TSRA Decision Algorithms in Cardiothoracic Surgery


Book Description

This text is presented to all cardiothoracic surgery residents, present and future. This unique application, developed by residents and national faculty, is a 100-chapter compendium with an individual algorithm on various topics to provide a foundation and framework of important cardiothoracic surgery topics with clinical decisions. As the field of cardiothoracic surgery continues to evolve, attention to key clinical decisions is necessary prior to incorporating indicated interventions. Very few textbooks focus on the decision algorithms in the diagnosis and management of clinical cardiothoracic pathologies.The Thoracic Surgery Residents Association (TSRA) have a clear and sustained commitment to education. The previous textbooks created under the auspices of this organization are among the most affordable and practical manuscripts in our field. It is our hope to provide this addition to the growing TSRA library under the same tradition.Although this field is ever changing, many of the basic principles remain the same: There are basic frameworks that are shared and can be used by those taking care of cardiothoracic patients. Very few textbooks focus on the decision algorithms in the diagnosis and management of clinical cardiothoracic pathologies.Adult Cardiac Surgery1. Cardiopulmonary BypassA. Troubleshooting CBP problemsB. Difficulty weaning off bypass2. Coronary DiseaseA. CABG evaluationB. Management of STEMIC. Cardiogenic shock 5 days post STEMID. Ascending atheroma in CABGE. Management Carotid/CABGF. Intraoperative decision-making for OPCAB3. Aortic ValveA. ASB. TAVRC. ARD. Small aortic rootE. Non-cardiac surgery and aortic valve endocarditis4. Mitral/TricuspidA. TRB. MR1. Reconstruction2. IndicationsC. MS5. AortaA. Type A dissectionB. Type B dissectionC. Ascending aortic aneurysmD. Aortic root aneurysmsE. DTAA6. Heart failureA. ECMOB. LVADC. RVADD. Pump thrombosisE. OHT7. MiscellaneousA. HOCMB. Cardiac tumorsC. Approach to sternal wound infectionsD. Penetrating chest traumaE. Blunt chest traumaF. EndocarditisG. Pericardial diseaseGeneral Thoracic Surgery1. TracheaA. Tracheal traumaB. Tracheal tumorsC. Tracheal stenosisD. Broncholithiasis2. LungsA. Pulmonary NodulesB. Pleural EffusionC. Pulmonary carcinoidD. SCLCE. Early NSCLCF. Early invasive NSCLCG. Stage III lung cancerH. Stage IV non-small cellI. Resectability of lung cancerJ. Physiologic readiness for thoracic surgeryK. Superior sulcus tumorsL. Mediastinal staging in lung cancerM. Pulmonary metastasisN. Long-term follow up for lung cancerO. Chest TBP. ILDQ. LVRSR. Evaluation and approach to lung transplantS. Approach to lung abscess/empyemaT. Spontaneous PTXU. BPFV. ChylothoraxW. Mesothelioma3. EsophagusA. Esophageal caustic injuryB. Esophageal perforationC. TEFD. LeiomyomaE. Esophageal cancerF. Approach to cervical, thoracic, and GEJ esophageal cancersG. Esophageal conduitsH. Resectability of esophageal cancerI. Postoperative esophageal leakJ. GERDK. Esophageal motility disordersL. Barrett's esophagusM. Paraesophageal herniaN. Esophagectomy4. MediastinumA. PneumomediastinumB. Diaphragmatic injuryC. Thymoma/MG/mediastinal mass5. OtherA. TOSB. Chest wall tumorsCongenital Heart Surgery1. PDA2. ASD3. APW4. Cor triatriatum5. VSD6. Coarctation 7. TOF w/ PS8. TGA9. PA w/ VSD w/ Multiple AP Collaterals10. PA with IVS11. Ebstein's Anomaly12. LVOTO13. Coronary anomalies14. HLHS15. Vascular rings/PA slings16. Pediatric Heart Failure/Transplant17. IAA w/ VSD18. Single Ventricle Pathway/Fontan19. Truncus Arteriosus20. Complete Atrioventricular Canal21. DORV22. Congenital PV Anomalies23. Congenital MS




