapter as well as tables comprising detailed anesthetic management.
Ideal for clinicians at all levels of experience—from the resident to the subspecialist—Cohen’s Comprehensive Thoracic Anesthesia compiles the many recent advances in thoracic anesthesiology into one convenient, easy-to-use reference. Concise, clinically focused chapters written by international authorities in the field cover all facets of anesthesia practice for thoracic procedures, logically organized by preoperative, intraoperative, and postoperative considerations. Discusses new devices for lung isolation, new lung protection protocols, new information on post-operative complications, and new drugs for modulating pulmonary circulation. Covers 20 key procedures including tracheal resection, esophagectomy, mediastinoscopy, mediastinal mass, SVC syndrome, and more. Describes complex surgeries related to the lungs, pleura, diaphragm, and esophagus. Provides case studies and clinical vignettes to illustrate and support case management decisions. Offers highly practical guidance for quick reference from editor Dr. Edmond Cohen and a team of expert contributing authors from around the world. Features extensive illustrations throughout, including clinical photos and drawings, radiographic images, device images, charts, and graphs.
The clinical practice of anesthesia has undergone many advances in the past few years, making this the perfect time for a new state-of-the-art anesthesia textbook for practitioners and trainees. The goal of this book is to provide a modern, clinically focused textbook giving rapid access to comprehensive, succinct knowledge from experts in the field. All clinical topics of relevance to anesthesiology are organized into 29 sections consisting of more than 180 chapters. The print version contains 166 chapters that cover all of the essential clinical topics, while an additional 17 chapters on subjects of interest to the more advanced practitioner can be freely accessed at www.cambridge.org/vacanti. Newer techniques such as ultrasound nerve blocks, robotic surgery and transesophageal echocardiography are included, and numerous illustrations and tables assist the reader in rapidly assimilating key information. This authoritative text is edited by distinguished Harvard Medical School faculty, with contributors from many of the leading academic anesthesiology departments in the United States and an introduction from Dr S. R. Mallampati. This book is your essential companion when preparing for board review and recertification exams and in your daily clinical practice.