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
Abbott TR. The use of glucagon following open heart surgery in children. Br J Anesth. 1972;44(8):854–8.
Bojar RM. Manual of perioperative care in adult cardiac surgery. Chichester: Wiley-Blackwell; 2011.
Cheng DCH, David TE, Cheng DC. Perioperative care in cardiac anesthesia and surgery. Philadelphia: Wolters Kluwer Health; 2015.
Goodman LS, Brunton LL, Chabner B, Knollmann BC. Goodman & Gilman’s pharmacological basis of therapeutics. 12th ed. New York: McGraw-Hill; 2011. Print
Hemmings HC, Talmage E. Pharmacology and physiology for anesthesia. 2nd ed. Philadelphia: Elsevier; 2019. Print
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.
MacKenzie M, Zed PJ, Ensom MH. Opioid pharmacokinetics-pharmacodynamics: clinical implications in acute pain management in trauma. Ann Pharmacother. 2016;50:209.
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.
Short TG, Plummer JL, Chui PT. Hypnotic and anaesthetic interactions between midazolam, propofol, and alfentanil. Br J Anaesth. 1992;69:162.
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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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