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
Philip M. Hartigan, MD
Assistant Professor
Department of Anesthesiology, Perioperative and Pain Medicine
Harvard Medical School
Director, Division of Thoracic Anesthesia
Brigham and Women's Hospital
Boston, MA 02115
Preface: How to use this book.- I. Essential Foundations:.- 1. Thoracic Radiology.- 2. Respiratory Physiology.- 3. Resiratory Pathophysiology.- 4. Respiratory Effects of General Anesthesia.- 5. Physiology of One-Lung Ventilation.- 6. Idiopathic Acute Lung Injury following Thoracic Surgery.- II. Essential Technical Aspects.- 7. Thoracic Positioning& Incisions.- 8. Bronchoscopic Anatomy.- 9. echnical Aspects of Lung Isolation.- 10. Special Airway Devices for Thoracic Anesthesia: CPAP, PEEP,& Airway Exchange Catheters.- 11. Alternative Ventilatory Techniques.- 12. Respiratory Therapy Devices.- 13. Technical Aspects of Pain Control Procedures for Thoracic Surgery.- III. Essential Principals of Clinical Management.- 14. Preoperative Evaluation of the Thoracic Surgical Patient.- 15. Overview: Surgeons Approach to the Patient with Lung Cancer.- 16. Principals of Anesthetic Management for Pulmonary Resection.- 17. Management of Common Complications Following Thoracic Surgery.- IV. Specific Thoracic Surgical Procedures: Surgical& Anesthetic Management Essentials.- 18. Flexible Bronchoscopy.- 19. Mediastinoscopy.- 20. Anterior Mediastinal Mass.- 21. Lung-Sparing Pulmonary Resections: Bronchoplastic/Sleeve Resection.- 22. Pneumonectomy.- 23. Extrapleural Pneumonectomy.- 24. Lung Volume Reduction Surgery.- 25. Plueral Space Procedures.- 26. Rigid Bronchoscopy.- 27. Laser Surgery of the Airway and Laser Safety.- 28. Tracheal Stent Placement.- 29. Anesthesia for Tracheostomy.- 30. Tracheal Resection and Reconstruction.- 31. Bronchopleural Fistula.- 32. Esophagectomy.- 33. Esophageal Perforation.- 34. Lung Transplantation.- 35. Miscellaneous Thoracic Surgical Procedures.- 36. Anesthesia for Pediatric Thoracic Surgery.- V. Essential of Pain Management following Thoracic Surgery.- 37. Acute Postoperative Pain Control following Thoracic Surgery.-38. Chronic Post-Thoracotomy Pain Syndrome.- Index.
