I. GENERAL ASPECTS OF CARE1. Invited Commentary Ronnie A. Rosenthal2. The Epidemiology and Economics of Cardiothoracic Surgery in the ElderlyDavid A. Etzioni and Vaughn A. Starnes3. Principles of Geriatric SurgeryMark R. Katlic4. Geriatric Models of CareElizabeth A. Capezuti, Patricia Ursomanno, Marie Boltz and Hongsoo Kim5. Delirium after Cardiac Surgery James L. Rudolph6. Cardiac Rehabilitation in the ElderlyCarl I. Gonzalez, II and Lois A. Killewich7. Legal Aspects of Geriatric SurgeryMarshall B. Kapp8. Ethical Issues in Cardiac Surgery for the ElderlySusan M. Hecker and Robert M. Sade9. Acute Pain Control in Geriatric Patients after Cardiac and Thoracic SurgeriesJack M. Berger, Tawfik Ayoub and Jayeshkumar Patel10. Palliative Care in the ElderlyGeoffrey P. Dunn11. Cardiopulmonary Trauma in the ElderlyJay Menaker and Thomas M. Scalea 12. Imaging Features of the Normal Aging ChestCarol Wu and Jo-Anne O. Shepard 13. Cardiac Imaging in the ElderlyFaisal Nabi, Dipan J. Shah, Stephen H. Little and Su Min Chang II. PHYSIOLOGIC CHANGES14. Invited Commentary by Michael E. Zenilman 15. Biology of AgingHuber R. Warner16. Hematologic Disorders in the ElderlyIlene C. Weitz17. Anticoagulation in the Older Surgical PatientM. Kate Elfrey and Susan J. Zieman18. Medication Usage in Older Cardiothoracic Surgery PatientsRichard Marottoli, Sean M. Jeffery and Roshini C. Pinto-Powell19. Wound Healing in the ElderlyChristopher G. Engeland and Praveen K. Gajendrareddy20. Pulmonary Changes in the ElderlyKeenan A. Hawkins and Ravi Kalhan21. Cardiac Changes in the ElderlyWilbert S. Aronow and William H. Frishman22. Renal Changes in the ElderlyCarlos G. Musso and Dimitrios O. Oreopoulos23. Gastrointestinal and Liver Changes in the ElderlyVadim Sherman, John A. Primoro and F. Charles Brunicardi 24. Neurologic and Cognitive Changes in the ElderlyJ. Riley McCarten25. Hormonal Changes during and after Cardiac Surgery Marcello Maggio, Chiara Cattabiani and Gian Paulo CedaIII. CARDIAC SURGERY26. Invited Commentary by William A. Baumgartner27. Preoperative Evaluation and Preparation in the Elderly Cardiac Surgery PatientJoseph C. Cleveland, Jr.28. Cardiac Anesthesia in the ElderlyJames H. Abernathy, III and Eric W. Nelson29. Cardiothoracic Surgery in the ElderlyChristopher J. Barreiro, Kerry J. Stewart and Glenn Whitman 30. Ischemic Coronary DiseaseMargarita T. Camacho and Melissa L. Wong31. Surgical Treatment of Aortic Valve Disease in the ElderlyVinod H. Thourani and Robert A. Guyton 32. Surgical Treatment of Mitral Valve Disease in the ElderlyMaqsood M. Elahi and Kenton J. Zehr33. Surgical Treatment of Thoracic Aortic Disease in the ElderlyArnar Geirsson34. Surgical Treatment of Pericardial Disease in the ElderlyJoshua Kindelan and Alberto de Hoyos35. Pacemakers and Implantable Cardioverter Defibrillators in the ElderlyLuciana Armaganijan and Jeff S. Healy36. Heart Transplant and Mechanical Assistance in the ElderlyEdwin C. McGee, Jr.IV. THORACIC SURGERY37. Invited Commentary by Joseph LoCicero, III38. Preoperative Evaluation and Preparation in the Elderly Thoracic Surgery PatientTriciana Leal, Noelle K. LoConte, Anai Kothari and Tracey L. Weigel39. Thoracic Anesthesia in the ElderlyAnne C. Kolker40. Postoperative and Critical Care in the Elderly Thoracic Surgery PatientBrannon R. Hyde and Joseph B. Zwischenberger41. Adjuvant Therapy for Lung Cancer in the ElderlyJared Weiss and Corey J. Langer42. Pulmonary Surgery for Malignant Disease in the ElderlySarah Billmeier and Michael T. Jaklitsch43. Benign Thoracic Disease in the ElderlyRita A. Mukhtar and Pierre R. Theodore44. Lung Transplantation in the ElderlyJuan J. Fibla, Sandra C. Tomaszek and Stephen D. Cassivi 45. Esophageal Surgery for Malignant Disease in the ElderlyPhilip A. Rascoe and John C. Kucharczuk 46. Esophageal Surgery for Benign Disease in the ElderlyRose E. Hardin, Katie S. Nason and James D. Luketich47. Surgery for Mediastinal Disease in the ElderlyCameron D. Wright48. Surgery for Pleural Disease in the ElderlyRaja M. Flores and Naveed Z. Alam49. Surgery for Chest Wall Disease in the Elderly Daniel L. Miller50. Surgery of the Trachea and Bronchi in the ElderlyDouglas J. Mathisen and Ashok MuniappanV. APPENDICESA. Indices 1. Charlson Co-Morbidity Index2. American Society of Anesthesiologists Physical Status (ASA)B. Function 1. Mini Mental Status Examination (MMSE)2. Mini-Cog3. Geriatric Depression Scale4. Geriatric Depression Scale, Short Form5. Activities of Daily Living (ADL)6. Instrumental Activities of Daily Living (IADL)7. Karnofsky Score8. Eastern Cooperative Oncology Group (ECOG)/ Zubrod ScoreC. Physiologic 1. Six-Minute Walk Test2. Shuttle Walk Test3. Metabolic Equivalent (MET)D. References 1. Publications2. Organizations
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 patientsFirst book to review the substantial body of knowledge that has been developed in recent years related to geriatric cardiothoracic surgical problemsFeatures the foremost knowledge and expertise of the pioneers in geriatric surgery.