The fifth edition of this global bestseller is the most comprehensive and easy-to-use reference available on the perioperative care of the adult cardiac surgery patient.
　Completely rewritten to incorporate all the latest concepts in care and updated to reflect current practice and guidelines, this classic text retains the pragmatic features that have made it the "gold standard" reference that clinicians have relied upon for over 20 years.


　　HIGHLIGHTS INCLUDE:
　　　ㆍ　Full coverage of cardiac surgical diseases, including pathophysiology and indications for surgery, illustrations of the most common operative procedures, and figures demonstrating the diagnostic techniques used in the evaluation of cardiac disease
　　　ㆍ　Easy access to information using an outline format with markers on the free edges to identify chapters, synopsis pages at the beginning of each chapter, and a comprehensive index to locate a discussion of virtually any topic
　　　ㆍ　Emphasis on use of evidence-based medicine and common sense in patient management, providing the principles behind the recommendations for care, drawing upon the author's vast experience in cardiac surgical management working with cardiothoracic surgical residents and physician assistants
　　　ㆍ　Updated references for all topics from the vast surgical literature
　　　ㆍ　18 appendices, providing rapid access to order sheets, protocols, commonly used drug doses and other key information

　Written for cardiothoracic surgeons and residents, physician assistants, nurse practitioners, and critical care nurses, the fifth edition of Manual of Perioperative Care in Adult Cardiac Surgery is a must-have resource for those involved in managing both routine and complex cardiac surgery patients.

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