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Core Topics in Cardiac Anesthesia

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Table of Contents

Preface; Foreword; Abbreviations; Part I. Anatomy and Physiology: 1. Cardiac embryology and anatomy; 2. Cardiac electrophysiology; 3. Cardiac excitation-contraction coupling; 4. Ventricular performance; 5. Coronary physiology; 6. Cardiovascular control mechanisms; 7. Anesthesia and the cardiovascular system; Part II. Cardiac Pharmacology: 8. Cardiac receptors; 9. Inotropes and vasoactive drugs; 10. Anti-dysrhythmic drugs; 11. Anticoagulants and procoagulants; 12. Effects of CPB on drug pharmacokinetics; Part III. Diagnosis of Cardiac Disease: 13. Symptoms and signs of cardiac disease; 14. Non-invasive diagnostic tests; 15. Cardiac radiological imaging; 16. Invasive diagnostic techniques; Part IV. Cardiac Surgery for Anesthetists: 17. Patient selection and risk stratification; 18. Basic principles of cardiac surgery; 19. Myocardial protection; 20. Myocardial stunning, hibernation and preconditioning; 21. Prosthetic heart valves; Part V. Monitoring: 22. Routine clinical monitoring; 23. Invasive hemodynamic monitoring; 24. Transesophageal echocardiography; 25. Intraoperative assessment of left ventricular function; 26. Neurological monitoring; Part VI. Routine Coronary Heart Surgery: 27. Premedication, induction and maintenance; 28. Conduct of cardiopulmonary bypass; 29. Routine early postoperative care; 30. Off-pump coronary artery bypass surgery; Part VII. Anesthetic Management of Specific Conditions: 31. Aortic valve disease; 32. Mitral valve disease; 33. Tricuspid and pulmonary valve disease; 34. Minimally invasive cardiac surgery; 35. Redo surgery; 36. Aortic dissection; 37. Aortic arch surgery; 38. Descending thoracic aorta surgery; 39. Permanent pacemakers and implantable defibrillators; 40. Anesthesia and electrophysiological disorders; 41. Acute myocardial ischemia and infarction; 42. Miscellaneous catheter laboratory procedures; 43. Cardiomyopathies and constrictive pericarditis; 44. Cardiac transplantation; 45. Pulmonary vascular disease; 46. Cardiac tumors; 47. Cardiac trauma; 48. Pregnancy and cardiac surgery; Part VIII. Pediatric Cardiac Anesthesia: 49. General principles; 50. Conduct of anesthesia; 51. Common congenital heart lesions; 52. Common congenital heart operations; 53. Postoperative care; 54. Adult congenital heart disease; Part IX. Cardiopulmonary Bypass: 55. Cardiopulmonary equipment; 56. Failure to wean from bypass; 57. Advanced mechanical support; 58. Coagulopathy and blood conservation; 59. Inflammatory response to cardiopulmonary bypass; 60. Temperature control, hypothermia and rewarming; 61. Deep hypothermic circulatory arrest; 62. Cardiopulmonary bypass emergencies; 63. Controversies of cardiopulmonary bypass; 64. Non-cardiac applications of cardiopulmonary bypass; Part X. Cardiac Intensive Care: 65. Cardiovascular problems in the cardiac intensive care unit; 66. Resuscitation after adult cardiac surgery; 67. Respiratory complications; 68. Gastrointestinal complications; 69. Renal complications; 70. Neurological complications; Part XI. Miscellaneous Topics: 71. Microbiology and infective complications; 72. Regional anesthesia; 73. Pain management; 74. Hematologic problems; 75. Cardiovascular disease and non-cardiac surgery; Index.

About the Author

Jonathan H. Mackay is Consultant in Cardiothoracic Anaesthesia at Papworth Hospital, Cambridge, UK. Joseph E. Arrowsmith is Consultant in Cardiothoracic Anaesthesia at Papworth Hospital, Cambridge, UK.


'... a thoughtfully produced and well-written book ... deserves a slot in all independent anaesthetic practitioners' bookshelves.' British Journal of Anaesthesia Review of previous edition: '... a rare text that is without institutional bias or personal beliefs.' Perfusion Review of previous edition: '... an excellent introductory text book for the trainee in cardiac anaesthesia ... likely to become a classic in the resident or fellow library.' Anesthesia and Analgesia

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