Cardiac Anesthesiology Fellows Manual


The Cardiac Anesthesiology Fellows Manual was created as a resource for new cardiac anesthesia fellows working in the cardiovascular intensive care unit (CVICU) at the Peter Munk Cardiac Center (PMCC) at Toronto General Hospital (TGH). The trend over recent years is for fewer, but more complex cardiac surgery patients. This has presented new challenges in the perioperative management of these patients. This manual reflects the progressive changes in our practice, particularly in CVICU. Tables and diagrams are used to convey important information about perioperative practices that have been implemented over recent years.

Table of Contents

  • Cardiac Anesthesia
    1. Perioperative Cardiac Surgery Patient
    2. Cardiac Anesthesia
    3. Monitoring for Cardiac Surgery
    4. Weaning from Cardiopulmonaey Bypass
    5. Blood Conservation in Cardiac Surgery
    6. Heparin Induced Thrombocytopenia
    7. Regional Anesthesia for Cardiac Surgery
  • Cardiac Surgical Procedures
    1. Myocardial Revascularization
    2. Valvular Heart Disease
    3. Aorta and Carotid Surgery
    4. Adult Congenital Heart Disease
    5. Heart Transplantation
    6. Ventricular Assist Device
    7. Cardiac Cath Lab Procedures
    8. Perfusion and Cardiopulmonary Bypass
  • Cardiovascular Intensive Care Unit
    1. CVICU Orientation
    2. Sedation and Pain Management
    3. CNS Protection in Cardiac Surgery
    4. Hemodynamics and Tamponade
    5. CPR and Post-Arrest Patient Management
    6. Myocardial Ischemia and Infarction
    7. Heart Failure
    8. Cardiac Arrhythmias and Pacemakers
    9. Intra-Aortic Balloon Pump
    10. Ventilation
    11. Nutrition Therapy in CVICU
    12. Acute Kidney Injury in Cardiac Surgery
    13. Infections in CVICU
    14. Anticoagulation and Coagulation in Cardiac Surgery
    15. Metabolic Disorders
    16. Clinical Ethics in Intensive Care

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