Postoperative Cardiovascular Management

Sep 1, 2018 by in ANESTHESIA Comments Off on Postoperative Cardiovascular Management

Key Points 1. Maintaining oxygen transport and oxygen delivery appropriately to meet the tissue metabolic needs is the goal of postoperative circulatory control. 2. Cardiac function worsens after cardiac surgical…

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Postoperative Pain Management for the Cardiac Patient

Sep 1, 2018 by in ANESTHESIA Comments Off on Postoperative Pain Management for the Cardiac Patient

Key Points 1. Inadequate postoperative analgesia and/or an uninhibited perioperative surgical stress response has the potential to initiate pathophysiologic changes in all major organ systems, which may lead to substantial…

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Thoracic Aorta

Sep 1, 2018 by in ANESTHESIA Comments Off on Thoracic Aorta

Key Points 1. Diseases of the thoracic aorta can occasionally be managed with medical treatment and surveillance, whereas others require surgical intervention. Depending on the disease process, some surgeries may…

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Long-Term Complications and Management

Sep 1, 2018 by in ANESTHESIA Comments Off on Long-Term Complications and Management

Key Points 1. Cardiac surgical patients are at significant risk from preventable adverse events. These events occur through human error, by either faulty decision making (diagnosis, decision for treatment) or…

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Postoperative Respiratory Care

Sep 1, 2018 by in ANESTHESIA Comments Off on Postoperative Respiratory Care

Key Points 1. Cardiac anesthesia has fundamentally shifted from a high-dose narcotic technique to a more balanced approach using moderate-dose narcotics, shorter-acting muscle relaxants, and volatile anesthetic agents. 2. This…

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Discontinuing Cardiopulmonary Bypass

Sep 1, 2018 by in ANESTHESIA Comments Off on Discontinuing Cardiopulmonary Bypass

Key Points 1. The key to successful weaning from cardiopulmonary bypass (CPB) is proper preparation. 2. After rewarming the patient, correcting any abnormal blood gases, and inflating the lungs, make…

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