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Pediatric Cardiac Anesthesia Handbook [Minkštas viršelis]

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(Harvard Medical School, Boston, MA, USA), (Medical School at the American University of Beirut (AUB), Lebanon)
  • Formatas: Paperback / softback, 288 pages, aukštis x plotis x storis: 254x178x15 mm, weight: 590 g
  • Išleidimo metai: 21-Apr-2017
  • Leidėjas: Wiley-Blackwell
  • ISBN-10: 1119095530
  • ISBN-13: 9781119095538
Kitos knygos pagal šią temą:
Pediatric Cardiac Anesthesia HandbookDidesnis paveikslėlis
  • Formatas: Paperback / softback, 288 pages, aukštis x plotis x storis: 254x178x15 mm, weight: 590 g
  • Išleidimo metai: 21-Apr-2017
  • Leidėjas: Wiley-Blackwell
  • ISBN-10: 1119095530
  • ISBN-13: 9781119095538
Kitos knygos pagal šią temą:
Pastovi nuoroda: https://www.kriso.lt/db/9781119095538.html
Raktažodžiai:
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 Pediatric Cardiac Anesthesia Handbook

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

Cover Design: Wiley

The only concise handbook covering anesthetic management of congenital heart disease patients written by a team of two experienced pediatric cardiac anesthesiologists from Boston Children’s Hospital.
  • Ideal for use a study material during anesthesiology residency training and fellowships including adult cardiac, pediatric and pediatric cardiac anesthesia 
  • Perfect format for easy referral by wider members of the multidisciplinary team such as cardiologists, cardiac intensivists, perfusionists, and surgeons 
  • Of use as a reference to guide management of specific lesions for the pediatric anesthesiologist caring for cardiac patients presenting for non-cardiac surgery 

Recenzijos

Overall, this is an excellent addition to the field of literature on cardiac anesthesia in childhood. It is sufficiently short and small in size to be useful in the coat pocket or the operating room anesthesia back table Robert M Arensman, MD, University of Illinois at Chicago College of Medicine on behalf of Doodys

Preface xvii
Part I The Basics 1(66)
1 Cardiovascular Development
3(6)
Embryology
3(1)
Cardiovascular Physiology
3(6)
Fetal Circulation
3(2)
Closure of the Ductus Arteriosus
5(1)
Closure of the Foramen Ovale
6(1)
Closure of the Ductus Venosus
6(1)
Pulmonary Vascular Changes
6(1)
Myocardial Performance in the Neonate
7(1)
Hemodynamic Changes at Birth
7(2)
2 Important Concepts in Congenital Heart Disease
9(14)
Pathophysiology of CHD
9(9)
Concepts of Shunting, Single-Ventricle Physiology, and Inter-Circulatory Mixing
9(1)
Shunting
9(1)
Effective Blood Flow
10(1)
Total Pulmonary Blood Flow/Total Systemic Blood Flow
10(1)
Single-Ventricle Physiology
10(3)
Intercirculatory Mixing
13(2)
Classification of Anatomic Shunts
15(3)
Simple Shunts
15(1)
Complex Shunts
15(3)
Pulmonary Vascular Pathophysiology
18(1)
Causes of Pre-Capillary PH in CHD
18(1)
Causes of Post-Capillary PH in CHD
18(1)
Control of Pulmonary Vascular Resistance
19(2)
PaO2
19(1)
PaCO2
19(1)
pH
19(1)
Variation in Lung Volumes
19(1)
Vasodilator Agents
20(1)
Sympathetic Nervous System Stimulation
20(1)
Myocardial Ischemia
21(2)
Aortic Diastolic Pressure
21(1)
Subendocardial Pressure
21(1)
Heart Rate
22(1)
Anatomic Coronary Artery Lesions
22(1)
3 Preoperative Evaluation
