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Perioperative Management

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Andrew Ferguson

Perioperative Care of the Cardiac Surgery Patient This document outlines key aspects of perioperative care for cardiac surgery patients, including: 1) Preoperative evaluation to assess risk factors and optimize medical conditions; 2) Intraoperative management focusing on organ protection and hemodynamic optimization; 3) Postoperative care in the ICU addressing common complications like arrhythmias, bleeding, and pulmonary issues.

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Perioperative Care of the Cardiac Surgery Patient Lars Hegnell, MD Dept. of Anesthesiology and Perioperative Medicine OHSU, Portland, Oregon
Learning Objectives ,[object Object],[object Object],[object Object]
Challenge in Care Plans ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Goals of Preoperative Evaluation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Preoperative Evaluation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Aprotinin ,[object Object],[object Object]
Cardiovascular Risk Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cardiovascular Risk Assessment (cont) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
High-risk Surgeries ,[object Object],[object Object],[object Object],[object Object]
Comorbidities ,[object Object],[object Object],[object Object],[object Object],[object Object]
Preoperative Medical Treatments with Effect on Outcome of Surgery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Preoperative Medical Treatments with Effect on Outcome of Surgery ,[object Object],[object Object],[object Object],[object Object]
Extended Workup of the Cardiac Patient ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Premedication ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Goals of Intraoperative Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Organ Protection ,[object Object],[object Object],[object Object]
Methods for Intraoperative Cardiac Function Measurements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Goals for Cardiac Optimization ,[object Object],[object Object],[object Object],[object Object]
Anesthetics Effect on Cardiac Function ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anesthetics’ Effect on Cardiac Function ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anesthetics’ Effect on Cardiac Function ,[object Object],[object Object]
Intraoperative Drug Support ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intraoperative Drug Support ,[object Object],[object Object],[object Object]
Intraoperative Drug Support ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intraoperative Drug Support ,[object Object],[object Object],[object Object],[object Object],[object Object]
Intraoperative Drug Support ,[object Object],[object Object],[object Object],[object Object]
Postoperative Care of the Cardiac Surgery Patient ,[object Object],[object Object],[object Object],[object Object],[object Object]
Postoperative Care in the ICU ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Initial Review of the Postoperative Patient ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Postoperative Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Postoperative Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Risk Factors for Postoperative Pulmonary Dysfunction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Postoperative Medications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Postoperative Medications (cont) ,[object Object],[object Object]
Graft Spasm Prevention ,[object Object],[object Object],[object Object],[object Object],[object Object]
Preventable Postoperative Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Postoperative Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Postoperative Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Problem Directed Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Problem Directed Management ,[object Object],[object Object]
Problem Directed Management ,[object Object],[object Object],[object Object]
Coagulopathy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Special Cases ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Special Cases ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Special Cases ,[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References (cont) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References (cont) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References (cont) ,[object Object],[object Object],[object Object],[object Object]
Case 1 ,[object Object],[object Object],[object Object]
Case 1 (cont) ,[object Object],[object Object],[object Object],[object Object]
Case 1 (cont) ,[object Object],[object Object],[object Object],[object Object]
Case 1 (cont) ,[object Object],[object Object],[object Object],[object Object]

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Perioperative Management

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