RT Book, Section
A1 Wasnick, John D.
A1 Nicoara, Alina
SR Print(0)
ID 1166979757
T1 Preoperative Evaluation of the Heart Surgery Patient
T2 Cardiac Anesthesia and Transesophageal Echocardiography, 2e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9780071847339
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1166979757
RD 2023/03/31
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.