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Introducing the first text to integrate cardiac, thoracic and vascular anesthesia in one accessible resource. This comprehensive text provides a solid foundation of general principles, including preoperative assessment, cost-benefit effectiveness of preoperative workup, cardiac and pulmonary anatomy and physiology, as well as organ system effects of anesthetics. Expert contributors offer a clinical approach to a special section on postoperative considerations and focus on postoperative management. Also features helpful algorithms for decision making.
This comprehensive text delivers cutting-edge scientific knowledge and expert clinical guidance on anesthesia for the vascular surgical patient or the patient with cardiac disease undergoing major noncardiac surgery. It covers cardiovascular anatomy, physiology, and pharmacology; preoperative assessment and management, specific perioperative considerations, and postoperative management. This 2nd Edition features eight completely rewritten chapters and six new chapters. Extensive updates throughout reflect all the new procedures, drugs, techniques, and monitoring modalities that have emerged over the last decade. Delivers cutting-edge scientific knowledge that serves as a basis for clinical practice. Provides comprehensive coverage of anesthesia, including cardiovascular anatomy, physiology, and pharmacology preoperative assessment and management specific perioperative considerations and postoperative management. Integrates recent developments from the fields of anesthesiology, cardiology, cardiovascular pharmacology, vascular surgery, and critical care medicine to present a complete clinical picture Offers fresh perspectives from many new contributors who are leaders in their fields. Explores all the new procedures, drugs, techniques, and monitoring modalities that have emerged over the last decade. Devotes more coverage to regional anesthesia or combined regional and general anesthesia for modification of stress responses, improved pain control, better wound healing, and control of inflammatory/immunomodulatory changes associated with surgery. Places increased emphasis on the physiology, diseases, and surgery of the peripheral vasculature throughout, including a new chapter on The Peripheral Circulation in Patients with Vascular Disease (Chapter 1). Includes a new chapter on Imaging of the Vasculature(Chapter 2), that is completely up to date and easy to read. Covers anesthesia and perioperative care for all of the latest procedures, including new information on minimally invasive techniques and new chapters on Interventional Vascular Radiologic Procedures (Chapter 4) and Choice of Invasive vs. Noninvasive Surgery (Chapter 7). Features expanded material on postoperative care, especially on new techniques for pain management, and includes new chapters on Respiratory Complications and Management (Chapter 18) and Ethical Decisions/End of Life Care in Patients with Vascular Disease (Chapter 20).
This concise book meets the market need for an accessible and up-to-date guide on understanding and managing cardiac anesthesia patients. It reflects the continual evolution of the very complex field of cardiac anesthesia. Organized into 10 sections, beginning chapters comprehensively examine the foundational concepts of cardiovascular function. The book then functions as a practical guide for clinical settings, including patient evaluation, operating room and anesthetic management, and postoperative care. Each chapter is authored by experienced cardiac anesthesiologists and many are supplemented by high quality, images, videos and tables. Written for the student, trainee, and junior cardiac anesthesiologist, Cardiac Anesthesia: The Basics of Evaluation and Management covers the core concepts needed to treat the cardiac surgery patient and to the skillset needed to succeed in this field.
Thirteen chapters by anesthesiologists and other doctors discuss cardiac physiology, cardiovascular monitoring, drugs, pacemakers and other devices, cardiopulmonary bypass, ischemic heart disease, valvular heart disease, congenital heart disease, off-pump cardiac surgery, noncardiac surgery, less common diseases, thoracic aortic disease, and vascular surgery. Approximately 100 illustrations, as well as many case studies, support the major points. Annotation : 2004 Book News, Inc., Portland, OR (booknews.com).
