Cardiopulmonary Bypass and Mechanical Support: Principles and Practice
Cardiopulmonary Bypass and Mechanical Support: Principles and Practice
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心肺绕道和机械支持：原理与实践
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发表时间：
2015
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通讯作者：
Richard F. Davis
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文献类型：
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作者：
G. Gravlee;J. Hammon;Richard F. Davis
2016年9月•卷123•编号3 www.anesthesia-analgesia.org 785 DOI: 10.1213/ANE.0000000000001478C体外循环和机械支持：原理和实践，第四版，作为一个有价值的和有信誉的参考教科书，适用于所有专业人员在心脏外科设置。本教材共756页，分为6个部分，并进一步分为32个易于管理的章节。投入是根据该领域75个主要贡献者的工作，主要来自美国、加拿大，少数来自欧洲。这本书的重点是病理生理学和临床应用的心肺机。详细介绍了体外循环（CPB）的历史、CPB设备、相关的病理生理和血液学方面以及CPB的临床应用，包括儿科CPB。此外，作者提出了一个新的强调病人安全的重要性，有效的沟通技巧，以及整个团队合作的价值。灵感的创建第四版源于心肺科学，技术和临床实践的最新进展。关于机械循环支持装置的章节已经重新组织，反映了短期和长期的应用。包括当代单室和双室心脏，以及肺辅助装置技术。作者根据Mauermann1在第三版书评中提出的建议，深入讨论体外膜性氧合对需要循环支持的成年患者的应用。Gravlee等人也对儿科静脉动脉和静脉静脉体外膜氧合进行了全面的讨论。此外，除了传统的纸质版本外，这个新版本现在还包括电子书格式。教材的格式是方便和容易遵循启发读者。由于有颜色编码，章节之间的过渡很容易理解。所附的数字和表格是相关和准确的；它们有助于读者更好地欣赏和理解主题。在每章的最后提出的要点提供了最相关的数据和观点的总结。此外，每章的参考书目都很广泛，而且是最新的，其中许多来自2015年。电子书版本适用于iOS， Android， PC和Mac，无论数据连接如何，都可以随时访问内容。电子书的内容与纸质版相同，但具有额外的功能，如书写和与同事分享个人笔记、高亮显示文本和页面书签。简单的搜索功能，方便查找信息。便携式电子书对于现代医疗保健专业人员来说非常方便，可以及时查找信息，同时也可以作为教学和吸引学生的资源。其他主要的麻醉教科书，如《临床麻醉学》2或《米勒麻醉学》3，提供了全面而广泛的CPB概述，主要针对全科麻醉师的需求。体外循环和机械支持探讨类似的主题，如CPB的设备和临床应用，然而，在更大的深度。此外，Gravlee等人的教科书包括对CPB的神经学、呼吸学、代谢学、血液学和炎症反应以及儿科CPB的详细和深入。也就是说，与现有的全麻教材相比，本教材内容更加具体；因此，与更普通的医疗受众相比，它与心脏麻醉师和心脏外科工作人员更相关。Kaplan的《心脏麻醉》4与Gravlee等人的研究内容相似，并增加了围手术期超声心动图、监护和心脏病的内容。另一方面，体外循环和机械支持首先关注的是心肺机的生理学和临床应用的中心主题。因此，Gravlee等人的内容范围更精确，更指向CPB。此外，它还包括一个专门的儿科CPB部分，这是Kaplan等人没有详细介绍的。Gravlee等人的第四版于2016年出版，其基础和临床数据比Kaplan等人的第六版更新。虽然这本书作为一个有用的参考，有关实用的心脏麻醉师，心脏外科医生，灌注师，和强化，它确实有一些局限性。由于美国作者的盛行，存在北美文化和实践偏见的潜在风险。为了使教科书真正反映国际环境，它可能包括更广泛的作者，以复制多种全球视角和实践。此外，为补充视频和数据提供活跃的网络链接可以提高电子书的质量，并确保读者可以获得最新的信息。有些章节比其他章节更值得关注，因为它们更相关，更有吸引力，并且适用于现代心脏环境。关于机械循环支持装置的2章是当前的，最好地描述了市场上可用的不同技术。虽然作者介绍了主要的临床问题，但有限的细节是关于手术室内的精确麻醉和灌注管理以及重症监护病房内的长期护理。关于外科心肌保护的章节详细描述了心肌保护的已建立的、新兴的和实验性的策略。每种策略的机制都得到了相关研究的充分解释和支持。编辑奉献了一整个部分的人体生理体外循环和机械支持：原理和实践Gravlee GP， Davis RF, Hammon JW, Kussman BD.费城，宾夕法尼亚州：Wolters Kluwer/Lippincott Williams and Wilkins， 2016, 785页，249.99美元（美元），ISBN: 9781451193619
September 2016 • Volume 123 • Number 3 www.anesthesia-analgesia.org 785 DOI: 10.1213/ANE.0000000000001478 C ardiopulmonary Bypass and Mechanical Support: Principles and Practice, fourth edition, serves as a valuable and reputable reference textbook that applies to all professionals employed within the cardiac surgical setting. Presented in 756 pages, this textbook is organized into 6 sections and further divided into 32 manageable chapters. Input was based on the work of 75 leading contributors in the field, primarily originating from the United States, Canada, and a few from Europe. The book focuses on both the pathophysiology and the clinical applications of the heart–lung machine. Specifically, the history of cardiopulmonary bypass (CPB), CPB equipment, relevant pathophysiologic and hematologic aspects, and the clinical applications for CPB, including pediatric CPB, are discussed in detail. In addition, the authors present a renewed emphasis on the importance of patient safety, effective communication skills, and the value of teamwork throughout the book. Inspiration for the creation of a fourth edition stems from recent advances in cardiopulmonary sciences, technology, and clinical practice. Chapters on mechanical circulatory support devices have been reorganized, reflecting shortterm and long-term applications. Contemporary univentricular and biventricular cardiac, as well as pulmonary assist device technologies, have been included. The authors have acted on the recommendation offered by Mauermann1 in a third edition book review to discuss in depth the use of extracorporeal membranous oxygenation for adult patients who require circulatory support. Gravlee et al also include a whole discussion on venoarterial and venovenous extracorporeal membranous oxygenation in pediatrics. Also, this new edition now encompasses an eBook format in addition to the traditional paper version. The format of the textbook is convenient and