Search results for: awake-thoracic-surgery

Awake Thoracic Surgery

Author : Eugenio Pompeo
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Awake thoracic surgery is a new surgical field that is set to expand in the near future. Employing sole epidural or local anaesthesia in fully awake patients renders many thoracic surgical procedures doable with less invasiveness and general anaesthesia r

SINGLE CENTER EXPERIENCE IN AWAKE THORACOSCOPIC CHEST SURGERY

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Background and Aims:Video-assisted thoracoscopic surgeries contribute positively to postoperative complications, length of hospital stay and management of pain. We aimed to present our experience in awake thoracoscopic surgeries with high thoracic epidural to the patients with limited functional lung capacity.Methods:8 patients underwent uniportal thoracoscopy and thoracoscopic surgery. Epidural catheter was inserted at the T3-4 level in the operation room. 2 mg of morphine and 25 mg of Bupivacaine were administered from the epidural catheter. T2 - L1 sensory block formation was observed in patients.ResultsPleurectomy -pleurodesis was performed in 7 and wedge resection in one of 8 patients. The mean operation time was 25.4 min, and in 2 patients operation was 45 min. Two patients had coughing during the operation, stellate ganglion block was performed, and the surgery proceed. None of the patients developed intraoperative complications. No hemodynamic changes were observed.Conclusions:We believe that thoracic epidural, and awake surgery are safe and usable in patients with poor general condition and comorbidities. Two important conditions that can be seen in awake thoracic surgery are coughing during the operation and postoperative period of open pneumothorax. The complaint of cough that may occur is disturbing both the patient's comfort and the surgical team, and the stellate ganglion block is highly beneficial in our case. Awake thoracoscopy also begins to take place in Enhanced Recovery After Surgery protocols (ERAS) which are tried to be formed in thoracic surgery anesthesia. We believe awake thoracoscopic surgery can safely performed in selected patients.

Nonintubated Thoracic Surgery An Issue of Thoracic Surgery Clinics E Book

Author : Tommaso C. Mineo
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This issue of Thoracic Surgery Clinics, guest edited by Drs. Vincenzo Ambrogi and Tommaso Mineo, is devoted to Nonintubated Thoracic Surgery. Drs. Ambrogi and Mineo have assembled expert authors to review the following topics: Technical issues and patient safety in nonintubated thoracic anesthesia; Management of primary and secondary pneumothorax in nonintubated VATS; Treatment of pleural effusions with nonintubated VATS; Nonintubated VATS for chest infections; Nonintubated VATS lung biopsy for interstitial lung disease; Nonintubated VATS wedge resection of peripheral early lung cancer; Anatomical segmentectomy in nonintubated VATS; VATS lobectomy for lung cancer in nonintubated anesthesia; Nonintubated VATS tracheal and bronchial sleeve resection for lung cancer; Nonintubated tracheal surgery; Management of intraoperative crisis during nonintubated thoracic surgery; Team training for nonintubated thoracic surgery; and more!

Awake Thoracic Spine Surgery Under Bilateral Multiple Midpoint Transverse Process To Pleura MTP Blocks A Case Report

Author : burkay k kacira
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We report a case where we applied the bilateral multipleultrasonography guided midpoint transverse process to pleura(MTP) blocks for awake thoracic spine surgery.

Clinical Thoracic Anesthesia

Author : Jayashree Sood
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This book covers all aspects of thoracic anesthesia to equip the anesthesiologist in dealing with patient care from the time of admission to discharge. Apart from an understanding of anatomy, physiology, pathophysiology, and imaging in thoracic anesthesia this book provides important nuggets of patient examination to help in decision making. Chapters provide information on the interpretation of various tests and intra-operative data for successful conduct of the surgery. This book aims to be an efficient resource for anesthesia practitioners as well as trainees in learning about the full range of challenges faced while performing thoracic anesthesia.

Mastery of Cardiothoracic Surgery

Author : Larry Kaiser
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This volume in the acclaimed Mastery Series delivers clear, how-to guidance on the most commonly performed procedures in adult and pediatric thoracic surgery. As with other volumes in the series, Mastery of Cardiothoracic Surgery delivers expert commentary from master surgeons following each chapter. Invaluable for cardiothoracic fellows, as well as thoracic and cardiac surgeons.