TSRA Clinical Scenarios in Cardiothoracic Surgery


Book Description

Over the last 23 years our identity and mission of the TSRA have expanded to meet the needs of our members by providing peer-based resources and support for cardiothoracic surgery residents to succeed throughout training and launch successful careers. The prior edition of this book, TSRA Clinical Scenarios in Cardiothoracic Surgery, published in 2013 was tremendously successful. The first edition of this book aimed to augment available resident educational resources. It focused on knowledge application in a dynamic decision-making capacity highlighting surgical technique, practical knowledge and clinical acumen based on a variety of different clinical case scenarios. This edition aims to update this review resource while simultaneously expanding the scope of clinical scenarios to keep pace with the ever-changing clinical cardiothoracic training environment.The aim of this book is to review common, high-yield clinical scenarios that may surface during a cardiothoracic surgeon's practice in congenital, thoracic, or adult cardiac surgery. It was written by residents for residents. We meticulously reviewed and edited all previous clinical case scenario chapters focusing on updated clinical and scientific evidence. The first edition contained 72 chapters authored by over 50 residents and faculty from across the country. The new edition contains 19 new chapters (36-chapter revisions) with 91 chapters authored by 159 residents and faculty nationwide! We have maintained the structure and flow of the book utilizing the three major sections of cardiothoracic surgery: General Thoracic Surgery, Adult Cardiac while expanding the congenital section to be Congenital Cardiothoracic Surgery.




Key Questions in Cardiac Surgery


Book Description

Winner of a HIGHLY COMMENDED AWARD in the Surgical specialties category of the 2011 BMA Medical Book Competition. Key Questions in Cardiac Surgery 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. The data and body of knowledge presented in this book are strictly evidence-based which makes it 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. Cardiologists, cardiothoracic intensive care unit specialists, nursing staff, physiotherapists and other professions allied to medicine, both surgical and cardiological, 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.




Tsra Review of Cardiothoracic Surgery


Book Description

This review book, edited by the Thoracic Surgery Residents Association (TSRA) and authored by more than 50 thoracic surgery residents from programs around the country, is a summary of the breadth of information...




TSRA Operative Dictations in Cardiothoracic Surgery


Book Description

The Thoracic Surgery Residents Association (TSRA) was established in 1997 under the guidance of the Thoracic Surgery Directors Association (TSDA) to create a unified voice to represent residents during cardiothoracic surgery training. The organization has developed as a core mission a focus on improving the quality, accessibility and utility of resident education. The current publication seeks to provide a resource which may be used in the surgeon's daily practice as a resource for the review of the major steps of an operation as well as a guide to the appropriate documentation of the conduct of that operation. We hope that the text will be useful for both practicing surgeons and residents in training. While the list of operations included in the text is extensive it is by no means intended to be inclusive of the entire breadth of the field of cardiothoracic surgery. Additionally, the text provides descriptions of one approach to the operations included. We acknowledge that the approach to a given operation may vary among surgeons, and institutions. This text is not intended to establish a uniform 'correct' approach, nor is it intended as a surrogate for formal residency training.




Clinical Scenarios in Surgery


Book Description

Clinical Scenarios in Surgery: Decision Making and Operative Technique presents 125 cases in all areas of general surgery: GI, breast, hepatobiliary, colorectal, cardiothoracic, endocrine, vascular, trauma, pediatric, critical care, and transplant. Each full-color case begins with a patient presentation and proceeds through differential diagnosis, diagnosis and treatment, surgical procedures, postoperative management, and a case conclusion. Each case includes key technical steps, potential pitfalls, take-home points, and suggested readings. The patient stories in these clinical scenarios provide context to faciliate learning the principles of safe surgical care. This book will be particularly useful for senior surgical residents and recent graduates as they prepare for the American Board of Surgery oral examination.




Illustrated Anatomical Segmentectomy for Lung Cancer


Book Description

Advances in CT have enabled us to detect small lung cancers, which has changed the lung cancer surgery from lobectomy to a lesser lobar resection such as a segmentectomy or wedge resection. While wedge resection is a simple procedure, it has a higher risk of local recurrence of cancer than a lobectomy. On the other hand, segmentectomy is a well known curative surgery for small lung cancers. However, it is difficult to perform accurately because of its anatomical complexity, which makes surgeons hesitant to use it. The book “Illustrated Anatomical Segmentectomy for Lung Cancer” provides readers a detailed explanation of segmentectomy with numerous easy-to-understand color illustrations showing the precise segmental anatomies for each pattern of the procedure. To better illustrate an accurate anatomical segmentectomy, the text shows details of anatomy during segmentectomy. This can involve up to 25 patterns, each of which is shown in roughly 10 illustrations.




