Thoracic anaesthesia is regarded as a post fellowship sub-speciality within anaesthesia, and can be daunting. This handbook provides an easily accessible, informative, and palatable guide to this often complex subject. The text is sub-divided into basic sciences, pre-operative assessment, diagnostic procedures, and an anaesthetist's walk-through of key thoracic surgical procedures. It concludes with an emergency section covering thoracic anaesthesia emergencies, critical care, and the thoracic surgical patient, and ends with essential guidance on the relevant practical procedures necessary to manage cases. The text provides an essential reference for the core curriculum of the Fellowship of the Royal College of Anaesthetists and for the day-to-day practice of post fellowship anaesthetists alike. The discussions of the surgical procedures are simple, highlighting the poignant stages that can affect the anaesthetic management of the patient. The authors use the very latest evidence in order to keep the reader up to speed with developments in the field. Whether on-call, running day-to-day lists or working within critical care, this indispensable guidebook will optimise the preparedness of all staff in dealing with any case, whether simple or complex.

This thorough revision of Color Atlas of Congenital Heart Surgery features 700 vividly reproduced intraoperative images taken with a special side-mounted flash. They convey exquisite perception of depth in the operative field in full color. The atlas presents surgical techniques for the full spectrum of cardiac congenital anomalies. This includes revised and updated text on many topics such as repair of straddling tricuspid valve associated with the posterior ventricular septal defect. Throughout the text, the carefully labeled photographs provide vivid representation of three-dimensional spatial relations of congenital anomalies and surgical anatomy.

Although the disease is not very often, every otorhinolaryngologist will experience some patients suffering from vocal fold paralysis.

This is the first and unique book solely devoted to this topic.

Offers step-by-step descriptions and evaluations of the materials and/or methods of well-established techniques and new therapeutic options and approaches.

Written by leading experts: Blitzer is speaker of the American Academy of Otorhinolaryngology and Head and Neck Surgery (AAO-HNS); Sulica, also a speaker of the AAO-HNS, works in his department.

Vocal Fold Paralysis is a clinically useful reference for evaluation and treatment, as well as a summary of current knowledge and investigational approaches.

Landmarks are preferred image features for a variety of computer vision tasks such as image mensuration, registration, camera calibration, motion analysis, 3D scene reconstruction, and object recognition. Main advantages of using landmarks are robustness w. r. t. lightning conditions and other radiometric vari ations as well as the ability to cope with large displacements in registration or motion analysis tasks. Also, landmark-based approaches are in general com putationally efficient, particularly when using point landmarks. Note, that the term landmark comprises both artificial and natural landmarks. Examples are comers or other characteristic points in video images, ground control points in aerial images, anatomical landmarks in medical images, prominent facial points used for biometric verification, markers at human joints used for motion capture in virtual reality applications, or in- and outdoor landmarks used for autonomous navigation of robots. This book covers the extraction oflandmarks from images as well as the use of these features for elastic image registration. Our emphasis is onmodel-based approaches, i. e. on the use of explicitly represented knowledge in image analy sis. We principally distinguish between geometric models describing the shape of objects (typically their contours) and intensity models, which directly repre sent the image intensities, i. e., the appearance of objects. Based on these classes of models we develop algorithms and methods for analyzing multimodality im ages such as traditional 20 video images or 3D medical tomographic images."

For decades clinical electrophysiology has been considered a discipline for adepts, able to interpret not so obvious intracardiac signals. With the advent of new technologies, offering a three-dimensional reconstruction of cardiac anatomy and generating colour-coded maps, the approach to the complex world of electrophysiology is changing: A three-dimensional colour-coded electroanatomic map of a left atrium could be a precise and self-explanatory representation based on intracavitary signals, on which correct diagnosis is made and successful ablation is performed. As expected, this makes the difference especially in cases exhibiting complex arrhythmias (atypical atrial flutters, postsurgical arrhythmias), in which the task could be really tough.

