Cardiac Anesthesia (Paperback) | Released: 20 Jul 2015

About the Book

Cardiac Anesthesia - Practical Aspects is a concise but complete guide to all topics of cardiac anaesthesia, demonstrating safe, evidence-based procedures. Enhanced by full colour images and illustrations throughout, Cardiac Anesthesia - Practical Aspects simplifies the practicalities of a complicated subject, making the book a useful resource for all anaesthetists and cardiac anaesthesiologists.

Table of Contents:
Contents Section 1 General Considerations 1 Chapter 1. Introduction and History of Cardiac Anesthesia 3 Manjula Sudeep Sarkar, Madhavi Buddhi ¾ Early Developments—Anesthesia for Thoracic Surgery 4 ¾ Early Cardiac Anesthesia 5 ¾ Anesthesia for Early Cardiac Surgery Using Cardiopulmonary Bypass 7 ¾ Anesthesia for Coronary Artery Surgery 10 ¾ Transesophageal Echocardiography 12 ¾ Cardiac Anesthesia as a Subspecialty 13 ¾ Achievements of KEM Hospital, Mumbai 13 Chapter 2. Preoperative Evaluation of Patients with Cardiovascular Disease 15 Manali Nadkarni ¾ History 15 ¾ Physical Examination 16 ¾ Investigations 17 ¾ Diagnostic Tests or Procedures 17 ¾ Assessment of Cardiac Risk 18 Chapter 3. Cardiovascular Monitoring 24 Manjula Sudeep Sarkar, Pallavi Waghalkar ¾ ASA Monitoring Guidelines 24 ¾ ECG Monitoring 25 ¾ Noninvasive Blood Pressure Monitoring 27 ¾ Invasive Blood Pressure Monitoring 29 ¾ Central Venous Pressure Monitoring 33 ¾ Pulmonary Artery Catheter Monitoring 35 ¾ Cardiac Output Monitoring 38 ¾ Transesophageal Echocardiography 41 ¾ Coagulation Monitoring 45 ¾ Arterial Blood Gas (ABG) Monitoring 47 ¾ Temperature Monitoring 50 Chapter 4. Cardiopulmonary Bypass 53 Manjula Sudeep Sarkar, Shraddha Mathkar ¾ Components of Cardiopulmonary Bypass 53 ¾ Conduct of Cardiopulmonary Bypass 59 ¾ Concerns During Bypass 62 ¾ Methods of Myocardial Preservation 65 ¾ Post Bypass 67 ¾ Sequence of Events for Bypass 69 ¾ Complications of CPB 70 ¾ Pediatric Cardiopulmonary Bypass 72 Prelims.indd 17 04-03-2015 14:26:01 xviii Cardiac Anesthesia: Practical Aspects Chapter 5. Cardiovascular Drugs 75 Manjula Sudeep Sarkar, Neeraj Barnwal Inotropes and Vasopressors 75 ¾ Dopamine 75 ¾ Dobutamine 76 ¾ Epinephrine 78 ¾ Norepinephrine 79 ¾ Isoprenaline 80 ¾ Phenylephrine 82 ¾ Milrinone 83 Antiarrhythmic Drugs 85 ¾ Clinical Classification of Antiarrhythmic Drugs 85 ¾ Amiodarone 86 ¾ Diltiazem 88 ¾ Lignocaine 90 ¾ Esmolol 91 ¾ Nitroglycerin 93 ¾ Heparin 95 ¾ Protamine 98 Section 2 Cardiac Anesthesia 101 Chapter 6. Congenital Heart Disease 103 Manjula Sudeep Sarkar, Neeraj Barnwal, Shraddha Mathkar, Sachin Vaishnav Acyanotic Congenital Heart Disease 103 Manjula Sudeep Sarkar, Neeraj Barnwal ¾ General Anesthetic Considerations in Pediatric Open Heart Surgery 104 ¾ Atrial Septal Defect 105 ¾ Ventricular Septal Defect 112 ¾ Patent Ductus Arteriosus 119 Anesthesia for Cyanotic Congenital Heart Diseases 124 