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Cardiomyopathy is a disease spectrum that alters the shape, function and conduction of cardiac muscle. Affecting 1 in 500 people it is often incurable; however, symptom control can improve life quality and expectancy.
The ideal operating conditions to enable cardiac surgery are a bloodless and motionless field. This requires both cardiac arrest and the drainage of blood from the heart. In order to provide these conditions a separate means of maintaining nutrient supply to the rest of the body is needed. In addition, the heart must be prevented from becoming sufficiently ischaemic as to infarct previously viable muscle.
Cardiopulmonary Bypass, 2nd edition, offers a complete introduction to this specialist technique for medical and technical personnel involved in extracorporeal cardiopulmonary support. A clinically based overview of the subject is provided and updated chapters incorporate the most current developments in the field. Introductory chapters cover equipment and preparation of the cardiopulmonary bypass machine, safety and monitoring, routine conduct of bypass, and the process of weaning from mechanical to physiological circulation. Specialist chapters on mechanical support, ECMO, special surgical procedures, blood conservation techniques, and particular medical conditions that affect the conduct of cardiopulmonary bypass are also included. This new edition includes self-assessment multiple choice questions at the end of each chapter, allowing readers to test their own understanding of the material. Written and edited by specialists from leading cardiac centres in the UK and USA, this is an invaluable resource for clinical perfusion scientists, cardiac surgeons and cardiothoracic anaesthetists in training.
Cardiopulmonary Bypass provides a practical overview of all aspects of clinical perfusion, giving core knowledge and essential background information for those early in their clinical training as well as more specialist information on key areas of clinical practice. Introductory chapters cover equipment and preparation of the cardiopulmonary bypass circuit, routine conduct of bypass, metabolic and hematological management during bypass and weaning from mechanical to physiological circulation. The effect of extracorporeal circulation on the body is described, and separate chapters detail the pathophysiology of the brain and kidney, two major sources of morbidity, in the peri-operative period. Specialist chapters on Mechanical Support, ECMO and Deep Hypothermic Circulatory Arrest are also included. Edited by expert cardiac anesthetists from Papworth Hospital, UK and the Mayo Clinic, USA, and with contributions from leading perfusionists and anesthetists, Cardiopulmonary Bypass is an invaluable practical manual for any clinical perfusionist, anesthetist or surgeons managing bypass.