Chapter 50
- Anesthesia for Cardiac Surgery Procedures
- Daniel Nyhan
- Roger A. Johns
This chapter will address the seminal features of cardiopulmonary
bypass (CPB) and myocardial protection by incorporating technical aspects and pathophysiologic
features along with common post-CPB complications and management issues. The section
on specific cardiac conditions is written with the objective of providing the practitioner,
especially the trainee, the necessary information regarding the essential medical
characteristics that dictate which patients with underlying cardiac conditions are
deemed surgical candidates and thus come under our care. In most cases, these patients
have the most advanced disease and have exhausted primary preventive and other medical
options. This chapter does not cover and is not redundant with chapters that describe
and discuss basic cardiac physiology, monitoring (including cardiovascular and electrophysiologic
monitoring, as well as transesophageal echocardiography [TEE]), the pharmacology
of anesthetics used during cardiac surgery, and management of patients with cardiac
disease who are undergoing noncardiac surgery.
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