Table of Contents
List of tables
- Table in Chapter 2
- Tables in Chapter 4
- Tables in Chapter 7
- Tables in Chapter 8
- Tables in Chapter 10
- Tables in Chapter 14
- Table in Chapter 15
- Tables in Chapter 16
- Table in Chapter 17
- Tables in Chapter 18
- Tables in Chapter 19
- Tables in Chapter 20
- Tables in Chapter 21
- Table in Chapter 22
- Table in Chapter 23
- Tables in Chapter 24
- Tables in Chapter 26
- Tables in Chapter 27
- Tables in Chapter 28
- Tables in Chapter 30
- Tables in Chapter 31
- Table in Chapter 32
- Table in Chapter 33
- Tables in Chapter 34
- Tables in Chapter 36
- Tables in Chapter 37
- Tables in Chapter 38
- Tables in Chapter 39
- Tables in Chapter 40
- Table in Chapter 42
- Tables in Chapter 43
- Tables in Chapter 44
- Table in Chapter 45
- Table in Chapter 46
- Tables in Chapter 47
- Tables in Chapter 48
- Tables in Chapter 51
- Tables in Chapter 53
- Tables in Chapter 55
List of figures
- Figures in Chapter 1
- Figures in Chapter 2
- Figures in Chapter 3
- Figures in Chapter 4
- Figures in Chapter 5
- Figures in Chapter 6
- Figures in Chapter 7
- Figures in Chapter 8
- Figures in Chapter 9
- Figures in Chapter 10
- Figures in Chapter 11
- Figures in Chapter 12
- Figures in Chapter 13
- Figures in Chapter 14
- Figures in Chapter 15
- Figures in Chapter 16
- Figures in Chapter 17
- Figures in Chapter 18
- Figures in Chapter 19
- Figures in Chapter 20
- Figures in Chapter 21
- Figures in Chapter 22
- Figures in Chapter 23
- Figures in Chapter 24
- Figures in Chapter 25
- Figures in Chapter 26
- Figures in Chapter 27
- Figures in Chapter 28
- Figures in Chapter 29
- Figures in Chapter 30
- Figures in Chapter 31
- Figures in Chapter 32
- Figures in Chapter 33
- Figures in Chapter 34
- Figures in Chapter 35
- Figures in Chapter 36
- Figures in Chapter 37
- Figures in Chapter 38
- Figures in Chapter 39
- Figures in Chapter 40
- Figures in Chapter 41
- Figures in Chapter 42
- Figures in Chapter 43
- Figures in Chapter 44
- Figures in Chapter 45
- Figures in Chapter 46
- Figures in Chapter 48
- Figures in Chapter 49
- Figures in Chapter 50
- Figures in Chapter 51
- Figures in Chapter 52
- Figures in Chapter 53
- Figures in Chapter 54
- Figures in Chapter 55
Landmarks
Cohens Comprehensive Thoracic Anesthesia
Edmond Cohen, MD, FASA
Professor of Anesthesiology and Thoracic Surgery
Director of Thoracic Anesthesia
Department of Anesthesiology, Perioperative and Pain Medicine
Icahn School of Medicine at Mount Sinai
New York, New York
Copyright
Elsevier
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COHENS COMPREHENSIVE THORACIC ANESTHESIAISBN: 978-0-323713016
Copyright 2022 by Elsevier, Inc. All rights reserved.
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Notice
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds or experiments described herein. Because of rapid advances in the medical sciences, in particular, independent verification of diagnoses and drug dosages should be made. To the fullest extent of the law, no responsibility is assumed by Elsevier, authors, editors or contributors for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.
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Last digit is the print number:987654321
Dedication
Dedicated to my parents, Naomi and Eliyahu Cohen and my brother Avraham. May their memory be a blessing.
To my family, my wife Myra and children Jennifer and Adam, whose endless support and love made this book possible.
Preface
When I began my anesthesia practice, thoracic anesthesia was not considered an independent subspecialty. Today, 40 years later, it is one of the most challenging subspecialties, with innovations that include devices for lung isolation and monitoring capability, new understanding of the intraoperative managing of one lung ventilation, and a significant innovation in postoperative pain management. Over the years, thoracic workshops and thoracic symposiums have become integral during global anesthesia conferences. Thoracic anesthesia literature is now indispensable to many practicing clinicians libraries.
My intentions when editing this book were not to replace any thoracic anesthesia book, but rather to offer something slightly more comprehensive in the critical and rapidly expanding subspecialty of the anesthetic practice. I conceptualized this volume to serve as a true contribution to the field of thoracic anesthesia, appealing to clinicians who require the necessary skills and updated principles of thoracic anesthesia. The book is unique in that it redefines how we, as anesthesiologists, can achieve superior patient care. The perioperative care is discussed linearly, just as we encounter these situations in the hospital environment.
The book contains 55 chapters divided into six sections. The first section covers topics of pre-operative assessment including anatomic correlation of the respiratory system, radiology, and classifications of thoracic tumors from the surgeons perspective, as well as pulmonary pathophysiology and the role of hypoxic pulmonary vasoconstriction. The second and the third sections cover preoperative evaluation and preparation, monitoring of oxyanion and hemodynamics, and the role of bronchoscopy and high frequency ventilation during thoracic procedures. The fourth section describes the intraoperative management of one-lung ventilation, methods of lung separation, ventilatory strategies, fluid management, and pediatric patient care. The fifth section reviews the multimodal approach to acute and chronic pain management and postoperative complications including the use of extracorporeal ventilatory therapy. The sixth section contains a large number of specifics in clinical scenarios and case management such as video-assisted thoracoscopy, robotic surgery, tubeless procedures, and management of both geriatric and cardiac patients for lung resection. Other procedures include surgical and endoscopic lung volume reduction, esophageal surgery, cystic fibrosis, lung transplantation, tracheal resection, mediastinoscopy, tracheal stents, and enhanced recovery after surgery during thoracic surgery. Finally, the use of transesophageal echocardiography and ultrasound for thoracic procedures is discussed.