23(8)
Clinical History
23(1)
Physical Examination
23(1)
Associated Congenital Abnormalities
24(1)
Laboratory Data
25(1)
Pregnancy
26(1)
Psychological Considerations
26(1)
Preoperative Preparation
27(4)
Preoperative Fluid Therapy
27(2)
Preoperative Medications
29(2)
4 Intraoperative Management
31(8)
Intraoperative Monitoring
31(4)
ECG and Blood Pressure
31(1)
Systemic Oxygen Saturation
32(1)
End-Tidal CO2
32(1)
Central Venous Pressure
32(1)
Temperature
33(1)
Near-Infra-Red Spectroscopy
33(1)
Transcranial Doppler
34(1)
Transesophageal Echocardiography (TEE)
35(1)
Airway Management
35(1)
Anesthesia Induction and Maintenance
36(3)
Induction of Anesthesia
36(1)
Mask Induction
36(1)
Intravenous Induction
36(1)
Maintenance of Anesthesia
37(2)
5 Interpretation of Cardiac Catheterization Data
39(12)
Right-Heart Catheterization
39(1)
Right Atrial Pressure (RAP) Waveform
39(1)
Right Ventricular Pressure (RVP) Waveform
39(1)
Pulmonary Artery Pressure (PAP) Waveform
40(1)
Left-Heart Catheterization
40(1)
Left Atrial Pressure (LAP) Waveform
41(1)
Left Ventricular Pressure (LVP) Waveform
41(1)
Aortic Pressure Waveform
41(1)
Left Ventriculography
41(2)
Coronary Angiography
43(2)
Coronary Anatomy
43(1)
Anatomic Coronary Lesions
44(1)
Coronary Collaterals
45(1)
Cardiac Output Determination
45(1)
Thermodilution Technique
45(1)
Fick Determination
45(1)
Evaluation of Cardiac Shunts
46(2)
Shunt Location
46(1)
Shunt Quantification
46(2)
Saturation Data
48(1)
Resistances
48(1)
Assessment of Pulmonary Vascular Anatomy
48(2)
Evaluation of the Pulmonary Vasculature
48(1)
Pulmonary Artery Wedge Angiogram
48(1)
Pulmonary Vein Wedge Angiogram
49(1)
Assessment of Pulmonary Arterial Hypertension
49(1)
Assessment of Valve Lesions
50(1)
Stenotic Lesions
50(1)
Regurgitant Lesions
50(1)
6 Cardiopulmonary Bypass
51(8)
The Cardiopulmonary Bypass Circuit
51(2)
Differences Between Adult and Pediatric CPB
53(2)
CPB Flow Rates
53(1)
Anesthesia During CPB
53(1)
Monitoring During CPB
54(1)
Hemodilution
54(1)
Priming Solution
54(1)
Ultrafiltration
55(2)
Conventional Ultrafiltration
55(1)
Modified Ultrafiltration
55(1)
Blood Gas Management
55(2)
Deep Hypothermic Circulatory Arrest and Regional Perfusion Techniques
57(1)
Anticoagulation
57(2)
Protamine Reversal
58(1)
7 Mechanical Support Devices
59(8)
Extracorporeal Membrane Oxygenation (ECMO)
59(1)
Indications
59(1)
Relative Contraindications
59(1)
Modes of ECMO Support
59(3)
Veno-Venous (VV)-ECMO
59(1)
Veno-Arterial (VA)-ECMO
59(1)
Device and Patient Complications
60(1)
Common Terminology Used During an ECMO Run
61(1)
Intraoperative Considerations for Patients on ECMO
61(1)
Ventricular Assist Devices (VADs)
62(7)
Indications
62(1)
Relative Contraindications
62(1)
Modes of VADs
62(1)
Complications
62(1)
Anesthetic Considerations for Patients Receiving VAD
62(2)
Induction of Anesthesia and Pre-Bypass Management
64(1)
Post-VAD Placement Management
65(1)
BiVAD Insertion
65(2)
Part II Specific Lesions 67(176)
8 Patent Ductus Arteriosus
69(4)
Introduction
69(1)
Anatomy
69(1)
Physiology
69(1)
Surgical Therapy
69(1)
Catheterization Laboratory Intervention
70(1)
Anesthetic Management
70(1)
Induction and Maintenance
70(1)
Non-Cardiac Surgery
71(2)
9 Aortopulmonary Window
73(4)
Introduction
73(1)
Anatomy
73(1)
Physiology
73(1)
Surgical Management
73(1)
