Patient Safety in the Cardiac Operating Room

Sep 1, 2018 by in ANESTHESIA Comments Off on Patient Safety in the Cardiac Operating Room

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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Reoperative Cardiac Surgery

Sep 1, 2018 by in ANESTHESIA Comments Off on Reoperative Cardiac Surgery

Key Points 1. Reoperative cardiac surgery presents greater risk than first-time surgery because patients are usually older, have more comorbidity, and have more advanced cardiovascular disease. Also, resternotomy can be…

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Mechanical Assist Devices for Heart Failure

Sep 1, 2018 by in ANESTHESIA Comments Off on Mechanical Assist Devices for Heart Failure

Key Points 1. Mechanical circulatory support (MCS) for the failing heart has become a mainstay of the modern management of patients with both acute and chronic heart failure refractory to…

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Procedures in the Hybrid Operating Room

Sep 1, 2018 by in ANESTHESIA Comments Off on Procedures in the Hybrid Operating Room

Key Points 1. A hybrid operating room combines advanced imaging capabilities with a fully functioning operating suite. 2. Transcatheter aortic valve replacement (TAVR) is recommended for patients with severe symptomatic…

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Congenital Heart Disease in Adults

Sep 1, 2018 by in ANESTHESIA Comments Off on Congenital Heart Disease in Adults

Key Points 1. Because of successes in treating congenital cardiac lesions, there are currently as many or more adults than children with congenital heart disease (CHD). 2. These patients may…

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Valvular Heart Disease: Replacement and Repair

Sep 1, 2018 by in ANESTHESIA Comments Off on Valvular Heart Disease: Replacement and Repair

Key Points 1. Although various valvular lesions generate different physiologic changes, all valvular heart disease is characterized by abnormalities of ventricular loading. 2. The left ventricle normally compensates for increases…

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Uncommon Cardiac Diseases

Sep 1, 2018 by in ANESTHESIA Comments Off on Uncommon Cardiac Diseases

Key Points 1. Cardiac tumors are rare. In general, a cardiac mass is more likely a vegetation or a thrombus than a tumor. Secondary (metastatic) tumors are far more common…

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Anesthesia for Myocardial Revascularization

Sep 1, 2018 by in ANESTHESIA Comments Off on Anesthesia for Myocardial Revascularization

Key Points 1. Guideline updates emphasize the efficacy of surgical approaches to myocardial revascularization in patients with multivessel coronary artery disease. 2. Perioperative risk reduction includes careful consideration of all…

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