Download or read book Awake Thoracic Surgery written by Eugenio Pompeo and published by Bentham Science Publishers. This book was released on 2012-02-10 with total page 211 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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

Download or read book SINGLE CENTER EXPERIENCE IN AWAKE THORACOSCOPIC CHEST SURGERY written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book Nonintubated Thoracic Surgery An Issue of Thoracic Surgery Clinics E Book written by Tommaso C. Mineo and published by Elsevier Health Sciences. This book was released on 2019-12-03 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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!

Download or read book Principles and Practice of Anesthesia for Thoracic Surgery written by Peter Slinger, MD, FRCPC and published by Springer Science & Business Media. This book was released on 2011-07-12 with total page 718 pages. Available in PDF, EPUB and Kindle. Book excerpt: Principles and Practice of Anesthesia for Thoracic Surgery will serve as an updated comprehensive review covering not only the recent advances, but also topics that haven't been covered in previously published texts: extracorporeal ventilatory support, new advances in chest imaging modalities, lung isolation with a difficult airway, pulmonary thrombo-endarterectomy, and chronic post-thoracotomy pain. Additionally, the book features clinical case discussions at the end of each clinical chapter as well as tables comprising detailed anesthetic management.

Download or read book Anesthesia in Thoracic Surgery written by Manuel Granell Gil and published by Springer. This book was released on 2021-08-26 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book reviews and describes the best practices of anesthesia in thoracic surgery, according to evidence-based medicine. It covers preoperative assessment, applied pharmacology, airway management and ventilation methods. The analgesic methods in this surgical specialty are also discussed. This book is aimed at all specialists in the world of anesthesiology and critical care as well as to physicians in training. It may also be of interest to thoracic surgeons and pulmonologists.

Download or read book Uniportal Single Port Video Assisted Thoracic Surgery An Issue of Thoracic Surgery Clinics E Book written by Gaetano Rocco and published by Elsevier Health Sciences. This book was released on 2019-01-18 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: 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!

Download or read book Clinical Thoracic Anesthesia written by Jayashree Sood and published by Springer Nature. This book was released on 2020-07-01 with total page 354 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book Postoperative Care in Thoracic Surgery written by Mert Şentürk and published by Springer. This book was released on 2017-03-10 with total page 302 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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 care, and pain medicine. The coverage ranges, for example, from use of non-invasive ventilation, extracorporeal membrane oxygenation, and new monitoring devices to fluid management, pain control, and treatment of arrhythmias. A key feature of the book is the exceptionally attractive list of authors, who represent the most authoritative experts on the topics that they address. The approach is appropriately multidisciplinary, acknowledging that in many centers thoracic anesthetists are responsible for care during the postoperative period. This book is exceptional in being devoted solely to postoperative care in thoracic surgery, even though the difficulties involved in thoracic operations sometimes exceed those of cardiac surgery, especially in the postoperative period.

Download or read book Anesthesia Emergencies written by Keith J. Ruskin and published by Oxford University Press. This book was released on 2015-07-27 with total page 481 pages. Available in PDF, EPUB and Kindle. Book excerpt: Anesthesia Emergencies contains relevant step-by-step information on how to detect, manage, and treat complications and emergencies during the perioperative period. Concisely written, highlighted sections on immediate management and risk factors reinforce essential points for easy memorization, while consistent organization and checklists provide ease of learning and clarity. Anesthesia providers will find this book an indispensable resource, describing assessment and treatment of life-threatening situations, including airway, thoracic, surgical, pediatric, and cardiovascular emergencies. The second edition contains a revised table of contents which presents topics in order of their priority during emergencies, as well as two new chapters on crisis resource management and disaster medicine.

Download or read book Frontiers of Minimally Invasive Thoracic Surgery an Issue of Thoracic Surgery Clinics written by Gaetano Rocco and published by Saunders. This book was released on 2008-08 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of the Thoracic Surgery Clinics is devoted to Minimally Invasive Thoracic Surgery and will address the following topics: VATS short term and long term outcomes; VATS/ robotic pulmonary resections; the hybrid (open/VATS) technique and centrally located NSCLC; complications of VATS lobectomy; cost-effectiveness analysis; uniportal VATS for diagnosis and treatment of intrathoracic conditions; awake operative VATS pulmonary resections; outpatient thoracic surgery; the future evolution of the thoracic surgical practice and other topics.

