Full Description
This book, focused on fast-track approaches in cardiac surgery, covers ERAS cardiac guidelines, explores the application of loco-regional anesthesia in cardiac surgery, and addresses all aspects related to early extubation in this context. The volume includes:
A comprehensive description of all minimally invasive cardiac procedures, with detailed anesthetic considerations for each.
An in-depth examination of perioperative pain management, emphasizing opioid-sparing strategies and the use of chest wall blocks as a key component in fast-track protocols.
A thorough analysis of early extubation, including its impact on length of stay and cost.
Additionally, the book provides insights into future developments by examining Ultra-Fast-Track extubation and awake surgery.
As one of the first books to focus entirely on fast-track and ERAS guidelines for early extubation of cardiac surgery patients, this volume is particularly valuable for anesthesiologists, intensivists, surgeons, and cardiologists.
Contents
Introduction.- Society for Enhanced Recovery After Cardiac Surgery.- ERAS Recommendations.- Assessment and pathophysiology of pain in cardiac surgery.- Multi-modal opioid sparing.- Locoregional Anesthesia in Cardiac Procedures.- Anatomy and ultrasound. General considerations.- Anterior and posterior chest wall anatomy.- Anterior and posterior abdominal wall anatomy.- Anterior and posterior chest wall blocks.- Anterior and posterior abdominal wall blocks.- Analgesia vs Anesthesia.- Chronic pain and fascial blocks.- Hemodynamic implications.- Pain monitoring.- Minimally Invasive Cardiac Procedures and Locoregional Anesthesia.- TAVI.- MITRACLIP.- MINI thoracotomy.- MINI sternotomy.- Early Extubation After Cardiac Procedures.- Risks and benefits.- Patients selection.- Postoperative implications.- Future Considerations In Cardiac Surgery.- Ultrafast-Track extubation.- Awake surgery.- Hospital cost and length of stay.- Clinical Cases.