Catheterization Laboratory Intervention
74(1)
Anesthetic Management
75(1)
Non-Cardiac Surgery
75(2)
10 Coarctation of the Aorta
77(6)
Introduction
77(1)
Anatomy
77(1)
Physiology
77(3)
Surgical Therapy
80(1)
Catheterization Laboratory Intervention
80(1)
Anesthetic Management
81(1)
Induction and Maintenance
81(1)
Management after Cross-Clamp Removal
82(1)
Non-Cardiac Surgery
82(1)
11 Atrial Septa! Defect
83(6)
Introduction
83(1)
Anatomy
83(2)
Ostium Secundum ASD
83(1)
Ostium Primum ASD
83(1)
Sinus Venosus Defects
84(1)
Coronary Sinus Defect
84(1)
Physiology
85(1)
Surgical Therapy
85(1)
Catheterization Laboratory Intervention
85(1)
Anesthetic Management
86(1)
Induction and Maintenance
86(1)
Post-CPB Management
86(1)
Non-Cardiac Surgery
87(2)
12 Ventricular Septa! Defect
89(4)
Introduction
89(1)
Anatomy
89(1)
Subpulmonary or Supracristal Defects
89(1)
Membranous or Perimembranous Defects
89(1)
Conoventricular Defects
89(1)
Inlet or Canal-Type Defects
89(1)
Muscular Defects
89(1)
Physiology
89(2)
Surgical Therapy
91(1)
Catheterization Laboratory Intervention
91(1)
Anesthetic Management
91(1)
Induction and Maintenance
91(1)
Post-CPB Management
91(1)
Non-Cardiac Surgery
92(1)
13 Atrioventricular Canal Defects
93(4)
Introduction
93(1)
Anatomy
93(1)
Partial AVC
93(1)
Transitional AVC
93(1)
Complete AVC (CAVC)
93(1)
Unbalanced AVC
94(1)
Physiology
94(1)
Surgical Therapy
95(1)
Anesthetic Management
95(1)
Induction and Maintenance
95(1)
Post-CPB Management
96(1)
Non-Cardiac Surgery
96(1)
14 Double Outlet Right Ventricle
97(6)
Introduction
97(1)
Anatomy
97(2)
Physiology
99(1)
Surgical Therapy
100(1)
Anesthetic Management
101(1)
Induction and Maintenance
101(1)
Post-CPB Management
101(2)
15 Truncus Arteriosus
103(4)
Introduction
103(1)
Anatomy
103(1)
Physiology
104(1)
Surgical Therapy
104(1)
Catheterization Laboratory Intervention
105(1)
Anesthetic Management
105(1)
Goals
105(1)
Induction and Maintenance
105(1)
Post-CPB Management
105(2)
Goals
106(1)
16 Total Anomalous Pulmonary Venous Return
107(6)
Introduction
107(1)
Anatomy
107(1)
Physiology
108(1)
Surgical Therapy
109(1)
Anesthetic Management
109(1)
Goals
109(1)
Induction and Maintenance
110(1)
Post-CBP Management
110(1)
Goals
110(1)
Long-Term Outcomes
110(3)
17 Left Ventricular Outflow Tract Obstruction
113(4)
Introduction
113(1)
Anatomy
113(1)
Physiology
113(1)
Surgical Therapy
114(1)
Catheterization Laboratory Intervention
114(1)
Anesthetic Management
114(1)
Goals
114(1)
Induction and Maintenance
115(1)
Post-CPB Management
115(2)
18 Mitral Valve
117(8)
Mitral Valve Stenosis
117(1)
Introduction
117(1)
Anatomy
117(1)
Physiology
118(1)
Surgical Therapy
118(1)
Catheterization Laboratory Intervention
118(1)
Anesthetic Management
118(2)
Goals
118(1)
Pre-Induction
119(1)
Induction and Maintenance
119(1)
Post-Cardiopulmonary Bypass (CPB) Management
120(1)
Mitral Valve Regurgitation
121(1)
Introduction
121(1)
Anatomy
121(1)
Physiology
121(1)
Surgical Management
122(1)
Catheterization Laboratory Intervention
122(1)
Anesthetic Management in Mitral Regurgitation
122(1)
Goals
122(1)
Premedication
122(1)
Induction and Maintenance
122(1)
Post-CPB Management
123(2)
19 Pulmonary Atresia/Intact Ventricular Septum (PA/IVS)
125(6)
Introduction
125(1)
Anatomy
125(1)
Physiology
125(1)
Surgical and Catheter-Based Therapy
126(3)
Anesthetic Management
