Principles and Practice of Anesthesia for Thoracic Surgery
Comprehensive, authoritative, and up-to-date, Principles and Practice of Anesthesia for Thoracic Surgery covers all aspects of anesthesia for diagnostic and therapeutic thoracic procedures, including advances not addressed by other volumes, such as extrac
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Principles and Practice of Anesthesia for Thoracic Surgery Edited by
Peter Slinger, MD, FRCPC University of Toronto Toronto, ON, Canada Associate Editors
Randal S. Blank Javier Campos Edmond Cohen Karen McRae
Editor Peter Slinger, MD, FRCPC Professor of Anesthesia University of Toronto Staff Anesthesiologist Toronto General Hospital Toronto, ON, Canada
ISBN 978-1-4419-0183-5 e-ISBN 978-1-4419-0184-2 DOI 10.1007/978-1-4419-0184-2 Springer New York Dordrecht Heidelberg London Library of Congress Control Number: 2011928684 © Springer Science + Business Media, LLC 2011 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)
To Lee, Luke and Rusty. Thanks, P.
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Preface
This book, The Principles and Practice of Anesthesia for Thoracic Surgery, is designed to be a comprehensive and up-to-date reference text for all aspects of anesthesia related to noncardiac intrathoracic diagnostic and therapeutic procedures. The goal of this text is to improve the perioperative care of thoracic surgical patients. It is written for practitioners of thoracic anesthesia at all levels: Residents, Fellows, Staff Anesthesiologists, Nurse Anesthetists, Nurse Practitioners, Anesthesia Assistants, and Allied Health Professionals who are involved in managing these patients. The spectrum of patients who require anesthesia for thoracic procedures continues to evolve. At the beginning of the last century, thoracic surgery was mainly performed for infectious diseases and their complications such as empyema, bronchiectasis, and broncho-pleural fistula. This continues to be the mainstay of thoracic anesthesia in many developing countries as described by Dr. Rebecca Jacob of Bengaluru, India, in Chap. 33. Occasionally, patients with these types of pathology present for surgery in hospitals in the developed world also, so the principles of lung separation and isolation for these cases remain fundamental buil