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Kaplan's Cardiac Anesthesia
- 8th Edition - June 9, 2023
- Author: Joel A. Kaplan
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 8 2 9 2 4 - 3
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 8 2 9 2 5 - 0
Current, comprehensive, and evidence-based, Kaplan's Cardiac Anesthesia: Perioperative and Critical Care Management, 8th Edition, offers practical guidance from today’s… Read more
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Institutional subscription on ScienceDirect
Request a sales quoteCurrent, comprehensive, and evidence-based, Kaplan's Cardiac Anesthesia: Perioperative and Critical Care Management, 8th Edition, offers practical guidance from today’s international leaders in cardiac anesthesiology, helping you to optimize perioperative outcomes, avoid complications, and ensure maximum patient safety. Dr. Joel A. Kaplan, along with an expert team of associate editors, guides you through today’s clinical challenges, including expanded coverage of critical care, the newest approaches to perioperative assessment and management, state-of-the art diagnostic techniques, and cardiovascular and coronary physiology.
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Covers the full spectrum of contemporary cardiothoracic anesthesia practice, including preoperative assessment, physiology, pharmacology, monitoring, transesophageal echocardiography, coagulation, specific cardiac procedures, extracorporeal circulation, postoperative pain treatment, and management of the complex patient with cardiac disease.
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Includes expanded coverage of critical care topics, reflecting the increased perioperative care now provided by anesthesiologists in the ICU.
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Contains new chapters on Structural Heart Disease Procedures; Cardiorespiratory Effects of COVID-19; Critical Care Ultrasound; Intensive Unit Management of Patients on Mechanical Circulatory Support; and Postoperative Care of the Heart and Lung Transplant Patient.
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Features more than 900 full-color illustrations, decision trees, charts, and graphs (over one-third are new) that aid in visual understanding of complex topics.
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Provides access to over 120 videos, including a range of echocardiography clips.
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Contains balanced, dependable, and updated content on all aspects of the anesthetic management of cardiac surgical procedures, as well as cardiology procedures performed in catheterization and electrophysiologic laboratories.
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Places new emphasis on cardiac devices requiring perioperative care, including cardiac implanted electrical devices and ventricular assist devices.
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An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.
Residents, fellows, and attending physician anesthesiologist
- Instructions for online access
- Cover image
- Title page
- Table of Contents
- Copyright
- Dedication
- Contributors
- Preface
- Foreword
- VIDEO CONTENTS
- Section 1. Preoperative Assessment and Cardiac Management
- 1. Cardiology Consultation and Assessment of Cardiac Risk1
- Major Adverse Outcomes in Cardiac Surgery
- Assessment of Perioperative Myocardial Injury in Cardiac Surgery
- Assessment of Myocardial Injury and Infarction
- Cardiac Risk Assessment and Cardiac Risk Stratification Models in Patients Undergoing Cardiac Surgery
- Specific Risk Conditions
- Cardiovascular Imaging in Preoperative Evaluation
- Myocardial Nuclear Scintigraphy
- Cardiac Computed Tomography
- Cardiovascular Magnetic Resonance Imaging
- 2. The Cardiac Catheterization Laboratory: Diagnostic and Therapeutic Procedures in the Adult Patient
- Introduction
- Catheterization Laboratory Facilities
- Patient Selection for Catheterization
- Cardiac Catheterization Procedures
- Valvular Pathology
- Angiography
- Interventional Cardiology: Percutaneous Coronary Intervention
- Specific Interventional Devices
- Other Catheter-Based Percutaneous Therapies
