Hugendubel.info - Die B2B Online-Buchhandlung 

Merkliste
Die Merkliste ist leer.
Bitte warten - die Druckansicht der Seite wird vorbereitet.
Der Druckdialog öffnet sich, sobald die Seite vollständig geladen wurde.
Sollte die Druckvorschau unvollständig sein, bitte schliessen und "Erneut drucken" wählen.

The Pediatric Cardiac Anesthesia Handbook

Wiley-Blackwellerschienen am01.07.2017
Written by an expert author team at the renowned Boston Children's Hospital, USA, The Pediatric Cardiac Anesthesia Handbook provides a comprehensive yet concise overview of the anesthetic management of pediatric patients with congenital heart disease.

This book is divided into two parts. The first part provides an introduction to the basic assessment of patients, including cardiovascular physiology, pathophysiology and the underlying concepts in coronary heart disease, preoperative evaluation, intraoperative management, and interpretation of cardiac catheterization data. The second part of the book addresses disorders and diseases in a templated manner covering the anatomical and physiological features, surgical therapies, anesthetic approach and postoperative management. Chapters on the heart and heart and lung transplantation consider the additional complexities of those patients and anesthetic considerations for non-cardiac surgery after heart transplantation.
The anesthesiologist caring for patients with congenital heart disease faces a myriad of challenges in the perioperative management of these complex individuals. This book provides: A concise and easily referable guide ideal for use during anesthesiology residency training and fellowships.
A templated chapter layout ideal for easy referral by wider members of the multidisciplinary team, such as cardiologists, cardiac intensivists, perfusionists, and surgeons.
Helpful illustrations and a bulleted content for rapid reference.
Guidelines on specific lesions for the pediatric anesthesiologist caring for cardiac patients presenting for non-cardiac surgery.


This book is a valuable resource for all anesthesiology and cardiac critical care providers who manage patients with congenital heart disease, and an ideal study aid.


Viviane G. Nasr, MD graduated from Medical School at the American University of Beirut (AUB), Lebanon in 2003, and pursued a residency in anesthesiology at AUB and Tufts Medical Center, Boston. She completed a pediatric anesthesia fellowship at Children's National Medical Center (CNMC) in Washington DC and a pediatric cardiac anesthesia fellowship at Boston Children's Hospital. She is American Board certified in Anesthesiology and Pediatric Anesthesiology and an active member of the Congenital Cardiac Anesthesia Society.

James A. DiNardo, MD graduated from Dartmouth College and Dartmouth Medical School (with honors). He completed his anesthesia residency and fellowship in Cardiac Anesthesia at Beth Israel Hospital in Boston. He joined faculty at Boston Children's Hospital in 1999 where he currently serves as the Chief of the Division of Cardiac Anesthesia. He spends approximately one third of this clinical time as an Attending in the Cardiac ICU.
Dr DiNardo is certified in perioperative TEE and is former Chairman of the PTEeXAM Committee. He is also a Senior Oral Board Examiner for the ABA, a member of the ABA Pediatric Examination Writing Committee, and Chair of the Pediatric MOCA Examination Committee. He is Past-President of both the Congenital Cardiac Anesthesia Society and the Association of Cardiac Anesthesiologists. He is currently the Anesthesia and Analgesia Executive Editor for Pediatric Anesthesia.
He is the author of a major textbook on cardiac anesthesia and of more than 160 peer-reviewed articles and book chapters.
mehr
Verfügbare Formate
BuchKartoniert, Paperback
EUR107,50

Produkt

KlappentextWritten by an expert author team at the renowned Boston Children's Hospital, USA, The Pediatric Cardiac Anesthesia Handbook provides a comprehensive yet concise overview of the anesthetic management of pediatric patients with congenital heart disease.

