Optimal perioperative care for thoracoabdominal and descending thoracic aortic aneurysm repair: a review

Optimal perioperative care for thoracoabdominal and descending thoracic aortic aneurysm repair: a review PDF

Author: Abraham Katz

Publisher: OAE Publishing Inc.

Published: 2023-01-06

Total Pages: 16

ISBN-13:

DOWNLOAD EBOOK →

In this review, the authors discuss the perioperative management of patients who undergo thoracoabdominal aortic aneurysm or descending thoracic aortic aneurysm repair. All major organ systems are potentially vulnerable to complications from these repairs; meticulous preoperative attention to optimizing relevant comorbidities, diligent performance of intraoperative anesthetic and surgical techniques, and careful postoperative management are necessary to maximize the likelihood of successful outcomes. Specific attention should be given to reducing the risk for spinal cord ischemia and for paraplegia. Of note, renal and respiratory systems are especially vulnerable to major complications and require a thoughtful multidisciplinary approach. Because preventing complications is the primary goal of perioperative management, deviations from the normal course must be recognized promptly and addressed aggressively to reduce the likelihood of major morbidity and death.

Anesthesia and Perioperative Care for Aortic Surgery

Anesthesia and Perioperative Care for Aortic Surgery PDF

Author: Kathirvel Subramaniam

Publisher: Springer Science & Business Media

Published: 2011-01-06

Total Pages: 454

ISBN-13: 0387859225

DOWNLOAD EBOOK →

This book is the first of its kind - a comprehensive reference for anesthesia and perioperative clinicians involved in aortic surgery. With a primary focus on anesthesia for various aortic surgical procedures, including endovascular aortic surgery, the title also provides expanded coverage of CNS monitoring and protection, intraoperative transesophageal echocardiography, renal and spinal cord protection during surgery, management of aortic trauma, and postoperative care. Written by top cardiac anesthesiologists, surgeons, and intensivists, this indispensable reference provides everything you need to know about the burgeoning field of aortic surgery in one handy volume.

Diagnosis and Treatment of Aortic Diseases

Diagnosis and Treatment of Aortic Diseases PDF

Author: C.A. Nienaber

Publisher: Springer Science & Business Media

Published: 1999-03-31

Total Pages: 300

ISBN-13: 9780792355175

DOWNLOAD EBOOK →

Describes recent surgical techniques developed to improve prognosis in aortic diseases, and discusses recent interventional strategies such as endovascular stent-graft placement and non-surgical reconstruction of the aorta. Chapters deal with aortic dissection, aortic aneurysm, surgical treatment of aortic aneurysms and dissections, inherited disorders of the aorta, aortic trauma, aortitis, and etiology and pathology of aortic malformations. Each chapter is organized in a similar fashion, with information on demographic aspects, pathology, clinical presentation, and diagnostic and therapeutic approaches. Annotation copyrighted by Book News, Inc., Portland, OR

Complications in Endovascular Surgery

Complications in Endovascular Surgery PDF

Author: Maciej Dryjski

Publisher: Elsevier Health Sciences

Published: 2020-12-17

Total Pages: 368

ISBN-13: 0323554490

DOWNLOAD EBOOK →

As devices, technologies, and imaging techniques continue to evolve, today’s endovascular surgical techniques have increased in both number and complexity. Complications in Endovascular Surgery provides a unique focus on potential complications encountered in the operating room, preparing you to anticipate the unexpected, identify the risk factors in individual procedures, and take steps to successfully manage complications when they occur. Helps you manage the surgical complications associated with image-guided interventional techniques used when treating patients with vascular disease, with clear descriptions of how to prevent problems and how to prevent catastrophic problems once a simple problem occurs. Provides a practical guide to device-specific tips and tricks from experts in the field, making this unique resource ideal for surgeons at all levels of training and practice. Features highly illustrated, consistent instructions that explain how to avoid and manage both common and uncommon complications. Covers EVAR, TEVAR, FEVAR, and other complex aortic work; as well as CAS, TCAR, complex LE endovascular procedures, and venous intervention-lysis/stenting. Includes tip boxes with key facts and technical recommendations, warning boxes that highlight safety precautions, and a troubleshooting guide for each procedure that helps you get back on track if things don’t go exactly as planned.

Core Topics in Cardiothoracic Critical Care

Core Topics in Cardiothoracic Critical Care PDF

Author: Kamen Valchanov

Publisher: Cambridge University Press

Published: 2018-07-05

Total Pages: 541

ISBN-13: 1108665675

DOWNLOAD EBOOK →

Most patients with critical cardiac or thoracic conditions will at some stage pass through the cardiothoracic critical care unit. Critical care presents more complex clinical data than any other area of medicine. The new edition of Core Topics in Cardiothoracic Critical Care focuses on the latest practise in the management of patients in cardiothoracic intensive care. The practice of cardiothoracic critical care medicine is constantly evolving, and this new edition reflects the modernized learning styles for trainees. Each chapter includes key learning points as well as sample multiple choice questions and answers to assist in exam preparation. This edition also features updated chapters on ECMO, perioperative management of patients undergoing emergency cardiothoracic surgery, and advanced modes of organ support for patients. This text provides key knowledge in a concise and accessible manner for trainees, clinicians and consultants from specialities and disciplines such as cardiology and anaesthesia, and nursing and physiotherapy.

