Manual of Perioperative Care in Adult Cardiac Surgery / Edition 5

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The fifth edition of Bojar's Manual of Perioperative Care in Adult Cardiac Surgery remains the gold standard for management of adult patients undergoing cardiac surgery. The easily referenced outline format allows health practitioners of all levels to understand and apply basic concepts to patient care—perfect for cardiothoracic and general surgery residents, physician assistants, nurse practitioners, cardiologists, medical students, and critical care nurses involved in the care of both routine and complex cardiac surgery patients. This comprehensive guide features:
• Detailed presentation addressing all aspects of perioperative care for adult cardiac surgery patients
• Outline format allowing quick access to information
• Chronological approach to patient care starting with diagnostic tests then covering preoperative, intraoperative, and postoperative care issues
• Additional chapters discuss bleeding, the respiratory, cardiac, and renal subsystems as well as aspects of care specific to recovery on the postoperative floor
• Updated references, information on new drug indications and new evidence to support various treatment/management options. Practical and accessible, this new edition of Manual of Perioperative Care in Adult Cardiac Surgery is the essential reference guide to cardiac surgical patient care.

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Editorial Reviews

From the Publisher
“This edition, updated in light of recent technological advances, provides an up-to-date, easy-to-readreview, and contains sufficient detail to make it suitable as a single volume manual for cardiac surgical trainees or nurses.”  (Cardiology News, 2012)

"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. Every intensive care unit that treats adult open heart surgery patients should have several copies readily available at all times." (Critical Care Medicine, 1 October 2011)

"This fifth edition of a popular manual has been extensively revised. It is densely packed with information in its 820 ages. . . Young trainees in cardiac surgery, anaesthesia and intensive care, will find this an invaluable resource." (British Journal of Cardiology, 1 August 2011)

"This edition has been updated to incorporate current approaches to patient care." (Booknews, 1 April 2011) 

Doody's Review Service
Reviewer: Ralph J. Damiano, MD (Washington University School of Medicine)
Description: This is the fourth edition of a manual that describes current practices for perioperative care in adult cardiac surgery. The previous edition was published in 1999.
Purpose: This purpose is to help readers give better care to their patients, a worthy objective. The author meets his objective by providing concise information that is up-to-date and helpful in caring for adult cardiac surgery patients.
Audience: This book is written for practitioners who care for adult cardiac surgery patients. The material is suitable for that audience, and the author is a credible authority.
Features: This book covers the preoperative, operative, and postoperative care given to adult cardiac surgery patients. The author does a nice job of covering the details associated with cardiac surgery, including diagnostics, anesthesia, and even the details of the procedure. These detailed descriptions are valuable for a nonsurgeon practitioner involved in the care of these patients. The appendixes are helpful to practitioners (including surgical residents) who are involved in the day-to-day care of these patients including notes, placement of drains, typical order sets, and protocols such as heparinization or hyperglycemia control.
Assessment: This is a high quality book that is particularly helpful for nonsurgeon practitioners or surgical residents who care for adult cardiac surgery patients. Specific questions can be answered quickly and are dealt with concisely so that a practitioner can find out quickly and easily answers to the many dilemmas presented in this challenging population of patients. The strength of this book lies in its comprehensive coverage of the many peripheral details of the adult cardiac surgery patient in all phases (preoperative, intraoperative, and postoperative) of care. The author addresses the many evolving changes in cardiac surgery and the updates make this new edition valuable.
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Product Details

  • ISBN-13: 9781444331431
  • Publisher: Wiley
  • Publication date: 1/25/2011
  • Edition number: 5
  • Pages: 832
  • Sales rank: 237,321
  • Product dimensions: 5.40 (w) x 8.40 (h) x 1.50 (d)

Meet the Author

Dr. Bojar is currently serving as Chief of Cardiothoracic Surgery at Worcester Medical Center/St. Vincent Hospital, as well as a senior staff member at New England Medical Center.
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Table of Contents



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.


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.


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