Preoperative Preparation

  • Bradley J. Harlan
  • Albert Starr
  • Fredric M. Harwin
Part of the Comprehensive Manuals of Surgical Specialties book series (CMSS)


Most steps in preoperative preparation of the patient for cardiac surgery are standardized and self-explanatory regardless of the operation planned, the preoperative state of the patient, or preoperative medications. Some facets of preoperative preparation, however, do involve preoperative medication management. This chapter covers routine preoperative preparation and the management of preoperative medications.


Preoperative Preparation Myocardial Oxygen Demand Preoperative Medication Propranolol Therapy Subacute Bacterial Endocarditis 
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  1. 1.
    Alderman EL, Coltart J, Wettach GE, Harrison DC: Coronary artery syndromes after sudden propranolol withdrawal. Ann Int Med 81:625, 1974.PubMedGoogle Scholar
  2. 2.
    Boudoulas J, Snyder GL, Lewis RP, Kates RD, Karayanacos PE, Vasko JS: Safety and rational for continuation of propranolol therapy during coronary bypass operation. Ann Thorac Surg 26:222, 1978.PubMedCrossRefGoogle Scholar
  3. 3.
    Braunwald E, Brockenbrough EC, Frye RL: Studies on digitalis. V. Comparison of the effects of ouabain on left ventricular dynamics in valvular aortic stenosis and hypertrophic subaortic stenosis. Circulation 26:166, 1962.PubMedGoogle Scholar
  4. 4.
    Champion LAA, Schwartz AD, Luddy RE, Schindler S: The effects of four commonly used drugs on platelet function. J Pediat 89:653, 1976.PubMedCrossRefGoogle Scholar
  5. 5.
    Crook D, Collins AJ: Comparison of effects of aspirin and indomethacin on human platelet prostaglandin synthetase. Ann Rheumatic Dis 36:459, 1977.CrossRefGoogle Scholar
  6. 6.
    Doherty JE, Hall WH, Murphy ML: New information regarding digitalis metabolism. Chest 59:433, 1971.PubMedCrossRefGoogle Scholar
  7. 7.
    Jones EL, Kaplan JA, Dorney ER, King SB III, Douglas JS Jr, Hatcher CR Jr: Propranolol therapy in patients undergoing myocardial revascularization. Am J Cardiol 38:696, 1976.PubMedCrossRefGoogle Scholar
  8. 8.
    Koch-Weser J, Sellers EM: Medical progress: drug interactions with coumarin anticoagulants. N Engl J Med 285:487, 547, 1971.Google Scholar
  9. 9.
    Langer GA: The intrinsic control of myocardial contraction — ionic factors. N Engl J Med 285:1065, 1971.PubMedCrossRefGoogle Scholar
  10. 10.
    Michelson EL, Morganroth J, Torosian M, MacVaugh H III: Relation of preoperative use of aspirin to increased mediastinal blood loss after coronary artery bypass graft surgery. J Thorac Cardiovasc Surg 76:694, 1978.PubMedGoogle Scholar
  11. 11.
    Olinger GN, Bonchek LI, Keelan MH, Tresch DD, Siegel R, Bamarah V, Tristani FE: Unstable angina: the case for operation. Am J Cardiol 42:634, 1978.PubMedCrossRefGoogle Scholar
  12. 12.
    Schwartz A, Allen JC, Harigaya S: Possible involvement of cardiac Na+, K+-adenosine triphosphatase in the mechanism of action of cardiac glycosides. J Pharmacol Exp Ther 168:31, 1969.PubMedGoogle Scholar
  13. 13.
    Slogoff S, Keats AS, Ott E: Preoperative propranolol therapy and aortocoronary bypass operation. JAMA 240:1487, 1978.PubMedCrossRefGoogle Scholar
  14. 14.
    Viljoen JF, Estafanous FG, Kellner GA: Propranolol and cardiac surgery. J Thorac Cardiovasc Surg 64:826, 1972.PubMedGoogle Scholar

Copyright information

© Springer-Verlag New York, Inc. 1980

Authors and Affiliations

  • Bradley J. Harlan
    • 1
  • Albert Starr
    • 1
  • Fredric M. Harwin
    • 2
  1. 1.Division of Cardiopulmonary SurgeryUniversity of Oregon Health Sciences CenterPortlandUSA
  2. 2.Medical IllustratorPortlandUSA

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