This book is divided into two parts. The first part provides an introduction to the basic assessment of patients, including cardiovascular physiology, pathophysiology and the underlying concepts in coronary heart disease, preoperative evaluation, intraoperative management, and interpretation of cardiac catheterization data. The second part of the book addresses disorders and diseases in a templated manner covering the anatomical and physiological features, surgical therapies, anesthetic approach and postoperative management. Chapters on the heart and heart and lung transplantation consider the additional complexities of those patients and anesthetic considerations for non-cardiac surgery after heart transplantation.
The anesthesiologist caring for patients with congenital heart disease faces a myriad of challenges in the perioperative management of these complex individuals. This book provides: A concise and easily referable guide ideal for use during anesthesiology residency training and fellowships.
A templated chapter layout ideal for easy referral by wider members of the multidisciplinary team, such as cardiologists, cardiac intensivists, perfusionists, and surgeons.
Helpful illustrations and a bulleted content for rapid reference.
Guidelines on specific lesions for the pediatric anesthesiologist caring for cardiac patients presenting for non-cardiac surgery.


This book is a valuable resource for all anesthesiology and cardiac critical care providers who manage patients with congenital heart disease, and an ideal study aid.


Viviane G. Nasr, MD graduated from Medical School at the American University of Beirut (AUB), Lebanon in 2003, and pursued a residency in anesthesiology at AUB and Tufts Medical Center, Boston. She completed a pediatric anesthesia fellowship at Children's National Medical Center (CNMC) in Washington DC and a pediatric cardiac anesthesia fellowship at Boston Children's Hospital. She is American Board certified in Anesthesiology and Pediatric Anesthesiology and an active member of the Congenital Cardiac Anesthesia Society.

James A. DiNardo, MD graduated from Dartmouth College and Dartmouth Medical School (with honors). He completed his anesthesia residency and fellowship in Cardiac Anesthesia at Beth Israel Hospital in Boston. He joined faculty at Boston Children's Hospital in 1999 where he currently serves as the Chief of the Division of Cardiac Anesthesia. He spends approximately one third of this clinical time as an Attending in the Cardiac ICU.
Dr DiNardo is certified in perioperative TEE and is former Chairman of the PTEeXAM Committee. He is also a Senior Oral Board Examiner for the ABA, a member of the ABA Pediatric Examination Writing Committee, and Chair of the Pediatric MOCA Examination Committee. He is Past-President of both the Congenital Cardiac Anesthesia Society and the Association of Cardiac Anesthesiologists. He is currently the Anesthesia and Analgesia Executive Editor for Pediatric Anesthesia.
He is the author of a major textbook on cardiac anesthesia and of more than 160 peer-reviewed articles and book chapters.
Details
Weitere ISBN/GTIN9781119095552
ProduktartE-Book
EinbandartE-Book
FormatPDF
Erscheinungsjahr2017
Erscheinungsdatum01.07.2017
Seiten288 Seiten
SpracheEnglisch
Dateigrösse21513
Artikel-Nr.3313420
Rubriken
Genre9201

