Recommended Readings

Hematologic Considerations in Cardiac Surgery

  • Horrow, J: Transfusion Medicine and Coagulation Disorders. Management of Cardiopulmonary Bypass and Associated Problems. In Cardiac Anesthesia, Kaplan, JA (Editor) Philadelphia, Saunders, 2000.
  • Although the Kaplan text is too robust for an anesthesia resident, the chapters by Horrow and Mora should be mastered.

Management of Cardiopulmonary Bypass

Mora Mangano, C, et al: Cardiopulmonary Bypass and the Anesthesiologist. Management of Cardiopulmonary Bypass and Associated Problems. In Cardiac Anesthesia, Kaplan, JA (Editor) Philadelphia, Saunders, 2000.

Valvular Heart Disease

  • Chambers, DA: Acquired Valvular Heart Disease. Cardiac Anesthesia. New York, Grune & Stratton, 1979.
  • Some things never change. This is the most succinct, clear, yet complete discussion of valvular heart disease and the implications for the cardiac anesthesiologist that I have found over the last twenty years.

Acid-Base Management and CPB

  • Hickey, P, Hansen, DD: Temperature and Blood Gases: The Clinical Dilemma of Acid - Base Management for Hypothermic Cardiopulmonary Bypass.
  • Cardiopulmonary Bypass: Current Concepts and Controversies. Philadelphia, WB Saunders Company, 1989.
  • You must master the topic of alpha-STAT vs. ph-STAT acid base management in cardiac surgery.
  • Priestley, MA, et al: Surgery for Congenital Heart Disease. The Journal of Thoracic and Cardiovascular Surgery 121:2, 2001.
  • Jonas, RA: Optimal pH Strategy for Hypothermic Circulatory Arrest. The Journal of Thoracic and Cardiovascular Surgery 121:2, 2001.
  • If you understand this article, you have mastered the concept of acid-base management under various temperature conditions.
  • O’Connor, CJ, Rothenberg, DM: Anesthetic Considerations for Descending Thoracic Aortic Surgery: Parts 1 and 2. Journal of Cardiothoracic and Vascular Anesthesia 9:5 & 6, 1995.
  • You will enjoy a substantial experience in descending aortic surgery at Stanford University Hospital.
  • Ling, E, et al: Systematic Overview of the Evidence Supporting the Use of Cerebrospinal Fluid Drainage in Thoracoabdominal Aneurysm Surgery for Prevention of Paraplegia. Anesthesiology 93:4, 2000.
  • You will place many sub-arachnoid drains; understood the rationale for their use.
  • Neri, E, et al: Operation for Acute Type A Aortic Dissection in Octogenarians: Is It Justified? The Journal of Thoracic and Cardiovascular Surgery 121:2, 2001.
  • More than philosophical considerations for your practice.

Endovascular Stents for the Treatment of Diseases of the Aorta

  • Dake, MD, et al: Endovascular Stent-Graft Placement for the Treatment of Acute Aortic Dissection. The New England Journal of Medicine 340:20, 1999.
  • Dake and colleagues pioneered this technology at Stanford. We continue to care for patients managed with this technology.

Implantable Defibrillators

Atlee, JF, Bernstein, AD: Cardiac Rhythm Management Devices: Parts 1 and 2. Anesthesiology 95, 2001. Understanding AICDs.

Outcomes in Cardiac Surgery Patients

  • Roach, GW, et al: Adverse Cerebral Outcomes After Coronary Bypass Surgery. The New England Journal of Medicine 335:25, 1996.
  • Mora Mangano, CT, et al: Renal dysfunction after myocardial revascularization: Risk factors, adverse outcomes, and hospital resource utilization. Annual Internal Medicine 128:194-203, 1998.

Ventricular Assist Devices

  • Goldstein, DJ, et al: Implantable Left Ventricular Assist Devices. The New England Journal of Medicine 339:21, 1998.
  • We provide anesthesia for an increasingly debilitated group of patients managed with these devices.

Anesthesia for High Risk Patients Undergoing Non-Cardiac Surgery

  • Mangano, D: Cardiovascular Morbidity Associated with Surgery: Perspectives and New Findings. Annals of Cardiac Anesthesia 2:1-36, 1998.
  • Overview of perioperative care for high-risk patients undergoing non-cardiac surgery.

Transesophageal Echocardiography

  • Shanewise, JS, et al: ASE/SCA Guidelines for Performing a Comprehensive Intraoperative Multiplane Transesophageal Echocardiography Examination. Anesth Analg 89:870-84, 1999.
  • Nishimura RA, et al. Evaluation of Diastolic Filling of Left Ventricle in Health and Disease: Doppler Echocardiography is the Clinician’s Rosetta Stone. JACC Vol. 30. No.1 July 1997: 8-18.