CHAPTER LESSON PLANS & OBJECTIVES
Lesson 32.1: Anatomy and Case Planning
- 1. Identify key anatomical features of the heart and great vessels
- 2. Describe diagnostic procedures commonly used in cardiac medicine
- 3. Describe specific elements of case planning for cardiac surgery
- 4. Discuss cardiac pathology
Lesson 32.2: Surgical Procedures
- 5. Define the primary surgical goals for common cardiac procedures
- 6. Discuss what instrument sets may be used for common cardiac procedures
Classroom Preparation
Lesson 32.1: Anatomy and Case Planning
INSTRUCTOR PREPARATION
Textbook Objectives Covered
- 1. Identify key anatomical features of the heart and great vessels
- 2. Describe diagnostic procedures commonly used in cardiac medicine
- 3. Describe specific elements of case planning for cardiac surgery
- 4. Discuss cardiac pathology
National Standards Covered
- • See the Fuller 8e/AST Core Curriculum Mapping Guide on Evolve instructor resources.
Classroom Preparation
Lesson 32.1: Anatomy and Case Planning
STUDENT PREPARATION (1 hr)
| 1 | READ – Chapter Heading(s) • Introduction • Surgical Anatomy Heart Cardiac Cycle Conduction System ANSWER – Workbook • Chapter 32 PREPARE – Evolve Student Resources • Mock Certification Exam • Review Questions |
| 2 | READ – Chapter Heading(s) • Diagnostic Procedures Cardiac Catheterization ANSWER – Workbook • Chapter 32 PREPARE – Evolve Student Resources • Mock Certification Exam • Review Questions |
| 3 | READ – Chapter Heading(s) • Case Planning Positioning and Incisions Patient Prep Instruments and Equipment ANSWER – Textbook • Review Questions 1, 2, 3, 4 ANSWER – Workbook • Chapter 32 PREPARE – Evolve Student Resources • Mock Certification Exam • Review Questions |
| 4 | READ – Chapter Heading(s) • Surgical Procedures Coronary Artery Bypass Grafting (CABG) Saphenous Vein Graft Minimally Invasive Direct Coronary Artery Bypass (MIDCAB) Resection of a Left Ventricular Aneurysm Aortic Valve Replacement Mitral Valve Repair and Replacement Resection of an Aneurysm of the Ascending Aorta Resection of an Aneurysm of the Aortic Arch Resection of an Aneurysm of the Descending Thoracic Aorta Endovascular Repair of a Thoracic Aneurysm Insertion of an Artificial Cardiac Pacemaker Insertion of an Intra-Aortic Balloon Pump (IABP) Implantation of a Left Ventricular Assist Device Heart Transplantation Closure of a Patent Ductus Arteriosus Correction of a Coarctation of the Thoracic Aorta Total Correction of Tetralogy of Fallot Correction of Pulmonary Valve Stenosis Closure of an Atrial Septal Defect Closure of a Ventricular Septal Defect ANSWER – Workbook • Chapter 32 PREPARE – Evolve Student Resources • Mock Certification Exam • Review Questions |
50-Minute Lesson Plan
Lesson 32.1: Anatomy and Case Planning
LECTURE OUTLINE (50 min)
| POWERPOINT SLIDES | CHAPTER HEADING(S) | |
| 1 | ANATOMY: SLIDE 4 | • Introduction • Surgical Anatomy Heart Cardiac Cycle Conduction System |
| 2 | DIAGNOSTICS: SLIDE 5 | • Diagnostic Procedures Cardiac Catheterization |
| 3 | CASE PLANNING: SLIDES 6-8 | • Case Planning Positioning and Incisions Patient Prep Instruments and Equipment |
| 4 | PATHOLOGY: SLIDE 9 | • Surgical Procedures Coronary Artery Bypass Grafting (CABG) Saphenous Vein Graft Minimally Invasive Direct Coronary Artery Bypass (MIDCAB) Resection of a Left Ventricular Aneurysm Aortic Valve Replacement Mitral Valve Repair and Replacement Resection of an Aneurysm of the Ascending Aorta Resection of an Aneurysm of the Aortic Arch Resection of an Aneurysm of the Descending Thoracic Aorta Endovascular Repair of a Thoracic Aneurysm Insertion of an Artificial Cardiac Pacemaker Insertion of an Intra-Aortic Balloon Pump (IABP) Implantation of a Left Ventricular Assist Device Heart Transplantation Closure of a Patent Ductus Arteriosus Correction of a Coarctation of the Thoracic Aorta Total Correction of Tetralogy of Fallot Correction of Pulmonary Valve Stenosis Closure of an Atrial Septal Defect Closure of a Ventricular Septal Defect |
Learning Activities (choose one or more to equal 50 min)
| 1 | REVIEW (30 min) • On the board, draw an outline of the heart. One at a time, have each member of the class come to the board and add an anatomical feature to the drawing and label it. Appropriate Settings: Traditional classroom |
| 2 | RESEARCH (50 min) • Break the class into small groups. Assign each group a cardiac disease. Using the Internet or other classroom resources, each group should briefly research its disease, emphasizing diagnostic tests used to identify the disease and treatments. Ask each group to present its findings to the class. Appropriate Settings: Traditional/online/flipped classroom |
| 3 | DEMONSTRATE (50 min) • Demonstrate the specific elements of case planning to the students. Include room setup and instruments. Appropriate Settings: Traditional classroom |
| 4 | DISCUSS (30 min) • Discuss the pathology for common cardiac procedures. Appropriate Settings: Traditional/online/flipped classroom |
Critical Thinking Question
Defibrillators are among the items included on the crash carts present in operating rooms (ORs). Why is it important to have a defibrillator present in the OR during cardiothoracic procedures?
