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By A. V. G. Bruschke (auth.), S. De Lange, P. J. Hennis, D. Kettler (eds.)

ISBN-10: 9400942656

ISBN-13: 9789400942653

ISBN-10: 9401083940

ISBN-13: 9789401083942

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J. Thorac. Surg. 35, 154, 1958. Merendino KA, Thanas GI, Jesseph JE, Herron PV, Wintersheid lC, Vetto RR: The open correction of rheurratic mitral regurgitation and/or stenosis. Ann. Surg. 150, 5, 1959. Mullen JL, Buzby GP, Waldrran MT, Gertner MH, Hobbs CL, Rosato EF: Prediction of operative mortality by preoperative nutritional assessment. Surg. Forum. 30, 80, 1979. Leroy G, De Riberolles CH, Lec:atpte Y, Escande G, Marchand M, Neveux JY, Hazan E: Mortalit~ perioperatoire actuelle des remplacements val vulaires.

As for its inotropic action, discontinuation on the day of surgery may be safe, since we have potent and immediately acting inotropic drugs such as dopamine and dobutamine at hand. 5. Diuretics: are probably best to be discontinued for three reasons. First, when patients are in bed, they tend not to accumUlate intersti tial fluids. Second, it is safer and probably easier to induce anesthesia in a patient who is not volume depleted. 2 9 Apparently most preoperative medication should be continued or maintained; I tried to list some reasons for doing so.

IS. Ross J Jr: Left ventricular function and the timing of surgical treatrrent in val vular heart disease. Ann. Int. Med. 94, 498, 1981. 20. Mu:r:phy ES, Kloster FE: Late results of valve replacenent surgery: I. Clinical and he:nodynamic results. Mod. Ccncepts Cardiovasc. Dis. 48, 53, 1979. 21. Appelbaum A, Kouchoukos NT, Blackstone EH, Kirklin JW: Early risks of open heart surgery for mitral valve disease. Am. J. Cardiol. 37, 201, 1976. 22. Syracuse DC, Bowman FO Jr, MaIm JR: Prosthetic val ve reoperations.

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Cardiac Anaesthesia: Problems and Innovations by A. V. G. Bruschke (auth.), S. De Lange, P. J. Hennis, D. Kettler (eds.)

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