Towards Safer Cardiac Surgery

Section I Aspects of Cardiac Surgery.- 1 Historical review and introduction.- 2 Congenital heart disease.- 3 Reviewing the pros and cons of myocardial preservation within cardiac surgery.- 4 Biological aspects of prosthetic materials.- 5 Clinical problems and aspirations of biological materials.- 6 Preoperative and postoperative echocardiographic assessment of left ventricular Ffnction.- 7 Changing aspects of surgical technique in coronary artery surgery.- 8 Re-emphasis of the importance of clinical observation.- 9 The importance and hazards of angiocardiography.- 10 The mechanisms and hazards of echocardiography.- 11 The importance of echocardiography in preoperative diagnosis.- 12 The perioperative value of nuclear magnetic resonance.- 13 Computed tomography of the heart.- 14 Nuclear imaging techniques in cardiology and cardiac surgery. Part 1 Static imaging and myocardial blood flow.- 15 Nuclear imaging techniques in cardiology and cardiac surgery. Part 2 Dynamic imaging.- Section II Aspects of Cardiopulmonary Bypass and Anaesthesia.- 16 Historical review and introduction.- 17 Anaesthesia for coronary artery surgery.- 18 Hyperthermic circulatory arrest in infants and children.- 19 Cerebral perfusion during cardiac surgery using cardiac bypass.- 20 Towards safer cardiopulmonary bypass.- 21 Haematological effects of cardiotomy suction.- 22 Gaseous microemboli during open heart surgery.- 23 The value of prostacyclins in cardiopulmonary bypass.- 24 Features of cardiac myocytes in culture: characterization of the failing cell.- 25 Factors influencing the origin and cycling of hydrogen ions in cardiac surgery.- 26 Which priming fluids?.- 27 Can cardiopulmonary bypass be a safe procedure?.- 28 Toxins in open heart surgery.- 29 Long term extracorporeal membrane oxygenation (ECMO).- 30 Why pulsatile flow during cardiopulmonary bypass?.- Section III Aspects of Postoperative Care (I).- 31 Introduction: emphasis of clinical assessment.- 32 Is inotropic stimulation outdated?.- 33 Which electrolytes matter?.- 34 Some applications of computers in postoperative care.- 35 Is red cell potassium a prognostic indicator?.- 36 Nursing management.- 37 Nutritional care in cardiac surgery.- Section IV Aspects of Postoperative Care (II).- 38 Control of blood loss.- 39 The horizontal dimension. A patient from the intensive therapy unit.- 40 Pulmonary problems after cardiopulmonary bypass.- 41 The aetiology, pathogenesis and prevention of prosthetic valve endocarditis.- 42 Prevention and treatment of renal failure.- Section V The Brain.- 43 Psychometric testing in the evaluation of the postoperative cardiac patient.- 44 Brain damage following open heart surgery.- 45 The Sir Thomas Holmes Sellors Lecture.- Preservation of the myocardium: some biological considerations.- Comment on Professor Nayler’s lecture.- Reply to Professor Bretschneider.- Conclusions.