Manual of Perioperative Care in Adult Cardiac Surgery

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

• Preface ixAcknowledgments xi1. Synopsis of Adult Cardiac Surgical Disease 12. Diagnostic Techniques in Cardiac Surgery 1213. General Preoperative Considerations and Preparation of the Patient for Surgery 1734. Cardiac Anesthesia 2175. Cardiopulmonary Bypass 2836. Myocardial Protection 3237. Admission to the ICU and Monitoring Techniques 3418. Early Postoperative Care 3639. Mediastinal Bleeding 41710. Respiratory Management 45711. Cardiovascular Management 51312. Fluid Management, Renal, Metabolic, and Endocrine Problems 67313. Post-ICU Care and Other Complications 737Appendices 843Appendix 1A American College of Cardiology Classes of Recommendation and Levels of Evidence 845Appendix 1B New York Heart Association Functional Classification 845Appendix 1C The Canadian Cardiovascular Society Classification for Grading of Angina 846Appendix 1D Interagency Registry for Mechanically Assisted Circulatory Support (INTERMACS) Profiles of Advanced Heart Failure 847Appendix 2 Typical Preoperative Order Sheet 848Appendix 3 Cardiac Surgery Preoperative Assessment Checklist 850Appendix 4 Typical Orders for Admission to the ICU 851Appendix 5 Typical Transfer Orders from the ICU 854Appendix 6 Hyperglycemia Protocol for Cardiac Surgery Patients 857Appendix 7 Heparinization Protocol for Cardiac Surgery Patients 859Appendix 8 Protocol for Initiating Warfarin 860Appendix 9 INR Reversal Protocol 861Appendix 10A The CHA2DS2-VASc Score 862Appendix 10B The HAS-BLED Score 863Appendix 11 Drug, Food, and Dietary Supplement Interactions with Warfarin 864Appendix 12 Doses of Parenteral Medications Commonly Used in the ICU and Their Modifications in Renal Failure 865Appendix 13 Doses of Nonparenteral Drugs Commonly Used After Heart Surgery and Their Modifications in Renal Failure 868Appendix 14 Definitions from the STS Data Specifications (Version 4.20 2020) 874Appendix 15 Body Surface Area Nomogram 879Appendix 16 Body Mass Index Chart 880Appendix 17 Aortic Size Index for Thoracic Aneurysms 881Appendix 18 Aortic Height Index for Thoracic Aneurysms 882Appendix 19 Aortic Height and Length Index for Thoracic Aneurysms 883Appendix 20 Technique of Thoracentesis 884Appendix 21 Technique for Tube Thoracostomy 885Index 887