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1 Index Note: Page numbers of article titles are in boldface type. A Ablation, radiofrequency, anesthetic considerations for, Acute aortic syndrome, thoracic endovascular repair of, aortic dissection, intramural hematoma, 461 penetrating atherosclerotic aortic ulcer, Acute kidney injury, as complication of transcatheter aortic valve replacement, associated with cardiac surgery, role of crystalloids in, 276 Adults, Fontan conversion surgery in, ADVANCE Trial, of HeartWare ventricular assist device, 346 Analysis, generating new knowledge in cardiac interventions, Anemia, preoperative pharmacologic optimization of, erythropoietin-stimulating agents, intravenous iron supplementation, Aneurysm, aortic. See Aortic aneurysm. Aortic aneurysm, thoracic endovascular aortic repair of, aortic arch aneurysm, 464 descending thoracic, ruptured descending thoracic, 456 thoracoabdominal, Aortic dissection, thoracic endovascular aortic repair of, Aortic valve replacement, transcatheter, avoiding complications, equipment, indications and contraindications, patient preparation, postprocedure care, technique, best practices, and procedure steps, Arrhythmia, in adults undergoing Fontan conversion surgery, 413 Atrial fibrillation, postoperative, preventive role of crystalloid solutions, Axial flow, physiology of, B Balanced general anesthesia, for transcatheter aortic valve replacement, Basic science. See Research. Bleeding risk, in adults undergoing Fontan conversion surgery, 415 Blood management, components of program, data collection and education, 447 preoperative evaluation, 434 preoperative pharmacologic optimization of anemia, Anesthesiology Clin 31 (2013) anesthesiology.theclinics.com /13/$ see front matter ª 2013 Elsevier Inc. All rights reserved.

2 492 Index Blood (continued) erythropoietin-stimulating agents, intravenous iron supplementation, thromboelastography, algorithms, cell salvage, outcomes, 446 ROTEM, C Cardiac anesthesia, blood management, components of program, data collection and education, 447 preoperative evaluation, 434 preoperative pharmacologic optimization of anemia, thromboelastography, cardiac transplantation, current status of, donor evaluation and selection, 389 donor harvest and preservation, history of, induction and maintenance of general anesthesia, left ventricular assist devices, preanesthetic considerations, recipient selection, retransplantation, right heart failure after, causes, 397 inotropic agents, manifestations, 398 mechanical circulatory support, 399 pacing, 399 patients at risk, 398 therapy, 398 techniques, heterotopic, orthotopic, 395 weaning from cardiopulmonary bypass, critical care of cardiac patients, challenges and strategies for new procedures, evolving strategies in, central line management, hemodynamic monitoring, mechanical ventilation, transfusion, fluid management in, clinical practice, 272 colloids, crystalloids,

3 theoretical framework, for adults undergoing Fontan conversion surgery, evolution and outcomes of, perioperative considerations, for electrophysiologic procedures, anesthesia consultations, 483 avoiding complications, contraindications, 483 environment and equipment, indications, patient preparation, 483 postprocedural care, radiation safety, 487 techniques and best practice, future of, changes and opportunities in US health care, fellowships, training, and certification, translation of basic science research, perioperative genomics, preconditioning and intermittent reperfusion, stem cell therapy, 209 generating new knowledge in cardiac interventions, clinical research, technique for successful, driving forces, team involved in, ischemic mitral regurgitation, definition and presentation, intraoperative echocardiography examination, mechanisms, percutaneous options, 294 surgical indications and considerations, surgical interventional options, surgical outcomes, 294 mechanical circulatory support, second-generation ventricular assist devices, anesthetic management, complications, contraindications, 324 HeartMate II, indications, risk assessment, role of transesophageal echocardiography, surgical considerations, troubleshooting, third-generation ventricular assist devices, HeartWare VAD, quality, patient safety, and surgical team, background, history of improving outcomes, collaboratives, Index 493