Download or read book Awake Thorascopy Procedure with Pecs Block a Case Report written by Pierpaolo Poggi and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Performing awake video assisted thoracic surgery is a challenge for the anesthesiologist. Several techniques have been described from local wound infiltration to epidural anesthesia. Recently a new technique has become available to perform analgesia/anaesthesia during thoracic wall procedures: the PECS Block.The PECS Block was originally described for breast surgery1; poor literature exists about the use of PECS Block in thoracic surgery2. Case report: The patient was 75 years old man, with history of arterial hypertension and acustic neurinoma. He was scheduled for awake VATS for recurrent pleural effusion. After sedation (remifentanyl infusion at 0,025 u03b3/kg/min) we perform the PECS blocks, ultrasound guided in three steps: PECS I (10 ml of Ropivacaine 0.375% between pectoralis major and minor at the 3rd rib level); PECS II (20 ml of Ropivacaine 0.375% between pectoralis minor and serratus anterior at the 4rd rib level); Serratus Plane Block (30 ml of Ropivacaine 0.25% between serratus anterior and latissimus dorsi at the 5 rib level). The thorascopic procedure was perform through the insertion of two 7.5 FR Trocars at the 4u2122 intercostal space and consisted in drainage of about 800 ml of pleural liquid and different biopsies at the parietal, visceral pleura and lung. The duration of procedure was 90 minutes. Vital signs were stable during the operation.The median NRS during the procedure and at 24 hours was 2 without need for analgesic rescue.Discussion: This case report (never described in literature before) proved our aim:the efficacy of PECS Block technique to provide anaesthesia during an awake VATS procedure. We demonstrate that PECS Block could be a very useful technique to provide anaesthesia during VATS procedure, with the advantage of being less invasive than epidural and paravertebral blocks. More studies are necessary to evaluate the efficacy and safety of this approach.Learnings points: The future central role of PECS block in thoracic surgery: anaestehesia for awake thorascopy and analgesia alone or to complete the distribution of other techniques, epidural/paravertebral blocks.

Download or read book Awake Thoracic Spine Surgery Under Bilateral Multiple Midpoint Transverse Process To Pleura MTP Blocks A Case Report written by burkay k kacira and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: We report a case where we applied the bilateral multipleultrasonography guided midpoint transverse process to pleura(MTP) blocks for awake thoracic spine surgery.

Download or read book Essential Clinical Anesthesia written by Charles Vacanti and published by Cambridge University Press. This book was released on 2011-07-11 with total page 1191 pages. Available in PDF, EPUB and Kindle. Book excerpt: The clinical practice of anesthesia has undergone many advances in the past few years, making this the perfect time for a new state-of-the-art anesthesia textbook for practitioners and trainees. The goal of this book is to provide a modern, clinically focused textbook giving rapid access to comprehensive, succinct knowledge from experts in the field. All clinical topics of relevance to anesthesiology are organized into 29 sections consisting of more than 180 chapters. The print version contains 166 chapters that cover all of the essential clinical topics, while an additional 17 chapters on subjects of interest to the more advanced practitioner can be freely accessed at www.cambridge.org/vacanti. Newer techniques such as ultrasound nerve blocks, robotic surgery and transesophageal echocardiography are included, and numerous illustrations and tables assist the reader in rapidly assimilating key information. This authoritative text is edited by distinguished Harvard Medical School faculty, with contributors from many of the leading academic anesthesiology departments in the United States and an introduction from Dr S. R. Mallampati. This book is your essential companion when preparing for board review and recertification exams and in your daily clinical practice.

