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324 pages

English

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Cardiothoracic surgery is constantly evolving in many aspects and there are many text books exist to fulfil the gap of new evidences. Most of these books are written for surgeons, anaesthetist and there is a significant deficit in many important areas which are explored in this book. It is aimed for all perioperative practitioners such as surgical care practitioners, surgical cardiothoracic trainees, anaesthetic trainees, anaesthetic practitioners, recovery practitioners, ward advanced nurse practitioners and perfusionists. It is very important for the perioperative practitioner who wants to start their career in cardiothoracic surgery to understand the step by step surgical procedure is vital.**Cardiothoracic Manual for Perioperative Practitioners is devoted to delivering comprehensive coverage of all aspects of cardiothoracic surgery with emphasis on the roles and importance of the full theatre team. Details are provided throughout initial theatre set up and surgical instrumentation selection. A step by step walk through of routine surgical procedures, cardiopulmonary bypass guidance, investigations undertaken during the intraoperative period and a detailed background of surgical anatomy is provided. The book also covers essential aspects associated with recovery of the patient and the common pit falls in surgery and recovery and how these can be avoided. The structure and organisation of the theatre environment, ethical and legal issues, preventive and protective measures and the importance of swab counts are explained succinctly and systematically by experts in this field. The reader will have reliable and complete guidance to provide all the knowledge required to be ready to work in the theatre environment.**Each chapter contains important references for further reading and greater in-depth study. All chapters are written by an experienced practising surgeons, anaesthetists, and practitioners.

Sujets

Médecine

Surgical nursing

Cardiothoracic surgery

Informations

Publié par	M&K Update Ltd
Date de parution	03 février 2020
Nombre de lectures	0
EAN13	9781907830488
Langue	English
Poids de l'ouvrage	6 Mo

Informations légales : prix de location à la page 0,3300€. Cette information est donnée uniquement à titre indicatif conformément à la législation en vigueur.

