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Join today! Forgot password? Forgot username? View Access Options. Advanced Search. View Full Size. Tygh Wyckoff, M. Augoustides, M. Article Information.
Anesthesiology 9 , Vol. You will receive an email whenever this article is corrected, updated, or cited in the literature. You can manage this and all other alerts in My Account. You must be logged in to access this feature. Core Topics in Thoracic Anesthesia. Edited by Cait P. Searl, F.
Ahmed, F. Pages: The practice of thoracic anesthesia requires detailed knowledge of respiratory physiology, pharmacology, anatomy, and related surgical techniques for a patient population that frequently has major comorbidities. This hardbound edition comprises three sections: preoperative considerations, anesthesia for specific procedures, and postoperative management. The chapters in each section are short about five to ten pages and are accompanied by complementary tables, diagrams, and photographs.
The first section, preoperative considerations, reviews general background material in anatomy, physiology, and pharmacology as a practical foundation for the practice of thoracic anesthesia. The subsequent two chapters discuss common respiratory diseases and important aspects of the preoperative assessment for thoracic surgical procedures.
Although some readers may find the detailed review of respiratory diseases too extensive in places, this does not detract significantly from the overall success of this chapter. In the conclusion of the section on preoperative considerations, two chapters review one-lung ventilation in detail, with the discussion covering the indications and current modalities, all aided with complementary figures.
Double-lumen endotracheal tubes are explained thoroughly, including helpful practical advice on size selection, insertion technique, and confirmation of correct position.scanunnitabmang.tk
The Principles of Thoracic Anaesthesia Past and Present | JAMA | JAMA Network
The management of one-lung ventilation is also reviewed in a practical and problem-solving fashion. The second section, anesthesia for operative procedures, comprises 12 chapters describing anesthetic considerations for thoracic procedures, including bronchoscopy, lung resection, and lung transplantation. The chapters covering anesthesia for esophageal and chest wall surgery explain the operative management of these diseases and associated anesthetic concerns clearly. The chapters on lung transplantation and pulmonary endarterectomy are especially well written and may serve as a good refresher for more experienced practitioners who do not routinely participate in these procedures.
In the conclusion of this section, the chapters on anesthetic concerns in the morbidly obese and elderly are particularly helpful because these patient groups are not uncommon in contemporary thoracic anesthetic practice. The third and final section of this text reviews postoperative management in both the short-term and beyond. The inclusion of this section is commendable as the field of anesthesiology continues to expand into all areas of perioperative care.
The chapter on perioperative fluid management provides a balanced discussion of this contentious issue, including a brief review of pertinent recent clinical trials. Two chapters are dedicated to pain management after thoracic surgery. The first examines the use of regional anesthetic techniques in the immediate postoperative period, and the second reviews mechanisms of chronic neuropathic pain and associated therapeutic interventions.
The application of various ventilatory modes in acute lung injury is presented clearly in the chapter covering the management of postoperative respiratory problems. Thoracic epidural anaesthesia is often used for thoracic procedures. Our anaesthesia trainees have the opportunity to practice thoracic epidural needle and catheter placement on the training model.
The practice of thoracic anaesthesia requires understanding of the techniques and technical skills for one lung ventilation. The most important knowledge for successful placement of devices for lung isolation is bronchial anatomy 2. Under the guidance of experienced thoracic anaesthesiologist we organise Workshops on Lung Isolation technique with double-lumen tube and bronchial blockers using simulator training facility. For full scale simulation we have high fidelity patient simulator specifically designed for training in anaesthesia. This patient simulator clinicaly responds as a real human, parameters of vital functions can be measured using normal equipment.
In simulated op. It has been demonstrated, that most powerful outcome of simulation exercises are achieved when they become part of standard curriculum 3. The Slovenian specialist national training program of Anaesthesiology, Reanimatology and Perioperative Intensive Care Medicine was this year implemented with simulation — based education integration.
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Except where otherwise noted, content on this site is licensed under a Creative Commons Attribution 4. Impact factor 0. Introduction Training of some procedures on live patients is no longer ethically justified or acceptable to the patient. Conclusion It has been demonstrated, that most powerful outcome of simulation exercises are achieved when they become part of standard curriculum 3. References: Glavin R Simulation in anesthesia and acute care settings. Euroanaesthesia , Vienna Austria. Barry Issenberg et al. Workshop on lung isolation techniques.