Operative preparation of the patient for heart surgery: Airway and ventilation, vascular access and monitoring

Research output: Chapter in Book/Report/Conference proceedingChapter


Airway and ventilation management are key components in the perioperative management of patients with congenital heart disease. Diverse cardiovascular pathophysiology mandates individualized management, as ventilatory strategy can significantly influence cardiorespiratory interactions. Many patients with congenital heart disease have associated airway anomalies. Airway and respiratory complications are an important cause of morbidity after cardiac surgery. Inhaled nitric oxide has become a valuable treatment in the perioperative management of certain groups of patients. Establishing vascular access and invasive hemodynamic monitoring are also essential components during the perioperative period. The use of real-time ultrasound imaging has greatly increased the safety and efficiency of line placement. Other monitoring modalities such as near-infrared spectroscopy may provide additional useful information about vital organ function.

Original languageEnglish (US)
Title of host publicationPediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care
PublisherSpringer-Verlag London Ltd
Number of pages52
ISBN (Electronic)9781447146193
ISBN (Print)9781447146186
StatePublished - Jan 1 2014


  • Airway
  • Airway complications
  • Anesthesia
  • Cardiorespiratory interactions
  • Difficult airway
  • Endotracheal tubes
  • Inhaled nitric oxide
  • Lateral decubitus position
  • Lung isolation
  • Mixed venous oxygen saturation
  • Modes of ventilation
  • Monitoring
  • Near-infrared spectroscopy
  • Neuromonitoring
  • Phrenic nerve injury
  • Pulmonary hypertension
  • Subglottic stenosis
  • Vascular access
  • Ventilation

ASJC Scopus subject areas

  • Medicine(all)


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