Learning from the past for the present: paravertebral blocks for thoracic surgery are not without risk

2011 ◽  
Vol 28 (7) ◽  
pp. 544-545 ◽  
Author(s):  
Hilde M Norum ◽  
Harald Breivik
Keyword(s):  
Thoracic Surgery ◽  
The Past

scholarly journals Addressing the changing rehabilitation needs of patients undergoing thoracic surgery

2021 ◽  
Vol 18 ◽  
pp. 147997312199478
Author(s):  
Daniel Langer
Keyword(s):  
Thoracic Surgery ◽  
Functional Limitations ◽  
Pulmonary Complications ◽  
Current Evidence ◽  
Outpatient Rehabilitation ◽  
Special Focus ◽  
Rehabilitative Treatment ◽  
The Past ◽  
Hospitalization Period ◽  
Rehabilitation Needs

The rehabilitation needs of individuals undergoing thoracic surgery are changing, especially as surgical management is increasingly being offered to patients who are at risk of developing functional limitations during and after hospital discharge. In the past rehabilitative management of these patients was frequently limited to specific respiratory physiotherapy interventions in the immediate postoperative setting with the aim to prevent postoperative pulmonary complications. In the past two decades, this focus has shifted toward pulmonary rehabilitation interventions that aim to improve functional status of individuals, both in the pre- and (longer-term) postoperative period. While there is increased interest in (p)rehabilitation interventions the majority of thoracic surgery patients are however currently on their own with respect to progression of their exercise and physical activity regimens after they have been discharged from hospital. There are also no formal guidelines supporting the referral of these patients to outpatient rehabilitation programs. The current evidence regarding rehabilitation interventions initiated before, during, and after the hospitalization period will be briefly reviewed with special focus on patients undergoing surgery for lung cancer treatment and patients undergoing lung transplantation. More research will be necessary in the coming years to modify or change clinical rehabilitation practice beyond the acute admission phase in patients undergoing thoracic surgery. Tele rehabilitation or web-based activity counseling programs might also be interesting emerging alternatives in the (long-term) postoperative rehabilitative treatment of these patients.

scholarly journals Educating Tomorrow's Cardiac and Thoracic Surgeons in Canada: An Evolving Process

1996 ◽  
Vol 2 (1) ◽  
Author(s):  
David S. Mulder
Keyword(s):  
Medical Education ◽  
Cardiac Surgery ◽  
Thoracic Surgery ◽  
Graduate Medical Education ◽  
Royal College ◽  
General Surgery ◽  
Task Force ◽  
Graduate Medical ◽  
The Past ◽  
Primary Specialty

Societal (1), technological, organizational (2), and educational developments during the past ten years havebrought about increasing pressures for change in the graduate medical education of cardiac and thoracicsurgeons (3). These changes effectively lengthened their training to eight years and created a double standardfor the education of a thoracic surgeon. A task force mandated by the Royal College of Physicians andSurgeons of Canada nucleus committees in both cardiac and thoracic surgery, with the support of theCanadian Society of Cardiovascular and Thoracic Surgeons, addressed these issues and made the followingrecommendations: cardiac surgery and thoracic surgery should each become a primary specialty with its ownnucleus committee. Each specialty would require six years of training, with the possibility of obtainingcertification in both specialties after an additional eighteen months of training. Each specialty could also beentered after the completion of full training in general surgery. In addition, the task force urged thedevelopment of a curriculum to guide educational objectives in each specialty. These changes promise tocreate a flexible, shorter, and more focused program for cardiac and thoracic surgeons in both university andcommunity settings.

scholarly journals Minimally Invasive Approaches in the Thoracic Surgery

2021 ◽  
Author(s):  
Güntuğ Batıhan ◽  
Kenan Can Ceylan
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Thoracic Surgery ◽  
Invasive Surgery ◽  
Minimally Invasive Techniques ◽  
The Past ◽  
Minimally Invasive Surgical ◽  
First Choice ◽  
Surgical Methods ◽  
Invasive Techniques

Minimally invasive techniques in thoracic surgery have made great progress over the past 20 years and are still evolving. Many surgical procedures performed with large thoracotomy incisions in the past can now be performed with much smaller incisions. With many studies, the advantages of minimally invasive surgery have been clearly seen, and thus its use has become widespread worldwide. Today, minimally invasive surgical methods have become the first choice in the diagnosis and treatment of lung, pleural and mediastinal pathologies. Minimally invasive approaches in thoracic surgery include many different techniques and applications. In this chapter, current minimally invasive techniques in thoracic surgery are discussed and important points are emphasized in the light of the current literature.

scholarly journals VATS-Video-Assisted Thoracic Surgery The Past, Present Status and Future

