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February 1984

Intensive Care of the Surgical Cardiopulmonary Patient

Arch Surg. 1984;119(2):241. doi:10.1001/archsurg.1984.01390140097023

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There have been many advances in care of the cardiopulmonary patient in the 12 years since Dr Neville published the first edition of this book. For the second edition, 13 contributors have compiled updated, timely information in this field.

The initial chapter reviews principles of water, electrolyte, and acid-base balance. Subsequent sections include discussions of cardiac output, shock, hemostasis, renal dysfunction, arrhythmias, and the use of adrenergic drugs. Complex problems such as myocardial oxygen supply and demand factors, the relationship of preload and afterload to impaired left ventricular function, the endocardial viability ratio, and the use of vasodilator and inotropic agents to improve cardiac function are clearly presented. The author makes a strong case for using physiologic temporary pacing when pacing is necessary postoperatively. These areas are important to the cardiac surgeon and his or her colleagues in cardiology and pulmonary medicine.

Unfortunately, the section on arrhythmias fails to mention

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