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Cardiac Anaesthesia

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Abstract

Anaesthesia was developed in the middle of the 19th century with the discovery of the anaesthetic effects of nitrous oxide, ether and chloroform. Ether and chloroform were used for many years to induce unconsciousness and relieve pain during surgery. Anaesthesia improved slowly, and did not achieve its own identity as a specific branch of medicine for many years; thus, it was administered by either surgeons or nurses. Only later did it become a medical specialty. As heart surgery expanded, it became clear that cardiac anaesthesia required a specific skill set: the cardiac anaesthetist had to manage induction and maintenance of anaesthesia, problems associated with thoracic wounds and the opening of the chest, massive bleeding from cardiac chambers and major blood vessels, and haemodynamic instability. 

If I would be a young man again and had to decide how to make my living, I would not try to become a scientist or scholar or teacher. I would rather choose to be a plumber or a peddler in the hope to find that modest degree of independence still available under present circumstances.

A. Einstein

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References

  1. Keown KK (1982) A brief history of anaesthesia and surgery of the heart and great vessels. Can Anaesth Soc J 29(4):325–329

    Google Scholar 

  2. Cleland WP (1983) Historical review. The evolution of cardiac surgery in the United Kingdom. Thorax 38:887–896

    Article  CAS  PubMed  Google Scholar 

  3. Kobak MW (1968) The history of cardiac valve surgery before the advent of repair under vision. Angiology 19(2):80–94

    Article  CAS  PubMed  Google Scholar 

  4. Hessel EA II (2001) History of cardiac surgery and anesthesia. In: Estafanous FG, Barash PG, Reves JG (eds) Cardiac anesthesia: principles and practice, Lippincott Williams & Wilkins, Cleveland, pp 17–28

    Google Scholar 

  5. Stoney WS (2009) Evolution of cardiopulmonary bypass. Circulation 119:2844–2853

    Article  PubMed  Google Scholar 

  6. Rink EH (1950) Anaesthesia for cardiac surgery. Ann R Coll Surg Engl 7(2):151–158

    CAS  PubMed Central  PubMed  Google Scholar 

  7. Lyons SM (1998) The advance(s) of cardiac surgery and anaesthesia. Ulster Med J 67 [Suppl 1]:15–17

    PubMed Central  PubMed  Google Scholar 

  8. Brodsky JB, Lemmens HJ (2007) The history of anesthesia for thoracic surgery. Minerva Anestesiol 73(10):513–524

    CAS  PubMed  Google Scholar 

  9. Elsberg CA (1911) III. Experiences in thoracic surgery under anaesthesia by the intratracheal insufflation of air and ether: with remarks on the value of the method for general anaesthesia. Ann Surg 54(6):749–757

    Article  CAS  PubMed  Google Scholar 

  10. Denson JS, Joseph S, Miller H (1953) Anesthesia in cardiac operations. Calif Med 78(5):450–452

    Google Scholar 

  11. Bigelow WG, Mustard E (1954) Some physiologic concepts of hypothermia and their application to cardiac surgery. J Thorac Surg 28:463

    CAS  PubMed  Google Scholar 

  12. Swan H, Zeawn I, Blount SG Jr, Virtue RW (1953) Surgery by direct vision in the open heart during hypothermia. J Am Med Assoc 153:1081

    Article  CAS  PubMed  Google Scholar 

  13. Lewis FJ, Taufic M (1953) Closure of atrial septal defects with aid of hypothermia: experimental accomplishments and the report of one successful case. Surgery 33:52–59

    Google Scholar 

  14. Cohn LH (2003) Fifty years of open-heart surgery. Circulation 107:2168–2170

    Article  PubMed  Google Scholar 

  15. Chatterjee K (2009) The Swan-Ganz catheters: past, present, and future. A viewpoint. Circulation 119(1):147–152

    Article  PubMed  Google Scholar 

  16. Pugsley J, Lerner AB (2010) Cardiac output monitoring: is there a gold standard and how do the newer technologies compare? Semin Cardiothorac Vasc Anesth 14(4):274–282

    Article  PubMed  Google Scholar 

  17. Hutteman E (2006) Transoesophageal echocardiography in critical care. Minerva Anestesiol 72:891–913

    Google Scholar 

  18. Guarracino F, Baldassarri R (2009) Transesophageal echocardiography in the OR and ICU. Minerva Anestesiol 75(9):518–529

    CAS  PubMed  Google Scholar 

  19. Guarracino F, Covello RD, Landoni G, Baldassarri R, Stefani M, Cariello C, Ruggeri L, Franco A, Gerli C, Pappalardo F, Zangrillo A (2010) Anesthetic management of transcatheter aortic valve implantation with transaxillary approach. J Cardiothorac Vasc Anesth 25(3):437–443

    Article  PubMed  Google Scholar 

  20. Sellevold OF, Guarracino F (2010) Transcutaneous aortic valve implantation: recent advances and future. Curr Opin Anaesthesiol 23(1):67–73

    Article  PubMed  Google Scholar 

  21. Yuksel UC, Kapadia SR, Tuzcu EM (2011) Percutaneous mitral repair: patient selection, results, and future directions. Curr Cardiol Rep 13(2):100–106

    Article  PubMed  Google Scholar 

  22. Goldberg SL, Feldman T (2010) Percutaneous mitral valve interventions: overview of new approaches. Curr Cardiol Rep 12(5):404–412

    Article  PubMed  Google Scholar 

  23. Ranucci M (2006) Which cardiac surgical patients can benefit from placement of a pulmonary artery catheter? Crit Care 10 [Suppl 3]:S6

    Article  PubMed  Google Scholar 

  24. Guarracino F, Stefani M, Lapolla F, Cariello C, Doroni L, Danella A, Baldassarri R (2007) Monitoring cardiac output with Flo Trac Vigileo. Br J Anaesth 99(1):142. Author reply 142–143

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Fabio Guarracino .

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© 2013 Springer-Verlag Italia

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Guarracino, F., Baldassarri, R. (2013). Cardiac Anaesthesia. In: Picichè, M. (eds) Dawn and Evolution of Cardiac Procedures. Springer, Milano. https://doi.org/10.1007/978-88-470-2400-7_14

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  • DOI: https://doi.org/10.1007/978-88-470-2400-7_14

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  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2399-4

  • Online ISBN: 978-88-470-2400-7

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