Abbreviations xi
List of contributors xv

1 An history of cardiothoracic anaesthesia 1
R. Peter Alston
2 Anatomy and pathology of the heart and major vascular system 15
Neil Hauser, Adriaan Myburgh, and Justiaan Swanevelder
3 Cardiovascular physiology, pathophysiology, and monitoring 33
Philip J. Peyton
4 Thoracic anatomy, physiology, and pathophysiology 47
David J. R. Duthie
5 The inflammatory response to cardiothoracic surgery 61
William T. McBride and Esther R. McBride
6 Cardiovascular and pulmonary pharmacology 69
David Smith
7 Diagnosis and assessment of cardiac disease 83
Silvana F. Marasco and Martin G. Hiscock
8 Diagnosis and assessment of lung disease 91
Giorgio Della Rocca and Cecilia Coccia
9 Structural cardiac intervention 99
Mario Carminati and Angelo Micheletti
10 Blood gases, clinical chemistry, and acid-base ill
David Story and Philip J. Peyton
11 Cardiopulmonary bypass 117
Marco Ranucci
12 Extracorporeal membrane oxygenation 131
Thomas Langer, Eleonora Carlesso, and Luciano Gattinoni
13 Mechanical support of the circulation 139
Vladimir Saplacan, Mario Gaudino, and Massimo Massetti
14 Hypothermia and circulatory arrest 149
Jeremy M. Bennett, Andrew Shaw, and Chad Wagner
15 Myocardial protection during cardiac surgery 157
Michael G. Irwin and Gordon Tin Chun Wong
16 Antithrombotic and antiplatelet therapy 165
David Royston
17 Haemostasis management 181
David Royston
18 Blood management 191
Gavin J. Murphy, Nishith N. Patel, and Nicola Curry
19 Anaesthesia for adult cardiac surgery 203
R. Peter Alston
20 Anaesthesia for off-pump coronary artery bypass grafting 221
Yatin Mehta and Madhur Malik
21 Paediatric cardiac and thoracic anaesthesia 229
Marco Ranucci, Giuseppe Isgrô, and Anna Cazzaniga
22 Anaesthesia for thoracic aortic surgery 251
Donna Greenhalgh
23 Anaesthesia for heart transplantation 261
Andy Gaunt and Nandor Marczin
24 Anaesthesia for adult patients with acquired heart disease for non-cardiac surgery 271
Alastair F. Nimmo and Matthew T. Royds
25 Anaesthesia for cardiac electrophysiological interventions 281
Bodil Steen Rasmussen
26 Critical care following cardiac surgery 291
Lisen Hockings. Deirdre Murphy, and Carlos Scheinkestel
27 Enhanced recovery from heart surgery 303
Stefan Probst and Jorg Ender
28 Ultrasound imaging in critical care 309
Andrew Hilton
29 Cardiovascular complications of cardiac surgery 331
Fabio Guarracino and Rubia Baldassarri
30 Pulmonary complications after cardiac surgery 339
Rainer Thell and Michael Hiesmayr
31 Renal, hepatic, and gastrointestinal complications of cardiac surgery 347
Sara Jane Allen and David Sidebotham
32 Cerebral complications of heart surgery 357
Thomas H. Ottens and Diederik van Dijk
33 Anaesthesia for thoracic surgery 365
Jean S. Bussieres and Annie Rousseau
34 Anaesthesia for interventional bronchoscopy 389
Cait P. Searl
35 Anaesthesia for lung transplantation 395
Nandor Marczin, Lakshminarasimhan Kuppurao,
I. Gavin Wright, and Andre R. Simon
36 Postoperative thoracic surgical care 405
Mere $enturk
37 Complications of thoracic surgery 415
Paul S. Myles
38 Pain relief after thoracic and cardiac surgery 425
Desmond P. McGlade and David A. Scott
39 Chronic pain after cardiothoracic surgery 435
Lesley Colvin
40 Designing state-of-the-art cardiothoracic surgical suites 443
Bill Rostenberg and D. Kirk Hamilton
41 Training programmes for cardiothoracic anaesthesia: curricula, administration, and evaluations 455
Jane Heggie and W. Scott Beattie
42 Teamwork and minimizing error 461
Alan F. Merry and Jennifer M. Weller
43 Audit and research in cardiothoracic anaesthesia 169
Paul S. Myles

Index 477