Anesthesia for the cardiac patient:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
1997
|
| Schriftenreihe: | Anesthesiology clinics of North America
15,1 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | VIII, 227 S. Ill., graph. Darst. |
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| 245 | 1 | 0 | |a Anesthesia for the cardiac patient |c David L. Reich guest ed. |
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| 300 | |a VIII, 227 S. |b Ill., graph. Darst. | ||
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Datensatz im Suchindex
| _version_ | 1804125768959131648 |
|---|---|
| adam_text | ANESTHESIA FOR THE CARDIAC PATIENT
CONTENTS
Foreword ix
Jonathan L. Benumof
Preface xi
David L. Reich
Preoperative Assessment of Patients with Cardiac Disease
Undergoing Noncardiac Surgery 1
Tuula S.O. Kurki
Perioperative cardiac morbidity remains the leading cause of
death following anesthesia and surgery. This article focuses on
the preoperative assessment of adult coronary artery and valve
disease patients. The cornerstones in the evaluation of the risk
of morbidity and mortality are based on history and physical
examination and simple laboratory tests. More sophisticated exer¬
cise, stress, and radionuclide tests may be needed for selected
cases. The optimization of patients physical status and preopera¬
tive treatment is discussed also.
Hemodynamic Monitoring 15
David M. Moskowitz and David L. Reich
The choice of appropriate monitoring for patients with cardiac
disease presenting for noncardiac surgery is a difficult one. The
risks and benefits must be considered carefully, and many aspects
of the patient s underlying disease and the planned surgery will
influence the anesthesiologist s decision. This article summarizes
the advantages and disadvantages of a variety of noninvasive,
ANESTHESIOLOGY CLINICS OF NORTH AMERICA
VOLUME 15 • NUMBER 1 • MARCH 1997 V
semi invasive, and invasive hemodynamic monitoring tech¬
niques.
Regional Versus General Anesthesia 37
Rose Christopherson and Edward J. Norris
This article focuses on the results of randomized clinical trials
evaluating epidural or spinal anesthesia used either alone or as
an adjunct to general anesthesia in groups of patients at high risk
for cardiovascular morbidity. Several mechanisms for protection
of the heart by regional anesthesia have been proposed, most
notably, protection from the stress response to surgery. This
includes both protection from elevated catecholamines in re¬
sponse to surgical stress and protection from accelerated throm¬
bosis and maintenance of normal clot lysis. The randomized
clinical trials have had mixed results, however, and overall, have
not proven that adverse cardiac morbidity or death are reduced
by the use of regional anesthesia.
Ischemic Heart Disease 49
Lee A. Fleisher
This article reviews preoperative evaluation and intraoperative
management from an evidence based approach. The preoperative
evaluation focuses on the recent American Heart Association/
American College of Cardiology guidelines, which incorporate
the clinical presentation of disease, exercise tolerance, and extent
of the surgical procedure. Studies evaluating the influence of
choice of anesthesia and monitoring are discussed from the per¬
spective of their influence on perioperative cardiac death and
myocardial infarction.
Noncardiac Surgery in the Patient with Valvular Heart
Disease 69
Les Yarmush
The screening and anesthetic management of patients with valvu¬
lar heart disease undergoing noncardiac surgery is reviewed.
Appropriate pathophysiology, hemodynamic goals, and guide¬
lines for treating adverse events are presented. Specific anesthetic
agents to achieve cardiovascular stability are discussed.
Anesthetic Considerations for Children with Congenital
Heart Disease Undergoing Noncardiac Surgery: Answers to
Common Questions 93
Ronald S. Litman
Between two and eight children per thousand are born with some
form of congenital heart disease (CHD). Anesthesiologists will
encounter children with CHD for elective noncardiac surgery at
yi CONTENTS
1
one of three possible stages: uncorrected, palliated, or corrected.
This article primarily addresses common problems and questions
that cause residents and general anesthesiologists to seek consul¬
tation from pediatric or cardiac anesthesiologists. Three general
areas will be covered: preoperative evaluation, intraoperative
management, and postoperative concerns.
The Heart in Trauma Surgery 105
Patrick Kelledy and Kenneth J. Abrams
An unfortunate reality in today s society is the rise in trauma,
especially violent trauma. A thorough understanding of the
mechanism(s) of injury and the primary and associated injuries
is required to manage and treat these patients appropriately.
