| Preoperative considerations |
- History of cardiac disease and accompanying surgeries
- Current clinical condition
- NPO status
- Volume status
- Respiratory status
- Renal function
- Medications (vasodilators/constrictors; inotropes; pulmonary vasodilators)
- Current anticoagulation status
- Current laboratory values (CBC, CMP, PT/PTT, INR, type and screen)
- ICD/pacemaker current status and settings identified
- Key physical exam findings described
- Notify VAD team of surgery time and location
- Arrange location for recovery (PACU versus ICU)
|
| Intraoperative considerations |
- Power supply connected and battery location identified
- Surgical positioning
- Necessary equipment for anesthesia care (arterial line, TEE, etc)
- Experienced staff available if necessary
|
| Postoperative considerations |
- Appropriate location for recovery with experienced staff
- Perfusion notified
- Power supply connected/battery backup present
- Adequate monitoring in place
- Thoughtful recovery plan in place (analgesia appropriate)
- Expectations for recovery outlined
- Ambulation
- PO intake
- Analgesic plan
- Discharge planning (ICU versus stepdown versus floor versus home)
|
