Hensley's practical approach to cardiothoracic anesthesia [E-Book]

Print version record.

Includes bibliographical references and index.

"The title of the sixth edition has changed to "Hensley's Practical Approach to Cardiothoracic Anesthesia" to honor Rick Hensley (see Dedication) and to acknowledge the incorporation of noncardiac thoracic anesthesia topics, which was actually done in previous editions without titular recognition. This edition also adds 19 links to video clips spread across Chapters 11, 12, and 19. In addition to the Key Points at the beginning of each chapter, all chapters now include several Clinical Pearls, which are short, key clinical concepts located in the text section where their subject matter is presented. Highlighting of key references constitutes another new feature"--Provided by publisher

Indications: Cardiopulmonary bypass (CPB) and hypothermia -- Sites of measurement -- Risks of temperature monitoring -- Recommendations for temperature monitoring -- Renal function -- Indications for monitoring -- Urinary catheter -- Electrolytes -- Acute kidney injury (AKI) -- Neurologic function -- General considerations -- Indications for monitoring neurologic function -- Physiologic and metabolic monitoring -- Monitors of central nervous system (CNS) electrical activity -- Monitors of regional cerebral metabolic function -- Near-infrared spectroscopy (NIRS) and cerebral oximetry -- Monitors of CNS embolic events -- Monitors of splanchnic perfusion and venous function -- Cardiac surgical procedures with special monitoring considerations -- Off-pump coronary artery bypass (OPCAB) -- OPCAB monitoring -- Deep hypothermic circulatory arrest (DHCA) -- Thoracoabdominal aortic aneurysm (TAAA) -- Additional resources -- 5. Transesophageal Echocardiography -- Basic principles of ultrasound imaging -- Basic principles of Doppler echocardiography -- Doppler echocardiography -- The Bernoulli equation -- Modes of cardiac ultrasound imaging -- M-mode echocardiography -- Two-dimensional (2D) echocardiography -- Pulsed-wave Doppler (PWD) -- Continuous-wave Doppler (CWD) -- Color-flow Doppler (CFD) -- Tissue Doppler -- Indications for transesophageal echocardiography (TEE) during cardiac surgery -- Safety, contraindications, and risk of TEE -- Preoperative screening -- TEE probe insertion and manipulation -- Complications of TEE -- Intraoperative TEE examination -- Probe insertion -- Probe manipulation -- Machine settings -- TEE views -- Examination of specific structures -- Monitoring applications of TEE -- Assessing preload -- Measuring intracardiac pressures -- Measuring cardiac output -- Detecting myocardial ischemia -- Intracardiac air.

TEE for specific types of surgery -- Coronary artery bypass grafting (CABG) -- Valve repair surgery -- Valve replacement surgery -- Surgery for congenital heart disease -- Surgery for infective endocarditis -- Surgery for hypertrophic obstructive cardiomyopathy -- Thoracic aortic surgery -- Transplantation surgery -- Ventricular assist device implantation -- Minimally invasive cardiac surgery -- Transcatheter valve interventions -- Three-dimensional (3D) echocardiography -- Fundamental limitations of ultrasound imaging -- Computed rendering of 2D images into 3D -- Real-time insonation of a volume of tissue -- 3D image display and manipulation -- 6. Induction of Anesthesia and Precardiopulmonary Bypass Management -- Introduction -- Premedication -- Preinduction period -- Basic monitors -- Invasive monitors -- Clinical tips -- Last-minute checks -- Induction -- Attenuation of hemodynamic responses -- Guiding principles -- Anticipated difficult intubation -- Drugs and pharmacology for induction of anesthesia -- Opioids -- Other intravenous (IV) anesthetic agents -- Inhalational agents -- Muscle relaxants -- Applications of old drugs in sick patients -- Inhalational induction in very sick patients -- Immediate postinduction period -- Management of events between anesthetic induction and cardiopulmonary bypass (CPB) -- General principles -- Preincision -- Incision -- Opening the sternum -- During and after sternal spreading -- Concerns with cardiac reoperation ("redo heart") -- Concerns with urgent or emergent cardiac operation -- Internal mammary artery (IMA) and radial artery dissection -- Sympathetic nerve dissection -- Perioperative stress response -- Treatment of hemodynamic changes -- Preparation for cardiopulmonary bypass -- 7. Management of Cardiopulmonary Bypass -- Preparations for cardiopulmonary bypass (CPB).

Assembling and checking the CPB circuit -- Anesthesiologist's pre-CPB checklist -- Management of arterial and venous cannulation -- Commencement of CPB -- Establishing "full flow" -- Initial CPB checklist -- Cessation of ventilation and lung management -- Monitoring -- Adequacy of perfusion -- Typical CPB sequence -- Typical coronary artery bypass graft (CABG) operation -- Typical aortic valve replacement (or repair) operation -- Typical mitral valve replacement (or repair) operation -- Typical combined procedures -- Maintenance of CPB -- Anesthesia -- Hemodynamic management -- Fluid management and hemodilution -- Management of anticoagulation -- Temperature management -- ECG management -- Myocardial protection -- Arterial blood gas and acid-base management -- Management of serum electrolytes -- Management of blood glucose -- Rewarming, aortic cross-clamp release, and preparation for weaning -- Rewarming -- Release of aortic cross-clamp -- Preparation for weaning from CPB -- Organ protection during CPB -- Renal protection -- Brain protection -- Myocardial protection -- Inflammatory response to CPB -- Lung protection -- Splanchnic and gastrointestinal protection -- Prevention and management of adverse events, complications, and catastrophes associated with CPB -- Malposition of arterial cannula -- Reversed cannulation -- Obstruction to venous return -- High pressure in the arterial pump line -- Massive gas embolism -- Failure of oxygen supply -- Pump or oxygenator failure -- Clotted oxygenator or circuit -- Dislodgement of cannula or tubing rupture -- Heater-cooler malfunction -- Minimally invasive surgical techniques requiring CPB -- Port-access surgery -- Minithoracotomy -- Minimally invasive mitral valve surgery -- Minimally invasive aortic valve surgery -- Choice of cardioplegia -- Management of unusual or rare conditions affecting bypass.

WorldCat record variable field(s) change: 082