Manjula Sudeep Sarkar, Shraddha Mathkar, Sachin Vaishnav ¾ Tetralogy of Fallot 124 Total Anomalous Pulmonary Venous Connection 134 Manjula Sudeep Sarkar, Shraddha Mathkar Chapter 7. Valvular Heart Disease 140 Manjula Sudeep Sarkar, Pushkar Desai ¾ Mitral Stenosis 140 ¾ Aortic Stenosis 149 ¾ Hypertrophic Cardiomyopathy 155 ¾ Mitral Regurgitation 158 ¾ Pulmonary Stenosis 165 ¾ Tricuspid Stenosis 165 ¾ Tricuspid Regurgitation 166 ¾ Mixed Valve Lesions 166 ¾ Infective Endocarditis (IE) 166 Prelims.indd 18 04-03-2015 14:26:01 Contents xix Chapter 8. Anesthesia for Coronary Artery Bypass Grafting 169 Manjula Sudeep Sarkar, Pushkar Desai ¾ Anesthesia for On-pump Coronary Artery Bypass Grafting 169 ¾ Anesthesia for Off-pump Coronary Artery Bypass 178 ¾ Anesthesia for Minimally Invasive Cardiac Surgery: MID-CAB 183 ¾ Anesthesia for Awake CABG 185 ¾ Anesthesia for Transmyocardial Laser Revascularization 186 Chapter 9. Anesthesia for Vascular Surgery 187 Sanjeeta Umbarkar, Manish Kela ¾ Preanesthetic Evaluation 187 ¾ Perioperative Medical Therapy 189 ¾ Lower Extremity Revascularization 190 ¾ Carotid Artery Revascularization 192 ¾ Aortic Reconstruction 194 ¾ Thoracoabdominal Aortic Aneurysm (TAAA) 200 ¾ Special considerations 201 ¾ Endovascular Surgeries 203 Chapter 10. Anesthesia for Pericardiectomy 208 Manjula Sudeep Sarkar, Mehul Mange, Pushkar Desai ¾ Anesthetic Considerations 210 ¾ Intraoperative 210 Chapter 11. Anesthesia for Cardiac Catheterization: Laboratory Procedures 212 Sanjeeta Umbarkar, Pushkar Desai ¾ Why is an Anesthesiologist Needed in the Laboratory? 212 ¾ Anesthesia Challenges 213 ¾ Diagnostic Procedures 214 ¾ Interventional Procedures 214 ¾ Preoperative Evaluation 214 ¾ Procedures 215 ¾ Anesthetic Implications of Pacemaker 224 ¾ Anesthesia Considerations 227 ¾ Monitoring 227 ¾ Specific Procedures and Effect of Pacemaker 229 ¾ Diagnostic Catheterization 230 Chapter 12. Pregnancy and Cardiac Surgery 233 Manjula Sudeep Sarkar, Pushkar Desai ¾ General Considerations in Pregnant Patients 233 ¾ BMV in Pregnancy 234 ¾ Open Heart Surgery in Pregnancy 235 ¾ Normal Findings in Pregnant Patients 236 ¾ Timing of Cardiac Surgery in Pregnancy 236 ¾ Cardiopulmonary Bypass and Pregnancy 236 ¾ Fetal Heart Rate (FHR) Monitoring 238 ¾ Uterine Monitoring 238 ¾ Anesthetic Drugs 238 ¾ Pregnancy and Myocardial Infarction 239 ¾ Pregnancy and Heart Transplant 239 Prelims.indd 19 04-03-2015 14:26:02 xx Cardiac Anesthesia: Practical Aspects Section 3 Thoracic Anesthesia 241 Chapter 13. Anesthesia for Thoracic Surgery 243 Sunil Gvalani, Nandini Dave, Amit Padvi ¾ Preoperative Considerations 243 ¾ Intraoperative Management 246 Section 4 Cardiac Patients for Noncardiac Surgery 255 Chapter 14. Anesthesia for Cardiac Patients for Noncardiac Surgery 257 Madhulata Garasia, Sunil Gvalani, Manish Kela, Sunil Chaphane, Priyanka Karnik Management of Patients with Congenital Heart