Perioperative Care in Cardiac Anesthesia and Surgery Book

1	Prognostic risks and preoperative assessment	3
2	Fast-track cardiac anesthesia management in on-pump and off-pump coronary artery bypass surgery	13
3	Anesthetic management in valvular heart surgery	21
4	Anesthetic management in robotic cardiac surgery	29
5	Circulatory arrest and neuroprotection	37
6	Anesthesia for combined cardiac and thoracic surgery	43
7	Anesthesia for intrathoracic transplantation	49
8	Anesthesia for patients with ventricular assist devices	65
9	Anesthesia and congenital heart disease	71
10	Anesthetic management of comorbid diseases affecting cardiopulmonary bypass	85
11	Regional anesthesia techniques and management	91
12	Perioperative monitoring in cardiac anesthesia	99
13	Perioperative transesophageal echocardiography	105
14	Essence of cardiopulmonary bypass circuit and intra-aortic balloon pump	117
15	Weaning from cardiopulmonary bypass and low output syndrome	135
16	Pulmonary hypertension and right ventricular dysfunction postcardiopulmonary bypass	145
17	Perioperative blood conservation in cardiac surgery	153
18	Antifibrinolytics and coagulation management	165
19	Heparin-induced thrombocytopenia and alternatives to heparin	173
20	Management of the cardiac surgical emergency	185
21	Myocardial protection during cardiac surgery	195
22	On-pump coronary artery bypass surgery	201
23	Off-pump coronary revascularization surgery	209
24	Robotic coronary artery revascularization surgery	215
25	Surgery of the aortic valve	227
26	Surgery of the mitral valve	241
27	Tricuspid valve surgery	253
28	Robotic cardiac valvular surgery	257
29	Surgery of the ascending aorta	261
30	Surgery of the transverse aortic arch and cerebral protection	267
31	Surgery of the descending thoracic aorta	273
32	Combined cardiac and vascular surgery	279
33	Surgery for mechanical complications of myocardial infarction	285
34	Surgery for end-stage heart disease and heart transplantation	289
35	Lung and heart-lung transplantation	295
36	Ventricular assist devices	301
37	Adult congenital heart surgery	307
38	Ventricular reconstruction or aneurysm resection for ischemic cardiomyopathy	323
39	Implantable cardioverter defibrillator and pacemaker insertion	327
40	Routine cardiac surgery recovery care : extubation to discharge	341
41	Common problems in the cardiac surgery recovery unit	347
42	Atrial and ventricular arrhythmia management	359
43	Postcardiac surgery pacing therapy	369
44	Tamponade and chest reopening	375
45	Infection, sternal debridement, and septic shock	381
46	Difficult weaning from mechanical ventilation and tracheotomy care	387
47	Renal failure and dialysis	401
48	Neurologic complications and management	415
49	Routine surgical ward care	423
50	Common ward complications and management	429
App. A	Postoperative TGH/CVICU medical admission form	437
App. B	Postcardiac surgery medical admission orders (TGH/CVICU)	439
App. C	Postcardiac surgery medical admission orders (LHSC/CSRU)	441
App. D	RGH/CVICU medical discharge forms	443
App. E	TGH/CVICU medical discharge orders	445
App. F	LHSC ventilation weaning and extubation protocol	447
App. G	Patient control analgesia order	449
App. H	Anticoagulation guideline postcardiac surgery	451
App. I	Insulin protocol for glucose control	453
App. J	Pharmacology in cardiovascular anesthesia and surgery	455
App. K	Modified ACLs protocols	493
App. L	Preoperative cardiac transplant medical order	505
App. M	Medical transfer orders post heart transplant	507
App. N	Medical orders for care of spinal drains	509
App. O	Hospital discharge instructions postcardiac surgery	511