Perioperative Care in Cardiac Anesthesia and Surgery / Edition 2

by Tirone E. David

Overview

Written by eminent cardiac anesthesiologists and surgeons, this handbook is a complete, practical guide to perioperative care in cardiac surgery. The book addresses every aspect of cardiopulmonary bypass management and fast-track and traditional cardiac anesthesia and describes all surgical techniques, with emphasis on postoperative considerations. Close attention is also given to routine care and management of complications in the cardiac surgical recovery unit.

Coverage includes up-to-date information on cardiac and neurologic monitoring, off-pump surgery, new devices for anastomosis, robotic surgery, and neurologic complications and outcomes. Tables, algorithms, and 15 appendices summarize key facts, protocols, and clinical decisions.

Product Details

ISBN-13:	9780781757744
Publisher:	LWW
Publication date:	10/01/2005
Pages:	376
Product dimensions:	6.00(w) x (h) x (d)

Table of Contents

Section I. Introduction

1. Overview of A Cardiac Anesthesia & Surgical Program
2. Prognostic Risks and Preoperative Assessment

   Section II. Anesthesia and Cardiopulmonary Bypass Management

3. Fast Track Cardiac Anesthesia Management in On-Pump and Off-Pump Coronary Artery Bypass Surgery
4. Anesthetic Management in Valvular Heart Surgery
5. Anesthetic Management in Robotic Cardiac Surgery
6. Circulatory Arrest and Neuroprotection
7. Anesthesia for Combined Cardiac and Thoracic Surgery
8. Anesthesia for Intrathoracic Transplantation
9. Anesthesia for Patients with Ventricular Assist Devices
10. Anesthesia in Pediatric Cardiac Surgery
11. Anesthetic Management of Co-Morbid Diseases Affecting Cardiopulmonary Bypass
12. Regional Anesthesia Techniques and Management
13. Perioperative Monitoring in Cardiac Surgery
14. Perioperative Transesophageal Echocardiography
15. Essence of CPB Circuit and Intra-aortic Balloon Pump
16. Cardiac Pharmacology
17. Weaning From Cardiopulmonary Bypass and Low Output Syndrome
18. Pulmonary Hypertension and Right Ventricular Dysfunction Post-CPB
19. Perioperative Blood Conservation
20. Antifibrinolytics and Coagulation Management
21. Heparin Associated Thrombocytopenia and Alternatives to Heparin
22. Management of Cardiac Surgical Emergency

    Section III. Surgical Technique and Postoperative Consideration

23. Myocardial Protection During Cardiac Surgery
24. On-Pump Aorto-Coronary Bypass Surgery
25. Off-Pump Coronary Revascularization Surgery
26. Robotic Coronary Artery Revascularization Surgery
27. Surgery of the Aortic Valve
28. Surgery of the Mitral Valve
29. Tricuspid Valve Surgery
30. Robotic Cardiac Valvular Surgery
31. Surgery of the Transverse Aortic Arch and Cerebral Protection
32. Surgery of Descending Thoracic Aorta
33. Combined Cardiac and Vascular Surgery
34. Mechanical Complications of Myocardial Infarction
35. Surgery for End-Stage Heart Disease and Heart Transplantation
36. Lung and Heart-Lung Transplantation
37. Ventricular Assist Devices Implantation
38. Congenital Heart Surgery
39. Ventricular Reconstruction or Aneurysm Resection for Ischemic Cardiomyopathy
40. AICD and Pacemakers Insertion

    Section IV. Cardiac Surgical Recovery Unit

41. Routine Cardiac Surgery Recovery Care: Extubation to Discharge
42. Common Problems in Cardiac Surgery Recovery Unit
43. Atrial and Ventricular Arrhythmia Management
44. Post Cardiac Surgery Pacing Therapy
45. Tamponade and Chest Reopening
46. Infection, Sternal Debridement and Muscle Flap
47. Difficult Weaning From Mechanical Ventilation and Tracheotomy Care
48. Renal Failure and Dialysis
49. Neurological Complications and Management

    Section V. Surgical Ward Management

50. Routine Surgical Ward Care
51. Common Ward Complications and Management

    Section VI. Appendices

    Appendix A. Cardiac Surgical Admission - History and Physical Examination

    Appendix B. Routine Postoperative CSRU Admission Orders

    Appendix C. Postoperative CSRU Medical Admission Form

    Appendix D. Routine CSRU Discharge Orders

    Appendix E. CSRU Medical Discharge Forms

    Appendix F. Ventilation Weaning and Extubation Protocol

    Appendix G. CSRU Admission Chest X-ray Protocol

    Appendix H. Antibiotic Prophylaxis for Endocarditis

    Appendix I. Algorithm for Management of Microvascular Bleeding

    Appendix J. Anticoagulation Guideline Post Cardiac Surgery

    Appendix K. Diabetes Mellitus Protocol for Glucose Control

    Appendix L. Algorithm for Management of Atrial Fibrillation (AF) Post Cardiac Surgery

    Appendix M. Modified ACLS Protocols:Bradycardia Algorithm

    Appendix N. Patient Control Analgesia Orders