Manual of Perioperative Care in Adult Cardiac Surgery

Now in its sixth edition, Robert M. Bojar's Manual of Perioperative Care in Adult Cardiac Surgery remains the go-to practical guide for all of those involved in the care of the cardiac surgery patient. Written in outline format, it provides a comprehensive, detailed, and clearly explained review of cardiac surgical disease and perioperative management that is of value to practicing cardiac surgeons as well as to cardiologists, residents, fellows, advanced practice providers, critical care and floor nurses, perfusionists, and medical students. Extensively rewritten with updated references to incorporate the latest concepts, guidelines, protocols, and medications used in cardiac surgical practice, this classic text retains the pragmatic features that have made it the gold standard reference that clinicians have used worldwide for the past 30 years. Highlights include: Full coverage of cardiac surgical diseases, including pathophysiology, indications for surgery per guidelines, and figures of operative procedures and diagnostic techniques, with a panoply of examples Chronologic evaluation of patients from preoperative assessment to intraoperative considerations to postoperative care for each procedure Extensive chapters discussing organ system management in the ICU, followed by a discussion of later postoperative management and problems Incorporation of newer techniques (TAVR, Mitraclip, etc.) within the chronologic format Easy access to information using an outline format, markers on the free edges to identify chapters, synopsis pages at the beginning of each chapter, and a comprehensive index to provide easy referencing within the text Updated references throughout that are available from on-line resources 21 appendices summarizing order sheets, protocols, commonly used drug doses, body mass index, and other important information Praise for the fifth edition: "Surgeons are frequently asked to recommend a text that can be used to guide the care of their patients. This comprehensive text is the standard by which any other text should be judged." — Critical Care Medicine "It remains a classic and a must have for anyone involved in cardiac surgery." — Perfusion.com Preface ix Acknowledgments xi 1. Synopsis of Adult Cardiac Surgical Disease 1 2. Diagnostic Techniques in Cardiac Surgery 85 3. General Preoperative Considerations and Preparation of the Patient for Surgery 129 4. Cardiac Anesthesia 173 5. Cardiopulmonary Bypass 227 6. Myocardial Protection 263 7. Admission to the ICU and Monitoring Techniques 279 8. Early Postoperative Care 301 9. Mediastinal Bleeding 345 10. Respiratory Management 383 11. Cardiovascular Management 437 12. Fluid Management, Renal, Metabolic, and Endocrine Problems 581 13. Post-ICU Care and Other Complications 641 Appendices 727 Appendix 1A American College of Cardiology Classes of Recommendation and Levels of Evidence 729 Appendix 1B New York Heart Association Functional Classification 729 Appendix 2 Typical Preoperative Order Sheet 730 Appendix 3 Typical Orders for Admission to the ICU 731 Appendix 4 Typical Transfer Orders from the ICU 734 Appendix 5 Typical ICU Flowsheet 737 Appendix 6 Hyperglycemia Protocol for Cardiac Surgery Patients 738 Appendix 7 Heparinization Protocol for Cardiac Surgery Patients 739 Appendix 8 Protocol for Initiating Warfarin 740 Appendix 9 INR Reversal Protocol 741 Appendix 10 Drug, Food, and Dietary Supplement Interactions with Warfarin 742 Appendix 11 Doses of Parenteral Medications Commonly Used in the ICU and Their Modification in Renal Failure 743 Appendix 12 Doses of Nonparenteral Drugs Commonly Used After Heart Surgery and Their Modifications in Renal Failure 747 Appendix 13 Definitions from the STS Data Specifications (Version 2.7 2011) 753 Appendix 14 Body Surface Area Nomogram 756 Appendix 15 Body Mass Index Chart 757 Appendix 16 Technique of Thoracentesis 758 Appendix 17 Technique for Tube Thoracostomy 759 Appendix 18 Technique of Insertion of Percutaneous Tracheostomy Tube 761 Index 765 "It is essential that all individuals involved in the assessment and management of patients with cardiac surgical disease have a basic understanding of the disease processes that are being treated. This chapter presents the spectrum of adult cardiac surgical disease that is encountered in most cardiac surgical practices. The pathophysiology, indications for surgery, specific preoperative considerations, and surgical options for various diseases are presented. Diagnostic techniques and general preoperative considerations are presented in the next two chapters. Issues related to cardiac anesthesia and postoperative care specific to most of the surgical procedures presented in this chapter are discussed in Chapters 4 and 8, respectively. The most current guidelines for the evaluation and management of patients with cardiac disease can be obtained from the American College of Cardiology website (www.acc.org)"-- Provided by publisher « It is essential that all individuals involved in the assessment and management of patients with cardiac surgical disease have a basic understanding of the disease processes that are being treated. This chapter presents the spectrum of adult cardiac surgical disease that is encountered in most cardiac surgical practices. The pathophysiology, indications for surgery, specific preoperative considerations, and surgical options for various diseases are presented. Diagnostic techniques and general preoperative considerations are presented in the next two chapters. Issues related to cardiac anesthesia and postoperative care specific to most of the surgical procedures presented in this chapter are discussed in Chapters 4 and 8, respectively. The most current guidelines for the evaluation and management of patients with cardiac disease can be obtained from the American College of Cardiology website(www.acc.org) »-- Résumé de l'éditeur Front Matter 1 1 11 2 129 3 179 4 222 5 286 6 324 7 341 8 362 9 415 10 453 11 508 12 666 13 728 App1 833 App2 838 App3 840 App4 841 App5 844 App6 847 App7 849 App8 850 App9 851 App10 852 App11 854 App12 855 App13 858 App14 864 App15 869 App16 870 App17 871 App18 872 App19 873 App20 874 App21 875 Index 877