The new Oxford Textbook of Cardiothoracic Anaesthesia provides a comprehensive overview of and a thorough grounding in this challenging subspecialty. Both cardiac and thoracic anaesthesia demand high levels of knowledge and skill, as minimally invasive surgical techniques demand a sounder understanding of the specialties and as more patients with co-morbidities present for surgery

Part of the Oxford Textbooks in Anaesthesia series, this resource covers the anatomy and physiology, pharmacology, post-operative complications, critical care, and all clinical aspects of cardiac and thoracic anaesthesia. Practical aspects, such as team working, and designing and equipping cardiothoracic theatre and critical care, are also included. The expert and international author team use their experience to ensure this comprehensive online resource reflects current world-wide practice across the globe.

This resource is published with a concurrent online version, which features access to the full content of the textbook, contains links from the references to primary research journal articles, allows full text searches, and provides access to figures and tables that can be downloaded to PowerPoint ®.

Designed for consultants and trainees in cardiac and thoracic anaesthesia, this is the definitive source of expert knowledge for anaesthetists in this subspecialty.

About the Author

R Peter Alston, Consultant in Anaesthesia, Critical Care, and Pain Medicine, Royal Infirmary of Edinburgh, Edinburgh, Scotland, Paul S. Myles, Director, Department of Anaesthesia and Perioperative Medicine, Alfred Hospital, Melbourne, Australia, Marco Ranucci, Head of Clinical Research, Department of Anesthesia and Intensive Care, IRCCS Policlinico San Donato, San Donato, Milan, Italy

Contents

Chapter 1 A history of cardiothoracic anaesthesia
Chapter 2 Anatomy and pathology of the heart and major vascular system
Chapter 3 Cardiovascular physiology, pathophysiology, and monitoring
Chapter 4 Thoracic anatomy, physiology, and pathophysiology
Chapter 5 The inflammatory response to cardiothoracic surgery
Chapter 6 Cardiovascular and pulmonary pharmacology
Chapter 7 Diagnosis and assessment of cardiac disease
Chapter 8 Diagnosis and assessment of lung disease
Chapter 9 Structural cardiac intervention
Chapter 10 Blood gases, clinical chemistry, and acid–base
Chapter 11 Cardiopulmonary bypass
Chapter 12 Extracorporeal membrane oxygenation
Chapter 13 Mechanical support of the circulation
Chapter 14 Hypothermia and circulatory arrest
Chapter 15 Myocardial protection during cardiac surgery
Chapter 16 Antithrombotic and antiplatelet therapy
Chapter 17 Haemostasis management
Chapter 18 Blood management
Chapter 19 Anaesthesia for adult cardiac surgery
Chapter 20 Anaesthesia for off-pump coronary artery bypass grafting
Chapter 21 Paediatric cardiac and thoracic anaesthesia
Chapter 22 Anaesthesia for thoracic aortic surgery
Chapter 23 Anaesthesia for heart transplantation
Chapter 24 Anaesthesia for adult patients with acquired heart disease for non-cardiac surgery
Chapter 25 Anaesthesia for cardiac electrophysiological interventions
Chapter 26 Critical care following cardiac surgery
Chapter 27 Enhanced recovery from heart surgery
Chapter 28 Ultrasound imaging in critical care
Chapter 29 Cardiovascular complications of cardiac surgery
Chapter 30 Pulmonary complications after cardiac surgery
Chapter 31 Renal, hepatic, and gastrointestinal complications of cardiac surgery
Chapter 32 Cerebral complications of heart surgery
Chapter 33 Anaesthesia for thoracic surgery
Chapter 34 Anaesthesia for interventional bronchoscopy
Chapter 35 Anaesthesia for lung transplantation
Chapter 36 Postoperative thoracic surgical care
Chapter 37 Complications of thoracic surgery
Chapter 38 Pain relief after thoracic and cardiac surgery
Chapter 39 Chronic pain after cardiothoracic surgery
Chapter 40 Designing state-of-the-art cardiothoracic surgical suites
Chapter 41 Training programmes for cardiothoracic anaesthesia: curricula, administration, and evaluations
Chapter 42 Teamwork and minimizing error
Chapter 43 Audit and research in cardiothoracic anaesthesia