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Basic Cardiovascular Pharmacology

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Cardiac Anesthesia

Abstract

In addition to having a thorough understanding of cardiovascular anatomy and pathophysiology and sophisticated monitoring facilities, the anesthesia provider engaged with caring for cardiac surgery patients must have a strong command of the pharmacology of the agents used in this setting. This chapter describes briefly the pharmacology of the most commonly used medications in the perioperative management of cardiac surgery patients.

Medicine heals doubts as well as diseases.

—Karl Marx

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Abbreviations

BP:

Blood pressure

cAMP:

Cyclic adenosine monophosphate

CPB:

Cardiopulmonary bypass

cGMP:

Cyclic guanosine monophosphate

HIT:

Heparin-induced thrombocytopenia

LV:

Left ventricle or left ventricular

MAO:

Monoamine oxidase

MAP:

Mean arterial pressure

PCC:

Prothromobin complex concentrate

PDA:

Phosphodiesterase

SVR:

Systemic vascular resistance

Further Reading

  1. Abbott TR. The use of glucagon following open heart surgery in children. Br J Anesth. 1972;44(8):854–8.

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  2. Bojar RM. Manual of perioperative care in adult cardiac surgery. Chichester: Wiley-Blackwell; 2011.

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  3. Cheng DCH, David TE, Cheng DC. Perioperative care in cardiac anesthesia and surgery. Philadelphia: Wolters Kluwer Health; 2015.

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  4. Goodman LS, Brunton LL, Chabner B, Knollmann BC. Goodman & Gilman’s pharmacological basis of therapeutics. 12th ed. New York: McGraw-Hill; 2011. Print

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  5. Hemmings HC, Talmage E. Pharmacology and physiology for anesthesia. 2nd ed. Philadelphia: Elsevier; 2019. Print

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  6. Kazama T, Ikeda K, Morita K. Reduction by fentanyl of the Cp50 values of propofol and hemodynamic responses to various noxious stimuli. Anesthesiology. 1997;87:213.

    Article  CAS  Google Scholar 

  7. MacKenzie M, Zed PJ, Ensom MH. Opioid pharmacokinetics-pharmacodynamics: clinical implications in acute pain management in trauma. Ann Pharmacother. 2016;50:209.

    Article  CAS  Google Scholar 

  8. Shore-Lesserson L. The Society of Thoracic Surgeons, The Society of Cardiovascular Anesthesiologists, and The American Society of ExtraCorporeal Technology: clinical practice guidelines – anticoagulation during cardiopulmonary bypass. Ann Thorac Surg. 2018;105:650–62.

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  9. Short TG, Plummer JL, Chui PT. Hypnotic and anaesthetic interactions between midazolam, propofol, and alfentanil. Br J Anaesth. 1992;69:162.

    Article  CAS  Google Scholar 

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Correspondence to Ahmed S. Awad .

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Awad, A.S., Linehan, M., Evans, D., Igneri, L.A., Muntazar, M. (2021). Basic Cardiovascular Pharmacology. In: Awad, MD, MBA, A.S. (eds) Cardiac Anesthesia. Springer, Cham. https://doi.org/10.1007/978-3-030-51755-7_3

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  • DOI: https://doi.org/10.1007/978-3-030-51755-7_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-51754-0

  • Online ISBN: 978-3-030-51755-7

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