Year : 2013  |  Volume : 16  |  Issue : 1  |  Page : 72-

Clinical practice of cardiac anaesthesia: Third Edition


K Muralidhar 
 Chief Consultant and Professor Anaesthesia and Intensive Care, Professor of International Health, University of Minnesota, USA, Narayana Hrudayalaya Hospitals, Bangalore, India

Correspondence Address:
K Muralidhar
Chief Consultant and Professor Anaesthesia and Intensive Care, Professor of International Health, University of Minnesota, USA, Narayana Hrudayalaya Hospitals, Bangalore, India




How to cite this article:
Muralidhar K. Clinical practice of cardiac anaesthesia: Third Edition.Ann Card Anaesth 2013;16:72-72


How to cite this URL:
Muralidhar K. Clinical practice of cardiac anaesthesia: Third Edition. Ann Card Anaesth [serial online] 2013 [cited 2020 Jul 5 ];16:72-72
Available from: http://www.annals.in/text.asp?2013/16/1/72/105380


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Author: Dr. Deepak K. TempeCBS Publishers and Distributors, Pvt Ltd, Delhi, India

I am honored to be invited to write a review for the comprehensive book on cardiac anesthesia, the 3 rd edition of "Clinical Practice of Cardiac Anaesthesia." Having been intimately involved in the clinical and academic activities in the field of cardiac anesthesia for over 30 years, it has been a rewarding experience for me to witness a steady progress in the understanding and practice of cardiac anesthesia. It is heartening to read revised edition of the book. This 3 rd edition of "Clinical Practice of Cardiac Anaesthesia" is an easy-to-read handbook containing collaborative wisdom of the authors, tinged with expertise gathered over decades. The chapters are well written in a lucid manner and are in an easily understandable format. Since the publication of the first edition, ongoing advances have made Cardiac Anesthesia a leading sub-specialty, thanks to eminent teachers like Dr. Deepak Tempe and Dr. PK Neema. This edition, keeping in pace with the developments, has been revised and updated. The chapters reflect the ongoing changes and advances in cardiovascular care, in particular, a new chapter on cardiovascular physiology, and discussion on off-pump cardiac surgery, transesophageal echocardiography, thoracic epidural techniques, etc. This book is an invaluable addition to reading material for students of cardiac anesthesia and practicing anesthesiologists.

I would like to suggest revisions and modifications in the following areas of various chapters: A) The chapter on physiology of cardiovascular system, under the heading "preload": "The preload can be increased by peripheral vasodilatation." This is true if the vasodilatation is induced by increased metabolic activity but not for vasodilatation induced during anesthesia. B) The chapter on hemodynamic monitoring during cardiac surgery: (i) Anesthesiologist is not always masculine. (ii) The AHA recommendation for symptomatic bradycardia includes (a) transcutaneous/transvenous pacing and (b) dopamine 10 μg/kg/min or epinephrine 10 μg/min infusion. Isoprenaline is not mentioned in the AHA guidelines. (iii) The radial artery is typically cannulated using a 20 G catheter in an adult, and not a 22 G catheter. C) The chapter on anesthesia protocol for adult cardiac surgery needs revision in certain areas such as: (i) premedication with oral drugs propranolol, nifedipine; (ii) cannulation of internal jugular vein with 30-cm-long 16 G cavafix; (iii) drugs administered during bypass - pancuronium 2 mg after each hour of bypass and chlorpromazine 5-10 mg for MAP >100 mmHg; and (iv) Figures 9.3, 9.5a, and 9.5b need to be replaced with color photographs with appropriate labeling.