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This book provides a practical approach to cardiac perioperative care. The step-by-step format guides readers from basic concepts, such as cardiac physiology and pharmacology, to anesthetic management of specific cardiac surgical procedures, including cardiac percutaneous interventions, management of specific cardiac disease, circulatory support, and organ protection strategies. Written by experienced cardiac anesthesiologists in Europe, USA, Canada and Australia, this book provides an international perspective on the topic with each chapter referring the reader to the relevant key reading.
Cardiac Anesthesia and Postoperative Care in the 21st Century is aimed at new consultants in cardiac anesthesia and intensive care, residents, and fellows. It may also be of interest to perfusionists and is a refreshing update for the experienced cardiac anesthesiologist.
Part 1: Basic Concepts.- Anatomy and pathology of the heart.- Cardiovascular physiology.- Cardiovascular pharmacology.- Preoperative assesment and decisions based in test.- Monitoring for cardiac surgery.- Echocardiography.- Angiogram.- Cardiopulmonary bypass.- Pacemaker and other implantable devices.- Hemostasia and coagulation monitoring: Tromboelastogram, ROTEM and platelets mapping.- Part 2: Intraoperative Management.- General principles of anesthesia for adult cardiac surgery.- Fluid management and blood transfusion.- Cardiac electrophysiological interventions.- Myocardial revascularization.- Valvular surgery.- Interventional cardiac procedures.- Aortic arch surgery.- Adult congenital heart disease.- Heart transplantation.- Intra-aortic balloon pump and mechanical circulatory support.- Part 3: Postoperative Care.- Basic concepts of critical care following cardiac surgery.- Issues related to the type of surgery.- Sedation, pain relief and respiratory weaning.- Hemodynamic complications.- Acute kidney injury & management.- Neurocognitive dysfunction and delirium.- Cardiac arrest and post-cardiac arrest management.- Management of mechanical circulatory support.- Management of heart transplant.- Infections and management.
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