Evidence-Based Practice in Perioperative Cardiac Anesthesia and Surgery

Section I. Introduction.- Overview of a Cardiac Anesthesia & Surgical Program.- Overview of a Cardiology Interventional Program.- Prognostic Risks and Preoperative Assessment.- Section II. Anesthesia and Cardiopulmonary Bypass Management.- Fast Track Cardiac Anesthesia Management in On-Pump and Off-Pump Coronary Artery Bypass Surgery.- Anesthetic Management in Valvular Heart Surgery.- Anesthetic Management in Robotic Cardiac Surgery.- Anesthetic Management in Interventional Cath Lab Procedures.- Circulatory Arrest and Neuroprotection.- Anesthesia for Combined Cardiac and Thoracic Surgery.- Anesthesia for Intrathoracic Transplantation.- Anesthesia for Patients with Ventricular Assist Devices.- Anesthesia in Pediatric Cardiac Surgery.- Anesthetic Management of Co-Morbid Diseases Affecting Cardiopulmonary Bypass.- Regional Anesthesia Techniques and Management.- Perioperative Monitoring in Cardiac Surgery.- Perioperative Transesophageal Echocardiography.- Essence of CPB Circuit and Intra-aortic Balloon Pump.- Cardiac Pharmacology.- Weaning From Cardiopulmonary Bypass and Low Output Syndrome.- Pulmonary Hypertension and Right Ventricular Dysfunction Post-CPB.- Perioperative Blood Conservation.- Antifibrinolytics and Coagulation Management.- Heparin Associated Thrombocytopenia and Alternatives to Heparin.- Management of Cardiac Surgical Emergency.- Section III. Perioperative Echocardiography Monitoring and Management.- Perioperative Transesophageal echocardiography.- Perioperative Transthoracic echocardiography.- Section IV. Surgical Technique and Postoperative Consideration.- Myocardial Protection During Cardiac Surgery.- On-Pump Aorto-Coronary Bypass Surgery.- Off-Pump Coronary Revascularization Surgery.- Robotic Coronary Artery Revascularization Surgery.- Surgery of the Aortic Valve.- Surgery of the Mitral Valve.- Surgery of the Tricuspid Valve.- Robotic Cardiac Valvular Surgery.- Surgery of the Transverse Arch and Cerebral

Davy C. H. Cheng, MD, MSc, FRCPC, FCAHS, CCPE

Dr. Davy Cheng is a Distinguished University Professor and Former Acting Dean of Schulich School of Medicine & Dentistry, Western University. He holds the Chair in Evidence-based Perioperative Clinical Outcomes Research (EPiCOR) and is the co-founder and Medical Director of the Centre for MEDICI (Medical Evidence, Decision Integrity, Clinical Impact), which is a World Health Organization (WHO) Collaborating Center in the study of global surgery, anesthesia & perioperative care. Dr. Cheng served as the Chair / Chief of the Department of Anesthesia & Perioperative Medicine, London Health Sciences Centre, St. Joseph Health Care London, and Western University from 2001-2017. Dr. Cheng is also the founding Medical Director of the Cardiac Surgery Recovery Unit (2002), Critical Care Western, Department of Medicine.

Dr. Cheng graduated from the Faculty of Medicine, University of Toronto in 1983 and completed his internal medicine internship and anesthesia residency in 1987. He joined as Faculty at the Toronto Western Hospital, University of Toronto after a Clinical Research Fellowship in 1988 and a Cardiovascular Anesthesia Fellowship at the University of Iowa Hospitals and Clinics, Iowa City in 1989. Prior to his appointment in 2001 at Western University, London, Dr. Cheng held the position of Professor and Deputy Chief of Anesthesiology at the Toronto General Hospital, University of Toronto and as Medical Director, Cardiovascular Surgery Program, University Health Network (UHN), Toronto.