129(1)
Goals
129(1)
Post-CPB Management
129(2)
20 Tetralogy of Fallot (TOF)
131(10)
Introduction
131(1)
Anatomy
131(1)
Physiology
131(1)
Hypoxic or Hypercyanotic Episodes ('Tet Spells')
132(2)
Surgical Therapy
134(2)
Palliative Shunts
134(2)
Definitive Repair
136(1)
Catheterization Laboratory Intervention
136(1)
Anesthetic Management
137(1)
Goals
137(1)
Induction and Maintenance
137(1)
Post-CPB Management
138(1)
Goals
138(1)
Postoperative Junctional Ectopic Tachycardia
139(1)
Non-Cardiac Surgery
139(2)
21 Tetralogy of Fallot with Pulmonary Atresia (TOF/PA)
141(4)
Anatomy
141(1)
Physiology
141(1)
Surgical Therapy
141(2)
Anesthetic Management
143(1)
Post-CPB Management
143(2)
22 Tetralogy of Fallot with Absent Pulmonary Valve (TOF/APV)
145(2)
Anatomy
145(1)
Physiology
145(1)
Surgical Therapy
146(1)
Anesthetic Management
146(1)
Post-CPB Management
146(1)
23 Transposition of the Great Arteries (TGA)
147(14)
Introduction
147(1)
Anatomy
147(1)
Physiology
148(3)
Surgical Therapy
151(4)
Anatomic Repair or the Arterial (Jatene) Switch Procedure
151(2)
Intra-Atrial Physiologic Repair: Mustard and Senning Procedures
153(1)
Rastelli, Lecompte, and Nikaidoh Procedures
154(1)
Anesthetic Management
155(1)
Goals
155(1)
Induction and Maintenance
155(1)
Post-CPB Management
155(2)
Goals
155(2)
Non-Cardiac Surgery
157(1)
Congenitally Corrected Transposition of the Great Vessels
157(1)
Introduction
157(1)
Anatomy
157(1)
Physiology
158(1)
Surgical Management
158(3)
Traditional Repair for C-TGV
158(1)
Double Switch Procedure and Atrial Switch-Rastelli Procedures
158(3)
24 Single-Ventricle Lesions
161(20)
Introduction
161(1)
Physiology and Initial Procedures
161(3)
Initial Procedures to Optimize Pulmonary Arterial Blood Flow
161(2)
Initial Procedures to Optimize Pulmonary Venous Blood Flow
163(1)
Initial Procedures to Optimize Systemic Blood Flow
163(1)
Management of Single-Ventricle Physiology
164(2)
Anesthetic Management, Pre-Initial Repair
166(1)
Goals
166(1)
Induction and Maintenance
167(1)
Post-CPB Management, Post-Initial Repair
167(2)
Goals
167(2)
Single-Ventricle Pathway, Superior Cavopulmonary Shunt or Bidirectional Glenn (BDG)
169(2)
Anesthetic Management, Pre-Superior Cavopulmonary Shunt
171(1)
Goals
171(1)
Induction and Maintenance
171(1)
Post-CPB Management, Post-Superior Cavopulmonary Shunt
171(1)
Goals
171(1)
Definitive Repair: The Fontan Procedure or Total Cavopulmonary Connection (TCPC)
172(4)
Fontan Physiology
172(4)
Fenestrated Fontan
176(1)
Anesthetic Management, Pre-Fontan
176(1)
Goals
176(1)
Induction and Maintenance
177(1)
Post-CPB Management, Post-Fontan Procedure
177(3)
Goals
177(3)
Non-Cardiac Surgery
180(1)
25 Hypoplastic Left Heart Syndrome
181(6)
Introduction
181(1)
Anatomy
181(1)
Physiology
181(1)
Surgical Therapy
182(1)
Anesthetic Management
183(1)
Goals
183(1)
Post-CPB Management
183(1)
Biventricular Repair
184(1)
The 'Borderline' Left Heart
184(1)
The Left Heart Rehabilitation
184(1)
Staged Left Ventricular Recruitment
184(1)
Biventricular Conversion
185(1)
Non-Cardiac Surgery
185(2)
26 Interrupted Aortic Arch
187(4)
Introduction
187(1)
Anatomy
187(1)
Physiology
187(2)
Surgical Management
189(1)
Catheterization Laboratory Intervention
189(1)
Anesthetic Management
190(1)
Goals
190(1)
Induction and Maintenance
190(1)
Post-CPB Management
190(1)
Goals
