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Thoracic Surgery for the Acute Care Surgeon

Part of the Hot Topics in Acute Care Surgery and Trauma Book Series

Editors: Galante, Joseph M.; Coimbra, Raul

DOI: 10.1007/978-3-030-48493-4

ISBN: 978-3-030-48492-7

Publisher: Springer International Publishing - Springer Journals

Oct 25, 2020

1 - 10 of 21 Chapters

Available

Low-Resource Environments

Boeck, Marissa A.; Chichom-Mefire, Alain; Dicker, Rochelle

Pages: 1 –19

[One of the major challenges of emergency thoracic surgery in low-income environments is the alarming scarcity of thoracic surgeons. When this is combined with a lack of basic supplies and medications, patients with potentially correctable life-threatening chest and respiratory conditions display...
Available

Esophageal Rupture

Bosarge, Patrick L.; Kim, Dennis Y.

Pages: 23 –41

[Esophageal rupture is a challenging surgical disease process encountered by acute care surgeons, in which time is of the essence in order to prevent morbidity and mortality. Because the esophagus lies in three separate body cavities and perforations can occur anywhere along the entire length of...
Available

Incarcerated Hiatal Hernia

Bonavina, Luigi; Inaba, Kenji

Pages: 43 –51

[Primary paraesophageal hernia is a distinct anatomical and clinical entity that leads to incarceration and volvulus of the stomach in the chest. Because of the volume of herniated abdominal contents, large hiatal defect, and frail crura, the optimal repair requires both axial and radial tension...
Available

Pulmonary Embolism

Miranda, David; Cuschieri, Joseph

Pages: 53 –68

[Pulmonary embolism (PE) is potentially life threatening and a common cause of morbidity and mortality that can constitute a thoracic emergency. The definitions, diagnosis, and treatment of this disease have evolved considerably over the last several decades warranting a careful review of the...
Available

Empyema and Effusions

Hecker, Andreas; Padberg, Winfried; Browder, Timothy; Spain, David A.

Pages: 69 –82

[Surgeons are frequently asked to evaluate and manage patients with pleural fluid collections. The clinical presentations and etiologies of pleural effusions can be a result of localized pleural disease or manifestations of systemic disease. This chapter reviews the anatomy and physiology of the...
Available

Pericarditis and Pericardial Effusions

Phan, Ho H.; Phares, Amanda; Fraga, Gustavo P.; Silveira-Filho, Lindemberg M.

Pages: 83 –102

[The pericardial conditions that are frequently encountered in clinical practice are pericarditis, pericardial effusion, constrictive pericarditis, and pericardial tamponade. Although most patients with pericardial syndromes are managed medically, interventional and surgical procedures are...
Available

Necrotizing Lung Infections

Streams, Jill; Clark, Jaclyn; de Moya, Marc; Henry, Sharon

Pages: 103 –110

[Necrotizing lung infections (NLI) are rare occurrences; however, they can be devastating if not managed appropriately. NLI represent a spectrum of disease from lung abscess to pulmonary gangrene. The most common causes of NLI are Staphylococcus aureus and Streptococcus pneumoniae (pneumococcus)....
Available

Incidental Pulmonary Nodule

Ramponi, Fabio; Bendinelli, Cino; Galante, Joseph M.; Godoy, Luis; Xue, Anna

Pages: 111 –130

[Trauma is still one of the leading causes of death among teenagers and a major cause of morbidity and mortality among the elderly (DeGrauw et al., J Safety Res 56:105–109, 2016). Advances in technology have allowed more affordable and easily accessible imaging modalities. Modern trauma centers...
Available

Chylothorax

Godat, Laura; Costantini, Todd W.; Davis, Kimberly A.

Pages: 131 –141

[Chylothorax is most commonly caused by traumatic etiology and is associated with significant morbidity and mortality. Initial efforts are directed at chest tube drainage to relieve respiratory symptoms caused by the pleural effusion. Non-surgical treatments for chylothorax can include dietary...
Available

Rib Fractures and Chest Wall Injury

Coccolini, Federico; Hamel, Michelle; Favi, Francesco; Mayberry, John

Pages: 145 –158

[Rib fractures are one of the most common injuries found in blunt chest trauma. Rib fractures are associated with respiratory dysfunction, lung contusion, pneumonia, chronic chest wall deformities, chronic pain and diminishment in quality of life or work status. The primary goal of management is...

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