Medical complications of thoracic surgery:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
1998
|
| Schriftenreihe: | Chest surgery clinics of North America
8,3 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XIV S., S. 479 - 747 Ill., graph. Darst. |
Internformat
MARC
| LEADER | 00000nam a2200000 cb4500 | ||
|---|---|---|---|
| 001 | BV012201650 | ||
| 003 | DE-604 | ||
| 005 | 19981014 | ||
| 007 | t | ||
| 008 | 981014s1998 ad|| |||| 00||| engod | ||
| 035 | |a (OCoLC)39762738 | ||
| 035 | |a (DE-599)BVBBV012201650 | ||
| 040 | |a DE-604 |b ger |e rakddb | ||
| 041 | 0 | |a eng | |
| 049 | |a DE-12 | ||
| 050 | 0 | |a RD536 | |
| 245 | 1 | 0 | |a Medical complications of thoracic surgery |c Hani Shennib, guest ed. |
| 264 | 1 | |a Philadelphia [u.a.] |b Saunders |c 1998 | |
| 300 | |a XIV S., S. 479 - 747 |b Ill., graph. Darst. | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
| 338 | |b nc |2 rdacarrier | ||
| 490 | 1 | |a Chest surgery clinics of North America |v 8,3 | |
| 650 | 2 | |a Chirurgie thoracique - effets indésirables | |
| 650 | 4 | |a Thoracic Surgical Procedures |x adverse effects | |
| 650 | 0 | 7 | |a Komplikation |0 (DE-588)4123547-2 |2 gnd |9 rswk-swf |
| 650 | 0 | 7 | |a Thoraxchirurgie |0 (DE-588)4059934-6 |2 gnd |9 rswk-swf |
| 650 | 0 | 7 | |a Chirurgie |0 (DE-588)4009987-8 |2 gnd |9 rswk-swf |
| 650 | 0 | 7 | |a Brustkorbkrankheit |0 (DE-588)4059937-1 |2 gnd |9 rswk-swf |
| 650 | 0 | 7 | |a Perioperative Phase |0 (DE-588)4173783-0 |2 gnd |9 rswk-swf |
| 655 | 7 | |0 (DE-588)4143413-4 |a Aufsatzsammlung |2 gnd-content | |
| 689 | 0 | 0 | |a Thoraxchirurgie |0 (DE-588)4059934-6 |D s |
| 689 | 0 | 1 | |a Komplikation |0 (DE-588)4123547-2 |D s |
| 689 | 0 | |5 DE-604 | |
| 689 | 1 | 0 | |a Brustkorbkrankheit |0 (DE-588)4059937-1 |D s |
| 689 | 1 | 1 | |a Chirurgie |0 (DE-588)4009987-8 |D s |
| 689 | 1 | 2 | |a Komplikation |0 (DE-588)4123547-2 |D s |
| 689 | 1 | 3 | |a Perioperative Phase |0 (DE-588)4173783-0 |D s |
| 689 | 1 | |5 DE-604 | |
| 700 | 1 | |a Shennib, Hani |e Sonstige |4 oth | |
| 830 | 0 | |a Chest surgery clinics of North America |v 8,3 |w (DE-604)BV005455558 |9 8,3 | |
| 856 | 4 | 2 | |m HBZ Datenaustausch |q application/pdf |u http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008268235&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |3 Inhaltsverzeichnis |
| 999 | |a oai:aleph.bib-bvb.de:BVB01-008268235 | ||
Datensatz im Suchindex
| _version_ | 1804126818887794688 |
|---|---|
| adam_text | I MEDICAL COMPLICATIONS OF THORACIC SURGERY
CONTENTS
Preface xiii
Hani Shennib
Cardiac Arrhythmias 479
David Amar
Supraventricular dysrhythmias (SVDs) present the most frequent
medical complication after thoracic surgery and have been associ¬
ated with prolonged hospital stays. The reported incidence of
SVDs in the thoracic surgery patient population ranges from 10%
to 40%, with factors such as age and extent of surgery markedly
influencing the incidence. This article focuses on new issues lead¬
ing to improved understanding of the pathophysiology and
mechanisms of SVDs after surgery. New approaches directed at
prophylaxis and acute therapy of SVDs are discussed, as are
recommendations to prevent thromboembolic events due to atrial
dysrhythmias following thoracic surgery.