2013 ◽  
Vol 1 (1) ◽  
pp. 42-57
Author(s):  
RS Dhaliwal
Keyword(s):  
Thoracic Surgery ◽  
Present Status ◽  
Standard Procedure ◽  
Good Alternative ◽  
Developmental History ◽  
Medical Sciences ◽  
Open Thoracotomy ◽  
Video Assisted Thoracic Surgery ◽  
The Past ◽  
Video Assisted

Video assisted thoracic surgery (VATS) has developed very rapidly in the last over two decade and is very good alternative to conventional open thoracotomy as a standard procedure for simple thoracic operations and as an option or complementary procedure for some more complex operations. In this paper we will review its developmental history, the present status and future prospective.DOI: http://dx.doi.org/10.3126/jucms.v1i1.8424 Journal of Universal College of Medical Sciences Vol.1(1) 2013: 42-57

scholarly journals Novel Pre- and Postoperative Care Using Telemedicine

2020 ◽  
Vol 7 ◽  
Author(s):  
Dana Ferrari-Light ◽  
Travis C. Geraci ◽  
Stephanie H. Chang ◽  
Robert J. Cerfolio
Keyword(s):  
Thoracic Surgery ◽  
Postoperative Care ◽  
The Past ◽  
Ample Opportunity

The use of telemedicine and telehealth services has grown exponentially over the past decade and has become increasingly relevant and necessary during the coronavirus 2019 (COVID-19) pandemic. There remains ample opportunity to electronically connect cardiothoracic surgeons with their patients during both preoperative and postoperative visits. In this review, we examine the various implementations of telemedicine within thoracic surgery and explore future applications in this quickly developing field.

Noteworthy Literature Published in 2016 for Thoracic Surgery

2017 ◽  
Vol 21 (1) ◽  
pp. 36-44
Author(s):  
Julissa E. Jurado ◽  
Brendon Stiles
Keyword(s):  
Thoracic Surgery ◽  
Operating Room ◽  
New Technology ◽  
Benign Disease ◽  
Processes Of Care ◽  
Surgical Disease ◽  
The Past

The past year has produced several important articles in the field of thoracic surgery, spanning many different diseases. Thoracic surgeons continue to investigate methods to perform complex operations and procedures less invasively, with the least possible morbidity to our patients. We also continue to critically evaluate new technology and procedures to ensure that they meet our rigorous standards for oncologic efficacy and for management of benign disease. Importantly, as we continue to evolve, thoracic surgeons have remained focused on optimizing processes of care, both inside and outside the operating room. The purpose of this review is to highlight the major advances in thoracic surgical disease in the year 2016.

Rediscovering high technology from the past: thoracic surgery is back on track for multidrug-resistant tuberculosis

2012 ◽  
Vol 10 (10) ◽  
pp. 1109-1115 ◽  
Author(s):  
Emanuele Pontali ◽  
Alberto Matteelli ◽  
Lia D’Ambrosio ◽  
Rosella Centis ◽  
Giovanni Battista Migliori
Keyword(s):  
Thoracic Surgery ◽  
High Technology ◽  
Multidrug Resistant ◽  
The Past ◽  
Resistant Tuberculosis ◽  
Multidrug Resistant Tuberculosis

scholarly journals Evolution of Thoracic Surgery in Canada

2015 ◽  
Vol 22 (2) ◽  
pp. e8-e14
Author(s):  
Jean Deslauriers ◽  
F Griffith Pearson ◽  
Bill Nelems
Keyword(s):  
Intensive Care ◽  
Thoracic Surgery ◽  
Lung Transplantation ◽  
Tissue Regeneration ◽  
Organ Preservation ◽  
Ex Vivo ◽  
The Past ◽  
Canadian Experience ◽  
Local Practices ◽  
Material Form

BACKGROUND: Canada’s contributions toward the 21st century’s practice of thoracic surgery have been both unique and multilayered. Scattered throughout are tales of pioneers where none had gone before, where opportunities were greeted by creativity and where iconic figures followed one another.OBJECTIVE: To describe the numerous and important achievements of Canadian thoracic surgeons in the areas of surgery for pulmonary tuberculosis, thoracic oncology, airway surgery and lung transplantation.METHOD: Information was collected through reading of the numerous publications written by Canadian thoracic surgeons over the past 100 years, interviews with interested people from all thoracic surgery divisions across Canada and review of pertinent material form the archives of several Canadian hospitals and universities.RESULTS: Many of the developments occurred by chance. It was the early and specific focus on thoracic surgery, to the exclusion of cardiac and general surgery, that distinguishes the Canadian experience, a model that is now emerging everywhere. From lung transplantation in chimera twin calves to ex vivo organ preservation, from the removal of airways to tissue regeneration, and from intensive care research to complex science, Canadians have excelled in their commitment to research. Over the years, the influence of Canadian thoracic surgery on international practice has been significant.CONCLUSIONS: Canada spearheaded the development of thoracic surgery over the past 100 years to a greater degree than any other country. From research to education, from national infrastructures to the regionalization of local practices, it happened in Canada.

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