Inhalt/Kritik

Inhaltsverzeichnis
1;Title Page;5
2;Copyright Page;6
3;Contents;7
4;Preface;19
5;Part I The Basics;21
5.1;Chapter 1 Cardiovascular Development;23
5.1.1;Embryology;23
5.1.2;Cardiovascular Physiology;23
5.1.2.1;Fetal Circulation;23
5.1.2.2;Closure of the Ductus Arteriosus;25
5.1.2.3;Closure of the Foramen Ovale;26
5.1.2.4;Closure of the Ductus Venosus;26
5.1.2.5;Pulmonary Vascular Changes;26
5.1.2.6;Myocardial Performance in the Neonate;27
5.1.2.7;Hemodynamic Changes at Birth;27
5.2;Chapter 2 Important Concepts in Congenital Heart Disease;29
5.2.1;Pathophysiology of CHD;29
5.2.1.1;Concepts of Shunting, Single?Ventricle Physiology, and Inter?Circulatory Mixing;29
5.2.1.2;Shunting;29
5.2.1.2.1;Effective Blood Flow;30
5.2.1.2.2;Total Pulmonary Blood Flow/Total Systemic Blood Flow;30
5.2.1.3;Single-Ventricle Physiology;30
5.2.1.4;Intercirculatory Mixing;33
5.2.1.5;Classification of Anatomic Shunts;35
5.2.1.5.1;Simple Shunts;35
5.2.1.5.2;Complex Shunts;35
5.2.2;Pulmonary Vascular Pathophysiology;38
5.2.2.1;Causes of Pre-Capillary PH in CHD;38
5.2.2.2;Causes of Post-Capillary PH in CHD;38
5.2.3;Control of Pulmonary Vascular Resistance;39
5.2.3.1;PaO2;39
5.2.3.2;PaCO2;39
5.2.3.3;pH;39
5.2.3.4;Variation in Lung Volumes;39
5.2.3.5;Vasodilator Agents;40
5.2.3.6;Sympathetic Nervous System Stimulation;40
5.2.4;Myocardial Ischemia;41
5.2.4.1;Aortic Diastolic Pressure;41
5.2.4.2;Subendocardial Pressure;41
5.2.4.3;Heart Rate;42
5.2.4.4;Anatomic Coronary Artery Lesions;42
5.3;Chapter 3 Preoperative Evaluation;43
5.3.1;Clinical History;43
5.3.2;Physical Examination;43
5.3.3;Associated Congenital Abnormalities;44
5.3.4;Laboratory Data;45
5.3.5;Pregnancy;46
5.3.6;Psychological Considerations;46
5.3.7;Preoperative Preparation;47
5.3.7.1;Preoperative Fluid Therapy;47
5.3.7.2;Preoperative Medications;49
5.4;Chapter 4 Intraoperative Management;51
5.4.1;Intraoperative Monitoring;51
5.4.1.1;ECG and Blood Pressure;51
5.4.1.2;Systemic Oxygen Saturation;52
5.4.1.3;End-Tidal CO2;52
5.4.1.4;Central Venous Pressure;52
5.4.1.5;Temperature;53
5.4.1.6;Near-Infra-Red Spectroscopy;53
5.4.1.7;Transcranial Doppler;54
5.4.1.8;Transesophageal Echocardiography (TEE);55
5.4.2;Airway Management;55
5.4.3;Anesthesia Induction and Maintenance;56
5.4.3.1;Induction of Anesthesia;56
5.4.3.1.1;Mask Induction;56
5.4.3.1.2;Intravenous Induction;56
5.4.3.2;Maintenance of Anesthesia;57
5.5;Chapter 5 Interpretation of Cardiac Catheterization Data;59
5.5.1;Right-Heart Catheterization;59
5.5.1.1;Right Atrial Pressure (RAP) Waveform;59
5.5.1.2;Right Ventricular Pressure (RVP) Waveform;59
5.5.1.3;Pulmonary Artery Pressure (PAP) Waveform;60
5.5.2;Left-Heart Catheterization;60
5.5.2.1;Left Atrial Pressure (LAP) Waveform;61
5.5.2.2;Left Ventricular Pressure (LVP) Waveform;61
5.5.2.3;Aortic Pressure Waveform;61
5.5.3;Left Ventriculography;61
