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The thoracic patient 

The thoracic patient
The thoracic patient

Alistair Macfie

and Ben Shelley

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date: 12 August 2020

This chapter describes care after thoracic surgery and the management of common complications. Routine care of thoracic surgical patients is aimed at promoting rapid recovery and reducing complications. The chapter discusses analgesia, oxygen therapy, chest drainage, physiotherapy, minitracheostomy, venous thromboembolism prophylaxis, fluid therapy, antibiotic prophylaxis, bronchodilators, and nutrition. It covers the aetiology, incidence, and management of postoperative respiratory failure, and post-pneumonectony acute lung injury, including details of preventative strategies involving protective ventilation and fluid restriction. Chest drainage, including the insertion and management of drains, is covered in detail and the management of bronchopleural fistula is described. There are final sections on thoracic airway obstruction and lung volume reduction surgery

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