easy to follow for inspired readers. Being color coded, the transitions between chapters can readily be understood. The accompanying figures and tables are relevant and precise; they assist the reader in gaining a better appreciation and understanding of the subject. Key points presented at the end of each chapter offer a summary of the most relevant data and perspectives. Furthermore, reference lists for each chapter are extensive and up to date, with many from the year 2015. The eBook version is available for iOS, Android, PC, and Mac, making content accessible anytime, regardless of data connection. The eBook has the same content as the paper printed version with additional capabilities, such as writing and sharing personal notes with colleagues, highlighting text, and page bookmarking. The simple search function facilitates finding information. Portable, the eBook is very convenient for the modern health care professional to find information in a timely manner while also serving as a resource to teach and engage students. Other major anesthesia textbooks, such as Clinical Anesthesia2 or Miller’s Anesthesia,3 provide a comprehensive but broad overview of CPB directed primarily toward the needs of a general anesthesiologist. Cardiopulmonary Bypass and Mechanical Support explores similar themes, such as the equipment and clinical application of CPB, however, in much greater depth. In addition, Gravlee et al’s textbook includes superior detail and depth on neurologic, respiratory, metabolic, hematologic, and inflammatory responses to CPB, as well as pediatric CPB. In other words, this textbook presents more specific content compared with other available general anesthesia textbooks; therefore, it is more relevant to cardiac anesthesiologists and cardiac surgery staff compared with a more general medical audience. Kaplan’s Cardiac Anesthesia4 addresses similar topics to those of Gravlee et al, with the addition of perioperative echocardiography, monitoring, and heart diseases. On the other hand, Cardiopulmonary Bypass and Mechanical Support focuses first and foremost on the central theme of physiology and clinical applications of the heart–lung machine. Therefore, the scope of Gravlee et al’s content is more precise and directed toward CPB. Furthermore, it includes a dedicated section on pediatric CPB, which Kaplan et al did not cover in any great detail. Published in 2016, fundamental and clinical data presented in Gravlee et al’s fourth edition are more recent than the Kaplan et al’s sixth edition. Although the book serves as a useful reference, relevant to the pragmatic cardiac anesthesiologist, cardiac surgeon, perfusionist, and intensivist, it does have some limitations. There is a potential risk for a North American cultural and practice bias because of the prevalence of American authors. For the textbook to truly reflect the international environment, it could potentially include a broader scope of authors to replicate multiple global perspectives and practices. In addition, providing active Web links to supplemental videos and data could enhance the eBook and ensure the latest information is available to the reader. Some chapters deserve more attention than others because they are more relevant, attractive, and are applied to the modern cardiac environment. The 2 chapters on mechanical circulatory support devices are current and best describe the different technologies available on the market. Although the authors introduce the main clinical issues, limited detail is presented concerning the precise anesthetic and perfusionist management within an operating room and the long-term care within the intensive care unit. The chapter on surgical myocardial protection describes meticulously the established, emerging, and experimental strategies for myocardial protection. The mechanism for each strategy is well explained and supported by relevant studies. The editors dedicate a whole section on the human physiologic Cardiopulmonary Bypass and Mechanical Support: Principles and Practice Gravlee GP, Davis RF, Hammon JW, Kussman BD. Philadelphia, PA: Wolters Kluwer/Lippincott Williams and Wilkins, 2016, 785 pages, $249.99 (USD), ISBN: 9781451193619 Book ReView Book ReView E