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