Cardiothoracic Surgery in the Elderly

This timely volume reflects the thoughtful work of pioneers in geriatric surgery, encompassing their knowledge as well as their reflections and guidance on the rapidly accumulating body of work related to improving the health and surgical care of seniors.

Cardiothoracic Surgery in the Elderly: Evidence Based Practice is an important and timely book that reflects the thoughtful work of pioneers in geriatric surgery. It encompasses their knowledge related to geriatric surgery, and their reflections and guidance on the rapidly accumulating knowledge related to improving the health and surgical care of seniors.

This book provides a scholarly review of the constantly expanding knowledge base about cardiovascular and thoracic surgery in seniors. The book follows a logical sequence covering general aspects of care, cardiac surgery and thoracic surgery. Chapters are focused on common, devastating and often missed complications of surgical care in the seniors. These include delirium, depression, pressure sores, functional losses, incontinence, volume depletion and asymptomatic or atypical complications -myocardial infarction, post-operative diarrhea, urinary track infections and pneumonia. Each is expertly reviewed. Strategies to help the surgeons and the surgical team anticipate, recognize and effectively prevent or manage such problems are discussed and the evidence basis for such strategies is provided.

Cardiothoracic Surgery in the Elderly: Evidence Based Practice is particularly timely and the first to review the substantial body of knowledge that has been developed in recent years related to geriatric cardiothoracic surgical problems. It catalogs well the expanding knowledge basis for achieving successful surgical outcomes in the very old. It provides a most useful resources for cardiovascular thoracic surgeons in training and those already in practice.

Presents both evidence and techniques for cardiac surgery in the elderly to establish the best possible outcomes for patients

First book to review the substantial body of knowledge that has been developed in recent years related to geriatric cardiothoracic surgical problems

Features the foremost knowledge and expertise of the pioneers in geriatric surgery.

Includes supplementary material: sn.pub/extras

Klappentext

Cardiothoracic Surgery in the Elderly: Evidence Based Practice is an important and timely book that reflects the thoughtful work of pioneers in geriatric surgery. It encompasses their knowledge related to geriatric surgery, and their reflections and guidance on the rapidly accumulating knowledge related to improving the health and surgical care of seniors. This book provides a scholarly review of the constantly expanding knowledge base about cardiovascular and thoracic surgery in seniors. The book follows a logical sequence covering general aspects of care, cardiac surgery and thoracic surgery. Chapters are focused on common, devastating and often missed complications of surgical care in the seniors. These include delirium, depression, pressure sores, functional losses, incontinence, volume depletion and asymptomatic or atypical complications -myocardial infarction, post-operative diarrhea, urinary track infections and pneumonia. Each is expertly reviewed. Strategies to help the surgeons and the surgical team anticipate, recognize and effectively prevent or manage such problems are discussed and the evidence basis for such strategies is provided. Cardiothoracic Surgery in the Elderly: Evidence Based Practice is particularly timely and the first to review the substantial body of knowledge that has been developed in recent years related to geriatric cardiothoracic surgical problems. It catalogs well the expanding knowledge basis for achieving successful surgical outcomes in the very old. It provides a most useful resources for cardiovascular thoracic surgeons in training and those already in practice.

Inhalt

I. GENERAL ASPECTS OF CARE

1. Invited Commentary Ronnie A. Rosenthal
2. The Epidemiology and Economics of Cardiothoracic Surgery in the Elderly
   David A. Etzioni and Vaughn A. Starnes
3. Principles of Geriatric Surgery
   Mark R. Katlic
4. Geriatric Models of Care
   Elizabeth A. Capezuti, Patricia Ursomanno, Marie Boltz and Hongsoo Kim
5. Delirium after Cardiac Surgery
   James L. Rudolph
6. Cardiac Rehabilitation in the Elderly
   Carl I. Gonzalez, II and Lois A. Killewich
7. Legal Aspects of Geriatric Surgery
   Marshall B. Kapp
8. Ethical Issues in Cardiac Surgery for the Elderly
   Susan M. Hecker and Robert M. Sade
9. Acute Pain Control in Geriatric Patients after Cardiac and Thoracic Surgeries
   Jack M. Berger, Tawfik Ayoub and Jayeshkumar Patel
10. Palliative Care in the Elderly
    Geoffrey P. Dunn
11. Cardiopulmonary Trauma in the Elderly
    Jay Menaker and Thomas M. Scalea
12. Imaging Features of the Normal Aging Chest
    Carol Wu and Jo-Anne O. Shepard