Cardiac Surgery in the Adult Fifth Edition


Book Description

The most comprehensive and current full-color cardiac surgery resource – updated by leading surgeons A Doody’s Core Title for 2022! In Cardiac Surgery in the Adult, Fifth Edition, the world’s foremost cardiovascular surgeons deliver thorough, up-to-date coverage of operative strategy, decision making, technique, and pre- and post-operative management for treating the adult cardiac patient. Unmatched in both scope and clinical rigor, this classic text contains 63 chapters that highlight every important topic in cardiovascular surgery. Presented in full color, Cardiac Surgery in the Adult takes readers through the optimal treatment of congenital, acquired, infectious, and traumatic diseases of the heart and great vessels. The book opens with a history of cardiac surgery and basic cardiac science, then moves into all types of cardiac surgery, providing both practicing surgeons and residents with insight into the very latest surgical protocols. Cardiac Surgery in the Adult is logically divided into ten sections: Basics (includes history, anatomy, physiology, pharmacology, computed tomography, risk assessment, simulation, and the fully integrated cardiovascular center) Perioperative/Intraoperative Care Ischemic Heart Disease Aortic Valve Disease Mitral Valve Disease Surgery of the Great Vessels Rhythm Surgery Other Cardiac Operations (including congenital heart disease, pericardial disease, and cardiac neoplasms) Transplant and Mechanical Circulatory Support The Fifth Edition has been updated throughout, and includes the latest advances in minimally invasive surgery and simulation.




Cardiac Surgery in the Adult, Third Edition


Book Description

The classic leading-edge guide to heart surgery in adults-completely updated by leaders in the field In this trusted reference, renowned cardiac surgeon and Harvard professor Dr. Lawrence H. Cohn takes you through all aspects of heart surgery in adults. The text's acclaimed coverage begins with a solid review of cardiac surgery fundamentals, then progresses to optimal perioperative and interoperative care before covering the full range of individual procedures. Inside, you'll find over 1,000 step-by-step illustrations that clarify each procedure, along with important guidance on all of the discipline's fundamental operations and operative techniques. With updated and revised content, the new edition of this forward-thinking, landmark text is undoubtedly the most up-to-date resource of its kind available anywhere. Features: All the latest surgical perspectives and techniques in ischemic and valvular heart disease, disease of great vessels, cardiac arrhythmias, and more Expert authorship by one of the world's most respected cardiac surgeons, with contributions from an internationally recognized group of authors Cutting-edge overview of cardiothoracic transplantations, circulatory support, and nontransplant options for heart failure Brand new, timely chapters on cardiac imaging, minimally invasive procedures, and stem cell therapy Reworked illustration program, featuring newly commissioned two-color drawings, with classic artwork from the previous editions colorized Two-color format throughout the text, which helps you efficiently navigate chapter material, providing quick access to key information




Technical Aspects of Modern Coronary Artery Bypass Surgery


Book Description

Coronary surgery encompasses two thirds of all adult cardiac surgery cases. With the endless pursuit of better outcomes, modern coronary artery bypass grafting (CABG) has become technically more complex in ways that are well beyond the training of the average cardiac surgeon. The old concept of "one-technique-fits-all" has been abandoned in favour of a specialized approach tailored to the individual patient. In fact, in recent years, there is a growing movement towards establishing coronary surgery as a super-specialization of cardiac surgery. Technical Aspects of Modern Coronary Artery Bypass Surgery aims to expand on both the basics and complexities of the technical aspects of coronary surgery. It serves as an up to date resource that illustrates and details the advancement and techniques in this field which may soon become a separate super-specialty. With a particular emphasis on illustrations, the book will be an essential reference book for both established surgeons that have no experience in advanced CABG, and the new generation of CABG surgeons. - A complete and concise resource on all aspects of coronary surgery - In-depth illustrative review of various coronary techniques - Covers both current recommendations and well-established practices in the field