This book is intended to be a manual of an Progressing to the intraoperative phase, esthesia for treatment of cardiac patients Chapter 3, on intraoperative monitoring, in undergoing either cardiac or noncardiac sur cludes techniques of insertion for arterial, cen gery. It was written for residents and fellows in tral venous, and pulmonary artery catheters, anesthesiology, attending anesthesiologists with and use of cardiac output and other quantifia specific interests in anesthesia for cardiac sur ble hemodynamic values. The electrocardio gery, anesthesiologists caring for cardiac pa gram, including precordial, atrial, and esopha tients undergoing noncardiac surgery, cardiolo geal leads are discussed. The cardiovascular gists whose patients have cardiac or noncardiac effects of all of the commonly used anesthetic surgery, and specialists in intensive care who drugs and the pharmacology of cardiac drugs deal with cardiac patients after surgery. It cov (antiarrhythmic drugs, digitalis, vasopressors, ers all aspects of a cardiac surgical patient's ex vasodilators, diuretics, and others) are de periences, pre-, intra-, and postoperative, and scribed. The specific details of anesthetic and also includes sections on cardiopulmonary hemodynamic management for coronary and bypass, techniques of cardiac surgery, and valvular disease are covered in Chapters 5 and myocardial preservation during surgery. The 6. Cardiac problems specific to children are dis evaluation, intraoperative management, and cussed in the chapter on congenital heart de postoperative care are applicable to patients fects and techniques of pediatric cardiac anes undergoing either cardiac or noncardiac sur thesia.
Auflage
Sprache
Verlagsort
Zielgruppe
Für Beruf und Forschung
Research
Illustrationen
123 s/w Abbildungen
123 black & white illustrations, biography
Maße
Gewicht
ISBN-13
978-0-387-96028-9 (9780387960289)
DOI
10.1007/978-1-4612-5048-7
Schweitzer Klassifikation
1 Cardivascular Anatomy and Physiology.- Anatomy.- Physiology.- Summary.- 2 Preoperative Evaluation and Preparation of Cardiac Surgical Patients.- History and Physical Examination.- Evaluation of Left Ventricular Function.- Electrocardiography.- Cardiac Radiology.- Echocardiography.- Phonocardiography.- Systolic Time Intervals.- Cardiac Catheterization.- Preoperative Assessment.- Preoperative Preparation.- 3 Intraoperative Monitoring of Cardiac Patients.- Hemodynamic Monitoring.- Electrocardiography.- Temperature.- Electroencephalography.- Miscellaneous.- 4 Cardiovascular Effects of Anesthetics, Drugs, and Adjuncts.- Inhalation Agents.- Intravenous Agents.- Other Narcotics.- Narcotic Antagonists.- Barbiturates.- Etomidate.- Tranquilizers.- Ketamine.- Neuromuscular Blocking Agents.- 5 Anesthesia for Patients with Coronary Artery Disease.- Coronary Artery Disease.- Myocardial Oxygen Supply-Demand Balance.- Monitoring Requirements.- Intraoperative Myocardial Ischemia.- Anesthesia.- Specific Associated Disease States.- Summary.- 6 Anesthesia for Patients with Valvular Heart Disease.- Mitral Valve Disease.- Aortic Valve Disease.- Pulmonic Valve Disease.- Tricuspid Valve Disease.- Patients with Prosthetic Heart Valves.- Cardiomyopathies.- Intracardiac Tumors.- 7 Anesthesia for Patients with Congenital Heart Disease.- Fetal and Neonatal Circulation.- Acyanotic Lesions.- Cyanotic Lesions.- Specific Anesthetic Considerations in Pediatric Patients.- 8 Postoperative Care of Cardiac Patients.- Intensive Care Unit.- Cardiac Care.- Respiratory Care.- Hepatic Care.- Renal Care.- Summary.- 9 Cardiac Arrhythmias.- Incidence.- Evaluation by ECG.- Recognition of Arrhythmia Type and Other ECG Abnormalities.- Management of Atrial Arrhythmias.- Cardioversion.- Management of Ventricular Dysrhythmias.- 10 Pharmacology of Cardiac Drugs.- Antiarrhythmic Drugs.- ?-Adrenergic Stimulating Drugs.- Vasopressor Drugs.- Vasodilator Drugs.- Diuretics.- Digitalis.- Antihypertensive Drugs.- Miscellaneous Drugs.- 11 Cardiopulmonary Resuscitation.- Review of Current Techniques.- Physiology.- New Techniques.- Postresuscitation Care.- 12 Cardiac Surgery: Operative Techniques.- Coronary Artery Bypass Surgery.- Left Ventricular Aneurysmectomy.- Valve Replacement.- Repair of Common Congenital Defects.- 13 Cardiopulmonary Bypass.- Anatomy.- Physiology.- Complications.- Pharmacology.- Special Techniques.- 14 Intra-aortic Balloon Pumping and Other Circulatory Assist Devices.- Intra-aortic Balloon Pump.- Pulsatile Assist Device.- Left Ventricular Assist Devices.- 15 Myocardial Preservation During Open Heart Surgery.- Myocardial Metabolism.- Myocardial Ischemia.- Cardioplegia Solutions.- Reperfusion.- 16 Blood: Coagulation, Anticoagulation, and Conservation During Open Heart Surgery.- Preexisting Coagulation and Hematologic Defects.- Anticoagulants and Their Antagonism.- Monitoring Coagulation Function.- Coagulopathies.- Blood Conservation.- 17 The Complications of Cardiac Surgery.- Cardiac Complications.- Neurologic Complications.- Respiratory Complications.- Hepatic Complications.- Renal Complications.- Infectious Complications.- Bleeding.- Miscellaneous Complications.- 18 Anesthesia for Thoracic and Abdominal Aortic Aneurysms.- Pathophysiology, Diagnosis, and Treatment.- Monitoring.- Perfusion Techniques.- Anesthetic Techniques.- Complications.- 19 Anesthesia and Cerebrovascular Disease.- Pathophysiology, Diagnosis, and Therapy.- Monitoring.- Cerebral Blood Flow.- Anesthetic Techniques.- Complications.- Combined Procedures.- 20 Anesthesia and Renal Disease.- Normal Renal Function.- Renin-Angiotensin-Aldosterone System and Antagonists.- Pathophysiology of Renovascular Hypertension.- Monitoring Renal Function.- Anesthetic Effects on Renal Function.- Renal Failure in Cardiovascular Surgery.- Cardiovascular Anesthesia and Surgery in Patients with Renal Failure.- 21 Pacemakers.- Indications.- Types of Pacemakers.- Electrode Systems.- Technique for Placement.- Pulse Generators.- Anesthetic Management.- Monitoring.- Complications.- 22 Pericardial Diseases.- The Normal Pericardium.- Etiology and Incidence.- Cardiac Tamponade.- Constrictive Pericarditis.- Anesthetic Management.
