Manual of Perioperative Care in Adult Cardiac Surgery

Robert M. Bojar, MD, Chief of Cardiothoracic Surgery, Saint Vincent Hospital, Worcester, MA, USA

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 1C The Canadian Cardiovascular Society Classification for Grading of Angina

Appendix 1D Interagency Registry for Mechanically Assisted Circulatory Support (INTERMACS) Profiles of Advanced Heart Failure

Appendix 2 Typical Preoperative Order Sheet

Appendix 3 Cardiac Surgery Preoperative Assessment Checklist

Appendix 4 Typical Orders for Admission to the ICU

Appendix 5 Typical Transfer Orders from the ICU

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 10A The CHA2DS2-VASc Score

Appendix 10B The HAS-BLED Score

Appendix 11 Drug, Food, and Dietary Supplement Interactions with Warfarin

Appendix 12 Doses of Parenteral Medications Commonly Used in the ICU and Their Modifications in Renal Failure

Appendix 13 Doses of Nonparenteral Drugs Commonly Used After Heart Surgery and Their Modifications in Renal Failure

Appendix 14 Definitions from the STS Data Specifications (Version 2.9 2017)

Appendix 15 Body Surface Area Nomogram

Appendix 16 Body Mass Index Chart

Appendix 17 Aortic Size Index for Thoracic Aneurysms

Appendix 18 Aortic Height Index for Thoracic Aneurysms

Appendix 19 Aortic Height and Length Index for Thoracic Aneurysms

Appendix 20 Technique of Thoracentesis

Appendix 21 Technique for Tube Thoracostomy

Index

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