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Canadian Journal of Anesthesia, Vol 8, 239-246, Copyright © 1961 by Canadian Anesthesiologists' Society

The Anaesthetist's Role in Open Heart Surgery

W. A. DODDS M.D.1, H. B. GRAVES M.D.1, J. E. NIXON M.D.1, L. E. DAVIES M.D.1, and G. E. SLEATH M.D.1

1 Department of Anaesthesiology, Vancouver General Hospital, and the University of British Columbia, Vancouver, B.C.

There are many types of pumps and oxygenators in use today, all of which, when handled properly, are satisfactory. No doubt, in the future, there will be many improvements in both pumps and oxygenators. However, at this time, the limitations of open heart surgery do not lie in perfusion techniques, but rather in accurate diagnosis of the defect or defects and the surgical ability to correct these defects. The anaesthetist may broaden the scope of surgical correction in these cases by taking his proper place on the open heart team and maintaining the patient during the procedure, leaving to the surgeon only those problems involved in correction of the defect. In order to do this, the anaesthetist, besides his usual anaesthetic duties, must take an active interest in the diagnosis and have a real understanding of the complexities of the defect to be repaired, as well as a thorough understanding of perfusion problems and the postoperative complications.

Note:

Presented at the Second World Congress of Anaesthesiologists, Toronto, Canada, September 4–10, 1960.






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Copyright © 1961 by the Canadian Anesthesiologists' Society.