The book is based on a multicentre experience and describes the most difficult cases of each centre, as far as arrhythmia is concerned. For each case, the crucial role of electroanatomic mapping in providing unique information and new insights in a field still in evolution is very evident. The book will prove to be very a useful tool for all the operators working in this field.

This text covers new innovations and concepts in pediatric thoracic surgery practice, basic science and evidence, and the technical aspects of common and rare operative procedures.

It is essential for pediatric surgical trainees and consultants with interest in pediatric thoracic surgery. Providing comprehensive coverage of newer developments, it is also a useful reference work for pediatric and thoracic surgeons and a valuable guide for surgeons (adult or pediatric) managing pediatric thoracic surgery on occasional basis or only during acute emergency.Covering the subjects within pediatric thoracic surgery (non-cardiac) in significant depth, this book acts as a reference text for consultants undertaking pediatric thoracic work as well as for pediatric respiratory, anesthetists and fetal medicine doctors. Topics within this book will also be of interest to pediatric respiratory physicians and pediatric oncologists.

Cardiac surgery is performed on hundreds of thousands of patients a year, and can have an important beneficial impact on the outcomes of patients with coronary and valvular heart diseases. Despite the favorable recovery of most patients, some will have their post-operative period interrupted by the development of atrial fibrillation, with a host of potential complications including stroke. High risk subgroups may develop atrial fibrillation in more than half of cases, and often despite aggressive prophylactic measures. Treatment of atrial fibrillation and its aftermath can also add days to the hospital stay of the cardiac surgical patient. In an era of aggressive cost cutting and optimization of utilization of health care resources, the financial impact of this arrhythmic complication may be enormous. Experimental studies have led to a greater understanding of the mechanism of atrial fibrillation and potential precipitating factors in the cardiac surgical patient. Prophylactic efforts with beta-blockers, antiarrhythmic drugs and atrial pacing are being used, or are being investigated in clinical trials. New methods of achieving prompt cardioversion with minimal disruption of patient care, and prevention of the thromboembolic complications of atrial fibrillation, are also important therapeutic initiatives. This text is designed to aid health care professionals in the treatment of their patients in the recovery period after cardiac surgery, and to instigate additional research efforts to limit the occurrence of, and the complications following, this tenacious postoperative arrhythmia.

Interstitial Fibrosis in Heart Failure, edited by Francisco J. Villarreal, M.D., Ph.D., provides a timely and integrative review of the basics of cardiac extracellular matrix structure. Topics covered include how cardiac remodeling influences its disposition, abundance and function; possible non-invasive techniques for diagnosis; and potential drug-based or molecular therapeutic strategies that may interrupt or even reverse the course of the development of cardiac fibrosis.

This resource for both clinicians and scientists aims to cover state-of-the-art findings relevant to cellular and molecular processes underlying cardiac fibrosis including basic elements of structure, function, diagnosis and treatment.

True Atlas, brilliantly illustrated.

Succint review of surgical techniques, including minimally invasive approaches for GERD.

Step by Step descriptions of 13 operative procedures in esophageal surgery.

Significantly lower priced than it's competitors.

Educed from Chassin's Operative Strategies in General Surgery, bound to be a classic.

Surgical Management of Heart Failure brings together the current knowledge on the surgical management of heart failure into one volume. It is designed to have copious illustrations and photographic material that will explain the techniques and surgical management of patients with heart failure in an effective modern format.

Written by renowned experts from Australia, Canada, the United States, Asia, and Europe, Telesurgery explains technical issues, digital information processing, and provides collective experiences from practitioners in different parts of the world who perform a wide range of telesurgery applications. This includes transatlantic telesurgery and telesurgery for urology, brachytherapy, Heller myotomy, etc. There are numerous graphics and clinical photographs throughout, which illustrate and illuminate the text well, providing high-quality visual reference material.

Telesurgery lays the foundation for the globalization of surgical procedures, making possible the ability of a surgeon located in one part of the world to operate on a patient located in another.

