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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

  • 1. Perioperative Care of the Cardiac Surgery Patient Lars Hegnell, MD Dept. of Anesthesiology and Perioperative Medicine OHSU, Portland, Oregon
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