Manual of Perioperative Care in Adult Cardiac Surgery

Dr. Robert Bojar, Associate Professor of Cardiothoracic Surgery, Tufts University School of Medicine; Chief of Cardiothoracic Surgery, St. Vincent's Hospital, Worcester, MA; Senior Cardiothoracic Surgeon, Tufts-New England Medical Center, Boston, MA.

Preface. Acknowledgments. 1. Synopsis of Adult Cardiac Surgical Disease. 2. Diagnostic Techniques in Cardiac Surgery. 3. General Preoperative Considerations and Preparation of the Patient for Surgery. 4. Cardiac Anesthesia. 5. Cardiopulmonary Bypass. 6. Myocardial Protection. 7. Admission to the ICU and Monitoring Techniques. 8. Early Postoperative Care. 9. Mediastinal Bleeding. 10. Respiratory Management. 11. Cardiovascular Management. 12. Fluid Management, Renal, Metabolic, and Endocrine Problems. 13. Post-ICU Care and Other Complications. Appendices. Appendix 1A American College of Cardiology Classes of Recommendation and Levels of Evidence. Appendix 1B New York Heart Association Functional Classification. Appendix 2 Typical Preoperative Order Sheet. Appendix 3 Typical Orders for Admission to the ICU. Appendix 4 Typical Transfer Orders from the ICU. Appendix 5 Typical ICU Flowsheet. Appendix 6 Hyperglycemia Protocol for Cardiac Surgery Patients. Appendix 7 Heparinization Protocol for Cardiac Surgery Patients. Appendix 8 Protocol for Initiating Warfarin. Appendix 9 INR Reversal Protocol. Appendix 10 Drug, Food, and Dietary Supplement Interactions with Warfarin. Appendix 11 Doses of Parenteral Medications Commonly Used in the ICU and Their Modification in Renal Failure. Appendix 12 Doses of Nonparenteral Drugs Commonly Used After Heart Surgery and Their Modifications in Renal Failure. Appendix 13 Definitions from the STS Data Specifications (Version 2.7 2011). Appendix 14 Body Surface Area Nomogram. Appendix 15 Body Mass Index Chart. Appendix 16 Technique of Thoracentesis. Appendix 17 Technique for Tube Thoracostomy. Appendix 18 Technique of Insertion of Percutaneous Tracheostomy Tube. Index.