Primers

Basic Primers

  • Language in the heart room
  • Heparin, protamine, antifibrinolytics
  • The CPB circuit
  • Preoperative assessment of the cardiac patient (including risk stratification)
  • Monitoring our patients (awareness, cerebral and tissue oximetry, PAC)
  • Going on, weaning from, and staying off CPB
  • Transitioning care to ICU (will have link to PDF for Lindsay’s signout sheet)
  • Blood conservation (anesthesia + perfusion strategies, Hct goals)
  • Vasopressors and vasodilators (will have link to Standard Dilution sheet)
  • Inotropes (will have link to Standard Dilution sheet)
  • Fluid choices and rapid delivery systems

Advanced Primers

  • Assessing perfusion during CPB
  • Advanced coagulation monitoring and management of bleeding (TEG, ROTEM, blood products, factor concentrates)
  • Arrhythmia and pacemaker management in the pump room
  • Blood gas management (pH vs alpha stat)
  • Pulmonary hypertension agents
  • Protecting the heart, brain and spinal cord
  • Circulatory arrest and protecting the brain
  • ECMO
  • Intra-aortic Balloon Pumps
  • Effusions and tamponade

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