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. Front Matter....Pages i-xi Introduction....Pages 1-4 Front Matter....Pages 5-5 Historical review and introduction....Pages 7-12 Congenital heart disease....Pages 13-20 Reviewing the pros and cons of myocardial preservation within cardiac surgery....Pages 21-53 Biological aspects of prosthetic materials....Pages 55-63 Clinical problems and aspirations of biological materials....Pages 65-68 Preoperative and postoperative echocardiographic assessment of left ventricular function....Pages 69-79 Changing aspects of surgical technique in coronary artery surgery....Pages 81-94 Reappraisal of the value of clinical observation....Pages 95-97 The importance and hazards of angiocardiography....Pages 99-107 The mechanisms and hazards of echocardiography....Pages 109-138 The importance of echocardiography in preoperative diagnosis....Pages 139-151 The perioperative value of nuclear magnetic resonance....Pages 153-166 Computed tomography of the heart....Pages 167-177 Nuclear imaging techniques in cardiology and cardiac surgery....Pages 179-222 Nuclear imaging techniques in cardiology and cardiac surgery....Pages 223-256 Front Matter....Pages 257-257 Historical review and introduction....Pages 259-265 Anaesthesia for coronary artery surgery....Pages 267-279 Hypothermic circulatory arrest in infants and children....Pages 281-286 Cerebral perfusion during cardiac surgery using cardiac bypass....Pages 287-291 Front Matter....Pages 257-257 Towards safer cardiopulmonary bypass....Pages 293-312 Haematological effects of cardiotomy suction....Pages 313-323 Gaseous microemboli during open heart surgery....Pages 325-354 The value of prostacyclins in cardiopulmonary bypass....Pages 355-377 Features of cardiac myocytes in culture: characterisation of the failing cell....Pages 379-390 Factors influencing the origin and cycling of hydrogen ions in cardiac surgery....Pages 391-400 ‘Which priming fluids?’....Pages 401-426 Can cardiopulmonary bypass be a safe procedure?....Pages 427-446 Toxins in open heart surgery....Pages 447-473 Long term extracorporeal membrane oxygenation (ECMO)....Pages 475-482 Why pulsatile flow during cardiopulmonary bypass?....Pages 483-500 Front Matter....Pages 501-501 Introduction: emphasis of clinical assessment....Pages 503-512 Is inotropic stimulation outdated?....Pages 513-529 Which electrolytes matter?....Pages 531-533 Some applications of computers in postoperative care....Pages 535-545 Is red-cell potassium a prognostic indicator?....Pages 547-548 Nursing management....Pages 549-551 Nutritional care in cardiac surgery....Pages 553-566 Front Matter....Pages 567-567 Control of blood loss....Pages 569-570 The horizontal dimension....Pages 571-574 Front Matter....Pages 567-567 Pulmonary problems after cardiopulmonary bypass....Pages 575-581 The aetiology, pathogenesis, and prevention of prosthetic valve endocarditis....Pages 583-599 Prevention and treatment of renal failure....Pages 601-609 Front Matter....Pages 611-611 Psychometric testing in the evaluation of the postoperative cardiac patient....Pages 613-617 Brain damage following open heart surgery....Pages 619-626 The Sir Thomas Holmes Sellors Lecture....Pages 627-660 Back Matter....Pages 661-672