Extracorporeal circulation has become firmly established as an invaluable and routine adjunct to cardiac and vascular surgery. Since its introduction in 1953, the technique has evolved rapidly with advancing technology leading to improvements in and simplification of the equipment involved. Developments in the understanding and application of basic science have also had a huge impact as our understanding of the complex anatomy, biochemistry, pharmacology and pathophysiology of the heart continues to grow. It is these advances in both technology and science that form the basis of this fourth edition of "Techniques in Extracorporeal Circulation". The book continues to provide a comprehensive overview of the field, covering both established techniques for those new to the field of extracorporeal circulation, and current and future developments. It attempts to answer some of the innumerable practical problems associated with the routine use of artificial circulation and oxygenation, and hopes to stimulate thought and debate among its readers regarding more complex or controversial issues.
Topics new to the fourth edition include robotic surgery and off-pump surgery, while other chapters have been thoroughly revised and updated to take into account developments and changes in the field. With its multidisciplinary approach, the book will remain an essential reference for all health care professionals working in the cardiac surgical operating room, in particular cardiothoracic surgeons, anaesthetists and perfusionists.
Indice testuale
A short history of cardiopulmonary bypass; design and principles of the extracorporeal circuit; physiology and pathophysiology of extracorporeal circulation; anaesthesia for cardiopulmonary bypass; monitoring and safety during cardiopulmonary bypass; priming fluids for cardiopulmonary bypass; filters in cardiopulmonary bypass; the inflammatory respose to cardiopulmonary bypass; pulsatile cardiopulmonary bypass; cardiopulmonary bypass and the brain; cardiopulmonary bypass in children with congenital heart disease; intraoperative myocardial protection; blood conservation; mechanical circulatory support; extracorporeal membrane oxygenation; the extended use of the extracorporeal circuit; cardiopulmonary bypass during Port-Access and robotic surgery; cardiac surgery without cardiopulmonary bypass; the development of clinical perfusion education and standards in the United Kingdom and Ireland; standards, guidelines and education in clinical perfusion - the European perspective; perfusion education in America at the turn of the century.
