Evidence-Based Practice in Perioperative Cardiac Anesthesia and Surgery, 1st ed. 2021

Coordinators: Cheng Davy C.H., Martin Janet, David Tirone

Language: English

210.99 €

In Print (Delivery period: 15 days).

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769 p. · 17.8x25.4 cm · Paperback

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.

Davy C. H. Cheng, MD, MSc, FRCPC, FCAHS, CCPE

Dr. Davy Cheng is a Distinguished University Professor and Former Acting Dean of Schulich School of Medicine & Dentistry, Western University. He holds the Chair in Evidence-based Perioperative Clinical Outcomes Research (EPiCOR) and is the co-founder and Medical Director of the Centre for MEDICI (Medical Evidence, Decision Integrity, Clinical Impact), which is a World Health Organization (WHO) Collaborating Center in the study of global surgery, anesthesia & perioperative care. Dr. Cheng served as the Chair / Chief of the Department of Anesthesia & Perioperative Medicine, London Health Sciences Centre, St. Joseph Health Care London, and Western University from 2001-2017. Dr. Cheng is also the founding Medical Director of the Cardiac Surgery Recovery Unit (2002), Critical Care Western, Department of Medicine.

Dr. Cheng graduated from the Faculty of Medicine, University of Toronto in 1983 and completed his internal medicine internship and anesthesia residency in 1987. He joined as Faculty at the Toronto Western Hospital, University of Toronto after a Clinical Research Fellowship in 1988 and a Cardiovascular Anesthesia Fellowship at the University of Iowa Hospitals and Clinics, Iowa City in 1989. Prior to his appointment in 2001 at Western University, London, Dr. Cheng held the position of Professor and Deputy Chief of Anesthesiology at the Toronto General Hospital, University of Toronto and as Medical Director, Cardiovascular Surgery Program, University Health Network (UHN), Toronto.

Dr. Cheng is a globally recognized healthcare leader in the forefront of research, practice and healthcare policy in the fields of perioperative medicine, cardiac surgery, critical care medicine, and evidence-based clinical decision-making. His pioneer work in fast track cardiac anesthesia and recovery has established the standard of cardiac anesthesia and recovery practice around the world(citations 10,544

Covers all current cardiac surgery procedures

Written by an international panel of experts in anesthesia and surgery