Download or read book Epidural Anesthesia in a Video assisted Thoracoscopic Surgery VATS on an Awake Pneumonectomized Patient a Case Report written by Abigail Villena and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Epidural anesthesia in a video-assisted thoracoscopic surgery (VATS) on an awake pneumonectomized patient: a case report.Villena A; Ferrando C; Navarro J; Belda FJ.BackgroundThe future of the thoracic surgery should be associated with a combination of surgical and anaesthetic evolution looking for improvements to reduce the trauma to the patient. For these reasons we present this case where minimally invasive surgery was combined with the use of regional anesthesia.Case reportA 53 years old man, ASA III, ARISCAT 60 and Goldman II who was undergoing VATS for left pleural effussion drainage and lower lobe biopsy. Medical history of interest: right pleuro-pneumonectomy in 2008 due to malignant pleural mesothelioma with posterior radio/chemotherapy.Given the impossibility of carrying out selective right lung ventilation we decided to realize an awake anesthesia with an epidural blockade at T5-T6 level together with a continuous Dexmedetomidine infusion of 1 mcg/kg/h to maintan a BIS between 60 and 80. To achieve the desired analgesic level 3 bolus of a combination of Lidocaine 2% + Levobupivacaine 0.125% were administer: 8, 4 and 2 ml. The surgery lasted 1 hour. Hemodynamic stability was maintained during all the surgery (mean BP 110/71 mmHg and HR 75 bpm). The patient was oxygenation 0.28 FiO2 and SpO2 > 97% was maintaned during all the process. No incidents were reported during the surgery. After surgery, the epidural catheter was removed and the patient was transferred to the PACU for 12h. Discussion The present case shows an anesthetic alternative which can be used in special cases where selective ventilation is not allowed. We emphasize that this strategy may avoided the potential adverse effects related to general anaesthesia and selective ventilation, such as residual neuromuscular blockade postoperative nausea and vomiting and ventilation-induced lung injury. Finally, we accentuate treatment with dexmedetomidine to maintain a minimally and adequate sedation avoiding the adverse effects related to stress. Learning pointsThis anesthetic management might add a further step on the fast track surgery and become an indispensable and fully reliable tool within thoracic surgery.ReferenceGonzalez-Rivas D, Bonome C, Fieira E et al. Non-intubated video-assisted thoracoscopic lung resections: the future of thoracic surgery? Eur J Cardiothorac Surg 2015.

Download or read book Thoracic Anesthesia written by Joel A. Kaplan and published by . This book was released on 2003 with total page 508 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 3rd Edition is the most authoritative and up-to-date collection of material from the fields of anesthesia, pulmonary medicine, thoracic surgery, critical care medicine, and pharmacology to present a complete clinical picture. This multi-author work edited by renowned authorities encompasses all aspects of thoracic anesthesia including respiratory physiology, pulmonary transplantation, postoperative pain, and complications. It offers information on the latest techniques and equipment used in intraoperative monitoring, endobronchial intubation, tracheostomy, and mechanical ventilation. Features the work of acknowledged experts in their respective areas. Presents a comprehensive, international, and multidisciplinary picture of thoracic anesthesia. Covers every phase of the anesthetist's responsibilities-from the preoperative assessment of the patient, through intraoperative anesthesia and monitoring, to postoperative management in the intensive care unit. Covers today's hot topics including minimally invasive surgery and transplantation. Examines the latest techniques and equipment for intraoperative monitoring · endobronchial intubation · tracheostomy · lung separation techniques · and mechanical ventilation. Offers new information from many clinical fields including anesthesiology · pulmonary medicine · thoracic surgery · critical care medicine · and pharmacology. Presents the expertise of a distinguished new editor. Includes new coverage including anesthesia for thoracoscopic surgery · lung isolation in pediatrics · and multimodal post-operative analgesia.

Download or read book Shields General Thoracic Surgery written by Joseph LoCicero and published by Lippincott Williams & Wilkins. This book was released on 2018-06-19 with total page 2512 pages. Available in PDF, EPUB and Kindle. Book excerpt: Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. The gold standard thoracic surgery reference for 45 years, Shields’ General Thoracic Surgery remains your #1 resource for comprehensive coverage of both open and endoscopic surgical techniques, with commentary from more than 150 global experts in the field. This two-volume masterwork covers all facets of thoracic disease, enhanced with dynamic audio and visual content, colorful graphics, and an authoritative analysis of the world’s literature and electronic data – making this 8th Edition the most extensive and concise collection of practical, complete information available for today’s busy clinician.

Download or read book Thoracic Surgery written by Claudiu E. Nistor and published by Springer Nature. This book was released on 2020-10-05 with total page 1069 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.