The second half of the twentieth century saw vascu- agree or disagree, but will be stimulated to question lar surgery develop from a necessity for hemostasis their surgical management and explore possible - to a mature reconstructive art. However, this was ac- ternatives. companied by increasing patient expectations and The only certainty of the future is that it will bring the introduction of the alternative techniques of dila- change. An essential requirement for facing that tation and stenting. These factors have helped sur- change is multidisciplinary teamwork, and within geons to focus attention on the need for clinical audit that framework to define the roles of endovascular and to define clearly the limitations and standards of and invasive procedures, as well as the place of m- excellence that should be achieved in the specialty. ical management in the prevention and modification Vascular disease remains an extensive problem in of vascular disease.

Written by skilled specialists in the field of interventional pulmonology, the new Second Edition thoroughly explores the latest advancements, newest therapies, and diagnostic techniques in interventional pulmonary medicine. Using guidelines to ensure maximum quality and efficiency in patient care, this concise text is a must-have resource for all pulmonologists and critical care specialists. Key features: Covers the latest applications of bronchoscopic therapy for benign conditions (such as COPD and asthma), including endobronchial valves, airway bypass, chemical applications, and thermoplasty Includes diagnostic techniques for airway cancer and peripheral lesions: fluorescence, narrow band, and navigational bronchoscopy, OCT, confocal and raman microscopy, and peripheral EBUS Features new bronchoscopic instrumentation, including the Ultra Thin Scope and Therapeutic Scope, and biopsy measuring and foreign body devices

This book provides an unbiased and evidence-based guide to the potential role of interventional pulmonology as an alternative to thoracic surgery. Interventional pulmonology is a new and quickly growing sub-specialty in pulmonary medicine and increasingly more pulmonologists are turning to interventional therapies over the more costly and invasive surgical options. The text thoroughly presents detailed coverage of and diagnostic methods for many diseases and conditions that pulmonologists encounter daily, including: diffuse lung infiltrates, solitary lung nodule, undiagnosed exudative pleural effusion, pneumothorax, hemoptysis, and airway foreign body. Experts then detail treatment options, from both a surgical and interventional perspective, with guidance on: when each procedure is most appropriate, what can be performed by a pulmonologist (with guidelines on how those procedures are done) versus what needs to be referred to a thoracic surgeon or an intervention pulmonologist, and the benefits and disadvantages involved with each option. This is an ideal guide for pulmonologists, trainees, and students to better understand the full scope of possible treatment options for their patients and to make the best informed decision about patient care.

In Thoracic Surgery: 50 Challenging Cases, editor Wickii T. Vigneswaran has selected 50 challenging cases presented by leading thoracic surgeons. Each case highlights a unique situation from which other surgeons can learn. The selection of Cases includes patients with diagnostic challenges, unconventional and innovative solutions, unexpected findings, and new techniques to treat old problems. The discussions after each case provide a useful starting point for further inquiry. Amply illustrated, this book reflects the wisdom and experience of world leaders in thoracic surgery and teaches junior surgeons how to approach the key thoracic surgical procedures, and how to manage in unexpected and difficult situations. This is a Masterclass in thoracic surgery. Editor Bio Wickii T. Vigneswaran is the Professor and Chief of Thoracic Surgery for the Department of Thoracic and Cardiovascular Surgery at Loyola University Health System.

The rapid technical improvement of the extracorporeal circulation in the past decades has led to safer, more comfortable and more compatible operations in cardiac surgery and interventions which used to be an adventure are now routine practice. Although most technical variables can easily be accommo dated today, the physical influence of artificial circulation systems on blood and tissue still remains uncertain in many cases. One of our main observations in the use of the extracorporeal circulation is that the prolonged interaction with unphysiological surfaces and forces of ten releases a cascade of blood and tissue reactions, resulting in a complex type of "disease." Thus, the symptoms can range from unspecific pulmonary inflammations to a severe renal failure or from coagulation problems to a heavy cerebrovascular stroke. Based on these facts, an interdisciplinary workshop named "Current Per spectives of the Extracorporeal Circulation" took place in Duisburg, Ger many on March 26, 1999. The rationale behind the word "interdisciplinary" was to make a step for ward to establish a joint field of knowledge which would be capable of link ing the experiences and transfer the know-how of various specialists like car diac surgeons, neurologists, physiologists or the healthcare industry with their contributions to this essential topic from different perspectives."

