Core Topics in Cardiac Anesthesia

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.

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.