Myocardial Ischemia and Infarction Postthoracotomy 495
Cynthia S. Herrington and Sara J. Shumway
The best long term survival for any given lung cancer patient is
provided by surgical resection. However, pneumonectomy still
has the highest mortality rates, often due to cardiac complications.
Risk assessment can be aided by preoperative evaluation of tho¬
racic surgery patients. The role of right heart function, intraopera
tive management, and postoperative conditions in myocardial
ischemia and infarction are analyzed, and the benefits of different
kinds of resection are weighed in light of possible cardiac compli¬
cations.
CHEST SURGERY CLINICS OF NORTH AMERICA
VOLUME 8 • NUMBER 3 • AUGUST 1998 vii
Postoperative Atelectasis 503
Gilbert Massard and Jean Marie Wihlm
Postoperative atelectasis is a common problem following any
surgery. Limited atelectasis is usually well tolerated and easily
reversible. However, complete atelectasis of the remaining lung
following partial lung resection may be poorly tolerated. Thoracic
surgical procedures increase the risk because pain, thoracic mus¬
cle injury, chest wall instability, and diaphragmatic dysfunction
impair clearance of secretions by cough. In addition, patients
with lung diseases are prone to increased bronchial secretions.
Prophylaxis includes preoperative and postoperative physiother¬
apy and medications, which should be graded in accordance to
the individual patient s risk factors. Large atelectasis requires
bronchoscopy to remove mucous plugs. Tracheostomy should
be considered in patients with relapsing atelectasis or swallow
disorders.
Postoperative Pneumonia 529
Brett Ferdinand and Hani Shennib
Thoracic surgical patients are susceptible to pneumonia because
of impaired systemic and lung host defenses. The incidence of
pneumonia is higher with more extensive lung resections. Current
prophylactic antibiotic therapy is based primarily on general sur¬
gical experience with emphasis on wound infection, not pneumo¬
nia. With expansion of indications for lung resection to include
higher risk patients, there is a need to render antibiotic prophy¬
laxis more specific to bacteria causative of pneumonia.
Preparation of High Risk Patients for Major Thoracic
Surgery 541
Alain Bisson, Marc Stern, and Isabelle Caubarrere
For at least a decade, many patients have benefitted from new
indications of major thoracic surgery owing to improvements
in the surgical and anesthetic procedures of thoracic surgery.
Identification of risk factors of perioperative morbidity and mor¬
tality becomes of paramount importance when trying to lesson
the postoperative mortality rate to 1% or less. The careful assess¬
ment of the candidates for thoracic surgery with a multidiscipli
nary approach is the cornerstone of such an objective. The lower
mortality rate should be achievable with a preoperative prepara¬
tion of the patients of a rehabilitation and nutritional program
and a pharmacologic treatment optimization.
Adult Respiratory Failure 557
Alain Tremblay and Ashvini Gursahaney
Pulmonary complications following thoracic surgery are common
and associated with significant morbidity and mortality. In partic
Viii CONTENTS
ular, acute respiratory distress syndrome (ARDS) can occur post
operatively or after trauma. This syndrome, when complicated
by multisystem organ failure, often leads to a poor outcome. This
article describes the etiology and pathophysiology of ARDS and
evaluates recent advances in pharmacological and nonpharmaco
logical therapies. In addition, newer modalities of mechanical
ventilatory support are reviewed.
Mechanical Ventilation for Respiratory Failure
Postthoracotomy 585
Christine D Arsigny and Peter Goldberg
The incidence of respiratory failure following thoracotomy is
approximately 5% to 15%. Many of these patients have significant
comorbid cardiopulmonary dysfunction and must be fully evalu¬
ated preoperatively to more accurately predict their risk. The
goals of ventilatory support are to rest the inspiratory muscles
while preventing their atrophy. Strategies for ventilatory support
and weaning are offered based on the nature of the underlying
cardiopulmonary compromise and the pathophysiologic basis of
the acute respiratory failure.
Postpneumonectomy Pulmonary Edema 611
Jean Deslauriers, Andre Aucoin, and Jocelyn Gregoire
The adult respiratory distress syndrome seen after pneumonec
tomy is an uncommon but usually lethal complication. Its etiol¬
ogy remains unknown, although several factors such as fluid
overload, endothelial damage, lymphatic interruption, and hyper¬
inflation are thought to be involved in its pathogenesis.
