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Postoperative Care in Thoracic Surgery : a Comprehensive Guide /
This book offers a comprehensive, up-to-date overview of optimal postoperative care in patients who have undergone thoracic surgery and discusses challenging issues that are of interest not only in the context of thoracic surgery but also more generally within the fields of anesthesia, intensive car...
| Clasificación: | Libro Electrónico |
|---|---|
| Otros Autores: | , |
| Formato: | Electrónico eBook |
| Idioma: | Inglés |
| Publicado: |
Cham, Switzerland :
Springer,
[2017]
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| Temas: | |
| Acceso en línea: | Texto completo |
Tabla de Contenidos:
- Preface; Contents; Contributors; 1: What Happens to the Lung During Mechanical Ventilation and One-Lung Ventilation?; 1.1 Introduction; 1.2 Airway Closure; 1.3 Formation of Atelectasis; 1.4 Prevention of Atelectasis; 1.5 Individual Lung Ventilation; 1.6 One-Lung Ventilation; References; 2: Where Should I Send My Patient After the Operation?; 2.1 Introduction; 2.2 Risk Stratification; 2.2.1 Patient-Related Risk Factors; 2.2.1.1 General Risk Scores; 2.2.1.2 Cardiovascular Risk Scores; 2.2.1.3 Pulmonary Risk Scores; 2.2.1.4 Lung Function Tests; 2.2.1.5 Age and Frailty.
- 2.2.2 Procedure-Related Risk Factors (Table 2.5)2.2.2.1 Lung Resections; 2.2.2.2 Other Thoracic Surgical Interventions; 2.2.2.3 Additional Surgical Risk Factors; 2.2.2.4 Anesthetic Management; 2.3 Postoperative Selection of Patients for ICU, HDU, or PACU Admission; 2.3.1 Scores and Guidelines; 2.3.2 Local Specificities; References; 3: Does It Matter How I Ventilate the Patient During the Operation?; 3.1 Introduction; 3.2 The Protective Ventilation Was Born with ARDS; 3.3 Is There a Rationale to Use Lung-Protective Ventilation in Patients with Normal Lungs?
- 3.4 What About Patients Ventilated During General Anesthesia?3.5 The Role of PEEP; 3.6 The Role of Oxygen; 3.7 Alveolar Recruitment Maneuver; 3.8 Pressure- or Volume-Controlled Two-Lung Ventilation; 3.9 The "Baby Lung" During OLV; 3.10 One-Lung Ventilation with Lessons from Two-Lung Ventilation?; References; 4: Can Postoperative Pulmonary Complications Be Objectively Evaluated?; 4.1 Introduction; 4.2 Definitions of Postoperative Pulmonary Complications; 4.3 Postoperative Pulmonary Complications After Thoracic Surgery; 4.4 Risk of Developing Postoperative Pulmonary Complications.
- 4.4.1 Risk Factors Related to the Patient's Condition4.4.1.1 Age; 4.4.1.2 Functional Dependence; 4.4.1.3 Classification of the American Society of Anesthesiologists (ASA); 4.4.1.4 Smoking; 4.4.1.5 Respiratory Symptoms; 4.4.1.6 Peripheral Oxygen Saturation and Pulmonary Function Tests (PFTs); 4.4.1.7 Respiratory Infection Prior to Surgery; 4.4.1.8 Preoperative Hypoalbuminemia, Weight Loss, and Body Mass Index (BMI); 4.4.1.9 Preoperative Anemia; 4.4.1.10 Chronic Obstructive and Other Pulmonary Diseases; 4.4.1.11 Congestive Heart Failure (CHF); 4.4.1.12 Renal Disease; 4.4.1.13 Liver Disease.
- 4.4.1.14 Obstructive Sleep Apnea (OSA)4.4.1.15 Current Alcohol Use; 4.4.1.16 Diabetes Mellitus; 4.4.2 Procedure-Related and Intraoperative Risk Factors; 4.4.2.1 Thoracotomy Versus Median Sternotomy; 4.4.2.2 Video-Assisted Thoracoscopic Versus Open Thoracic Surgery; 4.4.2.3 Extent of Lung Resection; 4.4.2.4 Duration of Surgery; 4.4.2.5 Volatile Versus Intravenous Anesthetics; 4.4.2.6 Muscle Paralysis; 4.4.2.7 Restrictive Versus Liberal Fluid Strategy; 4.4.2.8 Transfusion of Blood and Blood Products; 4.4.2.9 Mechanical Ventilation.