Controversies in Cardiovascular Anesthesia

Controversies in Cardiovascular Anesthesia PDF

Author: Phillip Fyman

Publisher: Springer Science & Business Media

Published: 2012-12-06

Total Pages: 202

ISBN-13: 1461317711

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On 16 October 1846, an itinerant New England dentist named William T. G. Morton proved the anesthetic effect of diethyl ether in a public demonstration in the "ether dome" of the Bulfinch Building of the Massachusetts General Hospital in Boston. The patient, Gilbert Abbott, suffered no pain, and the surgeon, Dr. John C. Warren, was able to complete a suture ligature of a vas cular tumor of the jaw without the hurry that until then was so necessary. The operation proved a failure, since the tumor recurred; but the demonstration of ether's anesthetic effect was a great success. Operative pain was conquered, and surgery could advance from a crude and unscientific practice where speed was paramount, and the major body cavities could not be entered, into the unique blend of science and art that it is now. "Gentlemen, this is no hum bug," supposedly muttered Warren, perhaps the last noncontroversial assess ment of anesthesiology to be made by a surgeon. The screams of resisting patients in pain were stilled, and quiet entered the operating room for the first time. But the new science of pain relief was quickly wrapped in controversy. An argument immediately arose as to who could legitimately claim primacy for the discovery. Morton's attempt to hide the true nature of his anesthetic agent, coupled with an effort to patent the discovery, clouded his reputation and stimulated other claimants to push themselves forward.

Cardiopulmonary Bypass

Cardiopulmonary Bypass PDF

Author: John Heath Tinker

Publisher:

Published: 1989

Total Pages: 182

ISBN-13:

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This comprehensive monograph provides an understanding of cardiopulmonary bypass with discussions of such areas as pump flow ranges, methods of producing anesthesia during bypass, complement activation, stress response, and blood flow distribution. Describes the risks of neurologic and neuropsychiatric dysfunction after bypass. Covers emergence from bypass and the various uses, benefits, and drawbacks of inotropes, vasodilators, intra-aortic balloon pumps, and left ventricular assist devices.

Core Topics in Cardiac Anesthesia

Core Topics in Cardiac Anesthesia PDF

Author: Jonathan H. Mackay

Publisher: Cambridge University Press

Published: 2012-03-15

Total Pages: 0

ISBN-13: 9780521196857

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Since the publication of the first edition of Core Topics in Cardiac Anaesthesia, the clinical landscape has undergone significant change. Recent developments include the increased use of electrophysiology, the resurgence of primary percutaneous intervention in acute coronary syndromes, the use of percutaneous devices in patients previously considered inoperable, and the withdrawal of aprotinin. Against this landscape, this invaluable resource has been fully updated. New chapters are dedicated to right heart valves, pulmonary vascular disease, cardiac tumours and cardiac trauma. All other chapters have been updated according to the latest international guidelines. Written and edited by an international author team with a wealth of expertise in all aspects of the perioperative care of cardiac patients, topics are presented in an easy to digest and a readily accessible manner. Core Topics in Cardiac Anaesthesia, Second Edition is essential reading for residents and fellows in anaesthesia and cardiac surgery and clinical perfusionists.

Cardiovascular Anesthesia

Cardiovascular Anesthesia PDF

Author: C.L. Lake

Publisher: Springer Science & Business Media

Published: 2012-12-06

Total Pages: 476

ISBN-13: 146125048X

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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.

Cardiothoracic Surgery

Cardiothoracic Surgery PDF

Author: Joseph E. Arrowsmith

Publisher: CRC Press

Published: 2002-03-21

Total Pages: 320

ISBN-13: 9781841841380

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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.

Problems in Anesthesia

Problems in Anesthesia PDF

Author: Joseph E. Arrowsmith

Publisher:

Published: 2002

Total Pages:

ISBN-13: 9780367804091

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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.

Essentials of Cardiac Anesthesia for Noncardiac Surgery E-Book

Essentials of Cardiac Anesthesia for Noncardiac Surgery E-Book PDF

Author: Joel A. Kaplan

Publisher: Elsevier Health Sciences

Published: 2018-07-21

Total Pages: 796

ISBN-13: 0323567126

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Provides guidance on the anesthetic diagnosis and management of the full range of cardiac lesions, helping minimize adverse outcomes and reduce complications for patients with common, complex, or uncommon cardiac conditions. Includes complete coverage of echocardiography and current monitoring techniques needed for thorough perioperative assessment – all from the anesthesiologist’s perspective. Discusses safe and effective perioperative anesthetic management of patients presenting with advanced levels of cardiac care such as drug-eluting stents, multiple antiplatelet drugs, ventricular assist devices, multiple drugs for end-stage heart failure, and implanted electrical devices that produce cardiac resynchronization therapy, as well as patients with complicated obstetric problems or other significant cardiovascular issues. Features a concise, easy-to-navigate format and Key Points boxes in each chapter that help you find answers quickly. Provides guidance on the anesthetic diagnosis and management of the full range of cardiac lesions, helping minimize adverse outcomes and reduce complications for patients with common, complex, or uncommon cardiac conditions. Includes complete coverage of echocardiography and current monitoring techniques needed for thorough perioperative assessment – all from the anesthesiologist’s perspective. Discusses safe and effective perioperative anesthetic management of patients presenting with advanced levels of cardiac care such as drug-eluting stents, multiple antiplatelet drugs, ventricular assist devices, multiple drugs for end-stage heart failure, and implanted electrical devices that produce cardiac resynchronization therapy, as well as patients with complicated obstetric problems or other significant cardiovascular issues. Features a concise, easy-to-navigate format and Key Points boxes in each chapter that help you find answers quickly.

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