Manual of Perioperative Care in Adult Cardiac Surgery 6th Edition by Robert M. Bojar, ISBN-13: 978-1119582557

[PDF eBook eTextbook]

• Publisher: ? Wiley-Blackwell; 6th edition (January 26, 2021)
• Language: ? English
• 944 pages
• ISBN-10: ? 1119582555
• ISBN-13: ? 978-1119582557

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

Table of Contents:

Cover
Title Page
Copyright Page
Dedication Page
Preface
Acknowledgments
CHATPER 1: Synopsis of Adult Cardiac Surgical Disease
1 Synopsis of Adult Cardiac Surgical Disease
I. Coronary Artery Disease
II. Left Ventricular Aneurysm
III. Ventricular Septal Rupture
IV. Aortic Stenosis
V. Aortic Regurgitation
VI. Mitral Stenosis
VII. Mitral Regurgitation
VIII. Tricuspid Valve Disease
IX. Infective Endocarditis
X. Hypertrophic Obstructive Cardiomyopathy
XI. Aortic Dissections
XII. Thoracic Aortic Aneurysms
XIII. Atrial Fibrillation
XIV. Advanced Heart Failure
XV. Pericardial Disease
XVI. Congenital Heart Disease: Atrial Septal Abnormalities
XVII. Adults with Other Congenital Heart Disease
References
CHAPTER 2: Diagnostic Techniques in Cardiac Surgery
2 Diagnostic Techniques in Cardiac Surgery
I. Chest Radiography
II. Electrocardiography
III. Stress Testing and Myocardial Perfusion Imaging in Coronary Disease
IV. Stress Echocardiography in Valvular Heart Disease
V. Cardiac Catheterization
VI. Coronary Angiography
VII. Echocardiography
VIII. Noninvasive Coronary Angiography
IX. Evaluation of Aortic and Cardiac Disease by CT and MR Scanning
References
CHAPTER 3: General Preoperative Considerations and Preparation of the Patient for Surgery
3 General Preoperative Considerations and Preparation of the Patient for Surgery
I. General Considerations
II. History
III. Physical Examination
IV. Adjustment of Medications Prior to Cardiac Surgery
V. Laboratory Assessment
VI. Preoperative Blood Donation and Management of Anemia
VII. Preoperative Medications
VIII. Preoperative Orders and Checklist
IX. Risk Assessment and Informed Consent
References
CHAPTER 4: Cardiac Anesthesia
4 Cardiac Anesthesia
I. Preoperative Visit
II. Preoperative Medications
III. Intraoperative Monitoring and Transesophageal Echocardiography
IV. Anesthetic Considerations for Various Types of Heart Surgery
V. Induction and Maintenance of Anesthesia
VI. General Prebypass Considerations
VII. Considerations During Cardiopulmonary Bypass
VIII. Termination of Bypass and Reversal of Anticoagulation
IX. Anesthetic Considerations During Off-pump Coronary Surgery193
X. Anesthetic Considerations During Minimally Invasiveor Robotic CABG and Mitral Valve Surgery202,203
XI. Anesthetic Considerations During Minimally Invasive Aortic Valve Surgery206
XII. Anesthetic Considerations During Transcatheter Aortic Valve Replacement (TAVR)
XIII. Anesthetic Considerations During Transcatheter Mitral Valve Procedures211
References
CHAPTER 5: Cardiopulmonary Bypass
5 Cardiopulmonary Bypass
I. General Comments
II. The Cardiopulmonary Bypass Circuit
III. Anticoagulation and Cannulation for Bypass
IV. Initiation and Conduct of Cardiopulmonary Bypass (Table 5.2)
V. Terminating Bypass
VI. Potential Problems Encountered During Cardiopulmonary Bypass and upon Weaning from Bypass (Table 5.3)
VII. Modifications of Extracorporeal Circulation
VIII. Extracorporeal Membrane Oxygenation (ECMO)
References
CHAPTER 6: Myocardial Protection
6 Myocardial Protection
I. Techniques to Minimize Myocardial Injury During Cardiac Surgical Procedures (Table 6.1)
II. Principles of Cardioplegia (Table 6.2)
III. Cardioplegia Strategy
References
CHAPTER 7: Admission to the ICU and Monitoring Techniques
7 Admission to the ICU and Monitoring Techniques
I. Admission to the ICU
II. Monitoring in the ICU: Techniques and Problems
III. Summary of Guidelines for Removal of Lines and Tubes in the ICU
References
CHAPTER 8: Early Postoperative Care
8 Early Postoperative Care
I. Basic Features of the Early Postoperative Period
II. Management of Common Postoperative Scenarios
III. Postoperative Considerations Following Commonly Performed Procedures92
References
CHAPTER 9: Mediastinal Bleeding
9 Mediastinal Bleeding
I. Overview
II. Etiology of Mediastinal Bleeding
III. Prevention of Perioperative Blood Loss: Blood Conservation Measures (Table 9.3)14,22
IV. Assessment of Bleeding in the ICU
V. Management of Mediastinal Bleeding