5.5.4;Coronary Angiography;63
5.5.4.1;Coronary Anatomy;63
5.5.4.2;Anatomic Coronary Lesions;64
5.5.4.3;Coronary Collaterals;65
5.5.5;Cardiac Output Determination;65
5.5.5.1;Thermodilution Technique;65
5.5.5.2;Fick Determination;65
5.5.6;Evaluation of Cardiac Shunts;66
5.5.6.1;Shunt Location;66
5.5.6.2;Shunt Quantification;66
5.5.7;Saturation Data;68
5.5.8;Resistances;68
5.5.9;Assessment of Pulmonary Vascular Anatomy;68
5.5.9.1;Evaluation of the Pulmonary Vasculature;68
5.5.9.2;Pulmonary Artery Wedge Angiogram;68
5.5.9.3;Pulmonary Vein Wedge Angiogram;69
5.5.9.4;Assessment of Pulmonary Arterial Hypertension;69
5.5.10;Assessment of Valve Lesions;70
5.5.10.1;Stenotic Lesions;70
5.5.10.2;Regurgitant Lesions;70
5.6;Chapter 6 Cardiopulmonary Bypass;71
5.6.1;The Cardiopulmonary Bypass Circuit;71
5.6.2;Differences Between Adult and Pediatric CPB;73
5.6.2.1;CPB Flow Rates;73
5.6.2.2;Anesthesia During CPB;73
5.6.2.3;Monitoring During CPB;74
5.6.2.4;Hemodilution;74
5.6.2.5;Priming Solution;74
5.6.2.6;Ultrafiltration;75
5.6.2.6.1;Conventional Ultrafiltration;75
5.6.2.6.2;Modified Ultrafiltration;75
5.6.3;Blood Gas Management;75
5.6.4;Deep Hypothermic Circulatory Arrest and Regional Perfusion Techniques;77
5.6.5;Anticoagulation;77
5.6.5.1;Protamine Reversal;78
5.7;Chapter 7 Mechanical Support Devices;79
5.7.1;Extracorporeal Membrane Oxygenation (ECMO);79
5.7.1.1;Indications;79
5.7.1.2;Relative Contraindications;79
5.7.2;Modes of ECMO Support;79
5.7.2.1;Veno-Venous (VV)-ECMO;79
5.7.2.2;Veno-Arterial (VA)-ECMO;79
5.7.2.3;Device and Patient Complications;80
5.7.2.4;Common Terminology Used During an ECMO Run;81
5.7.2.5;Intraoperative Considerations for Patients on ECMO;81
5.7.3;Ventricular Assist Devices (VADs);82
5.7.3.1;Indications;82
5.7.3.2;Relative Contraindications;82
5.7.3.3;Modes of VADs (Table 7.3);82
5.7.3.4;Complications;82
5.7.3.5;Anesthetic Considerations for Patients Receiving VAD;82
5.7.3.6;Induction of Anesthesia and  Pre?Bypass Management;84
5.7.3.7;Post-VAD Placement Management;85
5.7.3.8;BiVAD Insertion;85
6;Part II Specific Lesions;87
6.1;Chapter 8 Patent Ductus Arteriosus;89
6.1.1;Introduction;89
6.1.2;Anatomy;89
6.1.3;Physiology;89
6.1.4;Surgical Therapy;89
6.1.5;Catheterization Laboratory Intervention;90
6.1.6;Anesthetic Management;90
6.1.6.1;Induction and Maintenance;90
6.1.7;Non-Cardiac Surgery;91
6.2;Chapter 9 Aortopulmonary Window;93
6.2.1;Introduction;93
6.2.2;Anatomy;93
6.2.3;Physiology;93
6.2.4;Surgical Management;93
6.2.5;Catheterization Laboratory Intervention;94
6.2.6;Anesthetic Management;95
6.2.7;Non-Cardiac Surgery;95
6.3;Chapter 10 Coarctation of the Aorta;97
6.3.1;Introduction;97
6.3.2;Anatomy;97
6.3.3;Physiology;97
6.3.4;Surgical Therapy;100
6.3.5;Catheterization Laboratory Intervention;100
6.3.6;Anesthetic Management;101
6.3.6.1;Induction and Maintenance;101