Medical Management of the Thoracic Surgery Patient

Author : Michael I. Lewis
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As an Expert Consult title it includes convenient online access to the complete contents of the book, fully searchable, along with video clips of thoracic procedures, patient information sheets, all of the images downloadable for your personal use, and references linked to Medline at www.expertconsult.com. Includes access to a companion website at expertconsult.com where you can search the complete contents of the book, watch video clips of thoracic procedures, print out patient information sheets, download all of the images, and review references linked to Medline ... providing you with a powerful resource for convenient consultation anytime, anywhere. Features 1real world'illustrative cases presented in a brief, bulleted format that facilitates easy access to and retention of the material. Examines every aspect of diagnosis and management for pre-, peri-, and postoperative care for an all-encompassing reference to respond to unique surgical problems.

Uniportal Single Port Video Assisted Thoracic Surgery An Issue of Thoracic Surgery Clinics E Book

Author : Gaetano Rocco
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This issue of Thoracic Surgery Clinics, guest edited by Dr. Gaetano Rocco, is devoted to Single-port/Uniportal Video-Assisted Thoracic Surgery. Dr. Rocco has assembled expert authors to review the following topics: The Geometric and Ergonomic Appeal of Uniportal VATS; Management of Intraoperative Difficulties During Uniportal VATS; Hybrid Theatre and Uniportal VATS: the Perfect Match for Lung Nodule Localization; Important Technical Details in Uniportal VATS Standard Major Pulmonary Resections; When Uniportal VATS is Contraindicated; Subxyphoid Uniportal VATS Procedures; Uniportal VATS Segmentectomy; The Case for Non Intubated/Awake Anesthesia for Uniportal VATS Procedures; Uniportal VATS Esophagectomy; Complex Pulmonary Resections Through Uniportal VATS; Training in Uniportal VATS; Fast-tracking Patients Through the Diagnostic and Therapeutic Pathways of Intrathoracic Conditions: the Role of Uniportal VATS; and more!

Thoracic Surgery

Author : Claudiu E. Nistor
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This book provides a guide to the anatomy and the surgical techniques required in thoracic and cardiothoracic surgery. It discusses the advantages and disadvantages of certain surgical procedures in relation to the lymphatic system, thyroid gland, chest wall and parathyroid glands, as well as pulmonary endarterectomy. Further, it addresses intraoperative and postoperative complications, and explores newer fields like microthymectomy, microlobectomy, and pain management for thoracic surgery patients. Providing an update on the latest advances in thoracic surgery, it appeals to general, thoracic, cardiothoracic, and cardiovascular surgeons. It also offers trainees insights into the foundation of the techniques and the relevant anatomy.

Current Therapy in Thoracic and Cardiovascular Surgery

Author : Stephen C. Yang
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More than 200 noted authorities discuss their views on diagnosis, treatment, and procedures, with advice on everything from assessment and imaging through incisions, anesthesia, and perioperative care issues--including cardiac pacing in adults and children, and the cardiac surgery "fast track." It is packed with "high-yield" information that helps the user to access needed knowledge in the least amount of time.

Complications in Thoracic Surgery

Author : Walter G. Wolfe
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This text is aimed at enabling the surgeon to recognize and manage the myriad of complications associated with thoracic surgery. It includes a review of post-operative complications to surgical procedures such as hiatal hernia repair, thoracic aortic surgery, and pulomonary transplantation.

Anaesthesia Pain Intensive Care and Emergency Medicine A P I C E

Author : A. Gullo
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Prodeedings of the 11th Postgraduate Course in Critical Care Medicine, Trieste, Italy, November 11-16, 1996

Thoracic Surgery

Author : Watts R. Webb
File Size : 40.56 MB
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Pediatric Thoracic Surgery

Author : James C. Fallis
File Size : 87.26 MB
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This substantial work fills a void in the literature on all of the thoracic surgical conditions of childhood. The contributors, specialists of international repute, clearly delineate techniques and ideas at the forefront of contemporary thought. Each chapter is followed by an invited comments section. This maintains an international scholarly tone. Some important features include: # Congenital and acquired diseases of the chest and congenital diaphragmatic herniation # Phrenic nerve palsy and thoracic cage anomalies # Tumors of the chest wall, lung, and mediastinum # Chest injuries in children, lung biopsy, and bronchoalveolar lavage # Management of empyema, bronchiectasis and lung abscess # Fetal surgery, heart, lung, and heart-lung transplants and the ethical implications of these procedures For all who treat infants and children with thoracic disease - general surgeons, pediatric surgeons, anesthesiologists, - Pediatric Thoracic Surgery is an invaluable guide that sets the standard of surgical care now and for years to come.