13. Cardiac Imaging in the Elderly
    Faisal Nabi, Dipan J. Shah, Stephen H. Little and Su Min Chang

    II. PHYSIOLOGIC CHANGES

14. Invited Commentary by Michael E. Zenilman
15. Biology of Aging
    Huber R. Warner
16. Hematologic Disorders in the Elderly
    Ilene C. Weitz
17. Anticoagulation in the Older Surgical Patient
    M. Kate Elfrey and Susan J. Zieman
18. Medication Usage in Older Cardiothoracic Surgery Patients
    Richard Marottoli, Sean M. Jeffery and Roshini C. Pinto-Powell
19. Wound Healing in the Elderly
    Christopher G. Engeland and Praveen K. Gajendrareddy
20. Pulmonary Changes in the Elderly
    Keenan A. Hawkins and Ravi Kalhan
21. Cardiac Changes in the Elderly
    Wilbert S. Aronow and William H. Frishman
22. Renal Changes in the Elderly
    Carlos G. Musso and Dimitrios O. Oreopoulos23. Gastrointestinal and Liver Changes in the Elderly
    Vadim Sherman, John A. Primoro and F. Charles Brunicardi
23. Neurologic and Cognitive Changes in the Elderly
    J. Riley McCarten

24. Hormonal Changes during and after Cardiac Surgery
    Marcello Maggio, Chiara Cattabiani and Gian Paulo Ceda

    III. CARDIAC SURGERY

25. Invited Commentary by William A. Baumgartner
26. Preoperative Evaluation and Preparation in the Elderly Cardiac Surgery Patient
    Joseph C. Cleveland, Jr.
27. Cardiac Anesthesia in the Elderly
    James H. Abernathy, III and Eric W. Nelson
28. Cardiothoracic Surgery in the Elderly
    Christopher J. Barreiro, Kerry J. Stewart and Glenn Whitman
29. Ischemic Coronary Disease
    Margarita T. Camacho and Melissa L. Wong
30. Surgical Treatment of Aortic Valve Disease in the Elderly
    Vinod H. Thourani and Robert A. Guyton
31. Surgical Treatment of Mitral Valve Disease in the Elderly
    Maqsood M. Elahi and Kenton J. Zehr
32. Surgical Treatment of Thoracic Aortic Disease in the Elderly
    Arnar Geirsson
33. Surgical Treatment of Pericardial Disease in the Elderly
    Joshua Kindelan and Alberto de Hoyos
34. Pacemakers and Implantable Cardioverter Defibrillators in the Elderly
    Luciana Armaganijan and Jeff S. Healy

35. Heart Transplant and Mechanical Assistance in the Elderly
    Edwin C. McGee, Jr.

    IV. THORACIC SURGERY

36. Invited Commentary by Joseph LoCicero, III
37. Preoperative Evaluation and Preparation in the Elderly Thoracic Surgery Patient
    Triciana Leal, Noelle K. LoConte, Anai Kothari and Tracey L. Weigel
38. Thoracic Anesthesia in the Elderly
    Anne C. Kolker
39. Postoperative and Critical Care in the Elderly Thoracic Surgery Patient
    Brannon R. Hyde and Joseph B. Zwischenberger
40. Adjuvant Therapy for Lung Cancer in the Elderly
    Jared Weiss and Corey J. Langer42. Pulmonary Surgery for Malignant Disease in the Elderly
    Sarah Billmeier and Michael T. Jaklitsch
    …