A panel of recognized authorities comprehensively review the medical, surgical, and pathophysiologic issues relevant to lung volume reduction surgery for emphysema. Topics range from the open technique and video-assisted thoracoscopic approaches to LVRS, to anesthetic management, to perioperative and nursing care of the patient. The experts also detail the selection of candidates for LVRS, the clinical results and clinical trials in LVRS, and the effects of LVRS on survival rates.

Considering the epidemiology of COPD, this title collects all available knowledge on the subject, featuring data on the national emphysema treatment trial. It explores the epidemiology of emphysema, the management of complications and surgical controversies in lung volume reduction surgery for emphysema (LVRS).

Thoracic surgery is a high-risk speciality and requires attention to detail. This book, compiled by expert surgeons from around the world, offers pearls of wisdom on how to improve the surgical outcome and how to reduce unnecessary complications. The book is designed so that it covers all common thoracic operations in both adults and children as well as dealing with much rarer indications. It includes a discussion on the complications of surgery and provides specific tips on how to avoid intra-operative and postoperative complications. Tips and Tricks in Thoracic Surgery is a fully illustrated, comprehensive text aimed at qualified and trainee thoracic surgeons.

What every resident and practicing anesthesiologist needs to know about thoracic anesthesia—in one concise handbook Thoracic Anesthesia is the definitive introduction for anesthesiologists in training and the must-have reference for anesthesiologists who do not practice thoracic anesthesia exclusively. Here, you’ll find a current, detailed review of the basic, need-to-know concepts of thoracic anesthesia, along with clear, practical suggestions for handling commonly encountered scenarios. Written by top specialists in the field, the book is filled with high-yield insights into such pivotal topics as respiratory physiology, pulmonary pharmacology, imaging, one-lung ventilation, and postoperative care. FEATURES The ultimate thoracic anesthesia primer, designed for residents and experienced anesthesiologists/nurse anesthetists who must meet the growing demand for skilled practitioners in the thoracic operating room Comprehensive, yet concise presentation and compact format make the text a perfect at-a-glance reference in the OR Acknowledged experts in each topic area review key concepts that clarify a given condition—and summarize the best management strategies for delivering safe and effective perioperative care to thoracic surgical patients Focus on the major principles of thoracic anesthesia covers chest physiology, mechanisms of pain, biology of chest malignancies, and lung separation techniques Chapter on practice improvement and patient safety highlights the delivery of modern, high-quality perioperative thoracic care through a multi-disciplinary, team approach Top-to-bottom coverage of the latest thoracic anesthesia techniques and procedures: Preoperative risk stratification, Closed thorax procedures, Lung resections for cancer and benign chest tumors, Extrapleural pneumonectomy, Pericardial window procedures, Esophageal cancer operations, Bronchopleural fistula, Lung transplantation, Thoracic trauma management Special chapter on anesthesia for pediatric thoracic surgery presents the most current clinical perspectives that help you achieve positive outcomes even in the most challenging pediatric cases Section on postoperative management of thoracic surgical patients thoroughly reviews routine postoperative care as well as how to handle respiratory, renal, and cardiovascular complications, and both acute and chronic post thoracotomy pain

Principles and Practice of Anesthesia for Thoracic Surgery will serve as an updated comprehensive review covering not only the recent advances, but also topics that haven't been covered in previously published texts: extracorporeal ventilatory support, new advances in chest imaging modalities, lung isolation with a difficult airway, pulmonary thrombo-endarterectomy, and chronic post-thoracotomy pain. Additionally, the book features clinical case discussions at the end of each clinical chapter as well as tables comprising detailed anesthetic management.

Awake thoracic surgery is a new surgical field that is set to expand in the near future. Employing sole epidural or local anaesthesia in fully awake patients renders many thoracic surgical procedures doable with less invasiveness and general anaesthesia r

This report considers the biological and behavioral mechanisms that may underlie the pathogenicity of tobacco smoke. Many Surgeon General's reports have considered research findings on mechanisms in assessing the biological plausibility of associations observed in epidemiologic studies. Mechanisms of disease are important because they may provide plausibility, which is one of the guideline criteria for assessing evidence on causation. This report specifically reviews the evidence on the potential mechanisms by which smoking causes diseases and considers whether a mechanism is likely to be operative in the production of human disease by tobacco smoke. This evidence is relevant to understanding how smoking causes disease, to identifying those who may be particularly susceptible, and to assessing the potential risks of tobacco products.

Resource ordered for the Diagnostic Medical Sonography program 105262 and Radiography 105261 program.

The clinical practice of anesthesia has undergone many advances in the past few years, making this the perfect time for a new state-of-the-art anesthesia textbook for practitioners and trainees. The goal of this book is to provide a modern, clinically focused textbook giving rapid access to comprehensive, succinct knowledge from experts in the field. All clinical topics of relevance to anesthesiology are organized into 29 sections consisting of more than 180 chapters. The print version contains 166 chapters that cover all of the essential clinical topics, while an additional 17 chapters on subjects of interest to the more advanced practitioner can be freely accessed at www.cambridge.org/vacanti. Newer techniques such as ultrasound nerve blocks, robotic surgery and transesophageal echocardiography are included, and numerous illustrations and tables assist the reader in rapidly assimilating key information. This authoritative text is edited by distinguished Harvard Medical School faculty, with contributors from many of the leading academic anesthesiology departments in the United States and an introduction from Dr S. R. Mallampati. This book is your essential companion when preparing for board review and recertification exams and in your daily clinical practice.

This book provides teaching scripts for medical educators in internal medicine and coaches them in creating their own teaching scripts. Every year, thousands of attending internists are asked to train the next generation of physicians to master a growing body of knowledge. Formal teaching time has become increasingly limited due to rising clinical workload, medical documentation requirements, duty hour restrictions, and other time pressures. In addition, today’s physicians-in-training expect teaching sessions that deliver focused, evidence-based content that is integrated into clinical workflow. In keeping with both time pressures and trainee expectations, academic internists must be prepared to effectively and efficiently teach important diagnostic and management concepts. A teaching script is a methodical and structured plan that aids in effective teaching. The teaching scripts in this book anticipate learners’ misconceptions, highlight a limited number of teaching points, provide evidence to support the teaching points, use strategies to engage the learners, and provide a cognitive scaffold for teaching the topic that the teacher can refine over time. All divisions of internal medicine (e.g. cardiology, rheumatology, and gastroenterology) are covered and a section on undifferentiated symptom-based presentations (e.g. fatigue, fever, and unintentional weight loss) is included. This book provides well-constructed teaching scripts for commonly encountered clinical scenarios, is authored by experienced academic internists and allows the reader to either implement them directly or modify them for their own use. Each teaching script is designed to be taught in 10-15 minutes, but can be easily adjusted by the reader for longer or shorter talks. Teaching Scripts in Internal Medicine is an ideal tool for internal medicine attending physicians and trainees, as well as physician’s assistants, nurse practitioners, and all others who teach and learn internal medicine.