Now in its sixth edition, Robert M. Bojar's Manual of Perioperative Care in Adult Cardiac Surgery remains the go-to practical guide for all of those involved in the care of the cardiac surgery patient. Written in outline format, it provides a comprehensive, detailed, and clearly explained review of cardiac surgical disease and perioperative management that is of value to practicing cardiac surgeons as well as to cardiologists, residents, fellows, advanced practice providers, critical care and floor nurses, perfusionists, and medical students.
Extensively rewritten with updated references to incorporate the latest concepts, guidelines, protocols, and medications used in cardiac surgical practice, this classic text retains the pragmatic features that have made it the gold standard reference that clinicians have used worldwide for the past 30 years.
Highlights include:
- Full coverage of cardiac surgical diseases, including pathophysiology, indications for surgery per guidelines, and figures of operative procedures and diagnostic techniques, with a panoply of examples
- Chronologic evaluation of patients from preoperative assessment to intraoperative considerations to postoperative care for each procedure
- Extensive chapters discussing organ system management in the ICU, followed by a discussion of later postoperative management and problems
- Incorporation of newer techniques (TAVR, Mitraclip, etc.) within the chronologic format
- Easy access to information using an outline format, markers on the free edges to identify chapters, synopsis pages at the beginning of each chapter, and a comprehensive index to provide easy referencing within the text
- Updated references throughout that are available from on-line resources
- 21 appendices summarizing order sheets, protocols, commonly used drug doses, body mass index, and other important information
Praise for the fifth edition:
"Surgeons are frequently asked to recommend a text that can be used to guide the care of their patients. This comprehensive text is the standard by which any other text should be judged."
- Critical Care Medicine
"It remains a classic and a must have for anyone involved in cardiac surgery."
- Perfusion.com
Table of Contents
Preface ix
Acknowledgments xi
1. Synopsis of Adult Cardiac Surgical Disease 1
2. Diagnostic Techniques in Cardiac Surgery 121
3. General Preoperative Considerations and Preparation of the Patient for Surgery 173
4. Cardiac Anesthesia 217
5. Cardiopulmonary Bypass 283
6. Myocardial Protection 323
7. Admission to the ICU and Monitoring Techniques 341
8. Early Postoperative Care 363
9. Mediastinal Bleeding 417
10. Respiratory Management 457
11. Cardiovascular Management 513
12. Fluid Management, Renal, Metabolic, and Endocrine Problems 673
13. Post-ICU Care and Other Complications 737
Appendices 843
Appendix 1A American College of Cardiology Classes of Recommendation and Levels of Evidence 845
Appendix 1B New York Heart Association Functional Classification 845
Appendix 1C The Canadian Cardiovascular Society Classification for Grading of Angina 846
Appendix 1D Interagency Registry for Mechanically Assisted Circulatory Support (INTERMACS) Profiles of Advanced Heart Failure 847
Appendix 2 Typical Preoperative Order Sheet 848
Appendix 3 Cardiac Surgery Preoperative Assessment Checklist 850
Appendix 4 Typical Orders for Admission to the ICU 851
Appendix 5 Typical Transfer Orders from the ICU 854
Appendix 6 Hyperglycemia Protocol for Cardiac Surgery Patients 857
Appendix 7 Heparinization Protocol for Cardiac Surgery Patients 859
Appendix 8 Protocol for Initiating Warfarin 860
Appendix 9 INR Reversal Protocol 861
Appendix 10A The CHA2DS2-VASc Score 862
Appendix 10B The HAS-BLED Score 863
Appendix 11 Drug, Food, and Dietary Supplement Interactions with Warfarin 864
Appendix 12 Doses of Parenteral Medications Commonly Used in the ICU and Their Modifications in Renal Failure 865
Appendix 13 Doses of Nonparenteral Drugs Commonly Used After Heart Surgery and Their Modifications in Renal Failure 868
Appendix 14 Definitions from the STS Data Specifications (Version 4.20 2020) 874
Appendix 15 Body Surface Area Nomogram 879
Appendix 16 Body Mass Index Chart 880
Appendix 17 Aortic Size Index for Thoracic Aneurysms 881
Appendix 18 Aortic Height Index for Thoracic Aneurysms 882
Appendix 19 Aortic Height and Length Index for Thoracic Aneurysms 883
Appendix 20 Technique of Thoracentesis 884
Appendix 21 Technique for Tube Thoracostomy 885
Index 887
