To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure firstname.lastname@example.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Mark A. Gerhardt, Department of Anesthesiology, Ohio State University Medical Center, Columbus, Ohio,
Glenn P. Gravlee, Department of Anesthesiology, University of Colorado Health Sciences Center, Denver, Colorado
Understand the pathophysiology and treatment of trauma to the heart and great vessels.
Understand the pathology and treatment of trauma to the lungs and thoracic wall.
Understand trauma to the larynx, trachea, and bronchial tree.
Understand the anesthetic implications of all of the above pathologies.
Trauma is one of the leading causes of death in the world. Thoracic trauma, particularly to the heart or great vessels, accounts for 20–25 percent of the trauma mortality. Although most significant injuries to the cardiac or great vessel structures are immediately fatal, some very common traumatic clinical scenarios can result in excellent outcomes with appropriate diagnosis and rapid institution of treatment . Hypovolemia has been implicated as a primary factor in traumatic fatalities,  a clinical problem that is integral to an anesthesiologist's resuscitative attempts. When compared with out-of-hospital cardiopulmonary arrest, survival following traumatic cardiopulmonary arrest may be similar  and reversible problems should be considered. It is imperative that anesthesiologists understand trauma of the heart and great vessels so that appropriate and expeditious care can be provided. Supplemental material can be accessed via the Internet at the Web sites shown in Table 18.1 (see also Chapter 17).
The thorax contains vital organs and vasculature that are protected by the bone structure of the vertebral column, sternum, and ribs. Inferiorly the thorax is demarcated by the diaphragm, whereas the structures of the neck and lung apices are found superiorly.
Email your librarian or administrator to recommend adding this to your organisation's collection.