Manual of Perioperative Care in Adult Cardiac Surgery, 4th Edition

by Robert M. Bojar (Associate Professor of Cardiothoracic Surgery, Tufts University School of Medicine; Chief of Cardiothoracic Surgery, St. Vincent Hospital, Worcester; Senior Cardiothoracic Surgeon, Division of Cardiothoracic Surgery, New England Medi

• ISBN13: 9781405104395
• ISBN10: 1405104392
• Edition: 4th
• Format: Paperback
• Copyright: 2004-12-01
• Publisher: Wiley-Blackwell

Summary

Extensively revised to cover recent advances in cardiac surgery, the fourth edition of Bojar's Manual of Perioperative Care in Adult Cardiac Surgery remains the gold standard for management of adult patients undergoing cardiac surgery.The easily referenced outline format allows health practitioners of all levels to understand and apply basic concepts to patient care-perfect for cardiothoracic and general surgery residents, physician assistants, nurse practitioners, cardiologists, medical students, and critical care nurses involved in the care of both routine and complex cardiac surgery patients.This comprehensive guide features: Detailed presentation addressing all aspects of perioperative care for adult cardiac surgery patients Outline format allowing quick access to information Chronological approach to patient care starting with diagnostic tests then covering preoperative, intraoperative, and postoperative care issues Additional chapters discussing bleeding, the respiratory, cardiac, and renal subsystems in depth, and aspects of care specific to recovery on the postoperative floor Completely updated references Extensive illustrations, including NEW figures depicting operative techniques 14 helpful appendices covering order and flow sheets, protocols, commonly used drug dosages, and proceduresPractical and accessible, the Manual of Perioperative Care in Adult Cardiac Surgery is the essential reference guide to cardiac surgical patient care.

Author Biography

 Dr. Bojar is currently serving as Chief of Cardiothoracic Surgery at Worcester Medical Center/St. Vincent Hospital, as well as a senior staff member at New England Medical Center.

Table of Contents

Preface	viii
Acknowledgments	ix
Synopsis of Adult Cardiac Surgical Disease	1	(58)
Diagnostic Techniques in Cardiac Surgery	59	(32)
Preoperative Considerations and Risk Assessment	91	(38)
Cardiac Anesthesia	129	(48)
Cardiopulmonary Bypass	177	(28)
Myocardial Protection	205	(12)
Admission to the ICU and Monitoring Techniques	217	(18)
Early Postoperative Care	235	(30)
Mediastinal Bleeding	265	(28)
Respiratory Management	293	(46)
Cardiovascular Management	339	(128)
Fluid Management, Renal and Metabolic Problems	467	(42)
Post-ICU Care and Other Complications	509	(62)
Appendices	571	(36)
Appendix 1 Typical Preoperative Order Sheet	573	(1)
Appendix 2 Typical Orders for Admission to the ICU	574	(3)
Appendix 3 Transfer Orders from the ICU	577	(3)
Appendix 4 Typical ICU Flowsheet	580	(1)
Appendix 5 Heparinization Protocol for Cardiac Surgery Patients	581	(1)
Appendix 6 Hyperglycemia Protocol for Cardiac Surgery Patients	582	(1)
Appendix 7 Doses of Parenteral Medications Commonly Used in the ICU and Their Modifications in Renal Failure	583	(4)
Appendix 8 Doses of Nonparenteral Medications Commonly Used After Heart Surgery and Their Modifications in Renal Failure	587	(9)
Appendix 9 Drug and Food Interactions with Warfarin (Coumadin)	596	(1)
Appendix 10 Definitions from the STS Data Specifications (2004)	597	(3)
Appendix 11 Technique of Thoracentesis	600	(1)
Appendix 12 Technique for Tube Thoracostomy	601	(2)
Appendix 13 Technique for Insertion of Percutaneous Tracheostomy Tube	603	(3)
Appendix 14 Body Surface Area Nomogram for Adults	606	(1)
Index	607