4 494 Index Cardiac (continued) process redesign, registries, 257 report cards and public reporting, 257 teamwork, communication, and culture change, improving, evolution of QI methods in, safety in, introduction to quality and safety, perceptions of, reasons for poor, types of errors, robotic-assisted minimally invasive mitral valve surgery, anesthesia for, cardiopulmonary bypass management, 313 immediate postbypas management, 314 mitral valve exposure and repair, 314 postoperative pain management, 315 preparing for transfer and the ICU, 315 previous cardiac surgery and, vascular cannulation for, thoracic endovascular aortic repair, anesthetic management, available devices, 452 indications and potential uses for, preoperative imaging and evaluation, 452 surgical considerations for specific hybrid procedures, transcatheter aortic valve replacement, avoiding complications, equipment, indications and contraindications, patient preparation, postprocedure care, technique, best practices, and procedure steps, Cardiac interventions, generating new knowledge in, clinical research, technique for successful, driving forces, team involved in, Cardiac transplantation. See Transplantation, cardiac. Cardioplegia, in minimally invasive mitral valve surgery, solutions and, in cardiac surgery, 276 Cardiopulmonary bypass, management in minimally invasive mitral valve surgery, 313 separation from and immediate post-bypass management, 314 weaning from, after cardiac transplantation, Cardioversion, anesthetic considerations for, Cardioverter-defibrillator, anesthetic considerations for implantation, Catheter ablation, anesthetic considerations for, Central line management, in critical care of cardiac patients, Certification, in future of cardiothoracic anesthesia, Chloride concentration, effect on inflammation, infection, and immunity, 277

5 Index 495 Circulatory support, mechanical. See Ventricular assist devices. Clinical research, generating new knowledge in cardiac interventions, driving forces, team involved in, technique for successful, Coagulation, in adults undergoing Fontan conversion surgery, 415 Collaboratives, in cardiac surgery, improving quality and patient safety with, Colloids, in cardiac surgery, versus crystalloids, Communication, in cardiac surgery, improving quality and patient safety with, Conduction abnormalities, as complication of transcatheter aortic valve replacement, 374 Congenital heart disease, in adults, Fontan conversion surgery in, Continuous quality improvement. See Quality improvement. Critical care, of cardiac patients, challenges and strategies for new procedures, evolving strategies in, central line management, hemodynamic monitoring, mechanical ventilation, transfusion, Crystalloids, in cardiac surgery, cardioplegia solutions, 276 hypertonic solutions, importance of physiologically balanced solutions, in acute kidney injury associated with, 276 inflammation, infection, immunity, and high chloride concentrations, 277 prevention of postoperative atrial fibrillation, versus colloids, Culture change, in cardiac surgery, improving quality and patient safety with, D Data, generating new knowledge in cardiac interventions, Descending thoracic aortic aneurysm, thoracic endovascular aortic repair of, Dissection, aortic, thoracic endovascular aortic repair of, Donors, for cardiac transplantation, evaluation and selection, 390 heart harvest and preservation, E Echocardiography, intraoperative transesophageal, during placement of ventricular assist devices, in patients with ischemic mitral regurgitation, in robotic-assisted minimally invasive mitral valve surgery, transesophageal, in adults undergoing Fontan conversion surgery, Electrophysiologic procedures, anesthetic considerations for, anesthesia consultations, 483 avoiding complications, contraindications, 483 environment and equipment, drugs frequently used in, 481

6 496 Index Electrophysiologic (continued ) monitors, 481 remote location, 480 room setup, indications, patient preparation, 483 postprocedural care, radiation safety, 487 techniques and best practice, commonly used medications, 484 sedation vs. general anesthesia, specific considerations, Endovascular techniques. See Thoracic endovascular aortic repair. Endurance Trial, of HeartWare ventricular assist device, 347 Errors, medical, types of, and how they jeopardize safety, Erythropoietin-stimulating agents, for preoperative optimization of anemia, External cardioversion, anesthetic considerations for, Extubation, early, in adults undergoing Fontan conversion surgery, 417 F Fellowships, in future of cardiothoracic anesthesia, Fluid management, in cardiac surgery, clinical practice, 272 colloids, crystalloids, cardioplegia solutions, 276 hypertonic solutions, importance of physiologically balanced solutions, in acute kidney injury associated with, 276 inflammation, infection, immunity, and high chloride concentrations, 277 prevention of postoperative atrial fibrillation, theoretical framework, body fluid composition, physiology, and surgery, physiology of fluid disposition, Fontan conversion surgery, in adults, evolution and outcomes of, history, lateral tunnel vs. extracardiac, 409 Texas Children s Hospital data, perioperative considerations, anesthetic considerations, risk stratification, 410 transesophageal echocardiography before and after, Future, of cardiac anesthesia, changes and opportunities in US health care, fellowships, training, and certification, translation of basic science research, perioperative genomics, preconditioning and intermittent reperfusion, stem cell therapy, 209

