This comprehensive yet concise book addresses current best practice in the combined areas of cardiac surgery and anesthesia, interventional minimally invasive cardiac procedures, perioperative management and monitoring, and critical care recovery. This book not only provides the latest best practices in the perioperative management of cardiac surgical patients, but also it summarizes the current clinical guidelines and algorithms from leading cardiac programs and professional societies.

Contemporary best practice approaches are written by experts from leading cardiac surgical centers. The preoperative, intraoperative and postoperative management and recovery of surgical patients, including medication, monitoring techniques, and innovative surgical procedures, are presented by experts in the field of cardiac anesthesia and surgery. Perioperative clinical care guidelines, postoperative recovery pathways and models of care are presented with supporting protocols.

Evidence-Based Practice in Perioperative Cardiac Anesthesia and Surgery is aimed at all cardiac anesthesiology consultants, fellows, and trainees; all cardiac surgery consultants, fellows, and trainees; nurses in perioperative care and those involved in patient recovery management; cardiac program administrative professionals; and all critical care consultants and trainees looking after cardiovascular surgical patients in the modern era.

Section I. Introduction

Overview of a Cardiac Anesthesia & Surgical Program
Overview of a Cardiology Interventional 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
Anesthetic Management in Interventional Cath Lab Procedures
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 CP

B 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. Perioperative Echocardiography Monitoring and Management
Perioperative Transesophageal echocardiography
Perioperative Transthoracic echocardiography
Section IV. 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
Surgery of the Tricuspid Valve
Robotic Cardiac Valvular Surgery
Surgery of the Transverse Arch and Cerebral Protection
Surgery of Descending Thoracic Aorta
Combined Cardiac and Vascular Surgery
Surgery for Mechanical Complications of Myocardial Infarction
Surgery for End-Stage Heart Disease and Heart Transplantation
Lung and Heart-Lung Transplantation Surgery
Ventricular Assist Devices Implantation
Congenital Heart Surgery
Ventricular Aneurysm Resection & Partial Left Ventriculotomy
AICD and Pacemakers Insertion
Section V. Cardiac Surgical Recovery Unit and Postoperative Complications Management
Routine Cardiac Surgery Recovery Care: Extubation to Discharge Pathway
Common Problems in Cardiac Surgery Recovery Unit
Atrial and Ventricular Arrhythmia Management
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 VI. Surgical Ward Management.- Routine Surgical Ward Care
Common Ward Complications and Management.- Section VII. Appendices.