What every resident and practicing anesthesiologist needs to know about thoracic anesthesia—in one concise handbook Thoracic Anesthesia is the definitive introduction for anesthesiologists in training and the must-have reference for anesthesiologists who do not practice thoracic anesthesia exclusively. Here, you’ll find a current, detailed review of the basic, need-to-know concepts of thoracic anesthesia, along with clear, practical suggestions for handling commonly encountered scenarios. Written by top specialists in the field, the book is filled with high-yield insights into such pivotal topics as respiratory physiology, pulmonary pharmacology, imaging, one-lung ventilation, and postoperative care. FEATURES The ultimate thoracic anesthesia primer, designed for residents and experienced anesthesiologists/nurse anesthetists who must meet the growing demand for skilled practitioners in the thoracic operating room Comprehensive, yet concise presentation and compact format make the text a perfect at-a-glance reference in the OR Acknowledged experts in each topic area review key concepts that clarify a given condition—and summarize the best management strategies for delivering safe and effective perioperative care to thoracic surgical patients Focus on the major principles of thoracic anesthesia covers chest physiology, mechanisms of pain, biology of chest malignancies, and lung separation techniques Chapter on practice improvement and patient safety highlights the delivery of modern, high-quality perioperative thoracic care through a multi-disciplinary, team approach Top-to-bottom coverage of the latest thoracic anesthesia techniques and procedures: Preoperative risk stratification, Closed thorax procedures, Lung resections for cancer and benign chest tumors, Extrapleural pneumonectomy, Pericardial window procedures, Esophageal cancer operations, Bronchopleural fistula, Lung transplantation, Thoracic trauma management Special chapter on anesthesia for pediatric thoracic surgery presents the most current clinical perspectives that help you achieve positive outcomes even in the most challenging pediatric cases Section on postoperative management of thoracic surgical patients thoroughly reviews routine postoperative care as well as how to handle respiratory, renal, and cardiovascular complications, and both acute and chronic post thoracotomy pain
The most widely used clinical reference in cardiac anesthesia, A Practical Approach to Cardiac Anesthesia, provides complete information on drugs, monitoring, cardiopulmonary bypass, circulatory support, and anesthetic management of specific cardiac disorders. This large handbook incorporates clinically relevant basic science into a practical "what-to-do" approach and is written in an easy-to-read outline format. Designed for practicing anesthesiologists, as well as anesthesia residents, fellows in cardiothoracic anesthesia, perfusionists, and all other anesthesia practitioners, this handbook delivers comprehensive and expertly presented views of the discipline – with outstanding color graphics and the practical, how-to style of a manual.
"This important manuscript reviews basic vascular anatomy and physiology. The vascular system is part of the cardiovascular system, which maintains blood supply to all organs and tissues to upkeep the human metabolic activities. Vascular system has three components: artery, vein, and capillaries where oxygen, nutrients and metabolites exchange. Vascular wall biology has been a very hot topic for the last decades since it is involved in numerous physiological and pathological processes, yet many aspects remain unknown. There are three layers in the vascular wall: Tunica intima, Tunica media and Tunica adventitia. Adventitia has mainly collagenous and elastic fibers, and its physiological function was mostly unknown till recently it is believed to be involved in the pathogenesis of atherosclerosis. The vascular tone can be altered by neurohumoral and other factors. The brain and the heart and other vital organs have the capability to regulate their blood flow via a phenomenon called "autoregulation", which maintains relatively constant blood flow to vital organs over a wide range of perfusion pressure"--
This comprehensive, state of the art overview of pediatric and adult cardiac anesthesia brings together all the latest developments in this rapidly developing field. This text is intended both as a reference and for daily use by practicing and prospective anesthesiologists. Thoroughly updated for its third edition, Anesthesia for Cardiac Surgery fills the gap between encyclopaedic references and brief outlines, presenting just the right amount of information to guide trainees and practitioners who care for cardiac surgical patients. This edition features: The introduction of Dr Zvara as co-editor A new chapter on Special Considerations Practical clinical information coupled with comprehensive descriptions of physiology Key facts and tables summarized for convenient access This essential resource will prove invaluable for residents, fellows, and practicing anesthesiologists.
This book provides a practical approach to cardiac perioperative care. The step-by-step format guides readers from basic concepts, such as cardiac physiology and pharmacology, to anesthetic management of specific cardiac surgical procedures, including cardiac percutaneous interventions, management of specific cardiac disease, circulatory support, and organ protection strategies. Written by experienced cardiac anesthesiologists in Europe, USA, Canada and Australia, this book provides an international perspective on the topic with each chapter referring the reader to the relevant key reading. Cardiac Anesthesia and Postoperative Care in the 21st Century is aimed at new consultants in cardiac anesthesia and intensive care, residents, and fellows. It may also be of interest to perfusionists and is a refreshing update for the experienced cardiac anesthesiologist.
The clinical practice of anesthesia has undergone many advances in the past few years, making this the perfect time for a new state-of-the-art anesthesia textbook for practitioners and trainees. The goal of this book is to provide a modern, clinically focused textbook giving rapid access to comprehensive, succinct knowledge from experts in the field. All clinical topics of relevance to anesthesiology are organized into 29 sections consisting of more than 180 chapters. The print version contains 166 chapters that cover all of the essential clinical topics, while an additional 17 chapters on subjects of interest to the more advanced practitioner can be freely accessed at www.cambridge.org/vacanti. Newer techniques such as ultrasound nerve blocks, robotic surgery and transesophageal echocardiography are included, and numerous illustrations and tables assist the reader in rapidly assimilating key information. This authoritative text is edited by distinguished Harvard Medical School faculty, with contributors from many of the leading academic anesthesiology departments in the United States and an introduction from Dr S. R. Mallampati. This book is your essential companion when preparing for board review and recertification exams and in your daily clinical practice.