7 Index 497 G General anesthesia, balanced, for transcatheter aortic valve replacement, Genomics, perioperative, translation of basic science research, H Heart disease, congenital. See Congenital heart disease. Heart transplantation. See Transplantation, cardiac. HeartMate II ventricular assist device, HeartWare ventricular assist device, Hematoma, intramural, thoracic endovascular aortic repair of, 461 Hemodynamic monitoring, in critical care of cardiac patients, Heterotopic heart transplantation, 395 Hypertonic solutions, in cardiac surgery, I Imaging, transesophageal echocardiography, in adults undergoing Fontan conversion surgery, intraoperative, in patients with ischemic mitral regurgitation, in robotic-assisted minimally invasive mitral valve surgery, Immunity, effect of high chloride concentration on, 277 Implantable cardioverter-defibrillator, anesthetic considerations for implantation, Infection, effect of high chloride concentration on, 277 Inflammation, effect of high chloride concentration on, 277 Inotropic agents, to prevent right heart failure after cardiac transplantation, INTERMACS Registry, Intermittent reperfusion, translation of basic science research, Interventions, cardiac, generating new knowledge in, clinical research, technique for successful, driving forces, team involved in, Intramural hematoma, thoracic endovascular aortic repair of, 461 Intraoperative transesophageal echocardiography, in patients with ischemic mitral regurgitation, in robotic-assisted minimally invasive mitral valve surgery, Iron supplementation, intravenous, for preoperative optimization of anemia, Ischemic mitral regurgitation, definition and presentation, intraoperative echocardiography examination, mechanisms, percutaneous options, 294 surgical indications and considerations, surgical interventional options, surgical outcomes, 294 K Kidney injury, acute, as complication of transcatheter aortic valve replacement, acute, associated with cardiac surgery, role of crystalloids in, 276

8 498 Index L Lactic acidosis, in adults undergoing Fontan conversion surgery, Left ventricular assist devices, as bridge to cardiac transplantation, in critical care of cardiac patients, Lietz-Miller risk score, 325 M Matthews risk score, 326 Mechanical circulatory support. See Ventricular assist devices. Mechanical ventilation, in critical care of cardiac patients, Minimally invasive mitral valve surgery, robotic-assisted, anesthesia for, cardiopulmonary bypass management, 313 immediate postbypas management, 314 mitral valve exposure and repair, 314 postoperative pain management, 315 preparing for transfer and the ICU, 315 previous cardiac surgery and, vascular cannulation for, Mitral valve disease, ischemic mitral regurgitation, Mitral valve surgery, robotic-assisted minimally invasive, anesthesia for, airway management, 304 intraoperative transesophageal echocardiography, preoperative preparation, 303 type of, and patient positioning, cardiopulmonary bypass management, 313 immediate postbypas management, 314 mitral valve exposure and repair, 314 postoperative pain management, 315 preparing for transfer and the ICU, 315 previous cardiac surgery and, vascular cannulation for, arterial outflow and cross-clamping, cardioplegia, venous drainage, O Orthotopic heart transplantation, 395 P Pacemaker implantation, permanent, anesthetic considerations for, Pain management, postoperative, in minimally invasive mitral valve surgery, 315 Patient safety. See Safety, patient. Penetrating atherosclerotic aortic ulcer, thoracic endovascular aortic repair of, Percutaneous approaches, to treatment of ischemic mitral regurgitation, 294 Peripheral vascular injury, as complication of transcatheter aortic valve replacement, 370 Preconditioning, translation of basic science research,

9 Index 499 Process redesign, in cardiac surgery, improving quality and patient safety with, Protein-losing enteropathy, in adults undergoing Fontan conversion surgery, Public reporting, improving quality and patient safety with, 257 Q Quality improvement (QI), and patient safety and the cardiac surgical team, background, history of improving outcomes, collaboratives, process redesign, registries, 257 report cards and public reporting, 257 teamwork, communication, and culture change, improving, evolution of QI methods in, safety in, introduction to safety and, perceptions of, reasons for poor, types of errors, R Radiation safety, for anesthesiologists during electrophysiologic procedures, 487 Radiofrequency ablation, anesthetic considerations for, Registries, improving quality and patient safety with, 257 Reperfusion, intermittent, translation of basic science research, Report cards, improving quality and patient safety with, 257 Research, generating new knowledge in cardiac interventions, clinical research, technique for successful, driving forces, team involved in, in cardiothoracic anesthesia, translation of basic science, perioperative genomics, preconditioning and intermittent reperfusion, stem cell therapy, 209 Resynchronization therapy, anesthetic considerations for, Retransplantation, cardiac, Right heart failure, after cardiac transplantation, causes, 397 inotropic agents, manifestations, 398 mechanical circulatory support, 399 pacing, 399 patients at risk, 398 therapy, 398 Robotic-assisted mitral valve surgery, anesthesia for, cardiopulmonary bypass management, 313

