Cardiac Transplantation

This is a practical manual (including protocols) that discusses aspects of cardiac transplantation important not only for the surgeon, but also for clinical staff, nurses, psychiatrists, and others involved in care of the cardiac transplant patient. The book gives an overview and is not limited to surgical procedures.

Klappentext

This multi-disciplinary approach to cardiac transplantation reflects the many different aspects of the medical, nursing and social sciences that come into play. It contains practical information for all members of the transplantation team - from surgeon to resident to nurse. The clinical information includes the protocols developed at the Oregon Health Sciences Center. The literature on which their experience is based is also reviewed. The chapters give an overview of aspects such as ventricular assistance, recipient/donor selection, endomyocardial biopsy, immuno-suppressive regimes, and follow-up care. The book does not attempt to be a comprehensive treatise on surgical techniques; instead it is a clear and understandable manual for all medical professionals dealing with the cardiac transplant patient.

Inhalt

1. Cardiac Transplantation: An Overview.- 2. Immunogenetics and Immunologic Mechanisms of Rejection.- 3. Medical Therapy Tailored for Advanced Heart Failure.- 4. Ventricular Assistance as a Bridge to Cardiac Transplantation.- 5. Recipient Selection for Cardiac Transplantation.- 6. Donor Selection and Management for Cardiac Transplantation.- 7. Operative Techniques and Early Postoperative Care in Cardiac Transplantation.- 8. Endomyocardial Biopsy: Techniques and Interpretation of Rejection.- 9. Chronic Immunosuppression and the Treatment of Acute Rejection.- 10. Physiology and Hemodynamic Assessment of the Transplanted Heart.- 11. Medical Complications in Patients after Cardiac Transplantation.- 12. Psychiatric Considerations in the Cardiac Transplant Recipient.- Appendices.- I. Pre- and Postoperative Transplant Orders.- II. Pharmacologic Therapy Pre- and Postcardiac.- Transplantation.