Handbook of Perioperative Care in General Thoracic Surgery

1. Multidisciplinary care of the thoracic surgical patient 2. Preoperative assessment Assessment of pulmonary reserve Assessment of cardiac function Assessment of esophageal function 3. Specific preoperative assessment Assessment of technical resectability of lung cancer Assessment of the patient with a mediastinal mass Assessment of the patient with a chest wall mass Assessment of the patient with an elevated hemidiaphragm Management of the patient with possible airway obstruction Assessment of the patient with a pleural disorder Assessment of technical resectability of esophageal cancer Assessment of the patient with a solitary pulmonary module Assessment of the patient with pulmonary metastases 4. Rehabilitation and preparation for a general thoracic surgical procedure 5. Intraoperative care Bronchoscopy by surgeons Principles of anesthesia for pulmonary resection Principles of anesthesia for the patient with an anterior mediastinal mass Airway management during tracheal resection Thoracic Anatomy Positioning & Incisions Principles of videothoracoscopy Prevention of postoperative complications after pulmonary surgery Prevention of postoperative complications after esophageal surgery Pleural drainage after thoracic procedures 6. Principles of postoperative care Monitoring Pain control Fluid management Use of bronchodilators, antibiotics, anticoagulants, and other drugs 7. Management of postoperative complications after pulmonary surgery Atelectasis, pneumonia Respiratory failure Management of the patient under mechanical ventilation: use of respirator by surgeon Arrhythmias Prolonged air leaks and space problems Empyema and bronchopleural fistula Delerium Recurrent laryngeal nerve palsy Subcutaneous emphysema Chylothorax 8. Management of anastomotic leak after esophageal resection 9. Follow-up and late surgical complications 10. Principles of pleural drainage and suction systems Open Drainage 11. Special challenges in thoracic surgery Management of the patient with hemoptysis Management of the patient with parapneumonic effusion or empyema Management of the patient with primary or secondary spontaneous pneumothorax Management of the patient with superior vena cava obstruction Management of the patient with Pancoast tumor Management of the patient with suppurative lung disease Management of malignant pleural effusion Management of the patient with chronic intercostal neuralgia Management of the patient with esophageal rupture Management of the patient with tracheoesophageal fistula Management of the patient with emphysema 12. Chest trauma Initial management of the patient with blunt trauma to the chest Initial management of the patient with penetrating trauma Management of rib fractures and flail chest Management of the patient with possible airway trauma 13. Palliation of lung carcinoma Palliation of esophageal carcinoma