Perioperative Care in Cardiac Anesthesia and Surgery

Section I. Introduction

Overview of A Cardiac Anesthesia & Surgical Program
Prognostic Risks and Preoperative Assessment

Section II. Anesthesia and Cardiopulmonary Bypass Management

Fast Track Cardiac Anesthesia Management in On-Pump and Off-Pump Coronary Artery Bypass Surgery

Anesthetic Management in Valvular Heart Surgery
Anesthetic Management in Robotic Cardiac Surgery
Circulatory Arrest and Neuroprotection
Anesthesia for Combined Cardiac and Thoracic Surgery
Anesthesia for Intrathoracic Transplantation
Anesthesia for Patients with Ventricular Assist Devices
Anesthesia in Pediatric Cardiac Surgery
Anesthetic Management of Co-Morbid Diseases Affecting Cardiopulmonary Bypass
Regional Anesthesia Techniques and Management
Perioperative Monitoring in Cardiac Surgery
Perioperative Transesophageal Echocardiography
Essence of CPB Circuit and Intra-aortic Balloon Pump
Cardiac Pharmacology
Weaning From Cardiopulmonary Bypass and Low Output Syndrome
Pulmonary Hypertension and Right Ventricular Dysfunction Post-CPB
Perioperative Blood Conservation
Antifibrinolytics and Coagulation Management
Heparin Associated Thrombocytopenia and Alternatives to Heparin
Management of Cardiac Surgical Emergency

Section III. Surgical Technique and Postoperative Consideration

Myocardial Protection During Cardiac Surgery
On-Pump Aorto-Coronary Bypass Surgery
Off-Pump Coronary Revascularization Surgery
Robotic Coronary Artery Revascularization Surgery
Surgery of the Aortic Valve
Surgery of the Mitral Valve
Tricuspid Valve Surgery
Robotic Cardiac Valvular Surgery
Surgery of the Transverse Aortic Arch and Cerebral Protection
Surgery of Descending Thoracic Aorta
Combined Cardiac and Vascular Surgery
Mechanical Complications of Myocardial Infarction
Surgery for End-Stage Heart Disease and Heart Transplantation

Lung and Heart-Lung Transplantation
Ventricular Assist Devices Implantation
Congenital Heart Surgery
Ventricular Reconstruction or Aneurysm Resection for Ischemic Cardiomyopathy
AICD and Pacemakers Insertion

Section IV. Cardiac Surgical Recovery Unit

Routine Cardiac Surgery Recovery Care: Extubation to Discharge
Common Problems in Cardiac Surgery Recovery Unit
Atrial and Ventricular Arrhythmia Management
Post Cardiac Surgery Pacing Therapy
Tamponade and Chest Reopening
Infection, Sternal Debridement and Muscle Flap
Difficult Weaning From Mechanical Ventilation and Tracheotomy Care
Renal Failure and Dialysis
Neurological Complications and Management

Section V. Surgical Ward Management

Routine Surgical Ward Care
Common Ward Complications and Management

Section VI. Appendices
Appendix A. Cardiac Surgical Admission - History and Physical Examination
Appendix B. Routine Postoperative CSRU Admission Orders
Appendix C. Postoperative CSRU Medical Admission Form
Appendix D. Routine CSRU Discharge Orders
Appendix E. CSRU Medical Discharge Forms
Appendix F. Ventilation Weaning and Extubation Protocol
Appendix G. CSRU Admission Chest X-ray Protocol
Appendix H. Antibiotic Prophylaxis for Endocarditis
Appendix I. Algorithm for Management of Microvascular Bleeding
Appendix J. Anticoagulation Guideline Post Cardiac Surgery
Appendix K. Diabetes Mellitus Protocol for Glucose Control
Appendix L. Algorithm for Management of Atrial Fibrillation (AF) Post Cardiac Surgery
Appendix M. Modified ACLS Protocols:Bradycardia Algorithm
Appendix N. Patient Control Analgesia Orders