10 500 Index Robotic-assisted (continued ) immediate postbypas management, 314 mitral valve exposure and repair, 314 postoperative pain management, 315 preparing for transfer and the ICU, 315 previous cardiac surgery and, vascular cannulation for, ROTEM device, S Safety, patient, and quality and the cardiac surgical team, background, history of improving outcomes, collaboratives, process redesign, registries, 257 report cards and public reporting, 257 teamwork, communication, and culture change, improving, evolution of QI methods in, safety in, introduction to quality and, perceptions of, reasons for poor, types of errors, Stem cell therapy, translation of basic science research, 209 Stroke, as complication of transcatheter aortic valve replacement, Surgical procedures. See also Cardiac anesthesia., cardiac transplantation, current status of, donor evaluation and selection, 389 donor harvest and preservation, history of, induction and maintenance of general anesthesia, left ventricular assist devices, preanesthetic considerations, recipient selection, retransplantation, right heart failure after, techniques, Fontan conversion in adults, evolution and outcomes of, history, lateral tunnel vs. extracardiac, 409 Texas Children s Hospital data, perioperative considerations, anesthetic considerations, risk stratification, 410 transesophageal echocardiography before and after, for ischemic mitral regurgitation, indications and considerations,

11 Index 501 interventional options, outcomes, 294 transcatheter aortic valve replacement, avoiding complications, equipment, indications and contraindications, patient preparation, postprocedure care, technique, best practices, and procedure steps, T Teamwork, in cardiac surgery, improving quality and patient safety with, Thoracic aortic injury, blunt traumatic, endovascular repair of, Thoracic endovascular aortic repair, anesthetic management, postoperative management, preanesthetic evaluation and preparation, specialized perioperative monitoring, specific considerations, technique, 469 available devices, 452 indications and potential uses for, acute aortic syndrome, aortic arch aneurysm, 463 blunt traumatic thoracic aortic injury, descending thoracic aortic aneurysm, ruptured descending thoracic aortic aneurysm, 456 thoracoabdominal aortic aneurysm, preoperative imaging and evaluation, 452 surgical considerations for specific hybrid procedures, aortic visceral debranching procedure, frozen elephant-trunk technique, 454 hybrid elephant-trunk procedure, 454 left subclavian artery coverage and revascularization, Thoracoabdominal aortic aneurysm, endovascular aortic repair of, Thromboelastography, algorithms, cell salvage, outcomes, 446 ROTEM, Training, in future of cardiothoracic anesthesia, Transcatheter aortic valve replacement, avoiding complications, equipment, indications and contraindications, patient preparation, postprocedure care, technique, best practices, and procedure steps, anesthetic concerns for, other approaches, 365

12 502 Index Transcatheter (continued ) transapical approach, transfemoral approach, Transesophageal echocardiography, in adults undergoing Fontan conversion surgery, intraoperative, during placement of ventricular assist devices, in patients with ischemic mitral regurgitation, in robotic-assisted minimally invasive mitral valve surgery, Transfusion, in critical care of cardiac patients, Transplantation, cardiac, current status of, donor evaluation and selection, 389 donor harvest and preservation, history of, induction and maintenance of general anesthesia, left ventricular assist devices, preanesthetic considerations, recipient selection, retransplantation, right heart failure after, causes, 397 inotropic agents, manifestations, 398 mechanical circulatory support, 399 pacing, 399 patients at risk, 398 therapy, 398 techniques, heterotopic, orthotopic, 395 weaning from cardiopulmonary bypass, ventricular assist devices as bridge to, Trauma, blunt thoracic aortic injury, endovascular repair of, U Ulcer, penetrating atherosclerotic aortic ulcer, endovascular aortic repair of, V Venous capacitance, in adults undergoing Fontan conversion surgery, Venous drainage, in robotic-assisted minimally invasive mitral valve surgery, Ventricular assist devices, as bridge to cardiac transplantation, in critical care of cardiac patients, second-generation, anesthetic management, complications, contraindications, 324 HeartMate II, indications,

13 risk assessment, role of transesophageal echocardiography, surgical considerations, troubleshooting, third-generation, HeartWare VAD, Ventricular remodeling, ischemic mitral regurgitation due to, Index 503

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