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Chapter 9 - Considerations for Operations Involving Deep Hypothermic Circulatory Arrest
- By Pingping Song, Joseph E Arrowsmith
Edited by Florian Falter, Albert C. Perrino, Jr, Robert A. Baker
Book:

Cardiopulmonary Bypass

Published online:

24 October 2022

Print publication:

10 November 2022, pp 80-91
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Summary

Deep hypothermic circulatory arrest (DHCA), either alone or in combination with other perfusion strategies, has become the mainstay of vital organ protection for a variety of pathologies and surgical procedures that necessitate the complete cessation of blood flow. DHCA provides a near blood-less operating field, albeit of limited duration, while ameliorating the major adverse consequences of vital organ ischemia.Cooling of the brain – the organ at greatest ischemic risk – reduces cerebral metabolic rate, extending the period of "safe" ischemia from 3-4 minutes at normothermia to >20 minutes.

Core Topics in Cardiac Anaesthesia

3rd edition
Edited by Joseph Arrowsmith, Andrew Roscoe, Jonathan Mackay
Published online:

12 May 2020

Print publication:

23 April 2020
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This fully-updated third edition provides a practical and concise guide to all aspects of the perioperative care of cardiac surgical patients. Produced by recognised leaders from world-renowned cardiac centres, this is the authoritative text for residents and fellows in anaesthesia and cardiac surgery, clinical perfusionists, and critical care nurses. Updated chapters include regional anesthesia, paediatric cardiac anaesthesia, and anaesthesia for specific procedures such as aortic valve surgery and cardiac transplantation. An entire section is dedicated to transoesophageal echocardiography (TOE) in recognition of the increasing demand for basic TOE training. The book also includes an expanded chapter on the applications and anaesthetic implications of extracorporeal membrane oxygenation (ECMO). The text focuses on clinical practice and the basic science and pharmacology underpinning cardiac anaesthesia, ensuring the reader can easily apply the knowledge gained to real-life situations.

Preface to the Third Edition
Edited by Joseph Arrowsmith, Andrew Roscoe, Jonathan Mackay
Book:

Core Topics in Cardiac Anaesthesia

Published online:

12 May 2020

Print publication:

23 April 2020, pp xv-xvi
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Chapter 2 - Symptoms and Signs of Cardiac Disease
from Section 1 - Routine Cardiac Surgery
- By Joseph E. Arrowsmith
Edited by Joseph Arrowsmith, Andrew Roscoe, Jonathan Mackay
Book:

Core Topics in Cardiac Anaesthesia

Published online:

12 May 2020

Print publication:

23 April 2020, pp 6-10
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Summary

Despite the widespread availability of investigational tests and imaging techniques for the diagnosis and management of cardiac disease, eliciting a comprehensive history and performing a systematic physical examination remain essential clinical skills.

Chapter 28 - Non-Cardiac Applications of Cardiopulmonary Bypass
from Section 5 - Cardiopulmonary Bypass
- By Joseph E. Arrowsmith, Jonathan H. Mackay
Edited by Joseph Arrowsmith, Andrew Roscoe, Jonathan Mackay
Book:

Core Topics in Cardiac Anaesthesia

Published online:

12 May 2020

Print publication:

23 April 2020, pp 215-217
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Summary

Since its introduction into clinical practice in the early 1950s, the indications for CPB have broadened, from operations on or within the heart, to include non-cardiac thoracic, abdominal and neurological procedures. The indications for CPB for non-cardiac surgery are shown in Box 28.1.

Section 6 - Advanced Monitoring
Edited by Joseph Arrowsmith, Andrew Roscoe, Jonathan Mackay
Book:

Core Topics in Cardiac Anaesthesia

Published online:

12 May 2020

Print publication:

23 April 2020, pp 223-238
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Chapter 24 - Temperature Management and Deep Hypothermic Arrest
from Section 5 - Cardiopulmonary Bypass
- By Charles W. Hogue, Joseph E. Arrowsmith
Edited by Joseph Arrowsmith, Andrew Roscoe, Jonathan Mackay
Book:

Core Topics in Cardiac Anaesthesia

Published online:

12 May 2020

Print publication:

23 April 2020, pp 191-198
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Summary

In animals that maintain body temperature within a tight range (homeotherms), thermoregulation represents the balance between heat production (thermogenesis) and heat loss. Thermogenesis occurs as a result of metabolic activity, particularly in skeletal muscle, the kidneys, the brain, the liver and (in infants) adipose tissue. Body heat is lost by conduction, convection, radiation and evaporation (Table 24.1). Cold-induced hypothalamic stimulation activates autonomic, extra-pyramidal, endocrine and behavioural mechanisms to maintain the core temperature.

Section 7 - Transoesophageal Echocardiography
Edited by Joseph Arrowsmith, Andrew Roscoe, Jonathan Mackay
Book:

Core Topics in Cardiac Anaesthesia

Published online:

12 May 2020

Print publication:

23 April 2020, pp 239-260
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Chapter 9 - Aortic Valve Surgery
from Section 2 - Anaesthesia for Specific Procedures
- By Pedro Catarino, Joseph E. Arrowsmith
Edited by Joseph Arrowsmith, Andrew Roscoe, Jonathan Mackay
Book:

Core Topics in Cardiac Anaesthesia

Published online:

12 May 2020

Print publication:

23 April 2020, pp 69-74
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Summary

The AV is composed of three semilunar cusps left (posterior), right (anterior) and non-coronary cusp, which are related to the three sinuses of Valsalva. The main functions of the AV are to permit unimpeded LV systolic ejection and to prevent regurgitation of the LV stroke volume during diastole. The normal adult AV orifice area is 2-4 cm2.

