F. A. Hensley - A Practical Approach to Cardiac Anesthesia

A Practical Approach to
Cardiac Anesthesia

Fifth Edition

Editors

F REDERICK A. HENSLEY, JR., MD

Benjamin Monroe Carraway Professor

Vice Chair of Clinical Anesthesiology, Department of Anesthesiology

University of Alabama at Birmingham

School of Medicine

Medical Director of Anesthesia Services for UAB Health System

Birmingham, Alabama

D ONALD E. MARTIN, MD

Professor of Anesthesiology

Associate Dean for Administration

Penn State University College of Medicine

Penn State Hershey Medical Center

Hershey, Pennsylvania

G LENN P. GRAVLEE, MD

Professor

Department of Anesthesiology

University of Colorado at Denver

and Health Sciences Center

Denver, Colorado

Acquisitions Editor: Brian Brown
Product Manager: Nicole Dernoski
Vendor Manager: Alicia Jackson
Senior Manufacturing Manager: Benjamin Rivera
Marketing Manager: Lisa Lawrence
Design Coordinator: Doug Smock
Production Service: Aptara, Inc.

2013 by LIPPINCOTT WILLIAMS & WILKINS, a WOLTERS KLUWER business
Two Commerce Square
2001 Market Street
Philadelphia, PA 19103 USA
LWW.com

2008 by LIPPINCOTT WILLIAMS & WILKINS, a WOLTERS KLUWER business
2003 Lippincott Williams & Wilkins
1995 Little Brown
1990 Little Brown

All rights reserved. This book is protected by copyright. No part of this book may be reproduced in any form by any means, including photocopying, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright.

Printed in China

Library of Congress Cataloging-in-Publication Data
A practical approach to cardiac anesthesia / editors, Frederick A.
Hensley Jr., Donald E. Martin, Glenn P. Gravlee.5th ed.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-4511-3744-6 (alk. paper)
I. Hensley, Frederick A. II. Martin, Donald E. (Donald Eugene) III. Gravlee, Glenn P.
[DNLM: 1. Anesthesiamethods. 2. Cardiac Surgical Procedures. 3. Heartdrug effects. WG 460]
617.967412dc

2012011794

Care has been taken to confirm the accuracy of the information presented and to describe generally accepted practices. However, the authors, editors, and publisher are not responsible for errors or omissions or for any consequences from application of the information in this book and make no warranty, expressed or implied, with respect to the currency, completeness, or accuracy of the contents of the publication. Application of the information in a particular situation remains the professional responsibility of the practitioner.

The authors, editors, and publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accordance with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new or infrequently employed drug.

Some drugs and medical devices presented in the publication have Food and Drug Administration (FDA) clearance for limited use in restricted research settings. It is the responsibility of the health care provider to ascertain the FDA status of each drug or device planned for use in their clinical practice.

To purchase additional copies of this book, call our customer service department at (800) 638-3030 or fax orders to (301) 223-2320. International customers should call (301) 223-2300.

Visit Lippincott Williams & Wilkins on the Internet: at LWW.com. Lippincott Williams & Wilkins customer service representatives are available from 8:30 am to 6 pm, EST.

10 9 8 7 6 5 4 3 2 1

I dedicate this book to my children; Frederick Allen III, now in Heaven; but his spirit will always be in his parents hearts, Theresa Jeannette, and Jennifer Elizabeth. A father could not be prouder of his children.Frederick A. Hensley, Jr., MD

Im proud to dedicate this book to our three wonderful children, Susan, Seth, and Marc, and wish them all of the love and joy that they have brought to us.Donald E. Martin, MD

I dedicate this book to my children, Brent and Sarah, who have inspired and amazed me from infancy to adulthood.Glenn P. Gravlee, MD