Management of Intra-operative Crises, An Issue of Thoracic Surgery Clinics , livre ebook

Clinics Review Articles Thoracic Surgery Clinics
Management of Intraoperative Crises

Shanda H. Blackmon, MD, MPH, FACS
Mayo Clinic, Rochester, MN, USA
ISSN  1547-4127 Volume 25 • Number 3 • August 2015
Elsevier
Table of Contents
Cover image
Title page
Copyright
Contributors
Consulting Editor
Editor
Authors
Forthcoming Issues
Forthcoming Issues
Recent Issues
Preface: Managing Intraoperative Events in Thoracic Surgery
Erratum
Pulmonary Artery Bleeding During Video-Assisted Thoracoscopic Surgery
Key points
Introduction
Incidence of pulmonary artery bleeding during video-assisted thoracoscopic surgery lobectomies
Mechanisms of pulmonary artery injury
Planning
Intraoperative techniques to control injury
Summary
Intraoperative Tracheal Injury
Key points
Introduction
Prevention
Diagnosis
Methods of injury
Repair
Summary
Massive Airway Hemorrhage
Key points
Introduction
Cause
Management strategy
Stabilization
Securing the airway
Bleeding control
Summary
Great Vessel Injury in Thoracic Surgery
Key points
Intraoperative bleeding in general thoracic surgery
Procedure-specific bleeding
Summary
Endotracheal Tube Management and Obstructed Airway
Key points
Introduction
Monitoring
Lung isolation
Summary
Obstructed airway
Summary
Operative and Perioperative Pulmonary Emboli
Key points
Introduction
Risk factors
Pathophysiology
Intraoperative detection
Initial stabilization and monitoring
Venous thromboembolism in thoracic surgery patients
Prevention
Treatment
Heparin-induced thrombocytopenia
Therapeutic options for the treatment of acute pulmonary embolism
Pulmonary embolectomy
Indications for surgical embolectomy
Surgical technique
Postoperative anticoagulation
Pulmonary embolism in pregnancy
Other embolic syndromes
Summary
Acute Intraoperative Pulmonary Aspiration
Key points
Introduction
Pulmonary aspiration: definition, consequences, and risk factors
Prevention
Management of acute intraoperative aspiration
Summary
Coagulopathy and Anticoagulation During Thoracic Surgery
Key points
Introduction
Classification of anticoagulation agents
Classification of antiplatelet agents
Assessment of risk
General principles of perioperative antithrombotic management
Perioperative management of anticoagulation therapy
Perioperative management of antiplatelet therapy
Vena caval filters
Hereditary hypercoagulable conditions
Urgent reversal of anticoagulation
Summary
Cardiopulmonary Bypass and Extracorporeal Life Support for Emergent Intraoperative Thoracic Situations
Key points
Introduction
Predictors of operative mortality and avoidable factors
Use of cardiopulmonary bypass in thoracic surgery
Use of venoarterial extracorporeal membrane oxygenation in thoracic surgical procedures
Use of venovenous extracorporeal membrane oxygenation in thoracic surgical procedures
Lung transplantation: cardiopulmonary bypass or extracorporeal membrane oxygenation?
Summary
Management of Complications After Pneumonectomy
Key points
Patient selection
Mortality
Morbidity
Technical complications
Cardiovascular complications
Respiratory complications
Empyema
Hematologic complications
Summary
Video-Assisted Thoracic Surgery After Median Sternotomy for Cardiac Surgery
Key points
Introduction: nature of the problem
Surgical technique
Immediate postoperative care
Rehabilitation and recovery
Summary
Postlobectomy Early Complications
Key points
Introduction
Air leak
Prevention strategies
Treatment strategies
Prevention strategies
Treatment strategies
Atrial fibrillation
Prevention strategies
Treatment strategies
Right middle lobe torsion
Prevention strategies
Treatment strategies
Hemorrhage
Chylothorax
Nerve injury
Summary
Index
Copyright
ELSEVIER
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THORACIC SURGERY CLINICS Volume 25, Number 3 August 2015 ISSN 1547-4127, ISBN-13: 978-0-323-39358-4
Editor: John Vassallo ( j.vassallo@elsevier.com )
Developmental Editor: Susan Showalter
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Contributors

Consulting Editor
M. BLAIR MARSHALL, MD, FACS
Chief, Division of Thoracic Surgery; Associate Professor of Surgery, Department of Surgery, Georgetown University Medical Center, Georgetown University School of Medicine, Washington, DC

Editor
SHANDA H. BLACKMON, MD, MPH, FACS
Associate Professor, Division of Thoracic Surgery, Department of Surgery, Mayo Clinic, Rochester, Minnesota

Authors
MARK F. BERRY, MD
Associate Professor, Department of Cardiothoracic Surgery, Falk Card