TY - CHAP M1 - Book, Section TI - Critical Care for the Thoracic Surgery Patient A1 - McKenna, Shannon S. A2 - Sugarbaker, David J. A2 - Bueno, Raphael A2 - Colson, Yolonda L. A2 - Jaklitsch, Michael T. A2 - Krasna, Mark J. A2 - Mentzer, Steven J. A2 - Williams, Marcia A2 - Adams, Ann PY - 2015 T2 - Adult Chest Surgery, 2e AB - The thoracic surgery patient population can present significant challenges to clinical care. Patients often are older, current, or former smokers, and sicker than other surgical populations. It is not uncommon for these patients to present with underlying chronic lung disease, some form of arteriovascular disease, hypertension, diabetes, and baseline renal insufficiency. They have diminished physiologic reserve and more limited ability to recover from perioperative complications. In particular, they are prone to pulmonary complications, which are very poorly tolerated. As a result, they may require the services of an intensive care unit (ICU) and its highly trained, specialized staff more frequently than other patient populations. This chapter reviews critical care issues specific to thoracic surgery patients, general issues of management related to sepsis and acute respiratory distress syndrome (ARDS), and strategies for avoiding the common nosocomial complications of critical care. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/10 UR - accesssurgery.mhmedical.com/content.aspx?aid=1105838031 ER -