Extensively revised to cover recent advances in cardiac surgery, the fourth 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 discussing bleeding, the respiratory, cardiac, and renal subsystems in depth, and aspects of care specific to recovery on the postoperative floor Completely updated references Extensive illustrations, including NEW figures depicting operative techniques 14 helpful appendices covering order and flow sheets, protocols, commonly used drug dosages, and proceduresPractical and accessible, the Manual of Perioperative Care in Adult Cardiac Surgery is the essential reference guide to cardiac surgical patient care.
Author(s): Robert M. Bojar
Edition: 4
Year: 2004
Language: English
Pages: 640
MANUAL of PERIOPERATIVE CARE in ADULT CARDIAC SURGERY, Fourth Edition......Page 1
Table of Contents
......Page 9
Preface......Page 10
Acknowledgments......Page 11
CHAPTER 1: Synopsis of Adult Cardiac Surgical Disease......Page 13
CHAPTER 2: Diagnostic Techniques in Cardiac Surgery......Page 71
CHAPTER 3: Preoperative Considerations and Risk Assessment......Page 103
CHAPTER 4: Cardiac Anesthesia......Page 141
CHAPTER 5: Cardiopulmonary Bypass......Page 189
CHAPTER 6: Myocardial Protection......Page 217
CHAPTER 7: Admission to the ICU and Monitoring Techniques......Page 229
CHAPTER 8: Early Postoperative Care......Page 247
CHAPTER 9: Mediastinal Bleeding......Page 277
CHAPTER 10: Respiratory Management......Page 305
CHAPTER 11: Cardiovascular Management......Page 351
CHAPTER 12: Fluid Management, Renal and Metabolic Problems......Page 479
CHAPTER 13: Post-ICU Care and Other Complications......Page 521
APPENDICES......Page 583
1: Typical Preoperative Order Sheet......Page 585
2: Typical Orders for Admission to the ICU......Page 586
3: Transfer Orders from the ICU......Page 589
4: Typical ICU Flowsheet......Page 592
5: Heparinization Protocol for Cardiac Surgery Patients......Page 593
6: Hyperglycemia Protocol for Cardiac Surgery Patients......Page 594
7: Doses of Parenteral Medications Commonly Used in the ICU and Their Modifications in Renal Failure......Page 595
8: Doses of Nonparenteral Medications Commonly Used After Heart Surgery and Their Modifications in Renal Failure......Page 599
9: Drug and Food Interactions with Warfarin (Coumadin)......Page 608
10: Definitions from the STS Data Specifications (2004)......Page 609
11: Technique of Thoracentesis......Page 612
12: Technique for Tube Thoracostomy......Page 613
13: Technique for Insertion of Percutaneous Tracheostomy Tube......Page 615
14: Body Surface Area Nomogram for Adults......Page 618
Index......Page 619
