Introduction

Cardiac Anesthesia

Cardiac Surgery

Cardiology

Perfusion CPB

Echo (General)

Echo (TEE)

Monitoring

Practice Parameters

Med Ed: Anatomy

Med Ed: Physiology

Med Ed: Pathology

Thoracic

Vascular

Organizations

Journals

Textbooks

Research

MJL/UCSF Echo Web

Searching for?

Freebies

Geeky Computer Stuff

Get a Life!

References/Bibliography

UCSF Department of Medicine Guidelines Page

This is a "super-site" put together by Dr. Peter Sam of the Dept. of Medicine. It has hundreds of listings that are kept very up to date. There are lots of pages here, covering all the primary care areas. This link is a succinct list of the major categories. Of course, us snooty cardiac anesthesiologists favor diseases of the cardiovascular system!

American College of Cardiology/American Heart Association Guidelines

So you want CV disease and you want it from the experts? This is the place to go. Some of the guidelines are getting a bit old but they are all here, including: acute MI, heart failure, valvular HD and my favorite: preop evaluation of the cardiac patient for noncardiac surgery. By far the best way to read them is download them in Adobe Acrobat PDF format (and you can then store them on your hard drive). Be sure to check out the newly installed link (August) to the ACC Cybersession on Preop Evaluation explained in detail on the Cardiology Page!!

IMPORTANT UPDATE (JUNE 99): The guidelines for management of the patient with chronic stable angina have been posted. They are very comprehensive and absolutely required reading for all anesthesiologists dealing with these patients. Check them out here and download a large .PDF file to have it on your hard drive!

IMPORTANT UPDATE (SEPTEMBER 99): The guidelines for the management of the patient with acute myocardial infarction have been revised and posted!!

There are also guidelines here on various cardiac diagnostic modalities including ECG, Holter, Echocardiography, Radionuclide Imaging and others. I'd certainly recommend a peek at the echo guidelines since they are relatively recent (1997).

American College of Physicians Guidelines for Preop Evaluation

Not to be outdone by the cardiologists, the internists put together not one but two guidelines on this topic (personally I can never remember how they differ).What makes them unique is they incorporated strong recommendations for prophylactic beta blockade, based on the controversial findings in Dr. Mangano's 1996 NEJM paper (abstract here). Which side are you on?

American Society of Anesthesiologists/Society of Cardiovascular Anesthesiologists Guidelines

The TEE guidelines are absolutely required reading for any cardiac rotation (in my humble opinion). They are a bit dated by now and are a bit incomplete without the literature references they are based on (not presented in the guidelines), but check them out anyway! The PA catheter guidelines are very old by now and clearly in need of revision given the controversies generated by the 1996 ICU study published in JAMA that sparked empassioned crys for a moratorium on the PA catheter.

The rest of the ASA guidelines are listed here as well (in case you ever get out of the heart room!).