6.3.6.2;Management after Cross-Clamp Removal;102
6.3.7;Non-Cardiac Surgery;102
6.4;Chapter 11 Atrial Septal Defect;103
6.4.1;Introduction;103
6.4.2;Anatomy;103
6.4.2.1;Ostium Secundum ASD;103
6.4.2.2;Ostium Primum ASD;103
6.4.2.3;Sinus Venosus Defects;104
6.4.2.4;Coronary Sinus Defect;104
6.4.3;Physiology;105
6.4.4;Surgical Therapy;105
6.4.5;Catheterization Laboratory Intervention;105
6.4.6;Anesthetic Management;106
6.4.6.1;Induction and Maintenance;106
6.4.7;Post-CPB Management;106
6.4.8;Non-Cardiac Surgery;107
6.5;Chapter 12 Ventricular Septal Defect;109
6.5.1;Introduction;109
6.5.2;Anatomy;109
6.5.2.1;Subpulmonary or Supracristal Defects;109
6.5.2.2;Membranous or Perimembranous Defects;109
6.5.2.3;Conoventricular Defects;109
6.5.2.4;Inlet or Canal-Type Defects;109
6.5.2.5;Muscular Defects;109
6.5.3;Physiology;109
6.5.4;Surgical Therapy;111
6.5.5;Catheterization Laboratory Intervention;111
6.5.6;Anesthetic Management;111
6.5.6.1;Induction and Maintenance;111
6.5.7;Post-CPB Management;111
6.5.8;Non-cardiac Surgery;112
6.6;Chapter 13 Atrioventricular Canal Defects;113
6.6.1;Introduction;113
6.6.2;Anatomy;113
6.6.2.1;Partial AVC;113
6.6.2.2;Transitional AVC;113
6.6.2.3;Complete AVC (CAVC);113
6.6.2.4;Unbalanced AVC;114
6.6.3;Physiology;114
6.6.4;Surgical Therapy;115
6.6.5;Anesthetic Management;115
6.6.5.1;Induction and Maintenance;115
6.6.6;Post-CPB Management;116
6.6.7;Non-Cardiac Surgery;116
6.7;Chapter 14 Double Outlet Right Ventricle;117
6.7.1;Introduction;117
6.7.2;Anatomy;117
6.7.3;Physiology;119
6.7.4;Surgical Therapy;120
6.7.5;Anesthetic Management;121
6.7.5.1;Induction and Maintenance;121
6.7.6;Post-CPB Management;121
6.8;Chapter 15 Truncus Arteriosus;123
6.8.1;Introduction;123
6.8.2;Anatomy;123
6.8.3;Physiology;124
6.8.4;Surgical Therapy;124
6.8.5;Catheterization Laboratory Intervention;125
6.8.6;Anesthetic Management;125
6.8.6.1;Goals;125
6.8.6.2;Induction and Maintenance;125
6.8.7;Post-CPB Management;125
6.8.7.1;Goals;126
6.9;Chapter 16 Total Anomalous Pulmonary Venous Return;127
6.9.1;Introduction;127
6.9.2;Anatomy;127
6.9.3;Physiology;128
6.9.4;Surgical Therapy;129
6.9.5;Anesthetic Management;129
6.9.5.1;Goals;129
6.9.5.2;Induction and Maintenance;130
6.9.6;Post-CPB Management;130
6.9.6.1;Goals;130
6.9.7;Long-Term Outcomes;130
6.10;Chapter 17 Left Ventricular Outflow Tract Obstruction;133
6.10.1;Introduction;133
6.10.2;Anatomy;133
6.10.3;Physiology;133
6.10.4;Surgical Therapy;134
6.10.5;Catheterization Laboratory Intervention;134
6.10.6;Anesthetic;134
6.10.6.1;Goals;134
6.10.6.2;Induction and Maintenance;135
6.10.7;Post-CPB Management;135
6.11;Chapter 18 Mitral Valve;137
6.11.1;Mitral Valve Stenosis;137
6.11.1.1;Introduction;137
6.11.1.2;Anatomy;137
6.11.1.3;Physiology;138
6.11.1.4;Surgical Therapy;138
6.11.1.5;Catheterization Laboratory Intervention;138
