TY  - CHAP
M1  - Book, Section
TI  - Anesthesia and the Patient with Cardiovascular Disease
A1  - Reich, David L.
A1  - Baron, Elvera L.
A1  - Kaplan,  Joel A.
A2  - Fuster, Valentin
A2  - Narula, Jagat
A2  - Vaishnava, Prashant
A2  - Leon, Martin B.
A2  - Callans, David J.
A2  - Rumsfeld, John S.
A2  - Poppas, Athena
PY  - 2022
T2  - Fuster and Hurst's The Heart, 15e
AB  - Chapter  SummaryThis  chapter  discusses  the  perioperative  anesthetic  management  of  patients  with  cardiovascular  disease  (CVD).  Providing  optimal  perioperative  care  for  CVD  patients  is  a  shared  responsibility  of  cardiovascular  clinicians,  surgeons,  and  anesthesiologists.  Any  anesthetic  agent  or  technique  has  the  potential  for  producing  adverse  effects,  and  the  margin  of  safety  is  reduced  in  CVD  patients.  As  part  of  the  multidisciplinary  heart  team,  the  cardiac  anesthesiologist  plays  a  central  role  in  the  shared  decision-making  regarding  perioperative  planning  (see  Fuster  and  Hurst’s  Central  Illustration).  This  planning  includes  preoperative  evaluation  and  risk  assessment,  creation  of  safe  intraoperative  monitoring  and  management  plans,  and  development  of  postoperative  pain  control  regimens  and  fast-track  recovery  pathways.  Cardiovascular  effects  of  general,  neuraxial,  and  regional  anesthetic  techniques,  as  well  as  the  risks  and  benefits  of  noninvasive  and  invasive  perioperative  monitoring  methods,  must  be  considered.  An  area  of  continued  growth  is  nonoperating  room  anesthetizing  locations,  which  have  specific  needs.  As  CVD  remains  highly  prevalent  in  surgical  populations,  the  need  for  effective  communication  among  the  specialties  of  cardiology,  surgery,  and  anesthesiology  will  remain  critical  in  assuring  optimal  patient  outcomes.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/20
UR  - accesscardiology.mhmedical.com/content.aspx?aid=1202452970
ER  -