TY - CHAP M1 - Book, Section TI - Preoperative Evaluation of the Heart Surgery Patient A1 - Wasnick, John D. A1 - Nicoara, Alina PY - 2019 T2 - Cardiac Anesthesia and Transesophageal Echocardiography, 2e AB - It is often said that the anesthesiologist is the internist of the operating room (OR). By extension, the cardiac anesthesiologist becomes the cardiologist of the OR. Even though it is certainly true that anesthesiologists have knowledge of medicine in general and cardiology in particular, the practice of cardiac anesthesia is a unique discipline unto itself. Although cardiac anesthesiologists must understand why someone is being taken to cardiac surgery, they will not be the ones to decide if surgery is or is not indicated. Rather, cardiac anesthesiologists must review the totality of the patient’s cardiac and medical history to determine the best approaches to manage these often very sick patients throughout the perioperative period.This chapter will briefly examine how someone is referred for cardiac surgery and the essential elements of preoperative evaluation necessary for patient management. Frequent visitation to the American Heart Association website (www.my.americanheart.org) is suggested as a starting place to find the latest guidelines on the medical management of cardiovascular disease. Although these statements are generally directed to patient care outside of the cardiothoracic operating room, cardiac anesthesiologists should review the current guidelines for cardiovascular disease management. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1166979757 ER -