6.11.1.6;Anesthetic Management;138
6.11.1.6.1;Goals;138
6.11.1.6.2;Pre-Induction;139
6.11.1.6.3;Induction and Maintenance;139
6.11.1.7;Post-Cardiopulmonary Bypass (CPB) Management;140
6.11.2;Mitral Valve Regurgitation;141
6.11.2.1;Introduction;141
6.11.2.2;Anatomy;141
6.11.2.3;Physiology;141
6.11.2.4;Surgical Management;142
6.11.2.5;Catheterization Laboratory Intervention;142
6.11.2.6;Anesthetic Management in Mitral Regurgitation;142
6.11.2.6.1;Goals;142
6.11.2.6.2;Premedication;142
6.11.2.6.3;Induction and Maintenance;142
6.11.2.7;Post-CPB Management;143
6.12;Chapter 19 Pulmonary Atresia/Intact Ventricular Septum (PA/IVS);145
6.12.1;Introduction;145
6.12.2;Anatomy;145
6.12.3;Physiology;145
6.12.4;Surgical and Catheter?Based Therapy;146
6.12.5;Anesthetic Management;149
6.12.5.1;Goals;149
6.12.6;Post-CPB Management;149
6.13;Chapter 20 Tetralogy of Fallot (TOF);151
6.13.1;Introduction;151
6.13.2;Anatomy;151
6.13.3;Physiology;151
6.13.4;Hypoxic or Hypercyanotic Episodes ( Tet Spells );152
6.13.5;Surgical Therapy;154
6.13.5.1;Palliative Shunts;154
6.13.5.2;Definitive Repair;156
6.13.6;Catheterization Laboratory Intervention;156
6.13.7;Anesthetic Management;157
6.13.7.1;Goals;157
6.13.7.2;Induction and Maintenance;157
6.13.8;Post-CPB Management;158
6.13.8.1;Goals;158
6.13.8.2;Postoperative Junctional Ectopic Tachycardia;159
6.13.9;Non-Cardiac Surgery;159
6.14;Chapter 21 Tetralogy of Fallot with Pulmonary Atresia (TOF/PA);161
6.14.1;Anatomy;161
6.14.2;Physiology;161
6.14.3;Surgical Therapy;161
6.14.4;Anesthetic Management;163
6.14.5;Post-CPB Management;163
6.15;Chapter 22 Tetralogy of Fallot with Absent Pulmonary Valve (TOF/APV);165
6.15.1;Anatomy;165
6.15.2;Physiology;165
6.15.3;Surgical Therapy;166
6.15.4;Anesthetic Management;166
6.15.5;Post-CPB Management;166
6.16;Chapter 23 Transposition of the Great Arteries (TGA);167
6.16.1;Introduction;167
6.16.2;Anatomy;167
6.16.3;Physiology;168
6.16.4;Surgical Therapy;171
6.16.4.1;Anatomic Repair or the Arterial (Jatene) Switch Procedure;171
6.16.4.2;Intra-Atrial Physiologic Repair: Mustard and Senning Procedures;173
6.16.4.3;Rastelli, Lecompte, and Nikaidoh Procedures;174
6.16.5;Anesthetic Management;175
6.16.5.1;Goals;175
6.16.5.2;Induction and Maintenance;175
6.16.6;Post-CPB Management;175
6.16.6.1;Goals;175
6.16.7;Non-Cardiac Surgery;177
6.16.8;Congenitally Corrected Transposition of the Great Vessels;177
6.16.9;Introduction;177
6.16.10;Anatomy;177
6.16.11;Physiology;178
6.16.12;Surgical Management;178
6.16.12.1;Traditional Repair for C-TGV;178
6.16.12.2;Double Switch Procedure and Atrial Switch-Rastelli Procedures;178
6.17;Chapter 24 Single-Ventricle Lesions;181
6.17.1;Introduction;181
6.17.2;Physiology and Initial Procedures;181
6.17.2.1;Initial Procedures to Optimize Pulmonary Arterial Blood Flow;181
6.17.2.2;Initial Procedures to Optimize Pulmonary Venous Blood Flow;183
