Cardiac anaesthesia

Author: Peter Kľúčovský, Sabina Baumlová, Artem Fatkhutdinov

Institution: Faculty of Medicine at Masaryk University in Brno

Medical discipline: Emergency Medicine

Keywords: cardiac surgery | cardioplegia | extracorporeal circulation | anaesthesia

Educational evel: Undergraduate level | Graduate

The aim of Cardiac anesthesia algorithm is to point out specifics of this branch of anesthesia. The main one is ECC (extracorporeal circulation) during cardiac surgeries. Other specifics include open chest surgery, application of cardio-plegic solution, vascular graft harvesting, or placing epi-myocardial electrode.

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Despite advances in interventional cardiology, cardiac surgery on the coronary vessels and aortic valve continues to provide vital operations that help thousands of patients live a full life every day. In order to ensure the best result of this procedure, a thorough pre-operative patient preparation, maximum concentration during the procedure and professional care in the intensive care unit are required. The algorithm on a concrete example of a patient with aortic stenosis and critical ischemic heart disease clearly shows the decisive points in the perioperative care of the cardiac surgery patient. A pragmatic approach to the selection of preoperative examinations is highlighted, followed by important aspects in anesthesia care for the patient on extracorporeal circulation. It is necessary to remember that various forms of anesthesia techniques are also possible with cardiac anesthesia in other disciplines. More importantly, the interplay of all team members, compliance with internal standard procedures, and a common tactic for critical events. The presented algorithm describes very importantly vital events during anesthesia care of cardiac surgery and represents their structured solutions.

publikováno: 21. 5. 2019 | last modified on: 1. 6. 2020