Fast-Track in Cardiac Anesthesia

This book, focused on fast-track approaches in cardiac surgery, covers ERAS cardiac guidelines, explores the application of loco-regional anesthesia in cardiac surgery, and addresses all aspects related to early extubation in this context. The volume includes:

• A comprehensive description of all minimally invasive cardiac procedures, with detailed anesthetic considerations for each.
• An in-depth examination of perioperative pain management, emphasizing opioid-sparing strategies and the use of chest wall blocks as a key component in fast-track protocols.
• A thorough analysis of early extubation, including its impact on length of stay and cost.

Additionally, the book provides insights into future developments by examining Ultra-Fast-Track extubation and awake surgery.

As one of the first books to focus entirely on fast-track and ERAS guidelines for early extubation of cardiac surgery patients, this volume is particularly valuable for anesthesiologists, intensivists, surgeons, and cardiologists.

Introduction. -

Society for Enhanced Recovery After Cardiac Surgery. - ERAS Recommendations. - Assessment and pathophysiology of pain in cardiac surgery. - Multi-modal opioid sparing. - Locoregional Anesthesia in Cardiac Procedures. -

Anatomy and ultrasound. General considerations. - Anterior and posterior chest wall anatomy. - Anterior and posterior abdominal wall anatomy. - Anterior and posterior chest wall blocks. - Anterior and posterior abdominal wall blocks. - Analgesia vs Anesthesia. - Chronic pain and fascial blocks. - Hemodynamic implications. - Pain monitoring. - Minimally Invasive Cardiac Procedures and Locoregional Anesthesia. -

TAVI. - MITRACLIP. - MINI thoracotomy. - MINI sternotomy. - Early Extubation After Cardiac Procedures. -

Risks and benefits. - Patients selection. - Postoperative implications. - Future Considerations In Cardiac Surgery. -

Ultrafast-Track extubation. - Awake surgery. - Hospital cost and length of stay. - Clinical Cases.