Devices for Cardiac Support and Replacement

Aug 19, 2016 by in ANESTHESIA Comments Off on Devices for Cardiac Support and Replacement

KEY POINTS  1. Mechanical circulatory support devices most often are ventricular assist devices, which are indicated for bridging to myocardial recovery or cardiac transplantation or as a permanent assist device…

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Intraoperative Myocardial Protection

Aug 19, 2016 by in ANESTHESIA Comments Off on Intraoperative Myocardial Protection

KEY POINTS  1. Mechanisms of myocardial ischemic injury are multifactorial and include some of the following: Depletion of high-energy phosphates, intracellular acidosis, alterations in intracellular calcium homeostasis, complement activation, generation…

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Pain Management for Cardiothoracic Procedures

Aug 19, 2016 by in ANESTHESIA Comments Off on Pain Management for Cardiothoracic Procedures

KEY POINTS  1. Chronic pain due to intercostal nerve injury develops in approximately 50% of postthoracotomy patients, and in 5% this pain becomes severe and disabling.  2. Thoracic epidural analgesia…

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Induction of Anesthesia

Aug 19, 2016 by in ANESTHESIA Comments Off on Induction of Anesthesia

KEY POINTS  1. On the day of surgery, most cardiovascular medications should be administered orally, with the exceptions of angiotensin-converting enzyme (ACE) inhibitors, angiotensin receptor blockers, and (selectively) diuretic agents….

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