190(1)
27 Vascular Rings
191(4)
Introduction
191(1)
Anatomy
191(1)
Physiology
191(1)
Surgical Management
191(1)
Catheterization Laboratory Intervention
192(1)
Anesthetic Management
192(3)
28 Tricuspid Atresia
195(4)
Introduction
195(1)
Anatomy
195(1)
Physiology
195(2)
Surgical Therapy
197(1)
Anesthetic Management
197(2)
Goals
197(2)
29 Heart Transplantation
199(18)
The Donor
199(3)
Anesthetic Management of the Recipient
202(3)
Preoperative Evaluation
202(1)
Physical Examination
202(1)
Premedication
202(1)
Preinduction
202(1)
Induction and Maintenance
203(2)
Operative Procedure
205(2)
Post-CPB Management
207(3)
Goals
207(1)
Preparation for Termination of CPB
207(2)
Impaired Systolic Function
207(1)
Right Ventricular Afterload Mismatch
208(1)
Sinus and Atrioventricular Node Dysfunction
208(1)
Impaired Diastolic Function
208(1)
Termination of CPB
209(1)
Non-Cardiac Surgery in the Post-Cardiac Transplant Patient
210(5)
Physiology of the Transplanted Heart
210(1)
Autonomic Nervous System
210(1)
Heart Rate
210(1)
Left Ventricular Systolic Function
211(1)
Right Ventricular Systolic Function
211(1)
Atrial Function
211(1)
Diastolic Function
211(1)
Issues Unique to Heart Transplant Patients
211(8)
Cardiac Allograft Vasculopathy (CAV)
212(1)
Hypertension
212(1)
Atrial and Ventricular Arrhythmias
212(1)
Subacute Bacterial Endocarditis (SBE) Prophylaxis
213(1)
Rejection
213(1)
Response to Drugs
213(2)
Anesthetic Considerations for Non-Cardiac Surgery in Patients Post Heart Transplantation
215(2)
30 Heart-Lung and Lung Transplantation
217(14)
Introduction
217(1)
Single-Lung Transplantation
217(1)
Double-Lung Transplantation
217(1)
Living Donor Lobar Lung Transplant (LDLLT)
218(1)
The Donor
218(1)
Operative Procedure and Patient Positioning
219(2)
Use of CPB
220(1)
HLT and En-Bloc DLT
220(1)
SLT and BSSLT
220(1)
Anesthetic Management
221(6)
Goals
221(1)
Preoperative Evaluation
221(1)
Premedication
221(1)
Preinduction
221(1)
Management of One Lung Ventilation (OLV)
222(1)
Endobronchial Intubation
222(1)
Single-Lumen Endotracheal Tube Plus a Bronchial Blocker
222(2)
Single-Lumen Endotracheal Tube Plus an E-Z Bronchial Blocker
222(1)
Univent Tube
222(2)
Double-Lumen Endotracheal Tube
224(1)
Induction and Maintenance
224(1)
Special Considerations for SLT and BSSLT
225(2)
One-Lung Ventilation
225(1)
Clamping of the PA
226(1)
Allograft Implantation
226(1)
Indications for CPB
226(1)
Post-CPB Management
227(1)
Postoperative Care
227(1)
Non-Cardiac Surgery in Lung Transplant Patients
227(4)
Anesthetic Considerations for Non-Cardiac Surgery in Patients Post Lung Transplantation
229(2)
31 Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery (ALCAPA)
231(2)
Introduction
231(1)
Anatomy
231(1)
Physiology
231(1)
Surgical Treatment
231(1)
Anesthetic Management
232(1)
32 Heterotaxy
233(6)
Introduction
233(1)
Anatomy
233(1)
Position of the Heart in the Chest
233(1)
Atrial Anatomy
233(1)
Venoatrial Connections
233(1)
Ventricular Anatomy
234(2)
Atrioventricular Junction
236(1)
Ventriculoarterial Connections
236(2)
Surgical Therapy
238(1)
33 Ebstein Anomaly
239(4)
Introduction
239(1)
Anatomy
239(1)
Physiology
239(1)
Surgical Treatment
240(1)
Anesthetic Management in Ebstein Anomaly
241(1)
Goals
241(1)
Post-CPB Management
242(1)
Index 243
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.