Neurologic Complications in Thoracic Surgery 633
Richard H. Feins
Neurological complications in thoracic surgery can occur from
circumstances surrounding the performance of the thoracic proce¬
dure itself, adjuvant or neoadjuvant therapy, or from circum¬
stances of the disease being treated. A good working knowledge
of the potential complications in each of these areas will help the
thoracic surgeon to avoid them. In this chapter the complications
related to patient positioning, interoperative injury to nerves,
chemotherapeutic agents, radiation therapy complications, myas
thenia gravis, and Eaton Lambert syndrome are covered.
Gastrointestinal Complications Postthoracotomy and
Postvagotomy 645
Evan R. Kokoska and Keith S. Naunheim
Gastrointestinal complications following thoracotomy are uncom¬
mon but associated with significant morbidity and mortality. The
current diagnosis and management of the more common postop
CONTENTS ix
erative complications are reviewed. Patients should be compre¬
hensively evaluated for risk factors during the preoperative phase
and a high index of suspicion must be maintained during the
postoperative course, as a delay in diagnosis significantly in¬
creases morbidity. Finally, adequate prophylaxis, when appro¬
priate, must be employed.
Complications of Multimodality Therapy 663
Joe B. Putnam, Jr
Multimodality therapy may further increase treatment related
complications. However, such therapy may be necessary for ad¬
vanced or biologically aggressive tumors, and information gained
from patient entry into prospective trials may attenuate current
and future treatment related complications. Ad hoc use of multi¬
modality therapies is generally not recommended.
Adverse Effects of Medications Commonly Administered
to Thoracic Surgical Patients 681
David Weill, Michael J. Mack, and Denise Tennison
A wide variety of medications is commonly used following tho¬
racic surgical procedures. All of these medications have associ¬
ated side effects that may adversely affect the recovery of pa¬
tients. A complete understanding of the important adverse effects
of all the medications used postoperatively can limit or eliminate
unwanted medication effects and lead to a more successful out¬
come. This article will review the important actions and side
effects of the most commonly administered medications following
thoracic surgical procedures.
Pathogenesis and Management of Persistent
Postthoracotomy Pain 703
Ray H. d Amours, Francis X. Riegler, and Alex G. Little
Long term pain following thoracotomy is common, usually is not
severe, and results in many cases from recurrent disease. A small
subset of patients will experience persistent, severe pain which is
not due to disease recurrence. In such cases a multidisciplinary,
empirical, and individualized approach by a pain management
specialist is indicated. No particular surgical technique per se has
been consistently associated with postthoracotomy pain syn¬
drome. Evidence suggests that prevention through aggressive
perioperative anesthetic and analgesic techniques may be the
best strategy.
The Dying Thoracic Patient 723
Ganesh Krishna and Thomas A. Raffin
The practice of medicine includes not only diagnosing and curing
disease, but also involves effective communication with patients
X CONTENTS
and their families and helping terminally ill patients die a peace¬
ful and dignified death. The utility of available technology should
be weighed against legal and ethical issues in this current man¬
aged care environment. This article discusses the various facets
of care for the dying thoracic patient including social, cultural,
legal, and ethical issues; withholding and withdrawing life sup¬
port; and euthanasia.
