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Postoperative cardiac care
Book Reviews @J Surgical
Treatment of Congenital Heart Disease by A. COOLEY, M.D.,and GRADY L. HALLMAN, M.D. Lea & Febiger, Philadelphia, 1966, pp. 213, $12.50.
growing appreciation within the medical profession of the role that intensive care units play in the care and salvage of seriously ill postoperative patients. A brief but commendable chapter is devoted to the design, staffing and equipping of a satisfactory intensive care unit, including space requirements, laboratory and monitoring facilities, continuity of training for nursing personnel, and general routines to be followed. Subsequent sections treat concisely specific aspects of postperfusion care. Appropriate emphasis is given to critical maintenance of blood balance and the complicating factors of changes in vasomotor activity, sequestration and latent blood loss. Water and electrolyte balance, common hematologic abnormalities and metabolic and respiratory acid-base changes are discussed. The remainder of the volume concentrates on the detection and treatment of specific contingencies including cardiac failure, tamponade, arrhythmia, pulmonary embolism, and renal, respiratory, and cerebral insufficiency. There is also a brief description of special problems encountered in infants and children. This monograph will be welcomed by those persons concerned with the management of seriously ill postperfusion patients. It should find special acceptance and enthusiasm among intensive care unit personnel entrusted with the supervision and training of nurses.
DENTON
The authors have prepared a clear outline of the clinical pattern, prognosis and surgical management of congenital cardiovascular defects, based upon their extensive personal experience. The first chapter deals with general considerations of positioning the patient, selection of an appropriate incision and methods of applying temporary extracorporeal circulation. Each of the succeeding nine chapters surveys one of the more common congenital lesions. Each chapter opens with a review of the pathologic anatomy followed by a brief historical account and a discussion of the embryologic basis for the defect. Diagnostic features of each abnormality are reviewed, including excellent photographs of representative roentgenograms and angiocardiograms. Short descriptions of electrocardiographic findings before and after surgery and of the indications for, and results of, cardiac catheterization nicely supplement each clinical discussion. The main thrust of each chapter is a detailed discussion of the indications for surgery of each abnormality and the palliative and corrective operative technics employed. The final chapter surveys current surgical therapy of a miscellaneous group of less frequently observed anomalies, including tricuspid atresia, pulmonary atresia with intact ventricular septum, truncus arteriosus, coronary artery anomalies and aortic vascular rings. Each procedure is clearly illustrated with sufficient anatomic orientation to permit understanding even by those who rarely frequent the operating room. Remarks on postoperative complications and clinical results follow the surgical discussions. Significant references are conveniently listed at the end of each chapter and add considerably to the value of the text. The book should be of value to all physicians who are interested in congenital heart disease. It will be of particular interest to cardiovascular surgeons because of the stress laid on surgical technics, complications and results. ROBERT
S. LITWAK,
HOWARD
The Veins by J. EDWIN WOOD, M.D. Little, Company, Boston, 1965, pp. 224, $10.00.
This thought ing
1965, pp.
M.D.
150
150, $6.00.
page
out analysis
cardiac
surgery.
volume
represents
of problems Its
very
a
carefully
encountered nature
follow-
reflects
Brown &
This monograph undertakes to present the newer concepts of the function of the veins, particularly in the limbs, in the healthy or diseased human body. The first and largest portion (87 pages) is devoted in small part to a discussion of the basic concepts of veins as capacity vessels and primarily to methods of experimental study of this portion of the circulation. It deals briefly with such procedures as venous occlusion plethysmography and strain-gauge plethysmography, as well as the recorders used in measuring limb volume changes. The second portion covers the physiologic responses of the veins to various types of stimuli and states, including alterations in environmental temperature, hunger, respiration, posture, exercise and sympathomimetic drugs. The function of the sympathetic nervous system in controlling the size of the venous bed is also discussed. The third part describes a large number of disease entities in four chapters covering only 69 pages.