Thoracic Aortic Diseases

Thoracic Aortic Diseases PDF

Author: Hervé Rousseau

Publisher: Springer Science & Business Media

Published: 2006-10-05

Total Pages: 373

ISBN-13: 3540383093

DOWNLOAD EBOOK →

This book provides information on the acquired and genetic basis of aortic diseases as well as giving a global perspective on therapeutic alternatives. The new concept of a team approach with surgeons working together with both interventional radiologists and specialists to repair the aorta is the trademark of this book. New material and new viewpoints are provided to practicing physicians in this modern approach to the treatment of disorders of the aorta.

Manual of Perioperative Care in Adult Cardiac Surgery

Manual of Perioperative Care in Adult Cardiac Surgery PDF

Author: Robert M. Bojar

Publisher: John Wiley & Sons

Published: 2021-01-26

Total Pages: 947

ISBN-13: 1119582555

DOWNLOAD EBOOK →

"It is essential that all individuals involved in the assessment and management of patients with cardiac surgical disease have a basic understanding of the disease processes that are being treated. This chapter presents the spectrum of adult cardiac surgical disease that is encountered in most cardiac surgical practices. The pathophysiology, indications for surgery, specific preoperative considerations, and surgical options for various diseases are presented. Diagnostic techniques and general preoperative considerations are presented in the next two chapters. Issues related to cardiac anesthesia and postoperative care specific to most of the surgical procedures presented in this chapter are discussed in Chapters 4 and 8, respectively. The most current guidelines for the evaluation and management of patients with cardiac disease can be obtained from the American College of Cardiology website (www.acc.org)"--

Principles and Practice of Anesthesia for Thoracic Surgery

Principles and Practice of Anesthesia for Thoracic Surgery PDF

Author: Peter Slinger, MD, FRCPC

Publisher: Springer Science & Business Media

Published: 2011-07-12

Total Pages: 718

ISBN-13: 1441901833

DOWNLOAD EBOOK →

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.

Advances in Vascular Medicine

Advances in Vascular Medicine PDF

Author: David Abraham

Publisher: Springer Science & Business Media

Published: 2010-02-01

Total Pages: 448

ISBN-13: 1848826370

DOWNLOAD EBOOK →

Understanding the many complex cellular and molecular mechanisms underlying human vascular diseases is essential in improving the treatment of this important and wide-ranging group of diseases that affect a large proportion of the world po- lation. This book is based on lectures presented at an International Vascular Biology Workshop held in London and chaired by Professor Dame Carol Black. The c- tents are complemented by some invited chapters, all written by world experts in areas of basic science and clinical medicine highly relevant to vascular biology and disease. We are particularly grateful to Professor Arshed Quyyumi, Professor of Medicine and Cardiology at Emory University, who with his research group and clinical colleagues, has provided a substantial contribution to this book. In common with our previous book – Vascular Complications in Human Disease: Mechanisms and Consequences published by Springer in 2008, our aim with this book is to highlight some of the established relationships between basic science and clinical medicine, and to outline new and exciting fields of research and practice in vascular biology and pathobiology. There are two sections: Basic Science of Vascular Biology and Clinical Aspects of Vascular Biology. In the first section, dealing with basic science, we have included three important growth areas: “Genetics and Gene Therapy” cover approaches to gene therapy and delivery systems, “Animal Models to Study Vascular Disease” with chapters on animal models of scleroderma, animal models of atherosclerosis, and finally on the endothelin system.

Visceral Vessels and Aortic Repair

Visceral Vessels and Aortic Repair PDF

Author: Yamume Tshomba

Publisher: Springer

Published: 2019-04-10

Total Pages: 409

ISBN-13: 3319947613

DOWNLOAD EBOOK →

This book shows how new technologies and technical skills together with deeper understanding of pathophysiology of visceral and renal ischemia have contributed to significant improvements in the clinical outcomes in patients undergoing complex aortic repair involving splanchnic arteries. In recent years, aortic repair has expanded its borders, focusing more and more on the particularly challenging segments from which critical branches originate. Optimal results in this area are obtained through a multidisciplinary approach based on crucial elements such as sophisticated imaging techniques, advanced anesthesiological and pharmacological strategies, as well as updated surgical techniques and devices able to reduce ischemic injuries. The book presents problems tackled from different perspectives, by analyzing the main technical aspects of the surgical technique but also functional and metabolic issues. It also discusses concepts such as ischemic preconditioning and ischemia-reperfusion mechanisms, as well as innovative investigational approaches. In the “endovascular era”, it highlights the most recent updates in complex endovascular repair involving renal and visceral arteries, providing both practical tips and tricks and outcomes analyses. The volume also addresses specific, rarely reported problems in vascular surgery, including issues in renal transplant, oncologic surgery with involvement of splanchnic arteries and of the vena cava, and use of the deep veins in aortic surgery. This volume represents a powerful tool for both young and experienced operators who wish to approach the complex aortic pathology either by open surgery or through endovascular methods.”