6.17.2.3;Initial Procedures to Optimize Systemic Blood Flow;183
6.17.3;Management of Single-Ventricle Physiology;184
6.17.4;Anesthetic Management, Pre-Initial Repair;186
6.17.4.1;Goals;186
6.17.4.2;Induction and Maintenance;187
6.17.5;Post-CPB Management, Post-Initial Repair;187
6.17.5.1;Goals;187
6.17.6;Single-Ventricle Pathway, Superior Cavopulmonary Shunt or Bidirectional Glenn (BDG);189
6.17.7;Anesthetic Management, Pre-Superior Cavopulmonary Shunt;191
6.17.7.1;Goals;191
6.17.7.2;Induction and Maintenance;191
6.17.8;Post-CPB Management, Post-Superior Cavopulmonary Shunt;191
6.17.8.1;Goals;191
6.17.9;Definitive Repair: The Fontan Procedure or Total Cavopulmonary Connection (TCPC);192
6.17.9.1;Fontan Physiology;192
6.17.9.2;Fenestrated Fontan;196
6.17.10;Anesthetic Management, Pre-Fontan;196
6.17.10.1;Goals;196
6.17.10.2;Induction and Maintenance;197
6.17.11;Post-CPB Management, Post-Fontan Procedure;197
6.17.11.1;Goals;197
6.17.12;Non-Cardiac Surgery;200
6.18;Chapter 25 Hypoplastic Left Heart Syndrome;201
6.18.1;Introduction;201
6.18.2;Anatomy;201
6.18.3;Physiology;201
6.18.4;Surgical Therapy;202
6.18.5;Anesthetic Management;203
6.18.5.1;Goals;203
6.18.6;Post-CPB Management;203
6.18.7;Biventricular Repair;204
6.18.7.1;The Borderline Left Heart;204
6.18.7.2;The Left Heart Rehabilitation;204
6.18.7.3;Staged Left Ventricular Recruitment;204
6.18.7.4;Biventricular Conversion;205
6.18.8;Non-Cardiac Surgery;205
6.19;Chapter 26 Interrupted Aortic Arch;207
6.19.1;Introduction;207
6.19.2;Anatomy;207
6.19.3;Physiology;207
6.19.4;Surgical Management;209
6.19.5;Catheterization Laboratory Intervention;209
6.19.6;Anesthetic Management;210
6.19.6.1;Goals;210
6.19.6.2;Induction and Maintenance;210
6.19.7;Post-Cpb Management;210
6.19.7.1;Goals;210
6.20;Chapter 27 Vascular Rings;211
6.20.1;Introduction;211
6.20.2;Anatomy;211
6.20.3;Physiology;211
6.20.4;Surgical Management;211
6.20.5;Catheterization Laboratory Intervention;212
6.20.6;Anesthetic Management;212
6.21;Chapter 28 Tricuspid Atresia;215
6.21.1;Introduction;215
6.21.2;Anatomy;215
6.21.3;Physiology;215
6.21.4;Surgical Therapy;217
6.21.5;Anesthetic Management;217
6.21.5.1;Goals;217
6.22;Chapter 29 Heart Transplantation;219
6.22.1;The Donor;219
6.22.2;Anesthetic Management of the Recipient;222
6.22.2.1;Preoperative Evaluation;222
6.22.2.2;Physical Examination;222
6.22.2.3;Premedication;222
6.22.2.4;Preinduction;222
6.22.2.5;Induction and Maintenance;223
6.22.3;Operative Procedure;225
6.22.4;Post-CPB Management;227
6.22.4.1;Goals;227
6.22.4.2;Preparation for Termination of CPB;227
6.22.4.2.1;Impaired Systolic Function;227
6.22.4.2.2;Right Ventricular Afterload Mismatch;228
6.22.4.2.3;Sinus and Atrioventricular Node Dysfunction;228
6.22.4.2.4;Impaired Diastolic Function;228
6.22.4.3;Termination of CPB;229
