Towards Safer Cardiac Surgery: Based upon the Proceedings of an International Symposium held at the University of York 8–10th April, 1980. Questo articolo non è disponibile.Towards Safer Cardiac Surgery: Based upon the Proceedings of an International Symposium held at the University of York 8–10th April, 1980

D. B. LONGMORE The concept ofthe meeting on which this book is based is unique. There has never be fore been a multi-disciplinary meeting based entirely on the concept of making a major branch of surgery safer. Hopefully, this meeting will be archetypal and will set a precedent for similar attempts in other disciplines as well as future efforts to make cardiac surgery safer. Cardiac surgery is still a rapidly growing discipline even after a quarter of a century of experience. Like any new area of science, or medicine, initially there is an exponential growth ofwork, publications, meetings, options of available equipment and all the ancillary and peripheral disciplines associated with it. The ideas of the handful of original surgical pioneers, some of whom have contributed to this book, formed the basis of a still rapidly growing young branch of surgery with a whole new medical discipline of total extracorporeal circulation involving biochemical and haemodynamic control of a patient.

Section I Aspects of Cardiac Surgery.- 1 Historical review and introduction.- 2 Congenital heart disease.- 3 Reviewing the pros and cons of myocardial preservation within cardiac surgery.- 4 Biological aspects of prosthetic materials.- 5 Clinical problems and aspirations of biological materials.- 6 Preoperative and postoperative echocardiographic assessment of left ventricular Ffnction.- 7 Changing aspects of surgical technique in coronary artery surgery.- 8 Re-emphasis of the importance of clinical observation.- 9 The importance and hazards of angiocardiography.- 10 The mechanisms and hazards of echocardiography.- 11 The importance of echocardiography in preoperative diagnosis.- 12 The perioperative value of nuclear magnetic resonance.- 13 Computed tomography of the heart.- 14 Nuclear imaging techniques in cardiology and cardiac surgery. Part 1 Static imaging and myocardial blood flow.- 15 Nuclear imaging techniques in cardiology and cardiac surgery. Part 2 Dynamic imaging.- Section II Aspects of Cardiopulmonary Bypass and Anaesthesia.- 16 Historical review and introduction.- 17 Anaesthesia for coronary artery surgery.- 18 Hyperthermic circulatory arrest in infants and children.- 19 Cerebral perfusion during cardiac surgery using cardiac bypass.- 20 Towards safer cardiopulmonary bypass.- 21 Haematological effects of cardiotomy suction.- 22 Gaseous microemboli during open heart surgery.- 23 The value of prostacyclins in cardiopulmonary bypass.- 24 Features of cardiac myocytes in culture: characterization of the failing cell.- 25 Factors influencing the origin and cycling of hydrogen ions in cardiac surgery.- 26 Which priming fluids?.- 27 Can cardiopulmonary bypass be a safe procedure?.- 28 Toxins in open heart surgery.- 29 Long term extracorporeal membrane oxygenation (ECMO).- 30 Why pulsatile flow during cardiopulmonary bypass?.- Section III Aspects of Postoperative Care (I).- 31 Introduction: emphasis of clinical assessment.- 32 Is inotropic stimulation outdated?.- 33 Which electrolytes matter?.- 34 Some applications of computers in postoperative care.- 35 Is red cell potassium a prognostic indicator?.- 36 Nursing management.- 37 Nutritional care in cardiac surgery.- Section IV Aspects of Postoperative Care (II).- 38 Control of blood loss.- 39 The horizontal dimension. A patient from the intensive therapy unit.- 40 Pulmonary problems after cardiopulmonary bypass.- 41 The aetiology, pathogenesis and prevention of prosthetic valve endocarditis.- 42 Prevention and treatment of renal failure.- Section V The Brain.- 43 Psychometric testing in the evaluation of the postoperative cardiac patient.- 44 Brain damage following open heart surgery.- 45 The Sir Thomas Holmes Sellors Lecture.- Preservation of the myocardium: some biological considerations.- Comment on Professor Nayler’s lecture.- Reply to Professor Bretschneider.- Conclusions.