- The Catheterization Laboratory and the Anesthesiologist
- 3. Cardiac Implantable Electronic DevicesPeter M. Schulman, MDEric C. Stecker, MD, MPH
- Cardiac Implantable Electronic Device Function
- Cardiac Implantable Electronic Device Indications
- Modes of Operation
- Perioperative Risk
- Perioperative Evaluation and Management
- 4. The Cardiorespiratory Effects of COVID-19
- The COVID-19 Pandemic
- SARS-CoV-2 Pathophysiology
- COVID-19 and Cardiovascular Risk Factors
- Cardiovascular Manifestations of COVID-19
- COVID-19 Pulmonary Effects
- COVID-19–Associated Coagulopathy and Antithrombotic Agents
- COVID-19 Renal Manifestations
- COVID-19 Neurologic Manifestations
- Postacute Sequelae of SARS-CoV-2 Infection
- Impact of COVID-19 on Cardiac Surgery
- COVID-19 Safety in Cardiothoracic Surgery and Anesthesia
- Perioperative Management of COVID-19 Patients Undergoing Cardiothoracic Surgery
- COVID-19 and Comorbidities
- Section 2. Cardiac Physiology and Pharmacology
- 5. Cardiac Physiology
- Functional Implications of Cardiac Anatomy
- Cardiac Myocyte Anatomy and Function
- Laplace’s Law
- The Cardiac Cycle
- Determinants of Pump Performance
- Myocardial Contractility
- Coupling, Energetics, and Efficiency
- Evaluation of Diastolic Function
- Isovolumic Relaxation
- Left Ventricular Filling
- Passive Mechanical Behavior
- Pericardial Restraint
- Determinants of Atrial Function
- Pathophysiology of Heart Failure
- HFrEF Versus HFpEF: Differences in Presentation
- Modulators of Nitric Oxide Metabolism
- Other Medications
- Lifestyle Modifications, Control of Comorbidities, and Other Interventions
- Conflicts of Interest
- 6. Coronary Physiology
- Poiseuille’s Law
- Coronary Vascular Anatomy
- Mechanisms of Coronary Blood Flow Regulation
- Clinical Implications
- 7. Cardiovascular Pharmacology of Anesthetics
- Volatile Anesthetics
- Nitrous Oxide
- Propofol
- Midazolam
- Etomidate
- Ketamine
- Dexmedetomidine
- Synthetic Opioids
- Summary
- Conflict of Interest
- 8. Cardiovascular Pharmacology
- Antiischemic Drug Therapy
- Current Therapeutic Approaches to Systemic Hypertension
- Pharmacotherapy for Pulmonary Hypertension
- Pharmacotherapy for Acute and Chronic Heart Failure
- Pharmacotherapy for Cardiac Arrhythmias
- Section 3. Monitoring
- 9. Monitoring of the Heart and Vascular System
- Electrocardiography
- Appendix 9.1. Electrocardiogram Atlas: A Summary of Important Changes on the Electrocardiogram
- 10. Basic Intraoperative Transesophageal EchocardiographyPlease provide the Abstract and Keywords for this chapterPlease check the hierarchy of the section headings-->
- Introduction
- Basic Concepts
- Imaging Techniques
- Echocardiographic Scanners
- Equipment
- Image Creation and Storage
- Complications and Safety
- Credentialing
- Technique of Probe Passage
- Comprehensive Intraoperative Multiplane Transesophageal Echocardiographic Examination
- Anatomic Variants and Artifacts
- Clinical Applications
- Hemodynamic Assessment
- Cardiac Output
- Contrast Applications
- Myocardial Ischemia Monitoring
- Chapter 11. Transesophageal Echocardiography: Advanced Echocardiography Concepts
- The Development of a Perioperative Echocardiography Service
- Three-Dimensional Transesophageal Echocardiography
- Perioperative Echocardiographic Evaluation of Valves
- Aortic Valve
- Transesophageal Echocardiography for Interventional Procedures
- Transesophageal Echocardiography for Mechanical Circulatory Support
- Transesophageal Echocardiography for Transplantation
- Strain, Strain Rate, and Doppler Tissue Imaging
- Myocardial Disease
- Aortic Evaluation
- Pericardial Disease
- Evaluation of Cardiac Masses
- 12. Central Nervous System Monitoring
- Introduction
- Electroencephalography
- Auditory-Evoked Potentials
- Transcranial Doppler Ultrasound
- Jugular Bulb Oximetry
- Cerebral Oximetry
- Multimodality Neuromonitoring
- Summary
- Disclosure and Acknowledgment
- 13. Coagulation Monitoring
- Hemostasis
- Monitoring Heparin Effect
- Heparin Neutralization
- Tests of Coagulation
- Monitoring Fibrinolysis
- Monitoring the Thrombin Inhibitors
- Monitoring Platelet Function
- Bedside Coagulation and Platelet Function Testing
- Summary
- Section 4. Anesthesia for Cardiac Surgery/Procedures
- 14. Anesthesia for Myocardial Revascularization
