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Advanced Manual of Perioperative Care in Adult Cardiac Surgery: Evidence-Based Protocols from Risk Stratification and Cardioplegia to Mechanical Circu
Paperback
Publisher: Independently Published
Published: Jul 11 2026
Pages: 376
Weight: 1.92
Height: 0.78 Width: 8.50 Depth: 11.00
Language: English
In adult cardiac surgery, the operation is only one part of the outcome. What happens before incision, during bypass, and throughout critical care can determine whether a patient merely survives-or recovers safely and successfully.
The cardiac surgical patient presents one of the most complex challenges in modern medicine. Risk must be accurately assessed. Anticoagulation must be managed without creating avoidable bleeding or thrombotic danger. Myocardial protection, perfusion, ventilation, hemodynamics, coagulation, renal function, neurological status, and recovery must all be coordinated across multiple clinical teams.
Advanced Manual of Perioperative Care in Adult Cardiac Surgery provides a structured, evidence-based framework for managing that entire continuum.
Designed for cardiac surgery residents and fellows, cardiac anesthesiologists, intensivists, perfusionists, advanced practice providers, and cardiac critical care professionals, this comprehensive manual transforms a highly fragmented field into a clinically organized pathway-from the first preoperative assessment to rehabilitation and long-term follow-up.
Inside, readers will learn how to:
- Apply STS risk scoring, EuroSCORE II, frailty assessment, and functional-capacity testing
- Optimize cardiac disease, renal dysfunction, diabetes, anemia, nutrition, and perioperative medications
- Plan cardiac anesthesia using individualized induction, monitoring, TEE, ventilation, and analgesic strategies
- Understand cardiopulmonary bypass physiology, anticoagulation, flow, pressure, temperature, and weaning
- Select and evaluate cardioplegia and myocardial-protection strategies
- Manage CABG, valve, aortic root, ascending aortic, and arch procedures across the perioperative period
- Recognize and treat low cardiac output syndrome, vasoplegia, right ventricular failure, arrhythmias, bleeding, respiratory failure, acute kidney injury, delirium, stroke, and infection
- Apply temporary mechanical circulatory support using IABP, Impella, VA-ECMO, and ECPELLA
- Build an effective ERAS-Cardiac pathway incorporating early extubation, multimodal analgesia, nutrition, mobility, discharge preparation, and cardiac rehabilitation
More than a discussion of isolated procedures, this book shows how the pieces of cardiac surgical care fit together. It connects risk assessment with operative planning, physiology with treatment selection, and evidence-based recommendations with bedside implementation.
Clinical algorithms support rapid decision-making, while reference appendices place essential hemodynamic values, laboratory parameters, vasoactive medications, anticoagulants, antiarrhythmics, sedatives, and analgesics within easy reach.
Whether you are preparing for a complex case, strengthening your cardiac ICU practice, developing institutional protocols, or advancing through specialty training, this manual offers the depth of a clinical textbook with the organization of a working professional reference.
Build a safer, more systematic approach to adult cardiac surgical care-before, during, and after the operation.
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