- Features an easy-to-follow case-based approach
- Details how to manage intraoperative catastrophes and conundrums
- Provides concise discussion of key themes enabling the reader to quickly extrapolate the key concepts covered
This heavily revised book features a variety of cases detailing potential complications in cardiac surgery. Clinical scenarios associated with conundrums and unforeseen circumstances are presented, including minimally invasive and hybrid procedures as well as temporary mechanical circulatory support. Discussions emphasize critical details in preoperative assessment and intraoperative sensemaking, decision making and error recovery. Chapters are structured as unknowns, presenting findings as one would experience the events clinically and challenging the reader to develop their own rescue strategies. Relevant references for further reading are included, enabling the reader to further develop their knowledge base.
Near Misses in Cardiac Surgery is a concise case-based resource featuring instructions on how to deal with potential complications associated with cardiac surgery. The work's multi-disciplinary authorship ensures it is a valuable resource for all medical professionals involved in the care of cardiac surgical patients.
Table of ContentsAortic Cannulation.- Return to the Operating Room.- Cannulation for ECMO.- Transcatheter aortic valve replacement (TAVR).- Accidental Arterial Decannulation.- CABG after MI.- Air in the Circuit.- EKG Changes after Mitral Repair.- ECMO as a bridge.- Complications of Transcatheter Aortic Valve Replacement (TAVR).- Catastrophic Bleeding from Right Atrium.- Hypoxia on Bypass.- Challenges in Myocardial Protection.- Empty Venous Reservoir.- Arrest on induction.- Extracorporeal Cardiopulmonary Resuscitation.- Checklist.- Postoperative Hypotension in the ICU.- Hemodynamic instability after Pulmonary Thrombo-Endarterectomy.- Inadequate Venous Drainage.- Trapped mitral leaflet.- Complications of TAVR numero due.- Conduit for redo CABG.- Intraoperative coagulopathy.- Hypoxia after Atrial Septal Defect (ASD) Closure.- Intraoperative Pulmonary Hemorrhage.- Femoral Arterial Cannulation.- Hypoxia on ECMO.- Laser Lead Extraction.- Tube thoracostomy for hemothorax.- Pulmonary hypertension.- Malfunction of an Intra-aortic Balloon.- Symptomatic Aortic Stenosis.- Pulmonary Embolism.- Post-Operative Bleeding.- Intraoperative Extracorporeal Cardiopulmonary Resuscitation.- Mitral annular calcification.- Options for a Patient with History of HITT.- Ventricular Dysrhythmia after AVR.- Postoperative hypoxemia.- Orthotopic Heart Transplant (OHT) after LVAD.- Postoperative Infection.- Veno-venous ECMO.- Reoperative Sternotomy.- Sternal Closure: Immediate or Delayed.- Suction Event after LVAD placement.- Thrombosed mechanical valve.- Valve-sparing Aortic Root Repair.- Acute Aortic Dissection.