- Epidemiology of Coronary Artery Disease
- Risk Assessment in Patients Scheduled for Coronary Artery Bypass Grafting
- Anesthesia for Coronary Artery Bypass Grafting
- Surgical Considerations
- Conclusions
- 15. Valvular Heart Disease: Repair and Replacement
- Pathophysiology
- Aortic Stenosis
- Aortic Regurgitation
- Mitral Stenosis
- Mitral Regurgitation
- Tricuspid Regurgitation
- 16. Adult Congenital Heart Disease
- Introduction
- Shunting
- Pulmonary Hypertension
- Eisenmenger Syndrome
- Pulmonary Hypertensive Crisis
- Fontan Circulation
- Specific Lesions
- Unique Anesthesia Considerations
- 17. Thoracic Aorta
- Anatomy of the Aorta
- General Considerations for the Perioperative Care of Aortic Surgical Patients
- Thoracic Aortic Aneurysms
- Ascending Aorta and Arch Aneurysms
- Aortic Dissection
- Penetrating Atherosclerotic Ulcer
- Traumatic Aortic Injury
- Aortic Atheromatous Disease
- Takayasu Arteritis
- Aortic Coarctation
- Summary
- 18. Uncommon Cardiac Diseases
- Cardiac Tumors
- Selected Tumors With Cardiac Manifestations
- Cardiomyopathy
- Selected Unclassified Cardiomyopathies
- Pericardial Heart Disease
- Coronary Arteriovenous Fistula
- 19. Cardiac Transplantation
- Introduction
- Considerations in Recipient Management Recipient Selection
- Considerations in Donor Management
- Anesthetic Considerations
- Surgical Approach
- Management Considerations After Heart Transplantation
- Heart-Lung Transplantation
- Conclusion
- 20. Lung Transplantation
- Pretransplantation Considerations
- Preoperative Assessment
- Initial Intraoperative Management
- Further Intraoperative Management Prior to Lung Implantation
- Donor Considerations in Lung Transplantation
- Surgical Techniques in Lung Transplantation
- Further Intraoperative Management After Lung Implantation
- Early Postoperative Management
- Special Populations
- Conclusion
- 21. Pulmonary Thromboendarterectomy for Chronic Thromboembolic Pulmonary Hypertension
- Classification of Pulmonary Hypertension
- Pathophysiology
- Clinical Manifestations
- Diagnostic Evaluation
- Operation
- Anesthetic Management of Patients Undergoing Pulmonary Thromboendarterectomy
- Special Considerations
- Management of the Postoperative Patient
- Nonsurgical Approach to Chronic Thromboembolic Disease
- Intraoperative Echocardiography in Patients With Chronic Thromboembolic Pulmonary Hypertension
- Pulmonary Thromboendarterectomy in Patients With Sickle Cell Disease
- Outcome and Future of Chronic Thromboembolic Pulmonary Hypertension
- 22. Durable Mechanical Circulatory Assist Devices for Heart Failure
- A Golden Era of Mechanical Circulatory Support
- Mechanical Circulatory Support: Theory and Practice
- Long-Term Support
- HeartMate 3 Left Ventricular Assist Device
- Complications of Left Ventricular Assist Device Support
- Perioperative Anesthetic Considerations for Patients Requiring Left Ventricular Assist Device Support
- Total Artificial Hearts
- Anesthetic Considerations for Total Artificial Heart Implantation
- Conclusion
- 23. Structural Heart Disease Procedures
- Transcatheter Aortic Valve Procedures
- 24. Electrophysiology Procedures
- Supraventricular Tachycardia
- Anesthetic Approach to Electrophysiologic Ablation for Supraventricular Tachycardia
- Anesthetic Approach to Electrophysiologic Ablation for Ventricular Tachycardia
- Atrial Fibrillation
- Anesthetic Approach to Transcatheter Ablation of Atrial Fibrillation
- Atrial Flutter
- Wolff-Parkinson-White Syndrome
- Leadless Pacing Systems
- Innovative Approaches to Permanent Cardiac Pacing
- Section 5. Extracorporeal Circulation
- 25. Cardiopulmonary Bypass: Pathophysiology and Management
- Pathophysiology of Cardiopulmonary Bypass
- Management of Cardiopulmonary Bypass
- Special Patient Populations for Cardiopulmonary Bypass
- Complications of Cardiopulmonary Bypass
- The Extracorporeal Circuit
- Summary
- 26. Discontinuing Cardiopulmonary Bypass
- Routine Weaning From Cardiopulmonary Bypass
- Transesophageal Echocardiography and Bypass
- Management of Challenging Cardiopulmonary Bypass Separation
- 27. Extracorporeal Membrane Oxygenation
- History, Evolution, and Current Status of ECMO
- ECMO Physiology and Gas Exchange
- ECMO for Hemodynamic Support