Extrait

For the full range of M&K Publishing books please visit our website: www.mkupdate.co.uk
Cardiothoracic Manual for Perioperative Practitioners
Editor: Dr Bhuvaneswari Krishnamoorthy Sub-editors: Mrs Jean Hinton and Professor Nizar Yonan
All profits from this book will be donated to support the widening of educational opportunities for low-income students.
Cardiothoracic Manual for Perioperative Practitioners
Dr Bhuvaneswari Krishnamoorthy
ISBN: 978-1-905539-48-2
First published 2020
All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without either the prior permission of the publishers or a licence permitting restricted copying in the United Kingdom issued by the Copyright Licensing Agency, 90 Tottenham Court Road, London, W1T 4LP. Permissions may be sought directly from M&K Publishing, phone: 01768 773030, fax: 01768 781099 or email: publishing@mkupdate.co.uk
Any person who does any unauthorised act in relation to this publication may be liable to criminal prosecution and civil claims for damages.
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Notice
Clinical practice and medical knowledge constantly evolve. Standard safety precautions must be followed, but, as knowledge is broadened by research, changes in practice, treatment and drug therapy may become necessary or appropriate. Readers must check the most current product information provided by the manufacturer of each drug to be administered and verify the dosages and correct administration, as well as contraindications. It is the responsibility of the practitioner, utilising the experience and knowledge of the patient, to determine dosages and the best treatment for each individual patient. Any brands mentioned in this book are as examples only and are not endorsed by the publisher. Neither the publisher nor the authors assume any liability for any injury and/or damage to persons or property arising from this publication.
To contact M&K Publishing write to:
M&K Update Ltd · The Old Bakery · St. John’s Street
Keswick · Cumbria CA12 5AS
Tel: 01768 773030 · Fax: 01768 781099
publishing@mkupdate.co.uk
www.mkupdate.co.uk
Designed and typeset by Mary Blood
Printed in Scotland by Bell & Bain, Glasgow
Contents
Foreword
Preface
Acknowledgements
Contributors
Abbreviations
1 Healthcare professional roles within the operating room
Mrs Jean Hinton
2 Legal and ethical implications in the perioperative area
Mr Richard Thompson and Dr Bhuvaneswari Krishnamoorthy
3 Operating theatre preparation for cardiothoracic surgical procedures
Mrs Teresa Hardcastle and Mr Bibleraj Gnanasekaran
4 Cardiac and thoracic anatomy
Mr Andrew Brazier and Mrs Charlene Tennyson
5 Preoperative assessment in cardiothoracic surgery
Mr Mohamed Ahmed Ghazi Suliman and Mr Roberto Mosca
6 Coronary artery disease
Mr Vipin Mehta, Mrs AnneMarie Brunswicker and Dr. Bhuvaneswari Krishnamoorthy
7 Aortic valve disease and aortic valve surgery
Mr Marcus Taylor and Mr Rajamiyer Venkateswaran
8 Mitral valve disease and mitral valve surgery
Mr James Barnard
9 Cardiopulmonary bypass
Dr Rob Bennett, Mr Simon Colah, Mrs Lindsay Mclean and Mr Andrew Wallhead
10 Surgery for aortic root disease
Miss Caroline Toolan, Mr Omar Nawaytou and Professor Aung Oo
11 Thoracic surgery
Mr Asghar Nawaz, Mr Piotr Krysiak, Mr Rajesh Shah and Dr Bhuvaneswari Krishnamoorthy
12 Cardiothoracic critical unit postoperative care
Dr Alan Ashworth and Dr Fiona Wallace
13 Responsibilities of the post anaesthetic care unit practitioners and enhanced recovery
Mrs Denise Walker
14 Overview of advanced practice in cardiothoracic surgery
Mrs Linda Nesbitt
15 Congenital cardiac surgical procedures
Dr Georgios Kalarouziotis
16 Step by step cardiac surgical procedure with instrumentation
Dr Bhuvaneswari Krishnamoorthy and Mr Janesh Nair
17 Transcatheter aortic valve implantation
Dr. Anthony D Pisaniello
18 Transcatheter mitral valve implantation
Dr Mamta Buch
Index
Foreword
This book is aimed at theatre practitioners, surgical first assistants, recovery practitioners, operating department practitioners, surgical care practitioners, advanced nurse practitioners and perfusionists, all of whom are vital members of the cardiothoracic multidisciplinary team. The book lays down the foundations of underpinning knowledge required for the different cardiothoracic perioperative practitioners’ roles. It also enables students and junior staff to explore the different roles and responsibilities available to them in the field of cardiothoracic surgery.
Theatre staff used to be given a graduated training in the theatre environment in order to meet the needs of surgeons and the different surgical procedures. Traditionally, students and junior staff began with minor and intermediate surgical procedures, and then progressed to major surgery to develop their skills appropriately. However, due to current pressures on healthcare services, junior staff can now sometimes find themselves assisting with major and complex cases. This can be challenging but training and education are key to alleviating their anxieties. In addition, active participation increases surgical interest and gives junior staff more confidence in acting as the patient’s advocate.
This book provides an excellent introduction to the ways in which healthcare professionals can influence the perioperative environment and ensure it is fit for purpose. The relevant aspects of anatomy, physiology and pathophysiology are included to support the reader in understanding the context of certain surgical procedures. The book also gives the perioperative practitioner an understanding of the development strategies and career opportunities available to them within cardiothoracic surgery.
By navigating through the key aspects of the patient’s journey (from preoperative assessment to postoperative recovery in intensive care and the ward, through to discharge), the book adds value for the reader. It promotes the concept of holistic care, and highlights the importance of multidisciplinary team working, at every stage of the patient’s journey.
This book is a valuable resource for the cardiothoracic community, encompassing all the perioperative roles and informing the reader of the context and knowledge required to deliver high-quality patient care. Patients remain at the forefront of our clinical practice. The content of this book reflects the achievements of the last 25 years for the cardiothoracic multidisciplinary surgical team. It is a marker of where we stand in 2020 on that journey.
Mr Simon Kendall President Elect SCTS GB&I
Mrs Tara Bartley OBE, Ex AHP lead for SCTS GB&I
Simon Kendall completed his medical training at the Middlesex Hospital Medical School in 1984 and trained in cardiothoracic surgery in Leeds, Manchester, Papworth and Oxford. In 1993 he was appointed as a consultant at South Tees and has been one of the most productive UK cardiac surgeons, treating over 6,500 patients. He has enjoyed a career focused on multi-professional training, and has also served as the regional Training Programme Director and on the national Specialist Advisory Committee for Cardiothoracic Surgery. His commitment to the profession was recognised in 2012 when he became the first UK surgeon to be presented with the European Da Vinci Award for excellence in training. Since 2009, he has been an examiner for the Intercollegiate Specialty Examination.
Tara Bartley is currently Corporate Advanced Clinical Practice Lead and Lead Advanced Nurse Practitioner Cardiac Surgery, Brighton and Sussex University Hospitals NHS Trust and Western Hospitals Foundation Trust. She also works as the Lead Advanced Nurse Practitioner, Cardiac Surgery, at Queen Elizabeth Hospital, Birmingham. Tara received a Fellowship of the Royal College of Nursing in 2011 and was made an Officer of the Order of the British Empire in the New Year’s Honours List of 2014.
Preface
Cardiothoracic surgery is constantly evolving and there are many textbooks available that help to highlight new evidence and practice. However, most of these books are written for surgeons and anaesthetists and many of them tend to omit important areas of surgical practice. This book is aimed at all perioperative practitioners, including surgical care practitioners, surgical cardiothoracic trainees, anaesthetic trainees, anaesthetic practitioners, recovery practitioners, ward advanced nurse practitioners and perfusionists.
The contributors acknowledge that it is vital for any perioperative practitioner who wants to start a career in cardiothoracic surgery to understand surgical procedures step by step. This book therefore aims to cover all aspects of cardiothoracic surgery, with an emphasis on the individual role played by each member of the theatre team. Details will be provided throughout, including the initial theatre set-up and surgical instrumentation selection. A step-by-step walkthrough of routine surgical procedures, cardiopulmonary bypass guidance, investigations undertaken during the intraoperative period and detailed surgical anatomy background will be included. The book will also look at the recovery of the patient, as well as common pitfalls in surgery and recovery and how these can be avoided. The structure and organisation of the theatre environment, ethical and legal issues, preventive and protective measures and the importance of swab counts will all be explained succinctly and systematically by experts in the field, giving the reader reliable and complete guidance and preparing them to work efficiently and effectively in the theatre environment.
All the chapters are written by experienced practising surgeons, anaesthetists and surgical th