Brain and Cardiac Surgery : Causes of Neurological Complications and Their Prevention

by Newman; Stanton P

• ISBN13: 9789057024764
• ISBN10: 9057024764
• Format: Hardcover
• Copyright: 2000-04-17
• Publisher: CRC Press

Summary

Cardiac surgery procedures are often compromised by neurological complications. Many of these problems can be avoided by careful assessment and monitoring of the patient before, during, and after surgery. This definitive text describes the ways in which cardiac surgery affects the brain, and discusses how and why brain dysfunction occurs. Expert guidance on treatment and, crucially, prevention is included. Special emphasis is given to clinical investigation of the patient and assessment of risk factors Intraoperative monitoring is acknowledged as being particularly significant for neurological outcome, and the authors suggest measures for minimizing risks during this period.

Table of Contents

Contributors	vii
Introduction	1	(2)
Stanton P. Newman
Michael J.G. Harrison
SECTION 1: THE NATURE OF THE PROBLEM
Neurological complications of cardiac surgery	3	(18)
Michael J.G. Harrison
Neuropsychological outcome following cardiac surgery	21	(30)
Stanton P. Newman
Jan Stygall
Quality of life and psychological outcomes	51	(20)
Laura H. Coker
Brain imaging and cardiac surgery	71	(16)
Alexander B. Simonetta
Dixon M. Moody
David M. Reboussin
David A. Stump
Claudine Legault
Neal D. Kon
Neuropathology	87	(26)
David I. Graham
SECTION 2: MONITORING AND MECHANISMS
Markers of cerebral injury	113	(30)
Hilary P. Grocott
Daniel T. Laskowitz
Mark F. Newman
Monitoring: EEG and cerebral blood flow	143	(22)
Harvey L. Edmonds Jr.
Samuel B. Pollock Jr.
Brian L. Ganzel
Slava Pashkevich
Mushtaque Juneja
Aida Sehic
Patrick T. Shanahan
Helen E. Higham
Cynthia Pastorino
Ted J. Strickland
Paul A. Spence
Donald L. Pomeroy
Monitoring: Jugular bulb oxygen monitoring	165	(8)
Narda D. Croughwell
Mark F. Newman
Impact of embolism in cardiac surgery	173	(12)
Michael J.G. Harrison
Stanton P. Newman
Techniques and limitations of embolus detection	185	(14)
Kashemi D. Rorie
David A. Stump
SECTION 3: SURGICAL AND ANESTHETIC PRACTICE
Retrograde cerebral perfusion	199	(10)
Robert S. Bonser
Carl H. Wong
Hypothermic and normothermic bypass	209	(22)
Robert S. Kong
Peter Smith
The management and effects of acid-base (pH) control during cardiopulmonary bypass	231	(24)
Ramesh L. Patel
David J. Chambers
Bypass equipment: Filters	255	(8)
Rebecca Grant
Wilfred Pugsley
Bypass equipment: Pumps	263	(12)
Uday H. Trivedi
Graham E. Venn
Bypass equipment: Oxygenators and other equipment	275	(8)
Mark Kurusz
Metabolic consequences of cerebral ischaemia and neuroprotection	283	(16)
Michael J.G. Harrison
Benjamin S. Aspey
SECTION 4: SPECIAL PROBLEMS
Heart transplantation and circulatory support devices	299	(20)
Walter D. Obrist
Benjamin H. Eidelman
Children	319	(26)
Richard A. Jonas
Index	345