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Punto di Riferimento
per Medici e Operatori Sanitari
per Medici e Operatori Sanitari
LIBRERIA STUDIUM
Practical Handbook of Thoracic Anesthesia
Hartigan
Editore
Springer
Anno
2012
Pagine
636
ISBN
9780387884929
85,00 €
- “Bottom line,” evidence-based guidance
- Aimed at skilled generalists as well as trainees
- 30 thoracic surgical procedures, from bronchoscopy to lung transplantation
- Each procedure includes: management specifics; what you really need to know; newest surgical techniques; senior thoracic surgeon’s perspective
- Actionable technical pearls
- Management of post-operative pain, acute and chronic
- General principles of case management
- Clinically relevant physiology and pathophysiology (including one-lung)
- Edited and written by physicians at one of the busiest thoracic surgical programs in North America
This comprehensive handbook delivers “bottom line,” evidence-based guidance in the practice of thoracic anesthesia. Chapters are short and practical and include actionable technical pearls not available elsewhere. The editor and contributors are academic faculty who work at one of the busiest thoracic surgical programs in North America, and their aim has been to integrate essential concepts with practical decision-making.
•Detailed guidance for performing more than 30 thoracic surgical procedures
•Relevant surgical insights from a senior thoracic surgeon included for each procedure
•Full range of modern thoracic anesthetic challenges covered
•Essential foundation concepts digested and simplified
•Technical aspects sufficiently detailed to be useful
•An efficient resource for skilled generalists and trainees
xi
Table of Contents
Preface: How to use this book
Philip M. Hartigan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v
1. Thoracic Radiology
Thomas Edrich and Beatrice Trotman-Dickenson . . . . . . . . . . . . . 3
2. Respiratory Physiology
Michael Nurok and George P. Topulos. . . . . . . . . . . . . . . . . . . . . . . . . 17
3. Respiratory Pathophysiology
Shannon S. McKenna. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
4. Respiratory Eff ects of General Anesthesia
Philip M. Hartigan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
5. Physiology of One-Lung Ventilation
Philip M. Hartigan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
6. Idiopathic Acute Lung Injury Following Thoracic Surgery
Philip M. Hartigan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
I. Essential Foundations
II. Essential Technical Aspects
7. Thoracic Positioning and Incisions
Teresa M. Bean . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
8. Bronchoscopic Anatomy
Thomas Edrich . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127
9. Technical Aspects of Lung Isolation
Sarah H. Wiser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141
10. Special Airway Devices for Thoracic Anesthesia:
CPAP, PEEP, and Airway Exchange Catheters
Sarah H. Wiser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177
xii Table of Contents
11. Alternative Ventilatory Techniques
Gyorgy Frendl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191
12. Respiratory Therapy Devices
David A. Silver. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209
13. Technical Aspects of Common Pain Procedures
for Thoracic Surgery
Nelson L. Thaemert. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 221
14. Preoperative Evaluation of the Thoracic
Surgical Patient
Nicholas Sadovnikoff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 239
15. Overview: Surgeon’s Approach to the Patient
with Lung Cancer
Steven J. Mentzer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 259
16. Principles of Anesthetic Management
for Pulmonary Resection
Philip M. Hartigan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 269
17. Management of Common Complications
Following Thoracic Surgery
Andrew D. Friedrich . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 291
III. Essential Principles of Clinical Management
18. Flexible Bronchoscopy
Philip M. Hartigan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 313
19. Mediastinoscopy
Philip M. Hartigan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 323
20. Anterior Mediastinal Mass
Ju-Mei Ng and Philip M. Hartigan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 335
21. Lung-Sparing Pulmonary Resections:
Bronchoplastic/Sleeve Resection
Philip M. Hartigan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 355
IV. Specifi c Thoracic Surgical Procedures:
Surgical & Anesthetic Management Essentials
Editor of Surgical Considerations: Steven J. Mentzer, M.D.
Table of Contents xiii
22. Pneumonectomy
Ju-Mei Ng . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 363
23. Extrapleural Pneumonectomy
Ju-Mei Ng . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 375
24. Lung Volume Reduction Surgery
Nelson L. Thaemert. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 389
25. Plueral Space Procedures
Shannon S. McKenna. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 403
26. Rigid Bronchoscopy
Eric D. Skolnick . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 417
27. Laser Surgery of the Airway and Laser Safety
Gyorgy Frendl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 427
28. Tracheal Stent Placement
David A. Silver. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 445
29. Anesthesia for Tracheotomy
David A. Silver. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 463
30. Tracheal Resection and Reconstruction
David A. Silver and Philip M. Hartigan . . . . . . . . . . . . . . . . . . . . . . . . 473
31. Bronchopleural Fistula
Ju-Mei Ng . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 497
32. Esophagectomy
Ju-Mei Ng . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 511
33. Esophageal Perforation
Ju-Mei Ng . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 519
34. Lung Transplantation
Ju-Mei Ng and Vladimir Formanek. . . . . . . . . . . . . . . . . . . . . . . . . . . . 527
35. Miscellaneous Thoracic Surgical Procedures
Teresa M. Bean and Shannon S. McKenna. . . . . . . . . . . . . . . . . . . . . 549
36. Anesthesia for Pediatric Thoracic Surgery
Juan C. Ibla . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 563
xiv Table of Contents
37. Acute Postoperative Pain Control Following
Thoracic Surgery
Peter Gerner and Philip M. Hartigan . . . . . . . . . . . . . . . . . . . . . . . . . . 589
38. Chronic Post-Thoracotomy Pain Syndrome
Peter Gerner. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 609
V. Essential of Pain Management Following Thoracic Surgery
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 617