Section 5 - Cardiopulmonary Bypass
Edited by Joseph Arrowsmith, Andrew Roscoe, Jonathan Mackay
Book:

Core Topics in Cardiac Anaesthesia

Published online:

12 May 2020

Print publication:

23 April 2020, pp 191-222
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Section 1 - Routine Cardiac Surgery
Edited by Joseph Arrowsmith, Andrew Roscoe, Jonathan Mackay
Book:

Core Topics in Cardiac Anaesthesia

Published online:

12 May 2020

Print publication:

23 April 2020, pp 1-68
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Section 2 - Anaesthesia for Specific Procedures
Edited by Joseph Arrowsmith, Andrew Roscoe, Jonathan Mackay
Book:

Core Topics in Cardiac Anaesthesia

Published online:

12 May 2020

Print publication:

23 April 2020, pp 69-130
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Chapter 8 - Common Postoperative Complications
from Section 1 - Routine Cardiac Surgery
- By Jonathan H. Mackay, Joseph E. Arrowsmith
Edited by Joseph Arrowsmith, Andrew Roscoe, Jonathan Mackay
Book:

Core Topics in Cardiac Anaesthesia

Published online:

12 May 2020

Print publication:

23 April 2020, pp 55-68
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Summary

A comprehensive review of the complications of cardiac surgery would fill an entire volume. This chapter covers the more common and life-threatening complications. The reader is directed to the publications list under further reading.

Contents
Edited by Joseph Arrowsmith, Andrew Roscoe, Jonathan Mackay
Book:

Core Topics in Cardiac Anaesthesia

Published online:

12 May 2020

Print publication:

23 April 2020, pp vii-viii
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Chapter 18 - Electrophysiological Procedures
from Section 3 - Cardiac Catheter Laboratory Procedures
- By Joseph E. Arrowsmith
Edited by Joseph Arrowsmith, Andrew Roscoe, Jonathan Mackay
Book:

Core Topics in Cardiac Anaesthesia

Published online:

12 May 2020

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23 April 2020, pp 131-136
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Summary

As the indications for these devices has widened, the prevalence of permanent pacemakers (PPMs) and ICDs has increased. The complexity of these devices makes them susceptible to perioperative interference and inadvertent reprogramming, placing patients at greater risk of perioperative morbidity. Management guidelines are largely based on case series and expert consensus rather than prospective, randomized studies.

Contributors
Edited by Joseph Arrowsmith, Andrew Roscoe, Jonathan Mackay
Book:

Core Topics in Cardiac Anaesthesia

Published online:

12 May 2020

Print publication:

23 April 2020, pp ix-xii
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Foreword to the First Edition
Edited by Joseph Arrowsmith, Andrew Roscoe, Jonathan Mackay
Book:

Core Topics in Cardiac Anaesthesia

Published online:

12 May 2020

Print publication:

23 April 2020, pp xviii-xviii
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Copyright page
Edited by Joseph Arrowsmith, Andrew Roscoe, Jonathan Mackay
Book:

Core Topics in Cardiac Anaesthesia

Published online:

12 May 2020

Print publication:

23 April 2020, pp iv-iv
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Reviews of the First Edition
Edited by Joseph Arrowsmith, Andrew Roscoe, Jonathan Mackay
Book:

Core Topics in Cardiac Anaesthesia

Published online:

12 May 2020

Print publication:

23 April 2020, pp xiii-xiv
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Section 8 - Miscellaneous Topics
Edited by Joseph Arrowsmith, Andrew Roscoe, Jonathan Mackay
Book:

Core Topics in Cardiac Anaesthesia

Published online:

12 May 2020

Print publication:

23 April 2020, pp 261-289
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Chapter 9 - Considerations for Operations Involving Deep Hypothermic Circulatory Arrest

Summary

Core Topics in Cardiac Anaesthesia

Preface to the Third Edition

Chapter 2 - Symptoms and Signs of Cardiac Disease

Summary

Chapter 28 - Non-Cardiac Applications of Cardiopulmonary Bypass

Summary

Section 6 - Advanced Monitoring

Chapter 24 - Temperature Management and Deep Hypothermic Arrest

Summary

Section 7 - Transoesophageal Echocardiography

Chapter 9 - Aortic Valve Surgery

Summary

Section 5 - Cardiopulmonary Bypass

Section 1 - Routine Cardiac Surgery

Section 2 - Anaesthesia for Specific Procedures

Chapter 8 - Common Postoperative Complications

Summary

Contents

Chapter 18 - Electrophysiological Procedures

Summary

Contributors

Foreword to the First Edition

Copyright page

Reviews of the First Edition

Section 8 - Miscellaneous Topics

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63 results

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Core Topics in Cardiac Anaesthesia

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