RT Book, Section
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
SR Print(0)
ID 1105838031
T1 Critical Care for the Thoracic Surgery Patient
T2 Adult Chest Surgery, 2e
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-178189-3
LK accesssurgery.mhmedical.com/content.aspx?aid=1105838031
RD 2024/04/19
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.