Manual of perioperative care in adult cardiac surgery 6th Edition by Robert Bojar ISBN 9781119582588 111958258X

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Product details:
ISBN 10: 111958258X
ISBN 13: 9781119582588
Author: Robert Bojar

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

Manual of perioperative care in adult cardiac surgery 6th Edition Table of contents:

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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