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This chapter consists of three major sections, each of which addresses different aspects of the perioperative management of cancer patients requiring thoracic surgery. Over the last decade, the field of thoracic surgery has advanced in many ways, for example, the…
Introduction Head and neck malignancies are a heterogeneous group of malignancies extending from the upper aerodigestive tract up to the larynx, including the thyroid gland, salivary glands, and paranasal sinuses. They account for more than 650,000 cases worldwide. Considering the…
Introduction Spinal cancer is primarily a metastatic disease with >90% having originated from another source. , In addition, osseous spread is the third most common form of metastasis with 30%–70% of cancer patients encountering spinal metastasis. Many primary tumors affect…
Introduction Cancer of the central nervous system is the 10th leading cause of death in the United States. An estimated 23,820 adults and 3720 children under the age of 15 years will be diagnosed with a primary tumor of the…
Introduction The cancer patient often requires complex diagnostic, therapeutic, and palliative care procedures in nonoperating room (non-OR) sites, which has created an increasing demand for anesthesia services in remote locations outside of the traditional operating room (OR). Remote areas requiring…
Special situations in cancer airway management, including unexpected difficult tracheal intubation, airway bleeding, and extubating a difficult airway, are major challenges in cancer airway management. Although the majority of airway events are managed uneventfully, failure of airway management occurs despite…
Introduction Patients follow a journey through time when they progress from the first symptoms or screening tests, through investigations and receiving a new diagnosis of cancer, to the initiation of treatment and beyond. The notions of “survivorship” and “living with…
The Physiologic Impact of Cancer and Surgery on Patient Function As the volume and complexity of surgical procedures will increase in the next decades, the age and number of associated comorbid conditions of patients presenting for these procedures is also…
Introduction Although many of the goals of preoperative evaluation and optimization are the same for patients with and without cancer, cancer patients present a unique set of challenges that perioperative physicians must be familiar with. The overall goals of preoperative…
What Is Regional Anesthesia? Regional anesthesia may be defined as the administration of local anesthetic drugs around a nerve or plexus of nerves, or anatomical plane through which nerves pass, in order to render a distal site anesthetized. It can…