Preface ix Acknowledgments xi 1. Synopsis of Adult Cardiac Surgical Disease 1 2. Diagnostic Techniques in Cardiac Surgery 85 3. General Preoperative Considerations and Preparation of the Patient for Surgery 129 4. Cardiac Anesthesia 173 5. Cardiopulmonary Bypass 227 6. Myocardial Protection 263 7. Admission to the ICU and Monitoring Techniques 279 8. Early Postoperative Care 301 9. Mediastinal Bleeding 345 10. Respiratory Management 383 11. Cardiovascular Management 437 12. Fluid Management, Renal, Metabolic, ...
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Preface ix Acknowledgments xi 1. Synopsis of Adult Cardiac Surgical Disease 1 2. Diagnostic Techniques in Cardiac Surgery 85 3. General Preoperative Considerations and Preparation of the Patient for Surgery 129 4. Cardiac Anesthesia 173 5. Cardiopulmonary Bypass 227 6. Myocardial Protection 263 7. Admission to the ICU and Monitoring Techniques 279 8. Early Postoperative Care 301 9. Mediastinal Bleeding 345 10. Respiratory Management 383 11. Cardiovascular Management 437 12. Fluid Management, Renal, Metabolic, and Endocrine Problems 581 13. Post-ICU Care and Other Complications 641 Appendices 727 Appendix 1A American College of Cardiology Classes of Recommendation and Levels of Evidence 729 Appendix 1B New York Heart Association Functional Classification 729 Appendix 2 Typical Preoperative Order Sheet 730 Appendix 3 Typical Orders for Admission to the ICU 731 Appendix 4 Typical Transfer Orders from the ICU 734 Appendix 5 Typical ICU Flowsheet 737 Appendix 6 Hyperglycemia Protocol for Cardiac Surgery Patients 738 Appendix 7 Heparinization Protocol for Cardiac Surgery Patients 739 Appendix 8 Protocol for Initiating Warfarin 740 Appendix 9 INR Reversal Protocol 741 Appendix 10 Drug, Food, and Dietary Supplement Interactions with Warfarin 742 Appendix 11 Doses of Parenteral Medications Commonly Used in the ICU and Their Modification in Renal Failure 743 Appendix 12 Doses of Nonparenteral Drugs Commonly Used After Heart Surgery and Their Modifications in Renal Failure 747 Appendix 13 Definitions from the STS Data Specifications (Version 2.7 2011) 753 Appendix 14 Body Surface Area Nomogram 756 Appendix 15 Body Mass Index Chart 757 Appendix 16 Technique of Thoracentesis 758 Appendix 17 Technique for Tube Thoracostomy 759 Appendix 18 Technique of Insertion of Percutaneous Tracheostomy Tube 761 Index 765
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