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Chapter 4 - Conduct of Anaesthesia

from Section 1 - Routine Cardiac Surgery

Published online by Cambridge University Press:  12 May 2020

By
Andrew I. Gardner  and
Paul H. M. Sadleir
Edited by
Joseph Arrowsmith ,
Andrew Roscoe  and
Jonathan Mackay
Joseph Arrowsmith
Affiliation:
Royal Papworth Hospital, Cambridge
Andrew Roscoe
Affiliation:
Singapore General Hospital
Jonathan Mackay
Affiliation:
Royal Papworth Hospital, Cambridge
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Summary

The aims of anaesthesia for cardiac surgery are: prevention of perioperative cardiac ischaemia and arrhythmias, tight haemodynamic control, avoidance of non-cardiac complications and early tracheal extubation. This chapter deals with the management of low-risk patients undergoing elective CABG surgery.

Type
Chapter
Information
Core Topics in Cardiac Anaesthesia , pp. 24 - 29
Publisher: Cambridge University Press
Print publication year: 2020

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References

Further Reading

Aboul-Hassan, SS, Stankowski, T, Marczak, J, et al. The use of preoperative aspirin in cardiac surgery: a systematic review and meta-analysis. J Card Surg 2017; 32: 758–74.Google Scholar
Kappeler, R, Gillham, M, Brown, NM. Antibiotic prophylaxis for cardiac surgery. J Antimicrob Chemother 2012; 67: 521–2.CrossRefGoogle ScholarPubMed
Peacock, SC, Lovshin, JA. Sodium-glucose cotransporter-2 inhibitors (SGLT-2i) in the perioperative setting. Can J Anaesth 2018; 65: 143–7.CrossRefGoogle ScholarPubMed
Reich, DL, Fischer, GW. Perioperative interventions to modify risk of morbidity and mortality. Semin Cardiothorac Vasc Anesth 2007; 11: 224–30.Google Scholar
Saugel, B, Scheeren, TWL, Teboul, J-L. Ultrasound-guided central venous catheter placement: a structured review and recommendations for clinical practice. Crit Care 2017; 21: 225.Google Scholar
Shaw, JR, Woodfine, JD, Douketis, J, Schulman, S, Carrier, M. Perioperative interruption of direct oral anticoagulants in patients with atrial fibrillation: a systematic review and meta-analysis. Res Pract Thromb Haemost 2018; 2: 282–90.Google Scholar
Wang, G, Niu, J, Li, Z, Lv, H, Cai, H. The efficacy and safety of dexmedetomidine in cardiac surgery patients: A systematic review and meta-analysis. PLoS One 2018; 13: e0202620.Google Scholar
World Health Organization. WHO guidelines for safe surgery 2009. who.int/patientsafety/safesurgery/en/ (accessed December 2018).Google Scholar
Xia, Z, Li, H, Irwin, MG. Myocardial ischaemia reperfusion injury: the challenge of translating ischaemic and anaesthetic protection from animal models to humans. Br J Anaesth 2016; 117: ii44–ii62.Google Scholar

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