- Cannulation for Venoarterial ECMO
- Management of Venoarterial ECMO
- Expanded Indications for Venoarterial ECMO
- ECMO for Respiratory Support
- Venovenous ECMO for COVID-19
- Expanded Indications for Venovenous ECMO
- Alternate ECMO Cannulation Strategies
- Complications in ECMO
- Summary
- 28. Coagulation and Transfusion Management
- Overview of Hemostasis
- Heparin for Anticoagulation in Cardiopulmonary Bypass
- Alternative Parenteral Anticoagulants to Heparin
- Bleeding in Cardiac Surgery
- Transfusion Medicine: Blood and Components
- Perioperative Blood Conservation Strategies
- Transfusion Reactions
- Section 6. Postoperative Care/Critical Care Medicine
- 29. Enhanced Recovery Programs in Cardiac Surgery
- History of Quality Improvement in Cardiac Surgery
- Principles of Enhanced Recovery Programs
- Enhanced Recovery After Cardiac Surgery Society Guidelines
- Elements for Cardiac Surgery-Enhanced Recovery Programs
- Data Collection, Audit, and Feedback
- Program Implementation
- Conclusion
- 30. Pain Management for the Cardiac Patient
- Pain and Cardiac Surgery
- Potential Benefits of Adequate Postoperative Analgesia
- Techniques Available for Postoperative Analgesia
- Local Anesthetic Infiltration
- Regional Analgesic Techniques
- Opioids
- Patient-Controlled Analgesia
- Adjunctive Analgesia
- Nonsteroidal Antiinflammatory Agents
- Acetaminophen
- α2-Adrenergic Agonists
- Gabapentinoids
- Ketamine
- Magnesium
- Intrathecal and Epidural Techniques
- Intrathecal Techniques
- Epidural Techniques
- Multimodal Analgesia
- How Important Is Postoperative Pain After Cardiac Surgery?
- Conclusions
- 31. Central Nervous System Dysfunction After Cardiac Surgery
- Categorization of Central Nervous System Injury
- Watershed Infarction
- Mechanisms of Brain Injury
- Cerebroprotective Strategies
- Procedural Risk
- Management of Perioperative Acute Ischemic Stroke
- Conclusion
- 32. Critical Care Ultrasound
- Introduction
- Airway Ultrasound
- Lung and Diaphragm Ultrasound
- Critical Care Echocardiography
- Gastric Ultrasound
- Imaging of the Abdomen and Pelvis
- Vascular Ultrasound
- Summary
- 33. Postoperative Respiratory Care
- Risk Factors for Pulmonary Insufficiency
- Mechanical Ventilation
- Managing Perioperative Conditions
- Acute Respiratory Distress Syndrome
- Obstructive Airways Disease
- Patent Foramen Ovale
- Pericardial Effusion/Cardiac Tamponade
- Infectious Complications
- Summary
- 34. Postoperative Cardiovascular Management
- Oxygen Transport
- Temperature
- Assessment of the Circulation
- Postoperative Myocardial Dysfunction
- Postoperative Myocardial Ischemia
- Therapeutic Interventions
- Postoperative Hypertension
- Postoperative Vasodilation
- Coronary Artery Spasm
- Decreased Contractility
- Right Heart Failure
- Cardiac Tamponade
- Transplanted Heart
- Advances in Cardiovascular Procedures and Postoperative Management
- 35. Intensive Care Unit Management of Patients on Mechanical Circulatory Support
- Introduction and Historical Context
- Indications for Mechanical Circulatory Support
- Mechanical Circulatory Support Devices
- Echocardiography for Temporary Devices
- Hemodynamic Goals
- Anticoagulation for Mechanical Circulatory Support Devices
- Infection Surveillance and Prevention
- Hemolysis, Transfusion, and Hemostasis Management
- Arrhythmias, Cardiac Arrest, and Cardiopulmonary Resuscitation
- Mobility, Physical Therapy, and Nutrition
- Triage Pathway for Patients on Temporary Mechanical Circulatory Support
- Ethical Considerations
- 36. Postoperative Care of the Heart and Lung Transplant Patient
- Postoperative Heart Transplant Management
- Postoperative Lung Transplant Management
- Conclusion
- 37. General Critical Care
- Renal Considerations in Critical Care
- Endocrine Considerations
- Infectious Disease and the Cardiac Surgical Patient
- General Critical Care Bundles
- Nutrition in the Intensive Care Unit
- Summary
- Index
- No. of pages: 1216
- Language: English
- Edition: 8
- Published: June 9, 2023
- Imprint: Elsevier
- Hardback ISBN: 9780323829243
- eBook ISBN: 9780323829250
JK
Joel A. Kaplan
Affiliations and expertise
Dean, School of Medicine; Vice President for Health Affairs; Professor, Department of Anesthesiology, University of Louisville, Louisville, KY