Pediatric Cardiac Anesthesia / Edition 4

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Long established as the #1 reference on pediatric cardiac anesthesia, this definitive text is now in its thoroughly revised Fourth Edition. The book provides comprehensive guidelines on preoperative evaluation, perioperative management, and postoperative care for all pediatric cardiac surgical procedures and includes quick-reference summaries of perioperative management for each procedure.

For this edition, Dr. Lake is joined by an eminent British co-editor, Peter D. Booker, and an international group of distinguished contributors. Coverage includes cutting-edge information on echocardiography, fast tracking, and the newest surgical techniques. New chapters cover teaching, practice management, anesthesia for cardiac MIS, and hemostasis, coagulation, and transfusion.

This book contains predominantly black-and-white illustrations, with some color illustrations.

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Editorial Reviews

From The Critics
Reviewer: Suanne M Daves, MD (University of Chicago Pritzker School of Medicine)
Description: This is the much needed fourth edition of a textbook about the anesthetic management of patients with congenital cardiac anomalies. Since the last edition, published in 1998, in-depth revisions of all chapters bring the reader largely up-to-date in this rapidly evolving field.
Purpose: The editors planned a comprehensive and authoritative book on the pathophysiology and perioperative management of pediatric patients undergoing palliation and/or correction of congenital cardiac anomalies. They also endeavor to provide the reader with information for anesthetic management during noncardiac surgery in both the child and the adult with congenital heart disease. These are worthy objectives and the editors and authors largely accomplish them, although at a superficial level at times.
Audience: The book is intended to be of interest to anesthesiology trainees and attendings as well as pediatric cardiac surgeons, pediatric cardiologists, medical students, and nursing staff who care for these patients. The book's best audience, however, is likely to be the resident or fellow anesthesiologist with an interest in pediatric cardiac anesthesia.
Features: Seven sections cover historical aspects of the specialty; developmental issues; preoperative evaluation; management issues (bypass, organ preservation, and hemostatic management); anesthetic management of individual lesions; postoperative management; and practice management (quality care and teaching). The chapters on the individual lesions outline anatomy, pathophysiology, natural history, diagnostic features, anesthetic perioperative management, various surgical approaches, postoperative care, and long-term outcomes. Each of these chapters concludes with a one-page synopsis of important management points. Particularly handy are appendixes that provide a comprehensive quick reference guide to associated noncardiac congenital anomalies and their anesthetic considerations and a simple guide to antibiotic prophylaxis (also included in last edition).
Assessment: The rapidly evolving field of congenital cardiac disease warranted a revision of the third edition of this book. The fourth edition presents a nice overview of topics with complete and up-to-date reference lists. Experienced clinicians will appreciate the review and the opportunity to read the perspective of other practitioners in the field, but the content will seem somewhat superficial in certain areas. The anesthesia trainee can gain an overview of important management issues and use the reference lists to begin to delve more deeply into this complex topic.
Long K. Han
This is the second edition of a popular book on the anesthetic management of the patient with congenital heart disease. The previous edition was published in 1988. The author sought to provide a comprehensive review of anesthetic techniques and principles governing the care of these patients. The first edition had been used by many anesthesiologists because of its thorough and clear coverage of this small but challenging subspecialty. The author ably fulfilled her goal of amplifying the salient points of the first edition while adding relevant topics such as heart transplantation and new monitoring techniques. The contributors are generally acknowledged experts in the field of pediatric cardiac anesthesia. They targeted this book at pediatric cardiac anesthesiologists, surgeons, and cardiologists at all levels of experience. Although the overall complexity of the various chapters is certainly appropriate for this audience, the clarity and conciseness of the text will make this a useful reference for medical students as well. Illustrations, graphs, and tables are sufficient for most chapters. They are relevant and enlightening, especially for the chapters on specific congenital lesions. The references are occasionally dated because most of the chapters were not completely rewritten for this new edition. The printing is clear, but the margins are too small for note-taking. This second edition improves on the first edition with the expanded coverage of new topics such as echocardiography and of relevant topics such as management of the patient with congenital heart disease for noncardiac surgery. This, coupled with the refinement and update of older chapters, make this book a worthyaddition to any library.
From Barnes & Noble
The comprehensive reference provides a review of the anesthetic and preoperative management of patients with congenital cardiac abnormalities, along with current information on the latest techniques and equipment. Expert discussions of specific topics includes Neonatal Myocardial and Circulatory Function, Pediatric Echocardiography, Tetralogy of Fallout, Heart and Lung Transplantation in Children, and more. Graphs and diagrams.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780781751759
  • Publisher: Lippincott Williams & Wilkins
  • Publication date: 12/6/2004
  • Edition description: Fourth
  • Edition number: 4
  • Pages: 808
  • Product dimensions: 8.08 (w) x 11.62 (h) x 1.71 (d)

Table of Contents


  2. Past, Present, and Future of Pediatric Cardiac Anesthesia as a Subspeciality
  3. Problems of Congential Heart Disease in Developing Countries


  4. Intra-uterine Development of the Cardiovascular System
  5. Extra-uterine Development of the Cardiovascular System
  6. Pharmacology of Anesthetic and Vasoactive Drugs: Effects of Development


  7. Preoperative Evaluation and Preparation of Pediatric Cardiac Patients
  8. Cardiac Catheterization and Other Radiographic Examinations
  9. Pediatric Electrocardiography and Cardiac Electrophysiology
  10. Pediatric Echocardiography


  11. Induction and Maintenance of Anesthesia
  12. Monitoring of the Pediatric Cardiac Patient
  13. Physiology and Techniques of Extracorporeal Circulation in the Pediatric Patient
  14. Profound Hypothermia and Circulatory Arrest
  15. Vital Organ Preservation During Surgery for Congenital Heart Disease
  16. Management of Post-bypass Myocardial Dysfunction
  17. Hemostasis, Coagulation, and Transfusion in Pediatric Cardiac Patient
  18. Management of Post-bypass Pulmonary Hypertension and Respiratory Dysfunction


  19. Septal and Endocardial Cushion Defects
  20. Tetralogy of Fallot
  21. Transposition of the Great Vessels
  22. Anomalies of the Aortic Arch and Valve
  23. Anomalies of the Pulmonic Valve and Right Ventricular Outflow Track
  24. Tricuspid Atresia and Hypoplastic Right Heart
  25. Hypoplastic Left Heart Syndrome
  26. Double Outlet Right Ventricle
  27. Truncus Arteriosis
  28. Anomalies of Pulmonary and Systemic Venous
  29. Abnormalities of the Atrioventricular Valves
  30. Coronary Artery Anomalies
  31. Cardiomyopathies and Endocardial Fibroelastosis
  32. Persistent Fetal Circulation, Idiopathic Pulmonary Hypertension and Eisenmenger’s Syndrome
  33. Pediatric Cardiac and Lung Transplantation
  34. Tumors and Arterio-venous Fistulas
  35. Anesthetic Management for Minimally Invasive Pediatric Cardiac Surgery
  36. Anesthesia for Non-cardiac Surgery in Children or Adults with Congenital Heart Disease


  37. Postoperative Care of the Pediatric Cardiac Surgical Patient: General Principles
  38. Postoperative Cardiovascular Dysfunction: Pharmacologic and Mechanical Support
  39. Postoperative Respiratory Dysfunction and its Management
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