Описание: This book adopts an organ-oriented approach to address the critical care of patients undergoing cardiac surgery. It examines both preoperative issues and the intraoperative course of cardiac surgery.
Автор: Ali Dabbagh; Fardad Esmailian; Sary F. Aranki Название: Postoperative Critical Care for Cardiac Surgical Patients ISBN: 3662522411 ISBN-13(EAN): 9783662522417 Издательство: Springer Рейтинг: Цена: 11878.00 р. Наличие на складе: Есть у поставщика Поставка под заказ.
Описание: This book adopts an organ-oriented approach to address the critical care of patients undergoing cardiac surgery. It examines both preoperative issues and the intraoperative course of cardiac surgery.
Описание: Heart failure is an increasingly prevalent syndrome worldwide with a high impact on quality of life and survival. Although there have been great advances in the treatment of this condition that effectively increase survival, mortality remains unacceptably high, exceeding 40% at 5 years, which is worse than a large number of cancers. Furthermore, patients with advanced heart failure are a particular subgroup with higher hospitalizations and mortality, with a short-term survival that can be as low as 50% in the case of cardiogenic shock. Heart transplantation remains the gold standard treatment for these patients when other pharmacological and non-pharmacological interventions have failed, with a 1-year survival of approximately 90%. However, not all patients are suitable candidates for this procedure, and knowing the indications as well as the contraindications for heart transplantation is essential for appropriate patient selection. Heart Transplantation: Indications, Postoperative Management and Long-Term Outcomes is a highly illustrated, didactic book that comprehensively describes the pretransplant assessment of the advanced heart failure patient, the perioperative management of heart transplantation, and the early and late complications of the heart transplant recipient. It also covers special situations in heart transplantation such as Chagas cardiomyopathy, congenital heart disease, hypertrophic/restrictive cardiomyopathy and paediatric heart transplantation. This book is intended for cardiology fellows in training, surgeons, cardiologists, internists, and other health professionals involved in the care of heart transplant patients.
Описание: Enhanced recovery after surgery (ERAS) programs are a multidisciplinary approach in the perioperative care of the patient undergoing major surgery, including pre, intra and postoperative measures, based on the actual evidence published in literature (evidence-based medicine), to improve the postoperative recovery of the patient. ERAS protocols have been widely developed in colorectal surgery, but given their excellent results, new protocols and guidelines have been developed in other surgical fields, including abdominal and extra-abdominal areas. One of the main key points in the multidisciplinary approach is a correct management of postoperative pain. Adequate analgesia implies lower morphine requirements and facilitates early post-operative mobilisation. Consequently, lower postoperative ileus and earlier oral intake can be achieved. Altogether, this leads to an improvement of the overall quality of life. Multimodal analgesia is one of the main tools employed for these aims. It consists of the administration of different analgesic drugs by different ways, reducing the risk of toxicity and the appearance of adverse effects. In addition, the different analgesic methods used provide a synergistic effect, maximizing the analgesic result. The aim of this book is to update the actual evidence about ERAS protocols on different surgical approaches, analysing the different analgesic schemes used in different approaches, all of them including the principle of multimodal analgesia.
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