The new WHO Classification of Lung and Pleural Tumours updates the previous proposal from 1981 and incorporates many new concepts that have developed since that time. A number of newly described lesions are included as well as current concepts in papillomas, adenomas, neuroendocrine tumours, adenocarcinomas, mesothelial tumours, and carcinomas with pleomorphic, sarcomatoid and sarcomatous features. The result is a comprehensive classification with detailed definitions and explantory notes illustrated by 150 high quality color photomicrographs that will promote uniformity in recording and reporting data nationally and internationally. The WHO panel consisted of 24 members from 14 countries giving a broad international input into this work.

Infolge verbesserter diagnostischer und therapeutischer Moglichkeiten und der Zunahme der durchschnittlichen Lebenserwartung steigt die Zahl der Patienten mit terminaler Herzinsuffizienz weltweit dramatisch an. Die Herztransplantation als etablierte Therapie allein ist nicht in der Lage, dies zu kompensieren. Daher besteht die dringende Notwendigkeit, neue Behandlungsstrategien zu entwickeln.

Mit den heute zur Verfugung stehenden Unterstutzungssystemen stehen wir an der Grenze zwischen "bridge-to-transplant" und "chronical support." Das vorliegende Buch bietet einen Uberblick uber die etablierten Systeme zur Behandlung der Herzinsuffizienz, aber auch eine erste Orientierungshilfe bei alternativen Verfahren, die sich noch in einem experimentellen Stadium befinden."

John Heysham Gibbon, Jr., M.D., was the first researcher to develop a heart-lung machine that could fully support an adult's cardiac and respiratory functions during surgical procedures to repair defects in the heart and lungs. The difficulty of such a task can be seen in the number of people who attempted it for over a century: the list is long. Gibbon succeeded on May 6, 1953, when he repaired an atrial-septal defect with the patient supported entirely by the machine for 27 minutes. Ada Romaine-Davis contends that few realize how long Gibbon worked to achieve this success. To rectify the situation, Romaine-Davis here provides a thorough study of Gibbon and his accomplishment. She shows how Gibbon overcame discouragement from his peers and mentors and obtained crucial support from IBM Board Chairman Thomas Watson. She examines each of the models produced by Gibbon and puts his achievement into historical perspective. Gibbon himself chose not to pursue cardiac surgery; he remained a thoracic surgeon. Others went on to develop the knowledge and skills that today make open-heart surgery as safe as other major surgical procedures. As Romaine-Davis amply demonstrates, these pioneers stand on the shoulders of a stubborn, persevering, single-minded genius whose determination to leave a legacy to his profession resulted in the one thing essential for sustained progress in heart surgery: John Gibbon's heart-lung machine. This meticulously researched study will make fascinating reading for physicians-especially surgeons-as well as for students and scholars of medical history and science and technology.

This book will systematically cover all the main topics involved in the current practice of a cardiac surgeon. It will incorporate current guidelines for practice (such as from the American Heart Association and European Society of Cardiology) and up-to-date information based on current literature. All the chapters have been written by cardiac surgeons who have recently undertaken their Cardiothoracic Board / Specialty Exit examinations and reviewed by a cardiothoracic examiner of the Royal College of Surgeons of England. Each chapter will be structured to include aetiology, pathophysiology, clinical features, indications for surgery, peri-operative management, surgical options and postoperative care. Possible complications will be discussed and the results of current practice presented. Importantly there will be a section on basic sciences related to the practising cardiac surgeon and a further section on cardiac investigations with many images illustrating the variety of pathologies. Each chapter will also contain important references for further reading and greater depth of knowledge. The data and body of knowledge presented in this book is strictly evidence-based and is relevant to all cardiac surgical trainees, at any stage of their training programme. It will provide interns, residents and specialist registrars the necessary information to carry out their daily duties. Adult cardiologists and cardiothoracic intensive care unit specialists will also find the book useful in terms of the indications and surgical management of these patients, as they are integral to the cardiac surgical process. Another important group is the nursing staff, physiotherapists and other professions allied to medicine, both surgical and cardiological, working with patients with adult cardiac disease either pre-operatively or postoperatively, as it will help to give a detailed understanding of the principles surrounding adult cardiac surgical disease. Most importantly, the book is ideal as a revision aid for residents/registrars undertaking their Cardiothoracic Surgery Board examinations around the world. Although these examinations vary in format in different countries, this book is applicable to all cardiothoracic surgical trainees. Its concise, yet complete coverage of the important topics, make it the ideal guide to answer the key questions in cardiac surgery that are asked within the confines of an examination.

