The Texas Heart Institute Anesthesia Experience in China, 1985

Published:August 27, 2022DOI:
      IN SEPTEMBER 1985, the People's Republic of China (PRC) was still recovering from the Cultural Revolution, a 10-year movement (1966-1976) that isolated it socially, economically, and medically from the rest of the world.
      • Lu J
      • Wang W
      • Cheng W
      • et al.
      Current status of cardiovascular anesthesia in China.
      Ramzy, Austin. Mao's Cultural Revolution.
      That year, an executive at an American bank, who was formerly a perfusionist at the Texas Heart Institute (THI), conceived an expedition to the PRC by a THI cardiovascular team. His goal was to demonstrate American cardiac care techniques, monitoring, prosthetics, and perfusion equipment, which he hoped would open a new market for American equipment. The THI, in Houston, Texas, remains an internationally known cardiac surgery center. By 1985 it was the nation's busiest open-heart cardiac surgery program, reaching 5,000 open heart procedures annually.
      • Cooley DA.
      A brief history of the Texas Heart Institute.
      The THI reputation and the banking executive's prior association were responsible for the expedition's choice of THI for the clinical team. Other trip organizers had previous contacts with the Shanghai Renji (also known as “Ren-Ji”) Hospital, which was associated with the No. 2 People's Medical School. The hospital surgical team was receptive to the authors visit. This article presents the experience of the authors, the 2 cardiovascular anesthesiologists on this unusual journey.
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        • Lu J
        • Wang W
        • Cheng W
        • et al.
        Current status of cardiovascular anesthesia in China.
        Anesth Analg. 2017; 125: 1855-1862
      1. Ramzy, Austin. Mao's Cultural Revolution.
        New York Times, May 14, 2016 (Accessed July 4, 2022.)
        • Cooley DA.
        A brief history of the Texas Heart Institute.
        Tex Heart Inst J. 2008; 35: 235-239
        • Ma LY
        • Chen WW
        • Gao RL
        • et al.
        China cardiovascular diseases report 2018: An updated summary.
        J Geriatr Cardiol. 2020; 17: 1-8
        • Fuerstenwerth H.
        On the differences between ouabain and digitalis glycosides.
        Am J Therap. 2014; 21: 35-42
        • Slogoff S
        • Keats AS.
        Does perioperative myocardial ischemia lead to postoperative myocardial infarction?.
        Anesthesiology. 1985; 62: 107-114
        • Butler FS
        • Cirillo AA.
        Retrograde tracheal intubation.
        Anesth Analg. 1960; 39: 333-338
        • Waters DJ.
        Guided blind endotracheal intubation for patients with deformities of the upper airway.
        Anaesthesia. 1963; 18: 158-162
        • Apfelbaum JL
        • Hagberg CA
        • Connis RT
        • et al.
        2022 American Society of Anesthesiologists practice guidelines for management of the difficult airway.
        Anesthesiology. 2022; 136: 31-81
        • Pedersen T
        • Nicholson A
        • Hovhannisyan K
        • et al.
        Pulse oximetry for perioperative monitoring.
        Cochrane Database Syst Rev. 2014; 2014CD002013
        • Lillie PE
        • Roberts JG.
        Carbon dioxide monitoring.
        Anaesth Intens Care. 1988; 16: 41-44
        • Metz S
        • Keats AS.
        Low activated coagulation time during cardiopulmonary bypass does not increase postoperative bleeding.
        Ann Thorac Surg. 1990; 49: 440-444
        • Metz S
        • Keats AS.
        Ventilation during transport of post-operative patients: Comparison of methods.
        Tex Heart Inst J. 1985; 12: 157-162
        • Li J
        • Stokes SA
        • Woeckener A.
        A tale of novel intoxication: A review of the effects of γ-hydroxybutyric acid with recommendations for management.
        Ann Emerg Med. 1998; 31: 729-736
        • Meyer S
        • Kleinschmidt S
        • Gottschling S
        • et al.
        Gamma-hydroxybuttersäure: Neurotransmitter, sedativum und droge [Gamma-hydroxy butyric acid: Neurotransmitter, sedative and party drug].
        Wien Med Wochenschr. 2005; 155: 315-322
        • Wang Y.
        Open Heart Operation under Acupuncture Anesthesia.
        in: International Practice in Cardiothoracic Surgery. Springer Dordrecht, Berlin1986: 101-109