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Problems in anesthesia : cardiothoracic surgery PDF

300 Pages·2010·4.05 MB·English
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Problems in Anesthesia: Cardiothoracic Surgery In loving memory of Derek Sydney Hardy (1938-2000) Problems in Anesthesia Cardiothoracic Surgery Edited by Joseph E Arrowsmith, MD, MRCP (UK), FRCA Consultant Anaesthetist Papworth Hospital Cambridge, UK John Simpson, MB, FRCA Honorary Consultant Anaesthetist Royal Brompton Hospital London, UK informa healthcare New York London CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2002 by Taylor & Francis Group, LLC CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works Version Date: 20130401 International Standard Book Number-13: 978-1-4822-0756-9 (eBook - PDF) This book contains information obtained from authentic and highly regarded sources. While all reasonable efforts have been made to publish reliable data and information, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made. The publishers wish to make clear that any views or opinions expressed in this book by individual editors, authors or contributors are personal to them and do not necessarily reflect the views/opinions of the publishers. The information or guidance contained in this book is intended for use by medical, scientific or health-care professionals and is provided strictly as a supplement to the medical or other professional’s own judgement, their knowledge of the patient’s medical history, relevant manufacturer’s instructions and the appropriate best practice guidelines. Because of the rapid advances in medical science, any information or advice on dosages, procedures or diagnoses should be independently verified. The reader is strongly urged to consult the drug companies’ printed instructions, and their websites, before administering any of the drugs recommended in this book. This book does not indicate whether a particular treatment is appropriate or suitable for a particular individual. Ultimately it is the sole responsibility of the medical professional to make his or her own professional judgements, so as to advise and treat patients appropriately. The authors and publishers have also attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permission to publish in this form has not been obtained. If any copyright material has not been acknowledged please write and let us know so we may rectify in any future reprint. Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information storage or retrieval system, without written permission from the publishers. For permission to photocopy or use material electronically from this work, please access www.copyright.com (http://www.copy- right.com/) or contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. CCC is a not-for-profit organization that provides licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, a separate system of payment has been arranged. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the CRC Press Web site at http://www.crcpress.com CONTENTS Contributors ri\ 10 Perioperative transesophageal echocardiography Foreword JG Reves xi Bernhard JCJ Riedel, A Timothy Lovell and Shane J George 65 1 Anesthesia for cardiac surgery during pregnancy 11 Transesophageal echocardiography: its role Elaine L Hill and Catherine R Grebenik 1 in assessing the hypotensive patient undergoing cardiac surgery 2 Tumor extraction from the inferior vena cava A Timothy Lovell, Andrew D Shaw, and right atrium requiring cardiopulmonary Shane J George and Bernhard JCJ bypass Riedel 73 Ajeet D Sharma, Gautam Sreeram and Thomas F Slaughter 11 12 Adult congenital heart disease Matthew J Barnard 85 3 Cardiopulmonary bypass in a patient with a brain tumor 13 The Fontan circulation Hilary P Grocott and Alina M Grigore 17 Matthew J Barnard 91 4 Cardiothoracic trauma: a case of traumatic 14 Heparin resistance in a patient requiring aortocoronary saphenous vein graft occlusion cardiopulmonary bypass Eric Jacobsohn and Trevor WR Lee 23 Rosalind J Mills and Helena M McKeague 97 5 Severe aortic atheromatous disease in cardiac 15 Heparin-associated thrombocytopenia and surgery thrombosis Gary W Roach 31 Gautam Sreeram, Ajeet D Sharma and Thomas F Slaughter 103 6 Anesthesia for transmyocardial laser revascularization 16 Management of bleeding following cardiac Hilary P Grocott 37 surgery: the thrombelastographic approach Alan M Cohen and Sally Tom kins 107 7 Port-Access cardiac surgery Colleen Gorman Koch and Michelle J 17 Renal failure following cardiopulmonary Capdeville 45 bypass William T McBride 117 8 Off-pump coronary artery bypass Neville M Gibbs 