Safe surgery is founded upon careful dissection and clear identification of vital structures. Knowledge of the appropriate anatomy and anatomical relations is therefore essential, not only during surgical training, but as the cornerstone of surgical practice. The aim of this book is to describe the essential anatomical basis of a range of common procedures in general and vascular surgery. The large-format multi-volume texts on operative surgery, despite their undoubted excellence, are now too expensive for individual purchase. Single-volume books on operative surgery have been unable to devote sufficient attention to anatomical detail and the surgeon is left ploughing through anatomy texts, often failing to find illustrations which demonstrate clearly the features that are important in an operative dissection. The present text highlights features of the operations which are important anatomically while not attempting to give a complete description of the operative procedure. A combination of line diagrams and cross sections has been used to provide the topographical detail. The volume is aimed mainly at surgeons in training, to help them on a day-to day basis and to provide a text which will be useful in revising for post graduate examinations in surgery. It is also hoped that the book will be of use to practising surgeons, providing an easy means of highlighting important anatomical aspects of the procedures they perform relatively infrequently. 1989 S.J.S."

Attempts to reconstruct various parts of the heart started even before the beginning of open cardiac surgery. By the late 1950s and early 1960 s several closed and open procedures had already been described. In that era, several surgeons in Europe and the Americas were particularly prompted to develop various techniques of valve re construction because of the lack of acceptable valve prostheses and conduits which have become available subsequently. At that time, several congenital lesions still defied definitive correction, and clinical attempts at left ventricular wall replacement had not yet got under way. A renaissance in different cardiac reconstructive procedures started at the beginning of the 1980s. As the problems relating to valve prostheses became more generally appreciated and the importance of chamber volumes and geometry (atrial or ventricular) was accorded due importance in the long-term follow-up, there was a resurgence of surgical attempts at reconstruction in congenital and acquired cardiac lesions so as to approximate the natural state. At the same time several characteristics of this reconstructive "discipline" became apparent. First, cardiac reconstructive surgery has remained a surgical "art" with a gradually increasing number of interested cardiac surgeons."

Effective treatment of acute myocardial infarction remains one of the major issues in cardiology and internal medicine. The present monograph summarizes the relevant experimental data and the results of major clinical trials in the treatment of myocardial infarction. There are contributions of fundamental anatomical and physiological concepts of vascular occlusion and myocardial damage due to ischemia as well as discussions of therapeutic strategies involving thrombolytic agents, adjuvant drug therapy for limitation of myocardial damage, improvement in myocardial tolerance to ischemia and prevention of coronary reocclusion. In this regard, there is an extensive discussion of the role of coronary angioplasty and bypass surgery in the setting of acute myocardial infarction.

Written by internationally acclaimed specialists, Cardio-Thoracic, Vascular, Renal and Transplant Surgery provides pertinent and concise procedure descriptions spanning benign and malignant problems and minimally invasive procedures. Complications are reviewed when appropriate for the organ system and problem, creating a book that is both comprehensive and accessible. Stages of operative approaches with relevant technical considerations are outlined in an easily understandable manner. Forming part of the series, Surgery: Complications, Risks and Consequences, this volume Cardio-Thoracic, Vascular, Renal and Transplant Surgery provides a valuable resource for all general surgeons and residents in training. Other healthcare providers will also find this a useful resource.