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Psychiatric Aspects of Non-cardiac Thoracic Surgery

  • Elizabeth Prince
  • Walter Piddoubny
  • Mario Andres Caro
  • Ted Avi Gerstenblith
  • O. Joseph BienvenuEmail author
Chapter

Abstract

The category of non-cardiac thoracic surgery, or general thoracic surgery, includes procedures on the respiratory and gastrointestinal systems. In the perioperative period, difficulty breathing, swallowing, and communicating are common physically and psychologically distressing experiences. Most conditions for which thoracic surgeries are indicated are associated with elevated preoperative prevalences of depressive and anxiety phenomena. Postoperative psychiatric symptoms are associated with increased morbidity and mortality. Mechanical ventilation and related interventions can interfere with communication, including the traditional psychiatric interview. Awareness of the unique challenges and significance of psychiatric symptoms in the perioperative period is key in the care of non-cardiac thoracic surgery patients.

Keywords

Lung Trachea Esophagus Ventilation Anxiety Depression Dyspnea Dysphagia Aphonia 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Elizabeth Prince
    • 1
  • Walter Piddoubny
    • 2
  • Mario Andres Caro
    • 3
  • Ted Avi Gerstenblith
    • 1
  • O. Joseph Bienvenu
    • 1
    Email author
  1. 1.Johns Hopkins University School of MedicineBaltimoreUSA
  2. 2.Stony Brook University Medical CenterStony BrookUSA
  3. 3.Natchaug HospitalMansfield CenterUSA

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