VI. Blood Transfusions: Red Cells
VII. Blood Components, Factor Concentrates, and Colloids
VIII. Mediastinal Re-exploration for Bleeding or Tamponade
IX. Technique of Emergency Resternotomy
References
CHAPTER 10: Respiratory Management
10 Respiratory Management
I. General Comments
II. Postoperative Changes in Pulmonary Function
III. Routine Ventilator, Sedation, and Analgesia Management
IV. Basic Concepts of Oxygenation
V. Basic Concepts of Alveolar Ventilation
VI. Considerations to Achieve Early Extubation
VII. Therapeutic Interventions to Optimize Postoperative Respiratory Performance and Early Extubation
VIII. Ventilatory Weaning and Extubation in the Immediate Postoperative Period
IX. Postextubation Respiratory Care (Table 10.6)
X. Acute Respiratory Insufficiency/Short-term Ventilatory Support
XI. Chronic Respiratory Failure/Ventilator Dependence
XII. Methods of Ventilatory Support
XIII. Weaning from the Ventilator
XIV. Other Respiratory Complications
References
CHAPTER 11: Cardiovascular Management
11 Cardiovascular Management
I. Basic Principles
II. Low Cardiac Output Syndrome
III. Inotropic and Vasoactive Drugs
IV. Intra-aortic Balloon Counterpulsation
V. Mechanical Circulatory Support
VI. Systemic Hypertension
VII. Vasodilators and Antihypertensive Medications in the ICU
VIII. Perioperative Myocardial Infarction
IX. Coronary Vasospasm
X. Cardiac Arrest
XI. Pacing Wires and Pacemakers
XII. Cardiac Arrhythmias
XIII. Antiarrhythmic Medications
References
CHAPTER 12: Fluid Management, Renal, Metabolic, and Endocrine Problems
12 Fluid Management, Renal, Metabolic, and Endocrine Problems
I. Body Water Distribution
II. Effects of CPB and Off-Pump Surgery on Renal Function
III. Routine Fluid Management in the Early Postoperative Period
IV. Identifying Risk for Acute Kidney Injury
V. Prevention of Acute Kidney Injury
VI. Postoperative Oliguria and Acute Kidney Injury
VII. Renal Replacement Therapy
VIII. Hyperkalemia
IX. Hypokalemia
X. Hypocalcemia
XI. Hypomagnesemia
XII. Metabolic Acidosis
XIII. Metabolic Alkalosis
XIV. Hyperglycemia
XV. Hypothyroidism
XVI. Adrenal Insufficiency
XVII. Pituitary Abnormalities
References
CHAPTER 13: Post-ICU Care and Other Complications
13 Post-ICU Care and Other Complications
I. General Comments
II. Transfer from the ICU and Postoperative Routines
III. Differential Diagnosis of Common Postoperative Symptoms
IV. Respiratory Care and Complications3,4
V. Cardiac Care and Complications
VI. Renal, Metabolic, and Fluid Management and Complications
VII. Hematologic Complications and Anticoagulation Regimens
VIII. Wound Care and Infectious Complications
IX. Neurologic Complications
X. Gastrointestinal Complications
XI. Nutrition
XII. Valve-associated Problems
XIII. Discharge Planning
References
APPENDICES
1A American College of Cardiology Classes of Recommendation and Levels of Evidence
1B New York Heart Association Functional Classification
1C The Canadian Cardiovascular Society Classification for Grading of Angina
1D Interagency Registry for Mechanically Assisted Circulatory Support (INTERMACS) Profiles of Advanced Heart Failure
2 Typical Preoperative Order Sheet
3 Cardiac Surgery Preoperative Assessment Checklist
4 Typical Orders for Admission to the ICU
5 Typical Transfer Orders from the ICU
6 Hyperglycemia Protocol for Cardiac Surgery Patients
Goal: to maintain blood sugar (BS) between 110 and 150 mg/dL after surgery
IV Insulin Adjustment Protocol
Transition to Subcutaneous Insulin
7 Heparinization Protocol for Cardiac Surgery Patients
8 Protocol for Initiating Warfarin
9 INR Reversal Protocol
10A The CHA2DS2-VASc Score
10B The HAS-BLED Score
11 Drug, Food, and Dietary Supplement Interactions with Warfarin
12 Doses of Parenteral Medications Commonly Used in the ICU and Their Modifications in Renal Failure
13 Doses of Nonparenteral Drugs Commonly Used After Heart Surgery and Their Modifications in Renal Failure
14 Definitions from the STS Data Specifications (Version 4.20 2020)
Preoperative Conditions
Postoperative Complications
15 Body Surface Area Nomogram
16 Body Mass Index Chart
17 Aortic Size Index for Thoracic Aneurysms
18 Aortic Height Index for Thoracic Aneurysms
19 Aortic Height and Length Index for Thoracic Aneurysms
20 Technique of Thoracentesis
21 Technique for Tube Thoracostomy
Index
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