Controversies in Cardiovascular Anesthesia PDF
Preview Controversies in Cardiovascular Anesthesia
CONTROVERSIES IN CARDIOVASCULAR ANESTHESIA CONTROVERSIES IN CARDIOVASCULAR ANESTHESIA edited by PHILLIP N. FYMAN ALEXANDER W. GOTTA ~. " KLUWER ACADEMIC PUBLISHERS Boston Dordrecht London Distributors for the United States and Canada: Kluwer Academic Publishers, 101 Philip Drive, Assinippi Park, Norwell, MA, 02061, USA for the UK and Ireland: Kluwer Academic Publishers, Falcon House, Queen Square, Lancaster LAllRN, UK for all other countries: Kluwer Academic Publishers Group, Distribution Centre, P. O. Box 322, 3300 AH Dordrecht, THE NETHERLANDS Library of Congress Cataloging-in-Publication Data Controversies in cardiovascular anesthesia. Includes bibliographies and index. 1. Cardiovascular system-Surgery. 2. Anesthesia. I. Fyman, Phillip. II. Gotta, Alexander W. [DNLM: 1. Anesthesia. 2. Cardiovascular System-surgery. WG 168 C764] RD597.C67 1988 617'.96741 87-24774 [SBN-13: 978-1-4612-8993-7 e-[SBN-13: 978-1-4613-1771-5 00[: [0.1007/978-[-4613-1771-5 Copyright © 1988 by Kluwer Academic Publishers, Boston. Softcover reprint of the hardcover 1st edition 1988 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, mechanical, photocopying, recording, or otherwise, without the prior written permission of the publisher, Kluwer Academic Publishers, 101 Philip Drive, Assinippi Park, Norwell, MA 02061. We would like to acknowledge the encouragement of James Cottrell, M.D. and the support of our families, that was necessary to write this book. Phillip N. Fyman, M.D. Alexander W. Gotta, M.D. CONTENTS Contributing Authors IX Preface X111 1. An inhalation anesthetic technique is preferable for patients undergoing coronary artery bypass grafting JAN L. KRAMER, DAVID J. WAGNER, AND STEPHEN J. THOMAS 2. An intravenous technique is preferable for patients undergoing coronary 13 artery bypass grafting JAMES B. STREISAND, THEODORE H. STANLEY, AND PAUL S. NELSON 3. Blood gas values should be corrected for body temperature during 35 hypothermia ENRICO M. CAMPORESI AND RICHARD E. MOON 4. Blood gases should not be temperature corrected during hypothermia 55 PAUL L. GOLDINER, YASU OKA, AND EDWARD SVADJIAN 5. High pump flows and pressure are desirable during cardiopulmonary 83 bypass KETAN SHEVDE AND SARADA MYLAVARAPU 6. Low pressure during cardiopulmonary bypass is preferable 99 J.G. REVES, ANN GOVIER, AND NARDA CROUGHWELL 7. Pulmonary artery catheters should be used routinely in all patients 115 undergoing coronary artery bypass grafting MARTIN J. LONDON AND DENNIS T. MANGANO vii viii Contents 8. Routine insertion of pulmonary artery catheters is not necessary in all 129 patients undergoing coronary artery bypass grafting PHILLIP N. FYMAN AND LAWRENCE KUSHINS 9. General anesthesia is preferable for patients undergoing carotid 143 endarterectomy CAROL L. LAKE 10. Regional anesthesia is preferable for patients undergoing carotid 169 endarterectomy PIERRE CASTHELY AND JOHN DLUZNESKI Index 185 CONTRIBUTING AUTHORS Enrico M. Camporesi, M.D. Professor of Anesthesiology Duke Unviersity Medical Center Durham, North Carolina 27710 Pierre Casthcly, M.D. Associate Professor of Anesthesiology State University of New York Health Science Center at Brooklyn Brooklyn, New York Narda Croughwell, CRNA Research coordinator Division of Cardiothoracic Anesthesia Duke University Medical Center Durham, North Carolina John Dluzneski, M.D. Fellow in Cardiac Anesthesia State University of New York Health Science Center at Brooklyn Brooklyn, New York ix x Contributing Authors Phillip N. Fyman, M.D. Attending Anesthesiologist Long IslandJewish Medical Center New Hyde Park, New York 10042 Paul L. Goldiner, M.D. Professor and Chairman Department of Anesthesiology Albert Einstein College of Medicine Bronx, New York Alexander W. Gotta, M.D. Professor of Clinical Anesthesiology State University of New York Health Science Center at Brooklyn Brooklyn, New York Ann Govier, M.D. Staff Anesthesiologist Department of Cardiothoracic Anesthesia Cleveland Clinic Cleveland, Ohio Jan L. Kramer, M.D. Fellow in Cardiac Anesthesia New York University Medical Center New York, New York 10016 Lawrence Kushins, M.D. Director, Cardiac Anesthesia Long IslandJewish Medical Center New Hyde Park, New York and Clinical Assistant Professor of Anesthesiology State University of New York School of Medicine at Stony Brook Stony Brook, New York Carol L. Lake, M.D. Associate Professor of Anesthesiology University of Virginia School of Medicine Charlottesville, Virginia xi Martin]. London, M.D. Assistant Professor of Anesthesiology University of California, San Francisco San Francisco, California Dennis T. Mangano, Ph.D., M.D. Professor of Anesthesiology University of California, San Francisco San Francisco, California Richard E. Moon, M.D. Assistant Professor of Anesthesiology Duke University Medical Center Durham, North Carolina 27710 Sarada Mylavarapu, M.D. Fellow in Cardiac Anesthesia Maimonides Medical Center Brooklyn, New York 11219 Paul S. Nelson, M.D. Fellow in Anesthesiology University of Utah School of Medicine Salt Lake City, Utah 84132 Yasu Oka, M.D. Professor of Anesthesiology Albert Einstein College of Medicine Bronx, New York J. G. Reves, M.D. Professor of Anesthesiology Director, Cardiothoracic Anesthesia Duke University Medical Center Durham, North Carolina Ketan Shevde, M.D. Director, Cardiac Anesthesia and Acting Director Department of Anesthesiology Maimonides Medical Center Brooklyn, New York 11219 xii Contributing Authors Theodore H. Stanley, M.D. Professor of Anesthesiology and Research Professor of Surgery University of Utah School of Medicine Salt Lake City, Utah 84132 James B. Streisand, M.D. Assistant Professor of Anesthesiology University of Utah School of Medicine Salt Lake City, Utah 84132 Edward Svadjian, M.D. Assistant Professor of Anesthesiology Albert Einstein College of Medicine Bronx, New York Stephen]. Thomas, M.D. Associate Professor of Anesthesiology Director of Cardiothoracic Anesthesia New York University Medical Center New York, New York 10016 David]. Wagner, M.D. Fellow in Cardiac Anesthesia New York University Medical Center New York, New York 10016
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