Disease for Noncardiac Surgery 257 Madhulata Garasia, Priyanka Karnik ¾ Recent Advances 260 Management of Patients with Ischemic Heart Disease for Noncardiac Surgery 261 Sunil Gvalani, Manish Kela ¾ Preoperative Evaluation and Identification of Risk Factors 261 ¾ Intraoperative Management 261 ¾ Regional Anesthesia and IHD 262 ¾ Monitoring 262 ¾ Induction 262 ¾ Maintenance of Anesthesia 263 ¾ Intraoperative Ischemia 263 ¾ Postoperative Management 263 Management of Valvular Heart Disease for Noncardiac Surgery 264 Sunil Gvalani, Sunil Chaphane ¾ Mitral Stenosis 264 ¾ Mitral Regurgitation 266 ¾ Mitral Valve Prolapse 267 ¾ Aortic Stenosis 268 ¾ Aortic Regurgitation 269 Section 5 Specialty-based Management of a Cardiac Patient 271 Chapter 15. Cardiovascular Concerns in Neurosurgical Procedures 273 Anita Shetty, Shrikanta Oak, Viraj Shah, Swarada Pardeshi ¾ Cardiovascular Concerns During Management of Raised Intracranial Pressure 273 ¾ Cardiovascular Concerns During Prevention of Cerebral Injury 274 ¾ Cardiovascular Concerns in Intracranial Pathology 275 ¾ Cardiac Emergencies During Neurosurgical Procedures 276 ¾ Neuropharmacological Interventions and Cardiovascular Concerns 278 ¾ Management of Bradycardia and Asystole During Neurosurgery 278 Prelims.indd 20 04-03-2015 14:26:02 Contents xxi Chapter 16. Cardiovascular Concerns in Urosurgical Procedures 280 Aarti Kulkarni, Nalini Jadhav ¾ General 280 ¾ Nephrectomy/Pyeloplasty 280 ¾ Radical Nephrectomy 280 ¾ Radical Cystectomy and Ileal Conduit 280 ¾ Transurethral Resection of Prostate (TURP) 281 ¾ Extracorporeal Shock Wave Lithotripsy (ESWL) 281 ¾ Renal Transplant 281 Chapter 17. Cardiovascular Concerns in Major Orthopedic Surgeries 282 Yogita Patil, Navin Pajai ¾ Choice of Anesthesia 282 Chapter 18. Cardiovascular Concerns in Plastic Surgeries 283 Shweta Salgaonkar, Sanjeevani Zadkar ¾ Liposuction and Abdominoplasty 284 ¾ Burns 284 Chapter 19. Cardiac Disease and Liver Surgery 286 Prerana Nirav Shah ¾ Congenital Cardiac Disease 287 ¾ Valvular Heart Disease 287 ¾ Ischemic Heart Disease 288 ¾ Liver Transplant 288 Chapter 20. Cardiovascular Concerns During Liver Transplantation 290 Manjula Sudeep Sarkar ¾ Preoperative Cardiac Investigations 290 ¾ Pathophysiological Changes in the Cardiovascular System Related to Liver Failure 290 Chapter 21. Cardiovascular Concerns in General and Emergency Abdominal Surgery 292 Manish Kela, Priti Pednekar ¾ Pacemaker and Anesthesia Management 292 ¾ Anesthetic Management 296 ¾ Postoperative Pain Management 298 ¾ Interesting Case 298 Section 6 Pain Management in Cardiac Surgical Patient 301 Chapter 22. Postoperative Analgesia for Cardiac Surgical Patient 303 Sunil Gvalani, Shamala Yashod ¾ Pathophysiology of Cardiac Surgical Pain 303 ¾ Beneficial Effects of Adequate Postoperative Analgesia 303 ¾ Modalities for Postoperative Analgesia 304 Index 309 Prelims.indd 21 04-03-2015 14:26:02