6.22.5;Non-Cardiac Surgery in the Post-Cardiac Transplant Patient;230
6.22.5.1;Physiology of the Transplanted Heart;230
6.22.5.1.1;Autonomic Nervous System;230
6.22.5.1.2;Heart Rate;230
6.22.5.1.3;Left Ventricular Systolic Function;231
6.22.5.1.4;Right Ventricular Systolic Function;231
6.22.5.1.5;Atrial Function;231
6.22.5.1.6;Diastolic Function;231
6.22.5.2;Issues Unique to Heart Transplant Patients;231
6.22.5.2.1;Cardiac Allograft Vasculopathy (CAV);232
6.22.5.2.2;Hypertension;232
6.22.5.2.3;Atrial and Ventricular Arrhythmias;232
6.22.5.2.4;Subacute Bacterial Endocarditis (SBE) Prophylaxis;233
6.22.5.2.5;Rejection;233
6.22.5.2.6;Response to Drugs;233
6.22.6;Anesthetic Considerations for Non-Cardiac Surgery in Patients Post Heart Transplantation;235
6.23;Chapter 30 Heart-Lung and Lung Transplantation;237
6.23.1;Introduction;237
6.23.2;Single-Lung Transplantation;237
6.23.3;Double-Lung Transplantation;237
6.23.4;Living Donor Lobar Lung Transplant (LDLLT);238
6.23.5;The Donor;238
6.23.6;Operative Procedure and Patient Positioning;239
6.23.6.1;Use of CPB;240
6.23.6.1.1;HLT and En-Bloc DLT;240
6.23.6.1.2;SLT and BSSLT;240
6.23.7;Anesthetic Management;241
6.23.7.1;Goals;241
6.23.7.2;Preoperative Evaluation;241
6.23.7.3;Premedication;241
6.23.7.4;Preinduction;241
6.23.7.5;Management of  One Lung Ventilation (OLV);242
6.23.7.5.1;Endobronchial Intubation;242
6.23.7.5.2;Single-Lumen Endotracheal Tube Plus a Bronchial Blocker;242
6.23.7.5.3;Single-Lumen Endotracheal Tube Plus an E-Z Bronchial Blocker;242
6.23.7.5.4;Univent Tube;242
6.23.7.5.5;Double-Lumen Endotracheal Tube;244
6.23.7.6;Induction and Maintenance;244
6.23.7.7;Special Considerations for SLT and BSSLT;245
6.23.7.7.1;One-Lung Ventilation;245
6.23.7.7.2;Clamping of the PA;246
6.23.7.7.3;Allograft Implantation;246
6.23.7.7.4;Indications for CPB;246
6.23.8;Post-CPB Management;247
6.23.9;Postoperative Care;247
6.23.10;Non-Cardiac Surgery in Lung Transplant Patients;247
6.23.10.1;Anesthetic Considerations for Non-Cardiac Surgery in Patients Post Lung Transplantation;249
6.24;Chapter 31 Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery (ALCAPA);251
6.24.1;Introduction;251
6.24.2;Anatomy;251
6.24.3;Physiology;251
6.24.4;Surgical Treatment;251
6.24.5;Anesthetic Management;252
6.25;Chapter 32 Heterotaxy;253
6.25.1;Introduction;253
6.25.2;Anatomy;253
6.25.2.1;Position of the Heart in the Chest;253
6.25.3;Atrial Anatomy;253
6.25.4;Venoatrial Connections;253
6.25.5;Ventricular Anatomy;254
6.25.5.1;Atrioventricular Junction;256
6.25.6;Ventriculoarterial Connections;256
6.25.7;Surgical Therapy;258
6.26;Chapter 33 Ebstein Anomaly;259
6.26.1;Introduction;259
6.26.2;Anatomy;259
6.26.3;Physiology;259
6.26.4;Surgical Treatment;260
6.26.5;Anesthetic Management in Ebstein Anomaly;261
6.26.5.1;Goals;261
6.26.6;Post-CPB Management;262
7;Index;263
8;EULA;289
mehr