Postoperative Cardiac Care by M. V. BRAIMBRIDGE, M.A.,and P. E. GHADIALI, M.B. F. A. Davis, Philadelphia,
L. GADBOYS, M.D.
a
908
THE AMERICAN JOURNAL OF CARDIOLOGY
Treatment of Congenital Heart Disease by A. COOLEY, M.D.,and GRADY L. HALLMAN, M.D. Lea & Febiger, Philadelphia, 1966, pp. 213, $12.50.
growing appreciation within the medical profession of the role that intensive care units play in the care and salvage of seriously ill postoperative patients. A brief but commendable chapter is devoted to the design, staffing and equipping of a satisfactory intensive care unit, including space requirements, laboratory and monitoring facilities, continuity of training for nursing personnel, and general routines to be followed. Subsequent sections treat concisely specific aspects of postperfusion care. Appropriate emphasis is given to critical maintenance of blood balance and the complicating factors of changes in vasomotor activity, sequestration and latent blood loss. Water and electrolyte balance, common hematologic abnormalities and metabolic and respiratory acid-base changes are discussed. The remainder of the volume concentrates on the detection and treatment of specific contingencies including cardiac failure, tamponade, arrhythmia, pulmonary embolism, and renal, respiratory, and cerebral insufficiency. There is also a brief description of special problems encountered in infants and children. This monograph will be welcomed by those persons concerned with the management of seriously ill postperfusion patients. It should find special acceptance and enthusiasm among intensive care unit personnel entrusted with the supervision and training of nurses.
DENTON
The authors have prepared a clear outline of the clinical pattern, prognosis and surgical management of congenital cardiovascular defects, based upon their extensive personal experience. The first chapter deals with general considerations of positioning the patient, selection of an appropriate incision and methods of applying temporary extracorporeal circulation. Each of the succeeding nine chapters surveys one of the more common congenital lesions. Each chapter opens with a review of the pathologic anatomy followed by a brief historical account and a discussion of the embryologic basis for the defect. Diagnostic features of each abnormality are reviewed, including excellent photographs of representative roentgenograms and angiocardiograms. Short descriptions of electrocardiographic findings before and after surgery and of the indications for, and results of, cardiac catheterization nicely supplement each clinical discussion. The main thrust of each chapter is a detailed discussion of the indications for surgery of each abnormality and the palliative and corrective operative technics employed. The final chapter surveys current surgical therapy of a miscellaneous group of less frequently observed anomalies, including tricuspid atresia, pulmonary atresia with intact ventricular septum, truncus arteriosus, coronary artery anomalies and aortic vascular rings. Each procedure is clearly illustrated with sufficient anatomic orientation to permit understanding even by those who rarely frequent the operating room. Remarks on postoperative complications and clinical results follow the surgical discussions. Significant references are conveniently listed at the end of each chapter and add considerably to the value of the text. The book should be of value to all physicians who are interested in congenital heart disease. It will be of particular interest to cardiovascular surgeons because of the stress laid on surgical technics, complications and results. ROBERT
S. LITWAK,
HOWARD
The Veins by J. EDWIN WOOD, M.D. Little, Company, Boston, 1965, pp. 224, $10.00.
This thought ing
1965, pp.
M.D.
150
150, $6.00.
page
out analysis
cardiac
surgery.
volume
represents
of problems Its
very
a
carefully
encountered nature
follow-
reflects
Brown &
This monograph undertakes to present the newer concepts of the function of the veins, particularly in the limbs, in the healthy or diseased human body. The first and largest portion (87 pages) is devoted in small part to a discussion of the basic concepts of veins as capacity vessels and primarily to methods of experimental study of this portion of the circulation. It deals briefly with such procedures as venous occlusion plethysmography and strain-gauge plethysmography, as well as the recorders used in measuring limb volume changes. The second portion covers the physiologic responses of the veins to various types of stimuli and states, including alterations in environmental temperature, hunger, respiration, posture, exercise and sympathomimetic drugs. The function of the sympathetic nervous system in controlling the size of the venous bed is also discussed. The third part describes a large number of disease entities in four chapters covering only 69 pages.
Postoperative Cardiac Care by M. V. BRAIMBRIDGE, M.A.,and P. E. GHADIALI, M.B. F. A. Davis, Philadelphia,
L. GADBOYS, M.D.
a
908
THE AMERICAN JOURNAL OF CARDIOLOGY