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Abstract:
:Thoracic surgery has undergone significant advances in recent years related to anesthetic and surgical techniques and the prevention and management of complications related to the procedure. This has allowed improvements in patient clinical outcomes in surgeries of this kind. Despite the above, thoracic surgery, especially related to pulmonary resection, is not without risk, and is associated to considerable morbidity and mortality. Fast track or enhanced recovery after anesthesia protocols, minimally invasive surgery, and intraoperative anesthetic management improve the prognosis and safety of thoracic surgery. Patients in the postoperative period of major thoracic surgery require intensive surveillance, especially the first 24-72hours after surgery. Admission to the ICU is especially recommended in those patients with comorbidities, a reduced cardiopulmonary reserve, extensive lung resections, and those requiring support due to life-threatening organ failure. During the postoperative period, intensive cardiorespiratory monitoring, proper management of thoracic drainage, aggressive pain control (multimodal analgesia and regional anesthetic techniques), nausea and multimodal rehabilitation are key elements for avoiding adverse events. Medical complications include respiratory failure, arrhythmias, respiratory infections, atelectasis and thromboembolic lung disease. The most frequent surgical complications are hemothorax, chylothorax, bronchopleural fistula and prolonged air leakage. The multidisciplinary management of these patients throughout the perioperative period is essential in order to ensure the best surgical outcomes.
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最新影响因子:2.799 | 期刊ISSN:0210-5691 | CiteScore:0.76 |
出版周期: | 是否OA:YES | 出版年份:197 |
自引率:29.60% | 研究方向:CRITICAL CARE MEDICINE- |
出版地区:SPAIN |
SCI期刊coverage:Science Citation Index Expanded(科学引文索引扩展)
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Elsevier is a modern publishing company founded in 1880. It has grown from a small Dutch publisher dedicated to classical scholarship to an international multimedia publishing company, supplying more than 20,000 products to the fields of education, science, technology and medicine worldwide. Elsevier got its name from the original House of Elzevir, the Dutch family publishing House founded in 1580.
爱思唯尔是一家现代出版企业,创办于1880年。它已经从一个致力于古典学术的小型荷兰出版社发展成为一家国际性多媒体出版公司,向全球教育、科学技术与医学领域提供20,000余种产品。爱思唯尔的取名源自最初的House of Elzevir,即于1580年创立的荷兰家族出版社。
大类(学科) | 小类(学科) | 学科排名 |
医学 |
CRITICAL CARE MEDICINE (危重病医学) 4区 |
28/33 |
年度总发文量 | 年度论文发表量 | 年度综述发表量 |
54 | 46 | 8 |
引文计数(2018)
文献(2015-2017)
271次引用
355篇文献
序号 | 类别 | 排名 | 百分位 |
1 |
大类(学科):Medicine
小类(学科):Critical Care and Intensive Care Medicine
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#43/84
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发表一篇学和医学成像类SCI论文
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