Third, a new chapter describing alternative surgical approaches to cardiac disease has been added. Fourth, chapters devoted to extracorporeal membrane oxygenation and support in both adults and children have been deleted. Finally, chapters have been rewritten to include current concepts, such as fast-tracking. As with any text, the interests, biases, and local practices of the contributing authors are occasionally present.
For instance, the chapter on valvular heart disease might lead one to conclude that open commissurotomy is the primary surgical therapy for aortic and mitral valvular stenosis. Similarly, this chapter indicates that the primary method for quantifying aortic and mitral regurgitation is angiography, when in fact echocardiography is undoubtedly used more often for this indication. Given the number of contributing authors, the editors have done a commendable job of eliminating duplication and redundancy between chapters.
In fact, there is so little duplication of information that at first reading, some chapters seem incomplete. For instance, the chapter on postoperative care of the cardiac patient contains extremely brief discussions of tamponade and pneumothorax. However, these topics are covered in detail in the chapter devoted to cardiothoracic emergencies.
Similarly, the chapter on cardiac transplantation does not mention heart—lung transplants, a topic later discussed in a chapter about anesthesia for lung surgery. Although this book is not designed to compare with other authoritative texts, such those edited by Kaplan and Thys, it is still a valuable resource both for trainees and practicing clinicians.
Many chapters, such as those discussing electrophysiology and pacing, congenital heart disease, the pathophysiology of cardiopulmonary bypass, and cardiac transplantation, are quite comprehensive. Numerous recent references and the number of prominent contributing authors lend credibility to the text.
Stamford, Connecticut, Appleton and Lange, , especially in its discussion of anesthesia and analgesia for thoracic surgery. In conclusion, I would recommend this book as a thorough yet readable text for the anesthesia trainee and as a quick reference for the practicing anesthesiologist.
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Hensley's Practical Approach to Cardiothoracic Anesthesia
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Practical Approach to Cardiac Anaesthesia | BJA: British Journal of Anaesthesia | Oxford Academic
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The most widely used clinical reference in cardiac anesthesia, A Practical Approach to Cardiac Anesthesia, provides complete information on drugs, monitoring, cardiopulmonary bypass, circulatory support, and anesthetic management of specific cardiac disorders. This large handbook incorporates clinically relevant basic science into a practical "what-to-do" approach and is written in an easy-to-read outline format.
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