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
• ۲۱ appendices summarizing order sheets, protocols, commonly used drug doses, body mass index, and other important information

Contents

۱ Synopsis of Adult Cardiac Surgical Disease
۲ Diagnostic Techniques in Cardiac Surgery
۳ General Preoperative Considerations and Preparation of the Patient for Surgery
۴ Cardiac Anesthesia
۵ Cardiopulmonary Bypass
۶ Myocardial Protection
۷ Admission to the ICU and Monitoring Techniques
۸ Early Postoperative Care
۹ Mediastinal Bleeding
۱۰ Respiratory Management
۱۱ Cardiovascular Management
۱۲ Fluid Management, Renal, Metabolic, and Endocrine Problems
۱۳ Post-ICU Care and Other Complications
Appendices
Appendix 1A American College of Cardiology Classes of Recommendation and Levels of Evidence
Appendix 1B New York Heart Association Functional Classification
Appendix 1C The Canadian Cardiovascular Society Classification for Grading of Angina
Appendix 1D Interagency Registry for Mechanically Assisted Circulatory Support (INTERMACS) Profiles of Advanced Heart Failure
Appendix 2 Typical Preoperative Order Sheet
Appendix 3 Cardiac Surgery Preoperative Assessment Checklist
Appendix 4 Typical Orders for Admission to the ICU
Appendix 5 Typical Transfer Orders from the ICU
Appendix 6 Hyperglycemia Protocol for Cardiac Surgery Patients
Appendix 7 Heparinization Protocol for Cardiac Surgery Patients
Appendix 8 Protocol for Initiating Warfarin
Appendix 9 INR Reversal Protocol
Appendix 10A The CHA2DS2-VASc Score
Appendix 10B The HAS-BLED Score
Appendix 11 Drug, Food, and Dietary Supplement Interactions with Warfarin
Appendix 12 Doses of Parenteral Medications Commonly Used in the ICU and Their Modifications in Renal Failure
Appendix 13 Doses of Nonparenteral Drugs Commonly Used After Heart Surgery and Their Modifications in Renal Failure
Appendix 14 Definitions from the STS Data Specifications (Version 2.9 2017)
Appendix 15 Body Surface Area Nomogram
Appendix 16 Body Mass Index Chart
Appendix 17 Aortic Size Index for Thoracic Aneurysms
Appendix 18 Aortic Height Index for Thoracic Aneurysms
Appendix 19 Aortic Height and Length Index for Thoracic Aneurysms
Appendix 20 Technique of Thoracentesis
Appendix 21 Technique for Tube Thoracostomy