Thoracic Surgery Secrets

Author : Hratch L. Karamanoukian
File Size : 35.75 MB
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A concise, yet complete clinical reference on thoracic surgery in the highly practical question-and-answer format of The Secrets Series(R). Each chapter covers an important thoracic surgery topic by asking key questions and providing helpful answers relating to that topic. Covers all aspects of thoracic surgery, from evaluation and diagnosis of surgical conditions through standard and minimally invasive techniques. Includes helpful answers, tips, and secrets of 50 contributing authors, all working in the field of thoracic surgery Excellent complement to LWWs strong list in cardiothoracic surgery Covers all the hot minimally invasive procedures

THE ANNALS OF THORACIC SURGERY

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Mechanical Ventilation

Author : Francois Lemaire
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Only very few therapeutic modalities are used as extensively as mechanical ventilation in intensive care units, during anaesthesia and in emergency situations. Hence theoretical and practical knowledge in this technique had to be made available to workers in a number of medical specialities. In addition to anaesthetists, who are most familiar with artificial ventilation for historical and practical reasons, surgeons, internists, paediatricians and emergency physicians also need a foundation. Furthermore, the widespread application of this life-supporting method requires that paramedical personnel such as nurses and respiratory therapists be trained to use mechanical ventilation, to understand how it works and to be aware of specific side effects and dangers. This book, edited by Fran~ois Lemaire, is a well-designed present ation of a number of the relevant aspects, types and problems of mechanical ventilation which are important for physicians and paramedical personnel who use it. After a description of the technical principles and maintenance of an artificial ventilator, the main part of the book is devoted to the most frequently used types of mechanical respiratory support, with their specific indications, the pathophysiology of their effects on pulmonary gas exchange and the specific choice and regulation ofthe mechanical variables involved. Older and new types of ventilatory support are discussed; there is a good balance of enough specific information for the inexperienced as well as a critical analysis of the indications for more exotic techniques, such as mandatory minute ventilation, independent lung ventilation and airway pressure release.

Cancer Care Critical Pathways

Author : Michael D. Patton
File Size : 26.78 MB
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Gibbon s Surgery of the Chest

Author : John Heysham Gibbon
File Size : 44.20 MB
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Handbuch der Thoraxchirurgie Encyclopedia of Thoracic Surgery

Author : Ernst Derra
File Size : 64.5 MB
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Daß die wirkliche Mortalität an Lungenkrebs aber noch eine erheblich höhere ist, als wir wissen, daran ist wohl kaum zu zweifeln. Zeigen doch alle größeren Sektionsstatistiken, wie häufig bei den bösartigen Geschwülsten der Lunge die Diagnose verfehlt wird. W. Tabelle 1. Sterbefallraten fiir Krebs und andere maligne Tumoren und für Krebs der Atmungsorgane in 14 ausgewählten Ländern (bezogen a~tj 100000 Lebende). [Nach H. L. DuNN, J. Int. College of Sur geons 23, (326 1955)} Krebs Krebs und andere maligne Tumoren der Atmungsorgane Land und Jahr ins~ i- männlich weiblich männlich weiblich gesamt gesamt England und Wales 147,8 8,4 12,9 4,3 1930-1932 145,5 143,0 1951 196,8 212,7 182,1 33,5 58,3 10,7 Schottland 10,6 1930-1932 146,9 141,4 157,1 8,0 5,6 50,9 1951 193,1 184,9 30,5 11,9 202,0 Finnland 107,0 13,6 1936-1938 107,6 108,3 7,8 2,3 132,8 21,5 38,0 1951 142,7 11\3,6 6,5 Schweiz 1929-1931 139,7 6,8 12,0 146,9 155,6 2,0 1951 180,1 ,19,3 :33,8 192,1 204,7 5,5 Niederlande 1929-1931 125,7 4,7 7,2 2,2 121,7 117,7 29,7 1951 146,3 17,3 5,1 148,4 150,6 N euseeland 100,5 7,1 1930-1932 4,9 2,5 101,9 103,3 150,:3 1951 160,7 15,6 25,3 5,8 155,5 u SA 108,8 4,:3 1929-1931 3,1 1,9 97,4 86,3 136,1 14,7 24,4 1951 145,1 5,2 140,5 D änemark 1934-1936 161.