Practical Handbook of Thoracic Anesthesia
This comprehensive handbook delivers “bottom line,” evidence-based guidance in the practice of thoracic anesthesia. Chapters are short and practical and include actionable technical pearls not available elsewhere. The editor and contributors are aca
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Practical Handbook of Thoracic Anesthesia
Philip M. Hartigan Editor Steven J. Mentzer Consulting Surgical Editor
Editor Philip M. Hartigan, MD Assistant Professor of Anaesthesia Harvard Medical School Director, Division of Thoracic Anesthesia Department of Anesthesiology, Perioperative and Pain Medicinea Brigham and Women’s Hospital Boston, MA USA
ISBN 978-0-387-88492-9 e-ISBN 978-0-387-88493-6 DOI 10.1007/978-0-387-88493-6 Springer New York Dordrecht Heidelberg London Library of Congress Control Number: 2011943746 © Springer Science+Business Media, LLC 2012 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. While the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)
Preface
Why This Book? The vast majority of the roughly 200,000 thoracic surgical procedures this year will take place in centers where there is no dedicated, subspecialized thoracic anesthesia service. A considerable hunger for guidance and pearls is present among skilled generalists who occasionally find themselves thrust into thoracic cases with unfamiliar problems to solve. Similarly, fellows, residents, and medical students have expressed a need for efficiently accessible, essential principles, and specific management guidance for thoracic cases. All have experienced the frustration of wading through large, thickly referenced tomes that are reluctant to take a stand on controversial issues. ■
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When should one use PEEP vs. CPAP during one-lung ventilation? What else can one do if the patient desaturates? What really works? How do you know when it is safe to induce a patient with an anterior mediastinal mass? How do I decide whether an epidural is indicated? There is a tracheal resection/reconstruction in my room tomorrow. What do I need to know? What are my ventilation options while the airway is divided? How should the ventilator be set for patients with severe COPD during one-lung ventilation? What is the bottom line on fluids and post-pneumonectomy pulmonary edema?
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