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Offering a comprehensive, up-to-date overview of the field, Hensley’s Practical Approach to Cardiothoracic Anesthesia, Seventh Edition, edited by Drs. Karsten Bartels, Amanda A. Fox, Andrew D. Shaw, Kimberly Howard-Quijano, and Robert H. Thiele, is an ideal reference and review tool for fellows, residents, and practicing anesthesiologists. Concisely written and readily accessible, it combines the depth of a reference book with the no-nonsense guidance of a clinically-oriented handbook. This edition has been newly reorganized for current practice patterns and to better align with the ACGME requirements for adult cardiothoracic anesthesiology.
• Presents information in a concise, bulleted format, making it easy to read and absorb key points
• Key points are identified at the beginning of each chapter and in the margins with clinical pearls appearing throughout the text
• Provides up-to-date coverage of cardiac physiology and pharmacology, pre-procedural patient preparation, anesthetic management of specific disorders and procedures, post-procedural management, and more
• Prepares you for the new ABA certifying exam for adult cardiac anesthesiology
• Offers the experience and expertise of three new co-editors and nearly 70 contributors from over 35 institutions
• Over 30 echocardiography clips demonstrate assessment of valve disorders, arythmias and more.
• A valuable resource for anesthesia residents, fellows in cardiac anesthesia, anesthesiology practitioners, perfusionists, and CRNAs
Contributors...................................................................................................................................................................................... v
Preface................................................................................................................................................................................................ xi
Acknowledgments.........................................................................................................................................................................xii
SECTION I: FOUNDATIONS AND GENERAL PRINCIPLES
1. Practical Anatomy of the Heart......................................................................................................................................... 2
Markus Velten
2 Cardiovascular Physiology: A Primer.............................................................................................................................. 8
P. Andrew Stephens, Thomas E. J. Gayeski, Xiang Li, Teuta Marsic, and James R. Rowbottom
3 Pharmacology....................................................................................................................................................................... 35
Benjamin Walker, Robert O’Neal, Warner Smith, and Ken Johnson
SECTION II: EQUIPMENT AND TECHNOLOGY
4 Cardiac Ultrasound..............................................................................................................................................................82
Rohesh Joseph Fernando, Davinder S. Ramsingh, and Alina Nicoara
5 Perianesthetic Monitoring............................................................................................................................................. 105
Eric A. JohnBull, Atilio Barbeito, and Jonathan B. Mark
6 Pacemakers and Implantable Cardioverter Defibrillators: Indications,
Function, Perioperative Evaluation and Management....................................................................................... 142
Rebecca A. Aron, Eric C. Stecker, and Peter M. Schulman
7 Cardiopulmonary Bypass............................................................................................................................................... 156
Janis Fliegenschmidt and Vera von Dossow
8 Extracorporeal Membrane Oxygenation for Pulmonary or Cardiac Support............................................. 174
Richard Greendyk, Jonathan Hastie, Daniel Brodie, and Darryl Abrams
9 Devices for Cardiac Support and Replacement..................................................................................................... 190
Michael T. Cain, Joseph C. Cleveland, Jr., and Jordan R. H. Hoffman
SECTION III: CARDIAC ANESTHESIA
10 Preparation for Cardiac Surgery.................................................................................................................................. 206
Mark Robitaille, Daniela Garcia, and Shahzad Shaefi
11 Structural Heart and Electrophysiology.................................................................................................................... 222
Kiran Belani and Richard D. Sheu
12 Myocardial Revascularization....................................................................................................................................... 240
John Steven McNeil, Angela M. Taylor, and Erik Strauss
13 Aortic Valve Repair and Replacement....................................................................................................................... 265
Nishank P. Nooli and Matthew M. Townsley
14 Mitral, Tricuspid, and Pulmonic Valves...................................................................................................................... 297
Rabia Amir, Feroze Mahmood, and Aidan Sharkey
15 Right Heart Disease Assessment and Management............................................................................................. 325
Etienne J. Couture, Lars Grønlykke, Lachlan F. Miles, Juan C. Bianco, and André Y. Denault
16 Anesthetic Considerations for Surgical Myectomy in Patients With
Hypertrophic Cardiomyopathy.................................................................................................................................... 343
Elena Ashikhmina Swan, Jeffrey B. Geske, and Hartzell V. Schaff
17 Adult Congenital Heart Disease (Basics)................................................................................................................... 355
Ravi V. Joshi, Tiffany Williams, and Ingrid Moreno-Duarte
18 Pericardial Disease and Tamponade.......................................................................................................................... 411
J. Bradley Meers and Matthew M. Townsley
19 Cardiac Masses................................................................................................................................................................... 432
Promise Ariyo and Julie A. Wyrobek
20 Chronic Thromboembolic Pulmonary Hypertension and Pulmonary
Thromboendarterectomy.............................................................................................................................................. 445
Christine Choi and Dalia Banks
21 Heart Transplantation..................................................................................................................................................... 455
John Hartnett, Joshua B. Cohen, and James M. Anton
SECTION IV: THORACIC ANESTHESIA
22 Lung Transplantation...................................................................................................................................................... 484
Ashley Jones, Daniel A. Tolpin, and James M. Anton
23 Anesthetic Management for Thoracic Aortic Aneurysm and Dissection...................................................... 506
Ali Khalifa, Amanda A. Fox, John R. Cooper, Jr., and Sreekanth Cheruku
24 Anesthesia for Esophageal Surgery............................................................................................................................ 544
Bruno Maranhao, Jaclyn Yeung, Furqaan Sadiq, and Thomas Graetz
25 Anesthetic Management for Surgery of the Lungs and Mediastinum.......................................................... 557
Alexander Huang, Peter Slinger, and Erin A. Sullivan
26 Anesthetic Management for Interventional Pulmonology Procedures........................................................ 588
Julia Scarpa and Alessia Pedoto
SECTION V: PERIOPERATIVE MEDICINE
27 Perioperative Evaluation................................................................................................................................................ 604
Kenneth Cheung and Stefan Dieleman
28 Patient Blood Management.......................................................................................................................................... 614
Nadia B. Hensley, Megan P. Kostibas, Colleen G. Koch, and Steven M. Frank
29 Preservation of End-Organ Function......................................................................................................................... 631
Christina Massoth and Alexander Zarbock
30 Regional Anesthesia Techniques for the Cardiac Surgery Population.......................................................... 649
Jessica Brodt and Ban Tsui
31 Postoperative Care of the Cardiac Surgical Patient.............................................................................................. 667
Anna Budde, Steven Insler, Daniel Lotz, and Michael H. Wall
32 Practice Management, Quality Assurance and Improvement, and Ethical and
Legal Issues in Cardiothoracic Anesthesiology...................................................................................................... 680
Mariya Geube, Michael O’Connor, and Christopher A. Troianos
Index................................................................................................................................................................................................ 703
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