Manual of Perioperative Care in Adult Cardiac Surgery

by Robert M. Bojar

Overview

Now in its sixth edition, Robert M. Bojar's Manual of Perioperative Care in Adult Cardiac Surgery remains the go-to practical guide for all of those involved in the care of the cardiac surgery patient. Written in outline format, it provides a comprehensive, detailed, and clearly explained review of cardiac surgical disease and perioperative management that is of value to practicing cardiac surgeons as well as to cardiologists, residents, fellows, advanced practice providers, critical care and floor nurses, perfusionists, and medical students.

Extensively rewritten with updated references to incorporate the latest concepts, guidelines, protocols, and medications used in cardiac surgical practice, this classic text retains the pragmatic features that have made it the gold standard reference that clinicians have used worldwide for the past 30 years.

Highlights include:

• Full coverage of cardiac surgical diseases, including pathophysiology, indications for surgery per guidelines, and figures of operative procedures and diagnostic techniques, with a panoply of examples
• Chronologic evaluation of patients from preoperative assessment to intraoperative considerations to postoperative care for each procedure
• Extensive chapters discussing organ system management in the ICU, followed by a discussion of later postoperative management and problems
• Incorporation of newer techniques (TAVR, Mitraclip, etc.) within the chronologic format
• Easy access to information using an outline format, markers on the free edges to identify chapters, synopsis pages at the beginning of each chapter, and a comprehensive index to provide easy referencing within the text
• Updated references throughout that are available from on-line resources
• 21 appendices summarizing order sheets, protocols, commonly used drug doses, body mass index, and other important information

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

Product Details

ISBN-13:	9781119582588
Publisher:	Wiley
Publication date:	11/17/2020
Sold by:	JOHN WILEY & SONS
Format:	eBook
Pages:	944
File size:	45 MB
Note:	This product may take a few minutes to download.

About the Author

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

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Table of Contents

Preface ix

Acknowledgments xi

1. Synopsis of Adult Cardiac Surgical Disease 1

2. Diagnostic Techniques in Cardiac Surgery 121

3. General Preoperative Considerations and Preparation of the Patient for Surgery 173

4. Cardiac Anesthesia 217

5. Cardiopulmonary Bypass 283

6. Myocardial Protection 323

7. Admission to the ICU and Monitoring Techniques 341

8. Early Postoperative Care 363

9. Mediastinal Bleeding 417

10. Respiratory Management 457

11. Cardiovascular Management 513

12. Fluid Management, Renal, Metabolic, and Endocrine Problems 673

13. Post-ICU Care and Other Complications 737

Appendices 843

Appendix 1A American College of Cardiology Classes of Recommendation and Levels of Evidence 845

Appendix 1B New York Heart Association Functional Classification 845

Appendix 1C The Canadian Cardiovascular Society Classification for Grading of Angina 846

Appendix 1D Interagency Registry for Mechanically Assisted Circulatory Support (INTERMACS) Profiles of Advanced Heart Failure 847

Appendix 2 Typical Preoperative Order Sheet 848

Appendix 3 Cardiac Surgery Preoperative Assessment Checklist 850

Appendix 4 Typical Orders for Admission to the ICU 851

Appendix 5 Typical Transfer Orders from the ICU 854

Appendix 6 Hyperglycemia Protocol for Cardiac Surgery Patients 857

Appendix 7 Heparinization Protocol for Cardiac Surgery Patients 859

Appendix 8 Protocol for Initiating Warfarin 860

Appendix 9 INR Reversal Protocol 861

Appendix 10A The CHA2DS2-VASc Score 862

Appendix 10B The HAS-BLED Score 863

Appendix 11 Drug, Food, and Dietary Supplement Interactions with Warfarin 864

Appendix 12 Doses of Parenteral Medications Commonly Used in the ICU and Their Modifications in Renal Failure 865

Appendix 13 Doses of Nonparenteral Drugs Commonly Used After Heart Surgery and Their Modifications in Renal Failure 868

Appendix 14 Definitions from the STS Data Specifications (Version 4.20 2020) 874

Appendix 15 Body Surface Area Nomogram 879

Appendix 16 Body Mass Index Chart 880

Appendix 17 Aortic Size Index for Thoracic Aneurysms 881

Appendix 18 Aortic Height Index for Thoracic Aneurysms 882

Appendix 19 Aortic Height and Length Index for Thoracic Aneurysms 883

Appendix 20 Technique of Thoracentesis 884

Appendix 21 Technique for Tube Thoracostomy 885

Index 887

What People are Saying About This

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)

Editorial Reviews

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) 

From the Publisher