Perioperative Care In Cardiac Anesthesia And Surgery

by Cheng, Davy C.H.; David, Tirone E.

• ISBN13: 9780781757744
• ISBN10: 0781757746
• Edition: 1st
• Format: Paperback
• Copyright: 2005-10-27
• Publisher: LWW

Summary

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.

Table of Contents

Contributors	xi
Preface	xvii
Acknowledgments	xix
SECTION I: INTRODUCTION	1	(10)
Prognostic Risks and Preoperative Assessment	3	(8)
Davy C. H. Cheng
Tirone E. David
SECTION II: ANESTHESIA AND CARDIOPULMONARY BYPASS MANAGEMENT	11	(182)
Fast-track Cardiac Anesthesia Management in On-pump and Off-pump Coronary Artery Bypass Surgery	13	(8)
Davy C. H. Cheng
Daniel Bainbridge
Anesthetic Management in Valvular Heart Surgery	21	(8)
Rita Katznelson
Patricia Murphy
Anesthetic Management in Robotic Cardiac Surgery	29	(8)
Wojciech Dobkowski
Circulatory Arrest and Neuroprotection	37	(6)
Ivan Iglesias
John M. Murkin
Anesthesia for Combined Cardiac and Thoracic Surgery	43	(6)
Peter Slinger
Anesthesia for Intrathoracic Transplantation	49	(16)
Karen McRae
Anesthesia for Patients with Ventricular Assist Devices	65	(6)
Jacek M. Karski
Anesthesia and Congenital Heart Disease	71	(14)
Helen M. K. Holtby
Anesthetic Management of Comorbid Diseases Affecting Cardiopulmonary Bypass	85	(6)
Neal H. Badner
Regional Anesthesia Techniques and Management	91	(8)
George N. Djaiani
Perioperative Monitoring in Cardiac Anesthesia	99	(6)
Daniel Bainbridge
Perioperative Transesophageal Echocardiography	105	(12)
Annette Vegas
Essence of Cardiopulmonary Bypass Circuit and Intra-aortic Balloon Pump	117	(18)
Peter Allen
Weaning from Cardiopulmonary Bypass and Low Output Syndrome	135	(10)
Annette Vegas
Pulmonary Hypertension and Right Ventricular Dysfunction Postcardiopulmonary Bypass	145	(8)
Achal K. Dhir
Fiona E. Ralley
Perioperative Blood Conservation in Cardiac Surgery	153	(12)
Bruce D. Spiess
Antifibrinolytics and Coagulation Management	165	(8)
Jacek M. Karski
Keyvan Karkouti
Heparin-Induced Thrombocytopenia and Alternatives to Heparin	173	(12)
Fiona E. Ralley
Management of the Cardiac Surgical Emergency	185	(8)
Ravi Taneja
SECTION III: SURGICAL TECHNIQUE AND POSTOPERATIVE CONSIDERATION	193	(146)
Myocardial Protection During Cardiac Surgery	195	(6)
Shafie Fazel
Richard D. Weisel
On-pump Coronary Artery Bypass Surgery	201	(8)
Terrence M. Yau
Off-pump Coronary Revascularization Surgery	209	(6)
Richard J. Novick
Robotic Coronary Artery Revascularization Surgery	215	(12)
Bob Kiaii
R. Scott McClure
W. Douglas Boyd
Surgery of the Aortic Valve	227	(14)
Tirone E. David
Surgery of the Mitral Valve	241	(12)
Tirone E. David
Tricuspid Valve Surgery	253	(4)
Tirone E. David
Robotic Cardiac Valvular Surgery	257	(4)
Alan H. Menkis
Surgery of the Ascending Aorta	261	(6)
Tirone E. David
Surgery of the Transverse Aortic Arch and Cerebral Protection	267	(6)
Christopher M. Feindel
Surgery of the Descending Thoracic Aorta	273	(6)
Steve K. Singh
Michael A. Borger
Combined Cardiac and Vascular Surgery	279	(6)
Michael A. Borger
Surgery for Mechanical Complications of Myocardial Infarction	285	(4)
Tirone E. David
Surgery for End-stage Heart Disease and Heart Transplantation	289	(6)
Vivek Rao
Christopher M. Feindel
Lung and Heart-Lung Transplantation	295	(6)
Shaf Keshavjee
Stefan Fischer
Ventricular Assist Devices	301	(6)
Vivek Rao
Adult Congenital Heart Surgery	307	(16)
Glen S. Van-Arsdell
Igor E. Konstantinov
William G. Williams
Ventricular Reconstruction or Aneurysm Resection for Ischemic Cardiomyopathy	323	(4)
Lynda L. Mickleborough
Implantable Cardioverter Defibrillator and Pacemaker Insertion	327	(12)
Raymond Yee
Jonathan Prychitko
SECTION IV: CARDIAC SURGICAL RECOVERY UNIT	339	(82)
Routine Cardiac Surgery Recovery Care: Extubation to Discharge	341	(6)
Daniel Bainbridge
Davy C. H. Cheng
Common Problems in the Cardiac Surgery Recovery Unit	347	(12)
Annette Vegas
Atrial and Ventricular Arrhythmia Management	359	(10)
Christopher A. Palin
Charles W. Hogue, Jr.
Postcardiac Surgery Pacing Therapy	369	(6)
Douglas A. Cameron
Tamponade and Chest Reopening	375	(6)
Terrence M. Yau
Infection, Sternal Debridement, and Septic Shock	381	(6)
Lois K. Champion
Difficult Weaning from Mechanical Ventilation and Tracheotomy Care	387	(14)
Thomas L. Higgins
Patrick C. Lee
Renal Failure and Dialysis	401	(14)
Atilio Barbeito
Mark Stafford-Smith
Neurologic Complications and Management	415	(6)
Ronald J. Butler
SECTION V: SURGICAL WARD MANAGEMENT	421	(14)
Routine Surgical Ward Care	423	(6)
Susan C. M. Lenkei-Kerwin
Stephanie J. Brister
Common Ward Complications and Management	429	(6)
Stephanie J. Brister
Susan C. M. Lenkei-Kerwin
SECTION VI: APPENDICES	435	(76)
Appendix A: Postoperative TGH/CVICU Medical Admission Form	437	(2)
Appendix B: Postcardiac Surgery Medical Admission Orders (TGH/CVICU)	439	(2)
Appendix C: Postcardiac Surgery Medical Admission Orders (LHSC/CSRU)	441	(2)
Appendix D: TGH/CVICU Medical Discharge Forms	443	(2)
Appendix E: TGH/CVICU Medical Discharge Orders	445	(2)
Appendix F: LHSC Ventilation Weaning and Extubation Protocol	447	(2)
Appendix G: Patient Control Analgesia Order	449	(2)
Appendix H: Anticoagulation Guideline Postcardiac Surgery	451	(2)
Appendix I: Insulin Protocol for Glucose Control	453	(2)
Appendix J: Pharmacology in Cardiovascular Anesthesia and Surgery	455	(38)
Janet Martin
Appendix K: Modified ACLS Protocols	493	(12)
Appendix L: Preoperative Cardiac Transplant Medical Order	505	(2)
Appendix M: Medical Transfer Orders Post Heart Transplant	507	(2)
Appendix N: Medical Orders for Care of Spinal Drains	509	(2)
Appendix O: Hospital Discharge Instructions Postcardiac Surgery	511