Index 741
Subscription Information Inside back cover
CONTENTS xi
|
| any_adam_object | 1 |
| building | Verbundindex |
| bvnumber | BV012201650 |
| callnumber-first | R - Medicine |
| callnumber-label | RD536 |
| callnumber-raw | RD536 |
| callnumber-search | RD536 |
| callnumber-sort | RD 3536 |
| callnumber-subject | RD - Surgery |
| ctrlnum | (OCoLC)39762738 (DE-599)BVBBV012201650 |
| format | Book |
| fullrecord | <?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01988nam a2200481 cb4500</leader><controlfield tag="001">BV012201650</controlfield><controlfield tag="003">DE-604</controlfield><controlfield tag="005">19981014 </controlfield><controlfield tag="007">t</controlfield><controlfield tag="008">981014s1998 ad|| |||| 00||| engod</controlfield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(OCoLC)39762738</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)BVBBV012201650</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-604</subfield><subfield code="b">ger</subfield><subfield code="e">rakddb</subfield></datafield><datafield tag="041" ind1="0" ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="049" ind1=" " ind2=" "><subfield code="a">DE-12</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">RD536</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Medical complications of thoracic surgery</subfield><subfield code="c">Hani Shennib, guest ed.</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="a">Philadelphia [u.a.]</subfield><subfield code="b">Saunders</subfield><subfield code="c">1998</subfield></datafield><datafield tag="300" ind1=" " ind2=" "><subfield code="a">XIV S., S. 479 - 747</subfield><subfield code="b">Ill., graph. Darst.</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="b">n</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="b">nc</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="490" ind1="1" ind2=" "><subfield code="a">Chest surgery clinics of North America</subfield><subfield code="v">8,3</subfield></datafield><datafield tag="650" ind1=" " ind2="2"><subfield code="a">Chirurgie thoracique - effets indésirables</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Thoracic Surgical Procedures</subfield><subfield code="x">adverse effects</subfield></datafield><datafield tag="650" ind1="0" ind2="7"><subfield code="a">Komplikation</subfield><subfield code="0">(DE-588)4123547-2</subfield><subfield code="2">gnd</subfield><subfield code="9">rswk-swf</subfield></datafield><datafield tag="650" ind1="0" ind2="7"><subfield code="a">Thoraxchirurgie</subfield><subfield code="0">(DE-588)4059934-6</subfield><subfield code="2">gnd</subfield><subfield code="9">rswk-swf</subfield></datafield><datafield tag="650" ind1="0" ind2="7"><subfield code="a">Chirurgie</subfield><subfield code="0">(DE-588)4009987-8</subfield><subfield code="2">gnd</subfield><subfield code="9">rswk-swf</subfield></datafield><datafield tag="650" ind1="0" ind2="7"><subfield code="a">Brustkorbkrankheit</subfield><subfield code="0">(DE-588)4059937-1</subfield><subfield code="2">gnd</subfield><subfield code="9">rswk-swf</subfield></datafield><datafield tag="650" ind1="0" ind2="7"><subfield code="a">Perioperative Phase</subfield><subfield code="0">(DE-588)4173783-0</subfield><subfield code="2">gnd</subfield><subfield code="9">rswk-swf</subfield></datafield><datafield tag="655" ind1=" " ind2="7"><subfield code="0">(DE-588)4143413-4</subfield><subfield code="a">Aufsatzsammlung</subfield><subfield code="2">gnd-content</subfield></datafield><datafield tag="689" ind1="0" ind2="0"><subfield code="a">Thoraxchirurgie</subfield><subfield code="0">(DE-588)4059934-6</subfield><subfield code="D">s</subfield></datafield><datafield tag="689" ind1="0" ind2="1"><subfield code="a">Komplikation</subfield><subfield code="0">(DE-588)4123547-2</subfield><subfield code="D">s</subfield></datafield><datafield tag="689" ind1="0" ind2=" "><subfield code="5">DE-604</subfield></datafield><datafield tag="689" ind1="1" ind2="0"><subfield code="a">Brustkorbkrankheit</subfield><subfield code="0">(DE-588)4059937-1</subfield><subfield code="D">s</subfield></datafield><datafield tag="689" ind1="1" ind2="1"><subfield code="a">Chirurgie</subfield><subfield code="0">(DE-588)4009987-8</subfield><subfield code="D">s</subfield></datafield><datafield tag="689" ind1="1" ind2="2"><subfield code="a">Komplikation</subfield><subfield code="0">(DE-588)4123547-2</subfield><subfield code="D">s</subfield></datafield><datafield tag="689" ind1="1" ind2="3"><subfield