1st Edition

Cardiothoracic Surgery Problems in Anesthesia

By Joseph E. Arrowsmith, John Simpson Copyright 2002
    320 Pages
    by CRC Press

    The first in the Problems in Anesthesia series, Cardiothoracic Surgery examine and provide guidance for a number of problematic clinical scenarios in cardiothoracic surgery anesthesia. This is a field which is growing in complexity due to the increasingly diverse set of conditions that are now treated surgically, and also due to developments in technology which are leading to different approaches to even common problems. This book will be of interest to the qualified specialist and the general trainee in anesthesiology.

    Cases are presented followed by an approach to the case, utilizing the various experiences of anesthesiologists from both sides of the Atlantic. The case-based teaching relates the material to the clinic, and the discussion then explains the options in approach. Each chapter concludes with a series of essential tips in dealing with the various problems. Cases covered range from the common (e.g. off-pump coronary bypass) to the rare (e.g. anesthetic management of the patient with carcinoid heart disease).

    This book allows readers to learn from both the successes and the complications within the cases covered, and in this way disseminate knowledge amongst those working in the field as well as pave the way for further investigation and continued advancement.

    1. Anesthesia for cardiac surgery during pregnancy 2. Tumor extraction from the inferior vena cava and right atrium requiring cardiopulmonary bypass 3. Cardiopulmonary bypass in a patient with a brain tumor 4. Cardiothoracic trauma: a case of traumatic aortocoronary saphenous vein graft occlusion 5. Severe aortic atheromatous disease in cardiac surgery 6. Anesthesia for transmyocardial laser revascularization 7. Port-access cardiac surgery 8. Off-pump coronary artery bypass 9. Mediastinitis 10. Perioperative transesophageal echocardiography 11. Transesophageal echocardiography: its role in assessing the hypotensive patient undergoing cardiac surgery 12. Adult congenital heart disease 13. The Fontan circulation 14. Heparin resistance in a patient requiring cardiopulmonary bypass 15. Heparin-associated thrombocytopenia and thrombosis 16. Management of bleeding following cardiac surgery: the thrombelastographic approach 17. Renal failure following cardiopulmonary bypass 18. The inotropic action of glucose-insulin-potassium infusions 19. Severe bronchospasm following cardiopulmonary bypass 20. Neurological complications of cardiopulmonary bypass 21. Anterior spinal artery syndrome following coronary artery bypass graft surgery 22. Anesthesia for left ventricular volume reduction surgery 23. Neuraxial analgesia for thoracic surgery: high risk thoracic surgical patients with bleeding disorders 24. Lung volume reduction surgery 25. Bronchopleural fistula in the presence of empyema 26. Living-related lobar lung transplantation 27. Broad-complex tachycardias after coronary artery bypass surgery 28. Ventricular assist devices 29. Cardiac surgery for Jehovah's Witness patients 30. Anesthesia for pulmonary thromboendarterectomy 31. Chronic pain following cardiac and thoracic surgery 32. Anesthesia for esophageal surgery 33. Respiratory syncytial virus in the perioperative period 34. Complication of a percutaneous tracheostomy in a patient with adult respiratory distress syndrome 35. Acute respiratory distress syndrome following cardiac surgery with cardiopulmonary bypass 36. High frequency oscillatory ventilation 37. Resuscitation of the multiorgan donor 38. Two-stage repair of a stab wound to the heart 39. Anaesthetic management of the patient with carcinoid heart disease


    Joseph E. Arrowsmith, John Simpson

    'Provides a quick synopsis and an 'easy-to-get' help to anaesthetists who are faced with a difficult or unusual case ... I would recommend this book as a useful addition to all departmental libraries.' - Anaesthesia and Intensive Care