Those that present with cardiac injuries require aggressive and
timely treatment. A high index of suspicion is also needed, espe¬
cially for the blunt trauma victim who presents with numerous
distracting injuries.
Anesthetic Management for Carotid and Lower Extremity
Revascularization 119
Robert J. Suriani
The challenge in caring for patients undergoing carotid and lower
extremity revascularization centers around the complexity and
severity of their comorbid illnesses, all of which affect periopera
tive anesthetic management. This article reviews important con¬
siderations during the preoperative evaluation, factors in choos¬
ing regional or general anesthesia, modalities available for
neurologic and cardiovascular monitoring, and issues in postop¬
erative care and pain management.
Anesthesia for Abdominal Aortic Reconstruction 139
Gregg S. Hartman and Mathias Bruefach III
This article discusses the management of patients with coronary
artery and valvular heart disease who present for abdominal
aortic reconstruction. It is a clinically oriented article with several
main foci. These include a section on preoperative evaluation,
which concentrates on clinically meaningful evaluation, risk strat¬
ification, and preparation of these patients; an intraoperative sec¬
tion, which pays careful attention to the hemodynamic stresses
associated with aortic cross clamping and unclamping; and a
section concerning the role of regional anesthesia and analgesia
in the perioperative management of these patients. Included as
well are sections concerning the effect of coexisting illnesses and
anesthesia for emergent aortic reconstruction.
Neurosurgery for the Patient with Cardiac Disease 159
Michael Panah and Ronald A. Kahn
Many neurosurgical procedures and associated pathophysiologic
states cause significant perturbations of the cardiovascular system
CONTENTS Vii
in patients with cardiac disease. This article reviews several as¬
pects of neuroanesthesia for the patients with cardiovascular dis¬
ease.
Patients with Cardiac Disease for Ambulatory Surgery 171
Melinda L. Mingus
Coronary artery disease and valvular heart disease are common
medical problems in patients presenting for ambulatory surgery.
The specific problems of preoperative evaluation, anesthetic man¬
agement, and postoperative follow up for these patients is ad¬
dressed.
PACU and ICU Care: Evaluation and Management of
Postoperative Cardiovascular Complications 189
Brian Kaufman and Steven Weitz
The dynamic physiologic changes that occur in the early postop¬
erative period place the cardiac patient who has undergone a
noncardiac operation at increased risk for cardiovascular compli¬
cations. The mechanisms for the development of and manage¬
ment options for the treatment of postoperative ischemia/in¬
farction, arrhythmias, and hypertension are reviewed.
Noncardiac Surgery After Heart Transplantation 207
Manuel L. Fontes and Stanley H. Rosenbaum
Since the introduction of cyclosporine, cardiac transplantation has
become an acceptable therapeutic option for treatment of end
stage heart disease. With improved survival, the population of
living cardiac recipients is increasing; hence, there is a greater
chance that anesthesiologists will encounter these patients in their
daily practice. This article discusses the physiology of cardiac
denervation, the pharmacodynamics of cardioactive and vaso
active drugs, immunosuppressive therapy to include adverse ef¬
fects, preoperative, intraoperative, and postoperative anesthetic
concerns and management.
Index 221
Subscription Information Inside back cover
V1U CONTENTS
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| spelling | Anesthesia for the cardiac patient David L. Reich guest ed. Philadelphia [u.a.] Saunders 1997 VIII, 227 S. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Anesthesiology clinics of North America 15,1 Anesthésie Coeur Anesthesia Anesthesia in cardiology Heart Herzkrankheit (DE-588)4024663-2 gnd rswk-swf Anästhesie (DE-588)4001833-7 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Herzkrankheit (DE-588)4024663-2 s Anästhesie (DE-588)4001833-7 s DE-604 Reich, David L. Sonstige oth Anesthesiology clinics of North America 15,1 (DE-604)BV000600896 15,1 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=007564203&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
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| subject_GND | (DE-588)4024663-2 (DE-588)4001833-7 (DE-588)4143413-4 |
| title | Anesthesia for the cardiac patient |
| title_auth | Anesthesia for the cardiac patient |
| title_exact_search | Anesthesia for the cardiac patient |
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| title_full_unstemmed | Anesthesia for the cardiac patient David L. Reich guest ed. |
| title_short | Anesthesia for the cardiac patient |
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