code="a">Perioperative Phase</subfield><subfield code="0">(DE-588)4173783-0</subfield><subfield code="D">s</subfield></datafield><datafield tag="689" ind1="1" ind2=" "><subfield code="5">DE-604</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Shennib, Hani</subfield><subfield code="e">Sonstige</subfield><subfield code="4">oth</subfield></datafield><datafield tag="830" ind1=" " ind2="0"><subfield code="a">Chest surgery clinics of North America</subfield><subfield code="v">8,3</subfield><subfield code="w">(DE-604)BV005455558</subfield><subfield code="9">8,3</subfield></datafield><datafield tag="856" ind1="4" ind2="2"><subfield code="m">HBZ Datenaustausch</subfield><subfield code="q">application/pdf</subfield><subfield code="u">http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008268235&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA</subfield><subfield code="3">Inhaltsverzeichnis</subfield></datafield><datafield tag="999" ind1=" " ind2=" "><subfield code="a">oai:aleph.bib-bvb.de:BVB01-008268235</subfield></datafield></record></collection> |
| genre | (DE-588)4143413-4 Aufsatzsammlung gnd-content |
| genre_facet | Aufsatzsammlung |
| id | DE-604.BV012201650 |
| illustrated | Illustrated |
| indexdate | 2024-07-09T18:23:30Z |
| institution | BVB |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-008268235 |
| oclc_num | 39762738 |
| open_access_boolean | |
| owner | DE-12 |
| owner_facet | DE-12 |
| physical | XIV S., S. 479 - 747 Ill., graph. Darst. |
| publishDate | 1998 |
| publishDateSearch | 1998 |
| publishDateSort | 1998 |
| publisher | Saunders |
| record_format | marc |
| series | Chest surgery clinics of North America |
| series2 | Chest surgery clinics of North America |
| spelling | Medical complications of thoracic surgery Hani Shennib, guest ed. Philadelphia [u.a.] Saunders 1998 XIV S., S. 479 - 747 Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Chest surgery clinics of North America 8,3 Chirurgie thoracique - effets indésirables Thoracic Surgical Procedures adverse effects Komplikation (DE-588)4123547-2 gnd rswk-swf Thoraxchirurgie (DE-588)4059934-6 gnd rswk-swf Chirurgie (DE-588)4009987-8 gnd rswk-swf Brustkorbkrankheit (DE-588)4059937-1 gnd rswk-swf Perioperative Phase (DE-588)4173783-0 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Thoraxchirurgie (DE-588)4059934-6 s Komplikation (DE-588)4123547-2 s DE-604 Brustkorbkrankheit (DE-588)4059937-1 s Chirurgie (DE-588)4009987-8 s Perioperative Phase (DE-588)4173783-0 s Shennib, Hani Sonstige oth Chest surgery clinics of North America 8,3 (DE-604)BV005455558 8,3 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008268235&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Medical complications of thoracic surgery Chest surgery clinics of North America Chirurgie thoracique - effets indésirables Thoracic Surgical Procedures adverse effects Komplikation (DE-588)4123547-2 gnd Thoraxchirurgie (DE-588)4059934-6 gnd Chirurgie (DE-588)4009987-8 gnd Brustkorbkrankheit (DE-588)4059937-1 gnd Perioperative Phase (DE-588)4173783-0 gnd |
| subject_GND | (DE-588)4123547-2 (DE-588)4059934-6 (DE-588)4009987-8 (DE-588)4059937-1 (DE-588)4173783-0 (DE-588)4143413-4 |
| title | Medical complications of thoracic surgery |
| title_auth | Medical complications of thoracic surgery |
| title_exact_search | Medical complications of thoracic surgery |
| title_full | Medical complications of thoracic surgery Hani Shennib, guest ed. |
| title_fullStr | Medical complications of thoracic surgery Hani Shennib, guest ed. |
| title_full_unstemmed | Medical complications of thoracic surgery Hani Shennib, guest ed. |
| title_short | Medical complications of thoracic surgery |
| title_sort | medical complications of thoracic surgery |
| topic | Chirurgie thoracique - effets indésirables Thoracic Surgical Procedures adverse effects Komplikation (DE-588)4123547-2 gnd Thoraxchirurgie (DE-588)4059934-6 gnd Chirurgie (DE-588)4009987-8 gnd Brustkorbkrankheit (DE-588)4059937-1 gnd Perioperative Phase (DE-588)4173783-0 gnd |
| topic_facet | Chirurgie thoracique - effets indésirables Thoracic Surgical Procedures adverse effects Komplikation Thoraxchirurgie Chirurgie Brustkorbkrankheit Perioperative Phase Aufsatzsammlung |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008268235&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| volume_link | (DE-604)BV005455558 |
| work_keys_str_mv | AT shennibhani medicalcomplicationsofthoracicsurgery |