Book contents
- Frontmatter
- Contents
- List of contributors
- Foreword
- Section I Basic sciences
- Section II Anaesthesia and peri-operative care for surgical specialties
- Chapter 7 Cardiothoracic cases
- Chapter 8 Colorectal cases
- Chapter 9 Upper gastrointestinal cases
- Chapter 10 Hepatobiliary and pancreatic cases
- Chapter 11 Endocrine cases
- Chapter 12 Vascular cases
- Chapter 13 Organ transplant cases
- Chapter 14 Otorhinology, head and neck cases
- Chapter 15 Paediatric cases
- Chapter 16 Plastic, reconstructive and cosmetic cases
- Chapter 17 Neurosurgery cases
- Chapter 18 Trauma cases
- Chapter 19 Orthopaedic cases
- Chapter 20 Urology cases
- Chapter 21 Bariatric cases
- Section III At a glance
- List of abbreviations
- Index
Chapter 7 - Cardiothoracic cases
Published online by Cambridge University Press: 05 July 2014
- Frontmatter
- Contents
- List of contributors
- Foreword
- Section I Basic sciences
- Section II Anaesthesia and peri-operative care for surgical specialties
- Chapter 7 Cardiothoracic cases
- Chapter 8 Colorectal cases
- Chapter 9 Upper gastrointestinal cases
- Chapter 10 Hepatobiliary and pancreatic cases
- Chapter 11 Endocrine cases
- Chapter 12 Vascular cases
- Chapter 13 Organ transplant cases
- Chapter 14 Otorhinology, head and neck cases
- Chapter 15 Paediatric cases
- Chapter 16 Plastic, reconstructive and cosmetic cases
- Chapter 17 Neurosurgery cases
- Chapter 18 Trauma cases
- Chapter 19 Orthopaedic cases
- Chapter 20 Urology cases
- Chapter 21 Bariatric cases
- Section III At a glance
- List of abbreviations
- Index
Summary
Why is the relationship between cardiothoracic surgeons and anaesthetists closer than other specialties?
First of all the anaesthetist has to induce the patient in anaesthesia, and keep them safe until the cardiac or pulmonary operation has improved the cardio-respiratory status. The patients subjected to this type of surgery traditionally have very advanced disease, necessitating surgical intervention.
Both surgeons and anaesthetists manipulate the cardio-respiratory variables at the same time and therefore it is paramount the team working has solid foundations. The surgeon will also manipulate the very organs which are maintaining cardio-respiratory homeostasis. Therefore each must have awareness of what the other is doing.
In this chapter we will focus on the foundations of cardiothoracic surgery interactions with anaesthesia and explain basic concepts and reasons for disagreement between the specialties in the hope of providing the knowledge basis for a harmonious relationship and the best surgical outcomes.
What are the most important requirements from the cardiothoracic anaesthetist?
It has to be remembered that cardiothoracic surgery commonly involves risk of higher magnitude than other surgical specialties. With this in mind, and patient safety and best outcomes remaining paramount, we have to focus on the anaesthetic interventions required. It is commonly believed that major cardiac or thoracic surgery cannot be conducted without general anaesthetic. While this is true of most cases, almost all of these procedures can be done under epidural anaesthesia.
- Type
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- Information
- A Surgeon's Guide to Anaesthesia and Peri-operative Care , pp. 77 - 90Publisher: Cambridge University PressPrint publication year: 2014