Cardiopulmonary Bypass de R.A. Guyton

Cardiopulmonary Bypass: Principles and Techniques of Extracorporeal Circulation

R.A. Guyton

Christina T. Mora

D.C. Finlayson

R.L. Rigatti

A definitive, comprehensive text on the technological developments and clinical applications of this critical subject matter. Written for the entire heart surgery team, this volume covers the physiology of cardiopulmonary bypass, mechanics and components of the heart-lung machine, the conduct of cardiopulmonary bypass in cardiac surgery, non-cardiac applications of cardiopulmonary bypass, and mechanical assistance of the failing heart and lung. The authors also give special consideration to such areas as blood conservation in cardiac surgery, religions objections to blood transfusions, medical-legal aspects and cardiopulmonary bypass, as well as warm blood cardioplegia and normothermic cardiopulmonary bypass.

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Descriere

Coronary artery bypass surgery is one of the most common operations in the world today, with nearly one million procedures performed annually. In the vast majority of cases, extracorporeal circulation is an integral part of coronary artery bypass surgery. CARDIOPULMONARY BYPASS: PRINCIPLES AND TECHNIQUES OF EXTRACORPOREAL CIRCULATION is a definitive, comprehensive text on the technological developments and clinical applications of this critical subject matter. Written for the entire heart surgery team, this volume covers the physiology of cardiopulmonary bypass; mechanics and components of the heart-lung machine; conduct of cardiopulmonary bypass in cardiac surgery; non-cardiac applications of cardiopulmonary bypass; mechanical assistance of the failing heart and lung; and special considerations such as blood conservation in cardiac surgery, religions objections to blood transfusions, medical-legal aspects and cardiopulmonary bypass, and warm blood cardioplegia and normothermic cardiopulmonary bypass.

Cuprins

I. The History of Cardiopulmonary Bypass.- 1. Cardiopulmonary Bypass: The Historical Foundation, the Future Promise.- II. Physiology of Cardiopulmonary Bypass.- 2. The Myocardium: Physiology and Protection During Cardiac Surgery and Cardiopulmonary Bypass.- 3. Hypothermia, Cardiac Surgery, and Cardiopulmonary Bypass.- 4. Pharmacokinetics and Pharmacodynamics During Cardiac Surgery and Cardiopulmonary Bypass.- 5. Hemostasis and Cardiopulmonary Bypass.- 6. The Central Nervous System: Responses to Cardiopulmonary Bypass.- 7. The Respiratory, Renal, and Hepatic Systems: Effects of Cardiac Surgery and Cardiopulmonary Bypass.- 8. The Immunologic System: Perturbations Following Cardiopulmonary Bypass and the Problem of Infection in the Cardiac Surgery Patient.- 9. The Endocrine System: Effects of Cardiopulmonary Bypass.- III. Mechanics and Components of the Heart-Lung Machine.- 10. Oxygenators for Extracorporeal Circulation.- 11. Mechanical Pumps for Extracorporeal Circulation.- 12. Conduits and Filters for Extracorporeal Circulation.- 13. Assembling and Monitoring the Extracorporeal Circuit.- 14. Heat Exchange in Extracorporeal Systems.- IV. Conduct of Cardiopulmonary Bypass for Cardiac Surgery.- 15. Aortoatriocaval Cannulation for Cardiopulmonary Bypass.- 16. Initiation and Maintenance of Cardiopulmonary Bypass.- 17. Discontinuation of Cardiopulmonary Bypass.- 18. Safety and Management of Perturbations During Cardiopulmonary Bypass.- V(a). Cardiopulmonary Bypass in Special Patient Populations.- Complete Cardiopulmonary Bypass.- 19. Pediatric Cardiopulmonary Bypass.- 20. Thoracic Aortic Surgery and Cardiopulmonary Bypass.- 21. Intracranial Surgery with Cardiopulmonary Bypass.- 22. Emergency Coronary Artery Bypass and Cardiopulmonary Bypass.- 23. Chest Trauma and Emergency Cardiopulmonary Bypass.- 24. Pregnancy and Cardiopulmonary Bypass.- V(b). Cardiopulmonary Bypass in Special Patient Populations.- Partial Cardiopulmonary Bypass.- 25. Cardiopulmonary Bypass-Supported Angioplasty.- 26. Closed Chest Bypass for Liver Transplantation.- VI. Mechanical Assist of the Failing Heart and Lung.- 27. Ventricular Assist Devices.- 28. Intraaortic Balloon Pump Counterpulsation.- 29. Extracorporeal Membrane Oxygenation for Severe Cardiorespiratory Failure.- 30. The Intravascular Oxygenator, IVOX®: Augmentation of Blood-Gas Transfer.- VII. Special Considerations in Cardiopulmonary Bypass.- 31. Blood Conservation in Cardiac Surgery.- 32. Religious Objections to Blood Transfusion.- 33. Medical-Legal Aspects of Cardiopulmonary Bypass.- 34. Warm-Blood Cardioplegia and Normothermic Cardiopulmonary Bypass.