Table of Contents
Foreword
Contributors
Preface
Introduction 1
1 Epidemiology and the Future of Cardiothoracic Anesthesiology 3
2 Learning Cardiothoracic Anesthesiology 11
Sec. I Preparing the Patient for Surgery 25
3 History and Physical Examination 27
4 Electrocardiography 48
5 Radiography of the Chest 73
6 Laboratory Investigations 98
7 Echocardiography 119
8 Myocardial Perfusion Imaging 182
9 Stress Testing 203
10 Anesthesia and Interventional Cardiology 233
11 Pulmonary Function Testing 272
Sec. II Intraoperative Management 295
A General Principles 295
12 The Cardiothoracic Operating Room 297
13 Monitoring 316
14 Technology, Pathophysiology, and Pharmacology of Cardiopulmonary Bypass 354
15 Coagulation and Cardiopulmonary Bypass 376
16 Cardiac Pharmacology 404
17 Drug Interactions 433
18 Perioperative Organ Protection 445
19 Cardioprotection and Cardioplegia 488
20 Lung Separation 512
B Anesthetic Management for Specific Surgical Procedures 529
21 Anesthesia for the Surgical Management of Ischemic Heart Disease 530
22 Anesthesia for the Surgical Management of Valvular Heart Disease 589
23 Anesthesia for the Surgical Management of Pericardial Disease 630
24 Anesthesia for the Surgical Management of LV Outflow Tract Obstruction 644
25 Anesthesia for the Surgical Management of Congenital Heart Disease 657
26 Anesthesia for the Surgical Management of Thoracic Aortic Disease 680
27 Anesthesia for Electrophysiologic Procedures 711
28 Anesthesia for the Surgical Management of Congestive Heart Disease 743
29 Anesthesia for Thoracic Endoscopic Procedures 761
30 Anesthesia for Lung Resection Surgery 772
31 Anesthesia for Lung Transplantation 817
32 Anesthesia for the Surgical Management of Mediastinal Mass Lesions 824
Sec. III Postoperative Care 843
33 The Immediate Postoperative Period 845
34 Heart Failure 869
35 Ventilatory Failure 896
36 The Management of Arrhythmias 922
37 CNS Outcome and Management 946
38 Perioperative Acute Renal Failure 970
39 Coagulation Problems 982
40 Pain Management 1011
41 Pediatric Cardiac Intensive Care Issues 1069
42 ICU Emergencies 1106
Index 1127
INTRODUCTION
*Practical guide to the fundamentals and clinical applications of
cardiothoracic anesthesiology
*Clearly organized into preoperative, intraoperative, and
postoperative sections covering diagnostics, anesthetic management,
and physiologic and pharmacologic principles
*Encompasses a broad range of thoracic topics including medastinal,
esophageal, tracheal, lung, airway, aortic and pericardial surgeries