53 18 The inotropic action of glucose-insulin- potassium infusions 9 Mediastinitis Christopher J Broomhead, Susan J Wright and Gregory R McAnulty 59 M Peter Colvin 127 CONTENTS 19 Severe bronchospasm following 30 Anesthesia for pulmonary cardiopulmonary bypass thromboendarterectomy Joseph E Arrowsmith 133 Andrew I Gardner, John Dunning and Alain Vuylsteke 227 20 Neurological complications of cardiopulmonary bypass 31 Chronic pain following cardiac and thoracic Michael J O'Leary and David J Bihari 139 surgery Andrew I Gardner and Ian Hardy 237 21 Anterior spinal artery syndrome following coronary artery bypass graft surgery 32 Anesthesia for esophageal surgery Virinder S Sidhu 151 Marc de Kock 243 22 Anesthesia for left ventricular volume 33 Respiratory syncytial virus in the reduction surgery perioperative period Stephen J Pryn 157 Roddy OVonnell and Peter J Murphy 249 23 Neuraxial analgesia for thoracic surgery: 34 Complication of a percutaneous high-risk thoracic surgical patients with bleeding tracheostomy in a patient with adult respiratory disorders distress syndrome Mark Stafford-Smith 167 Sheena A Millar, Vilas U Navapurkar and Raymond D Latimer 257 24 Lung volume reduction surgery Stuart J Gold and David JR Duthie 173 35 Acute respiratory distress syndrome following cardiac surgery with cardiopulmonary bypass 25 Bronchopleural fistula in the presence of David P Stansfield and Mark Messent 263 empyema Justiaan LC Swanevelder and Cindy Horst 179 36 High frequency oscillatory ventilation Heather P Duncan and Andrew R Wolf 271 26 Living-related lobar lung transplantation Katherine Grichnik 185 37 Resuscitation of the multiorgan donor Christopher J Rozario, M Krishna Prasad and 27 Broad-complex tachycardias after coronary John D Kneeshaw 279 artery bypass surgery Rana A Sayeed, Andrew J Ritchie and 38 Two-stage repair of a stab wound to the Andrew A Grace 95 heart Fiona M Gibson 285 28 Ventricular assist devices Berend Mets 205 39 Anesthetic management of the patient with carcinoid heart disease 29 Cardiac surgery for Jehovah's Witness M Krishna Prasad, Christopher J Rozario and patients Joseph E Arrowsmith 293 Martin J Piatt Christopher J Broomhead and Avinash C Shukla 215 Index 301 LIST OF CONT RIBUTORS Joseph E Arrowsmith Heather P Duncan Anaesthesia Paediatric Intensive Care Unit Papworth Hospital Bristol Royal Hospital for Children Papworth Everard Upper Maudlin Street Cambridge CB3 8RE, UK Bristol BS2 8BJ, UK John Dunning Matthew J Barnard Cardiothoracic Surgery Anaesthesia Papworth Hospital The Heart Hospital Papworth Everard University College London Hospitals Cambridge CB3 8RE, UK London W1N 8AA, UK David JR Duthie David J Bihari Department of Anaesthesia Intensive Care Unit Leeds General Infirmary Prince of Wales Hospital Great George Street Randwick, NSW 2031, Australia Leeds LS1 3EX, UK Andrew I Gardner Christopher J Broomhead Anaesthesia Department of Anaesthesia Sir Charles Gairdner Hospital The London Chest Hospital Hospital Street Bonner Road Nedlands, Western Australia 6009, Australia London E2 9JX, UK Shane George Michelle J Capdeville Department of Anaesthesiology Cardiothoracic Anesthesia Royal Brompton and Harefield NHS Trust Case Western Reserve University School of Sydney Street Medicine London, SW3 6NP, UK 11100 Euclid Avenue Lakeside 2531 Neville M Gibbs Cleveland, OH 44106-5007, USA Department of Anaesthesia Sir Charles Gairdner Hospital Hospital Street Alan M Cohen Nedlands, Western Australia 6009, Australia Department of Anaesthesia Bristol Royal Infirmary Fiona M Gibson Marlborough Street Anaesthesia Bristol BS2 8HW, UK Royal Hospital Trust Belfast BT12 6BA, Northern Ireland, UK M Peter Colvin Department of Anaesthesia Stuart J Gold The London Chest Hospital Department of Anaesthesia Bonner Road Leicester Royal Infirmary London E2 9JX, UK Leicester LE1 5WW, UK LIST OF CONTRIBUTORS Andrew A Grace John D Kneeshaw Cardiology Department of Anaesthesia Papworth Hospital Papworth Hospital Papworth Everard Papworth Everard Cambridge CB3 8RE, UK Cambridge CB3 8RE, UK Catherine R Grebenik Colleen Gorman Koch Oxford Heart Centre Department of Cardiothoracic Anesthesia G-3 John Radcliffe Hospital The Cleveland Clinic Foundation Headley Way 9500 Euclid Avenue Oxford 0X3 9DU, UK Cleveland, OH 44195, USA Katherine P Grichnik Marc de Kock Cardiothoracic Anesthesia Anesthesiology Duke Heart Center Cliniques Universitaires St Luc Box 3094, Duke University Medical Center Avenue Hippocrates 0.1821 Durham, NC 27710, USA 1200 Brussels, Belgium Alina M Grigore Raymond D Latimer Texas Heart Institute Department of Anaesthesia Room O-250 Papworth Hospital 6720 Bertner Street Papworth Everard