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Manual of Perioperative Care in Adult Cardiac Surgery » (44th Edition)

Book cover image of Manual of Perioperative Care in Adult Cardiac Surgery by Robert Bojar

Authors: Robert Bojar
ISBN-13: 9781405104395, ISBN-10: 1405104392
Format: Paperback
Publisher: Wiley, John & Sons, Incorporated
Date Published: November 2007
Edition: 44th Edition

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Author Biography: Robert Bojar

Dr. Bojar is currently serving as Chief of Cardiothoracic Surgery at Worcester Medical Center/St. Vincent Hospital, as well as a senior staff member at New England Medical Center.

Book Synopsis

Extensively revised to cover recent advances in cardiac surgery, the fourth edition of Bojar's Manual of Perioperative Care in Adult Cardiac Surgery remains the gold standard for management of adult patients undergoing cardiac surgery.

The easily referenced outline format allows health practitioners of all levels to understand and apply basic concepts to patient care—perfect for cardiothoracic and general surgery residents, physician assistants, nurse practitioners, cardiologists, medical students, and critical care nurses involved in the care of both routine and complex cardiac surgery patients.

This comprehensive guide features:


  • Detailed presentation addressing all aspects of perioperative care for adult cardiac surgery patients

  • Outline format allowing quick access to information

  • Chronological approach to patient care starting with diagnostic tests then covering preoperative, intraoperative, and postoperative care issues

  • Additional chapters discussing bleeding, the respiratory, cardiac, and renal subsystems in depth, and aspects of care specific to recovery on the postoperative floor

  • Completely updated references

  • Extensive illustrations, including NEW figures depicting operative techniques

  • 14 helpful appendices covering order and flow sheets, protocols, commonly used drug dosages, and procedures

Practical and accessible, the Manual of Perioperative Care in Adult Cardiac Surgery is the essential reference guide to cardiac surgical patient care.

Doody Review Services

Reviewer:Ralph J. Damiano, MD(Washington University School of Medicine)
Description:This is the fourth edition of a manual that describes current practices for perioperative care in adult cardiac surgery. The previous edition was published in 1999.
Purpose:This purpose is to help readers give better care to their patients, a worthy objective. The author meets his objective by providing concise information that is up-to-date and helpful in caring for adult cardiac surgery patients.
Audience:This book is written for practitioners who care for adult cardiac surgery patients. The material is suitable for that audience, and the author is a credible authority.
Features:This book covers the preoperative, operative, and postoperative care given to adult cardiac surgery patients. The author does a nice job of covering the details associated with cardiac surgery, including diagnostics, anesthesia, and even the details of the procedure. These detailed descriptions are valuable for a nonsurgeon practitioner involved in the care of these patients. The appendixes are helpful to practitioners (including surgical residents) who are involved in the day-to-day care of these patients including notes, placement of drains, typical order sets, and protocols such as heparinization or hyperglycemia control.
Assessment:This is a high quality book that is particularly helpful for nonsurgeon practitioners or surgical residents who care for adult cardiac surgery patients. Specific questions can be answered quickly and are dealt with concisely so that a practitioner can find out quickly and easily answers to the many dilemmas presented in this challenging population of patients. The strength of this book lies in its comprehensive coverage of the many peripheral details of the adult cardiac surgery patient in all phases (preoperative, intraoperative, and postoperative) of care. The author addresses the many evolving changes in cardiac surgery and the updates make this new edition valuable.

Table of Contents

1Synopsis of adult cardiac surgical disease1
2Diagnostic techniques in cardiac surgery59
3Preoperative considerations and risk assessment91
4Cardiac anesthesia129
5Cardiopulmonary bypass177
6Myocardial protection205
7Admission to the ICU and monitoring techniques217
8Early postoperative care235
9Mediastinal bleeding265
10Respiratory management293
11Cardiovascular management339
12Fluid management, renal and metabolic problems467
13Post-ICU care and other complications509
App. 1Typical preoperative order sheet573
App. 2Typical orders for admission to the ICU574
App. 3Transfer orders from the ICU577
App. 4Typical ICU flowsheet580
App. 5Heparinization protocol for cardiac surgery patients581
App. 6Hyperglycemia protocol for cardiac surgery patients582
App. 7Doses of parenteral medications commonly used in the ICU and their modifications in renal failure583
App. 8Does of nonparenteral medications commonly used after heart surgery and their modifications in renal failure587
App. 9Drug and food interactions with Warfarin (Coumadin)596
App. 10Definitions from the STS data specifications (2004)597
App. 11Technique of thoracentesis600
App. 12Technique for tube thoracostomy601
App. 13Technique for insertion of percutaneous tracheostomy tube603
App. 14Body surface area nomogram for adults606

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