COMPREHENSIVE PERIOPERATIVE CARE IN ADULT CARDIAC SURGERY: Preoperative Assessment, Anesthesia, Perfusion, Surgical Management, Critical Care, and Recovery

COMPREHENSIVE PERIOPERATIVE CARE IN ADULT CARDIAC SURGERY
Preoperative Assessment, Anesthesia, Perfusion, Surgical Management, Critical Care, and Recovery
A comprehensive, clinically focused guide to the complete care of adults undergoing cardiac surgery—from initial evaluation and operative preparation to intensive care, rehabilitation, and long-term recovery.
Adult cardiac surgery involves far more than the technical performance of an operation. Successful outcomes depend on careful patient selection, accurate risk assessment, preoperative optimization, coordinated cardiac anesthesia, effective cardiopulmonary bypass, myocardial protection, precise surgical intervention, vigilant postoperative monitoring, early complication recognition, and structured rehabilitation.
Comprehensive Perioperative Care in Adult Cardiac Surgery presents these interconnected stages within a single, systematic clinical framework.
The book is designed for cardiac surgeons, anesthesiologists, perfusionists, intensivists, cardiologists, nurses, advanced practice clinicians, respiratory therapists, pharmacists, rehabilitation professionals, residents, fellows, and medical students involved in the management of adult cardiac surgical patients.
Inside This Comprehensive Cardiac Surgery Reference
• Understand the complete perioperative cardiac surgery pathway
Follow the patient chronologically from surgical referral and preoperative evaluation through anesthesia, cardiopulmonary bypass, operative treatment, intensive care, discharge planning, cardiac rehabilitation, and long-term surveillance.
• Build a multidisciplinary model of care
Examine the roles of cardiac surgeons, cardiac anesthesiologists, perfusionists, intensivists, cardiologists, nurses, respiratory therapists, pharmacists, physiotherapists, rehabilitation specialists, and other professionals whose coordinated decisions influence surgical outcomes.
• Perform comprehensive preoperative evaluation
Develop a structured approach to cardiovascular history, physical examination, symptom assessment, functional status, frailty, medication review, previous procedures, comorbid illness, laboratory testing, diagnostic imaging, and patient-specific surgical risk.
• Apply cardiac surgical risk-stratification tools
Understand how formal risk models, frailty assessment, ventricular function, pulmonary hypertension, kidney disease, cerebrovascular disease, diabetes, nutritional status, and operative urgency contribute to perioperative risk estimation.
• Assess important non-cardiac comorbidities
Evaluate pulmonary disease, renal impairment, hepatic dysfunction, endocrine disorders, hematological abnormalities, neurological conditions, obesity, malnutrition, infection risk, and other factors that may alter anesthetic, perfusion, surgical, and postoperative management.
• Optimize patients before surgery
Review evidence-informed strategies for medication management, treatment of anemia, glycemic control, nutritional support, smoking cessation, exercise preparation, respiratory training, infection screening, and prehabilitation.
• Improve informed consent and shared decision-making
Explore approaches to communicating operative risk, expected benefits, treatment alternatives, potential complications, mechanical support options, anticipated recovery, rehabilitation needs, and long-term prognosis.
• Understand the principles of cardiac anesthesia
Review preinduction assessment, monitoring selection, vascular access, airway management, anesthetic induction, maintenance, analgesia, hemodynamic goals, vasoactive medications, and management of patients with severely impaired ventricular function.