Houston, TX 77030, USA Cambridge CB3 8RE, UK Hilary P Grocott Trevor WR Lee Cardiothoracic Anesthesia and Critical Care Department of Anaesthesology and Critical Care Medicine Medicine Box 3094, Duke University Medical Center University of Manitoba Health Sciences Center Durham, NC 27710, USA GE 706-820 Sherbrooke Street Ian Hardy Winnipeg, Manitoba R3A 1R9, Canada Department of Anaesthesia Papworth Hospital A Timothy Lovell Papworth Everard University Department of Anaesthesia Cambridge CB3 8RE, UK Bristol Royal Infirmary Marlborough Street Elaine L Hill Bristol BS2 8HW, UK Oxford Heart Centre John Radcliffe Hospital Gregory R McAnulty Headley Way Anaesthesia and Cardiothoracic Intensive Care Oxford OX3 9DU, UK St George's Hospital Blackshaw Road Cindy Horst London SW17 0QT, UK University Department of Anaesthesia Glenfield Hospital William T McBride Groby Road Cardiothoracic Anaesthesia Leicester LE3 9PG, UK Royal Victoria Hospital Belfast BT12 6BN, Northern Ireland, UK Eric Jacobsohn Department of Anaesthesology and Critical Care Helena M McKeague Washington University School of Medicine Cardiothoracic Anaesthesia and Intensive Care Campus Box 8054 General Infirmary at Leeds 660 South Euclid Avenue Great George Street St Louis, MO 63110-1093, USA Leeds LS1 3EX, UK LIST OF CONTRIBUTORS Mark Messent Martin J Piatt Department of Anaesthesia Department of Anaesthesia The London Chest Hospital The London Chest Hospital Bonner Road Bonner Road London E2 9JX, UK London E2 9JX, UK Berend Mets M Krishna Prasad Department of Anaesthesiology Department of Anaesthesia PH5 Stem Papworth Hospital Columbia University Papworth Everard CPMC 630 West 168 Street Cambridge CB3 8RE, UK New York, NY 10032, USA Stephen J Pryn Sheena A Millar Department of Anaesthesia and Critical Care Department of Anaesthesia Bristol Royal Infirmary Papworth Hospital Bristol BS2 8HW, UK Papworth Everard Cambridge CB3 8RE, UK Bernhard JCJ Riedel Department of Anesthesiology Rosalind J Mills University of Texas MD Anderson Cancer Center Department of Anaesthesia 1515 Holcombe Boulevard, Box 42 Yorkshire Heart Centre Houston, TX 77030, USA Leeds General Infirmary Great George Street Andrew J Ritchie Leeds LS1 3EX, UK Cardiothoracic Surgery Papworth Hospital Peter J Murphy Papworth Everard Paediatric Intensive Care Unit Cambridge CB3 8RE, UK Bristol Royal Hospital for Children Paul O'Gorman Building Gary W Roach Upper Maudlin Street Kaiser Permanente Medical Center Bristol BS2 8BJ, UK 2425 Geary Boulevard San Francisco, CA 94705, USA Vilas U Navapurkar Department of Anaesthesia and Intensive Care Christopher J Rozario Addenbrooke's Hospital Department of Anaesthesia Hills Road Papworth Hospital Cambridge CB2 2QQ, UK Papworth Everard Cambridge CB3 8RE, UK Roddy O'Donnell Paediatric Intensive Care Unit Rana A Sayeed Box 7 Cardiothoracic Surgery Adenbrooke's Hospital Papworth Hospital Hills Road Papworth Everard Cambridge CB2 2QQ, UK Cambridge CB3 8RE, UK Michael J O'Leary Ajeet D Sharma Intensive Care Unit Anesthesiology St George Hospital Prince George Regional Hospital Gray Street 2000 15th Avenue Kogarah, NSW 2217, Australia Prince George, BC V2M 2S2, Canada LIST OF CONTRIBUTORS Andrew D Shaw David P Stansfield Division of Anesthesiology and Critical Care University of Michigan Health System University of Texas MD Anderson Cancer Ce r CS Mott Children's Hospital 1515 Holcombe Boulevard, Box 42 Section of Pediatric Anesthesiology Houston, TX 77030, USA 1500 East Medical Center Drive Ann Arbor, Ml 48109-2011, USA Avinash C Shukla Department of Anaesthesia Justiaan LC Swanevelder The London Chest Hospital University Department of Anaesthesia Bonner Road Glenfield Hospital London E2 9JX, UK Groby Road Leicester LE3 9PG, UK Virinder S Sidhu Anaesthesia Sally Tomkins St Mary's Hospital Department of Anaesthesia Praed Street Bristol Royal Infirmary Paddington Marlborough Street London W2 1NY, UK Bristol BS2 8HW, UK John C Simpson Alain Vuylsteke Anaesthesia Anaesthesia and Intensive Care Royal Brompton Hospital Papworth Hospital Sydney Street Papworth Everard London SW3 6NP, UK Cambridge CB3 8RE, UK Thomas F Slaughter Andrew R Wolf Anesthesiology Paediatric Intensive Care Unit Box 3094 Bristol Royal Hospital for Children Duke University Medical Center Upper Maudlin Street Durham, NC 27710, USA Bristol BS2 8BJ, UK Gautam Sreeram Susan J Wright Anesthesiology Department of Anaesthesia Box 3094, Duke University Medical Center University College Hospitals Durham, NC 27710, USA London W1N 8AA, UK Mark Stafford-Smith Anesthesiology Box 3094, Duke University Medical Center Durham, NC 27710, USA

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