Practical Approach to Cardiothoracic Anesthesia: Evidence-Based Perioperative Guide Covering Cardiopulmonary Bypass, ECMO, Valvular Disease, and ... for Fellows, Residents & Anesthesiologists

Cardiothoracic anesthesia sits at one of the most demanding intersections in all of medicine. The patients are physiologically complex, the procedures are technically unforgiving, and the decisions made at the head of the table carry consequences that cannot always be reversed. For fellows entering the subspecialty, residents rotating through cardiac and thoracic cases, and practicing anesthesiologists who want a single authoritative reference that covers the full scope of the specialty, this book was written for you.WHAT THIS BOOK COVERSPractical Approach to Cardiothoracic Anesthesia by Dr. Simon J. Overgaard is a comprehensive, evidence based perioperative reference organized around the way clinicians actually think and work. It moves from foundational science through procedural application to postoperative management across 32 structured chapters.Foundational Science Clinical anatomy of the heart, great vessels, and thorax. Cardiovascular and pulmonary physiology with direct perioperative application. Pharmacology covering vasoactive agents, anesthetic drugs, anticoagulants, and reversal agents with clinical dosing guidance.Monitoring and Technology Invasive hemodynamic monitoring, perioperative echocardiography with TEE interpretation, and management of cardiac implantable electronic devices.Bypass and Mechanical Support Cardiopulmonary bypass physiology, circuit management, and weaning. ECMO configurations, initiation, and troubleshooting. Ventricular assist devices and mechanical circulatory support.Cardiac Surgical Anesthesia Coronary artery disease, aortic and mitral valve disease, structural heart interventions, hypertrophic cardiomyopathy, right heart failure, adult congenital heart disease, cardiac tamponade, pulmonary hypertension, and heart transplantation.Thoracic Anesthesia One lung ventilation physiology and troubleshooting. Pulmonary resection, mediastinal and esophageal surgery, thoracic aortic disease across open and endovascular approaches, and lung transplantation.Perioperative Management Patient blood management, end organ protection for the brain, kidneys, and spinal cord, regional anesthesia techniques, postoperative critical care, and perioperative complications.FIVE QUICK REFERENCE APPENDICES Vasoactive drug infusion table, normal hemodynamic values and derived parameters, perioperative anticoagulation protocols, TEE standard views rapid reference, and clinical scoring systems, all formatted for point of care use.WHO THIS BOOK IS FORThis textbook is written for anesthesiology fellows entering cardiothoracic subspecialty training, residents rotating through cardiac and thoracic cases who need clinical context quickly, and attending anesthesiologists who want a structured, evidence based reference they can trust across the full range of cases they encounter.This is not an introductory overview. Every chapter is built around clinical application, structured to support real decision making in the perioperative environment. It is the reference that prepares you not just for the examination but for what actually happens when the patient is on the table. Read more