Description
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. 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 24. Neurologic and Cognitive Changes in the Elderly J. Riley McCarten 25. Hormonal Changes during and after Cardiac Surgery Marcello Maggio, Chiara Cattabiani and Gian Paulo Ceda III. CARDIAC SURGERY 26. Invited Commentary by William A. Baumgartner 27. Preoperative Evaluation and Preparation in the Elderly Cardiac Surgery Patient Joseph C. Cleveland, Jr. 28. Cardiac Anesthesia in the Elderly James H. Abernathy, III and Eric W. Nelson 29. Cardiothoracic Surgery in the Elderly Christopher J. Barreiro, Kerry J. Stewart and Glenn Whitman 30. Ischemic Coronary Disease Margarita T. Camacho and Melissa L. Wong 31. Surgical Treatment of Aortic Valve Disease in the Elderly Vinod H. Thourani and Robert A. Guyton 32. Surgical Treatment of Mitral Valve Disease in the Elderly Maqsood M. Elahi and Kenton J. Zehr 33. Surgical Treatment of Thoracic Aortic Disease in the Elderly Arnar Geirsson 34. Surgical Treatment of Pericardial Disease in the Elderly Joshua Kindelan and Alberto de Hoyos 35. Pacemakers and Implantable Cardioverter Defibrillators in the Elderly Luciana Armaganijan and Jeff S. Healy 36. Heart Transplant and Mechanical Assistance in the Elderly Edwin C. McGee, Jr. IV. THORACIC SURGERY 37. Invited Commentary by Joseph LoCicero, III 38. Preoperative Evaluation and Preparation in the Elderly Thoracic Surgery Patient Triciana Leal, Noelle K. LoConte, Anai Kothari and Tracey L. Weigel 39. Thoracic Anesthesia in the Elderly Anne C. Kolker 40. Postoperative and Critical Care in the Elderly Thoracic Surgery Patient Brannon R. Hyde and Joseph B. Zwischenberger 41. 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 43. Benign Thoracic Disease in the Elderly Rita A. Mukhtar and Pierre R. Theodore 44. Lung Transplantation in the Elderly Juan J. Fibla, Sandra C. Tomaszek and Stephen D. Cassivi 45. Esophageal Surgery for Malignant Disease in the Elderly Philip A. Rascoe and John C. Kucharczuk 46. Esophageal Surgery for Benign Disease in the Elderly Rose E. Hardin, Katie S. Nason and James D. Luketich 47. Surgery for Mediastinal Disease in the Elderly Cameron D. Wright 48. Surgery for Pleural Disease in the Elderly Raja M. Flores and Naveed Z. Alam 49. Surgery for Chest Wall Disease in the Elderly Daniel L. Miller 50. Surgery of the Trachea and Bronchi in the Elderly Douglas J. Mathisen and Ashok Muniappan V. APPENDICES A. Indices 1. Charlson Co-Morbidity Index 2. American Society of Anesthesiologists Physical Status (ASA) B. Function 1. Mini Mental Status Examination (MMSE) 2. Mini-Cog 3. Geriatric Depression Scale 4. Geriatric Depression Scale, Short Form 5. Activities of Daily Living (ADL) 6. Instrumental Activities of Daily Living (IADL) 7. Karnofsky Score 8. Eastern Cooperative Oncology Group (ECOG)/ Zubrod Score C. Physiologic 1. Six-Minute Walk Test 2. Shuttle Walk Test 3. Metabolic Equivalent (MET) D. References 1. Publications 2. Organizations
