Abstract

'Better a live problem than a dead certainty!' Contemporary Irish (cardiac) surgical proverb This chapter is intended to deal with practical measures to correct or to manage potential catastrophes, as they present to the anaesthetist, in the perioperative care of cardiac surgical patients. Where relevant to treatment, some aspects of the pathophysiology of the problems will be explored as well. Our aim is to focus on those problems peculiar to this group of patients. The reader is referred to other relevant chapters in this monograph or more general texts for discussion of crisis management of anaesthesia or intensive care problems outside these terms of reference. The three sections of the chapter will be devoted to problems during (1) anaesthesia, (2) cardiopulmonary bypass, and (3) immediate postoperative intensive care.

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