Short description:

Cardiac surgery is a highly complex and ever-evolving field, with cardiopulmonary bypass (CPB) playing a crucial role in modern surgical practice. For trainees rotating in the cardiac surgery room, gaining both scientific and practical knowledge of clinical perfusion can be challenging without a comprehensive and accessible reference.

This book addresses that need by providing a clear, focused, and concise guide to the principles and management of clinical perfusion, incorporating the latest advancements in the field. Designed for trainees, junior cardiac anesthesiologists, cardiac surgeons, and perfusionists, it lays the essential foundation for mastering perfusion techniques and ensuring success in this critical aspect of cardiac surgery.

Long description:

Cardiac surgery is a very complex field of medicine that continues to evolve, and cardiopulmonary bypass is an integral part of this field, it is challenging for a trainee rotating in the cardiac surgery room to acquire scientific and practical knowledge of clinical perfusion without a good reference text.

 This book fills the need for a clear, focused, and concise text on managing clinical perfusion with up-to-date knowledge. This book equips the trainee, the junior cardiac anaesthesiologists, the junior cardiac surgeon, and the junior perfusionist with the fundamental concepts necessary for success in this field.

Table of Contents:

Part1.Fundamentals of Basic Science.- Basic Cardiovascular Anatomy.- Basic cardiovascular physiology.- Blood physiology and oxygen transport.- Basic Cardiovascular Pharmacological Management during Cardiopulmonary Bypass.- Part2.Cardiopulmonary Bypass Evolution and History.- An Overview of Cardiopulmonary Bypass's Historic Development.- Part3.Adult Cardiopulmonary Bypass.- Physiologic Changes and Inflammatory Response to Cardiopulmonary Bypass.- Fundamentals of cardiopulmonary bypass machine equipment.- Cardiopulmonary bypass Hardware Assembly and setting up the circuit.- Prime Solutions for the circuit and Hemodilution Reduction Strategies.- Goal Directed Perfusion throughout the varouis stages of cardiopulmonary bypass.- Termination of cardiopulmonary bypass.- Metabolic Management during cardiopulmonary bypass.- Part4.Monitoring During Cardiopulmonary Bypass.- Various Monitoring Techniques Used During Cardiopulmonary Bypass.- Monitoring Adequacy of Perfusion During Cardiopulmonary Bypass.- Monitoring the Status of Anticoagulation.- Part5.Basics of Blood Management.- Hematocrit and Transfusion Management During Cardiopulmonary Bypass.- Anticoagulation for Cardiopulmonary Bypass.- Blood conservation Techniques.- Ultrafiltration and Leukofiltration.- Fluid Management During Cardiopulmonary Bypass.- Consideration in Blood disorders and Cardiopulmonary Bypass.- Arterial Blood Gas Interpretation during Cardiopulmonary Bypass.- Part6.Pediatrics.- Pediatric Cardiopulmonary Bypass.- Congenital Cardiovascular Pathology.- Pediatric Advanced Perfusion Strategies for Complex Pediatric Cardiac Surgery.- Part7.Clinical problems and Complications during Cardiopulmonary Bypass.-Mechanics related Complications.-Accidents and Crisis management of Cardiopulmonary Bypass.- Part8Organ Protection During Cardiopulmonary Bypass.- Strategies of Myocardial protection During Cardiopulmonary Bypass.- Strategies of Neurological protection During Cardiopulmonary Bypass.- Strategies of Kidney protection During Cardiopulmonary Bypass.- Part 9.Safety during Cardiopulmonary Bypass.-Safeguards and Checklists.- Part10.Mechanical Circulatory Support.- Intra-Aortic Balloon Pump (IABP).- Ventricular Assist Devices.- Extracorporeal Membrane Oxygenation (ECMO).-Part11.Cardiopulmonary Bypass in Unique Circumstances.- Deep hypothermic circulatory arrest (DHCA).- Cardiopulmonary Bypass and the Jehovah’s Witness Patient.- Cardiopulmonary Bypass and Perfusion Management in Distal Aortic Repairs.- Cardiopulmonary Bypass during pregnancy.- Part12.Charting and Record Documentation.- Paper and Electronic Record Charting in Perfusion.