Discussion Guidelines: In cardiothoracic surgery, the likelihood of cardiac arrhythmia is heightened. One reason is the proximity of the procedures to the great vessels. Manipulation of the great vessels can trigger arrhythmias. Also, these patients may have other medical conditions that predispose them to cardiac complications.
Classroom Preparation
Lesson 32.2: Surgical Procedures
INSTRUCTOR PREPARATION
Textbook Objectives Covered
- 5. Define the primary surgical goals for common cardiac procedures
- 6. Discuss what instrument sets may be used for common cardiac procedures
National Standards Covered
- • See the Fuller 8e/AST Core Curriculum Mapping Guide on Evolve instructor resources.
Classroom Preparation
Lesson 32.2: Surgical Procedures
STUDENT PREPARATION (1 hr)
| 5 | READ – Chapter Heading(s) • Surgical Procedures Median Sternotomy Cardiopulmonary Bypass Cannulation Techniques in Cardiopulmonary Bypass Infusion of a Cardioplegic Solution Coronary Artery Bypass Grafting (CABG) Saphenous Vein Graft Minimally Invasive Direct Coronary Artery Bypass (MIDCAB) Resection of a Left Ventricular Aneurysm Aortic Valve Replacement Mitral Valve Repair and Replacement Resection of an Aneurysm of the Ascending Aorta Resection of an Aneurysm of the Aortic Arch Resection of an Aneurysm of the Descending Thoracic Aorta Endovascular Repair of a Thoracic Aneurysm Insertion of an Artificial Cardiac Pacemaker Insertion of an Intra-Aortic Balloon Pump (IABP) Implantation of a Left Ventricular Assist Device Heart Transplantation Closure of a Patent Ductus Arteriosus Correction of a Coarctation of the Thoracic Aorta Total Correction of Tetralogy of Fallot Correction of Pulmonary Valve Stenosis Closure of an Atrial Septal Defect Closure of a Ventricular Septal Defect ANSWER – Textbook • Review Questions 8, 9, 10 ANSWER – Workbook • Chapter 32 PREPARE – Evolve Student Resources • Mock Certification Exam • Review Questions |
| 6 | READ – Chapter Heading(s) • Surgical Procedures Median Sternotomy Cardiopulmonary Bypass Infusion of a Cardioplegic Solution Coronary Artery Bypass Grafting (CABG) Saphenous Vein Graft Minimally Invasive Direct Coronary Artery Bypass (MIDCAB) Resection of a Left Ventricular Aneurysm Aortic Valve Replacement Mitral Valve Repair and Replacement Resection of an Aneurysm of the Ascending Aorta Resection of an Aneurysm of the Aortic Arch Resection of an Aneurysm of the Descending Thoracic Aorta Endovascular Repair of a Thoracic Aneurysm Insertion of an Artificial Cardiac Pacemaker Insertion of an Intra-Aortic Balloon Pump (IABP) Implantation of a Left Ventricular Assist Device Heart Transplantation Closure of a Patent Ductus Arteriosus Correction of a Coarctation of the Thoracic Aorta Total Correction of Tetralogy of Fallot Correction of Pulmonary Valve Stenosis Closure of an Atrial Septal Defect Closure of a Ventricular Septal Defect ANSWER – Textbook • Review Questions 5, 6, 7 ANSWER – Workbook • Chapter 32 PREPARE – Evolve Student Resources • Mock Certification Exam • Review Questions |
50-Minute Lesson Plan
Lesson 32.2: Surgical Procedures
LECTURE OUTLINE (50 min)
| POWERPOINT SLIDES | CHAPTER HEADING(S) | |
| 5 | SURGICAL GOALS: SLIDE 11 | • Surgical Procedures Median Sternotomy Cardiopulmonary Bypass Cannulation Techniques in Cardiopulmonary Bypass Infusion of a Cardioplegic Solution Coronary Artery Bypass Grafting (CABG) Saphenous Vein Graft Minimally Invasive Direct Coronary Artery Bypass (MIDCAB) Resection of a Left Ventricular Aneurysm Aortic Valve Replacement Mitral Valve Repair and Replacement Resection of an Aneurysm of the Ascending Aorta Resection of an Aneurysm of the Aortic Arch Resection of an Aneurysm of the Descending Thoracic Aorta Endovascular Repair of a Thoracic Aneurysm Insertion of an Artificial Cardiac Pacemaker Insertion of an Intra-Aortic Balloon Pump (IABP) Implantation of a Left Ventricular Assist Device Heart Transplantation Closure of a Patent Ductus Arteriosus Correction of a Coarctation of the Thoracic Aorta Total Correction of Tetralogy of Fallot Correction of Pulmonary Valve Stenosis Closure of an Atrial Septal Defect Closure of a Ventricular Septal Defect |
| 6 | PROCEDURES: SLIDES 12-14 | • Surgical Procedures Median Sternotomy Cardiopulmonary Bypass Infusion of a Cardioplegic Solution Coronary Artery Bypass Grafting (CABG) Saphenous Vein Graft Minimally Invasive Direct Coronary Artery Bypass (MIDCAB) Resection of a Left Ventricular Aneurysm Aortic Valve Replacement Mitral Valve Repair and Replacement Resection of an Aneurysm of the Ascending Aorta Resection of an Aneurysm of the Aortic Arch Resection of an Aneurysm of the Descending Thoracic Aorta Endovascular Repair of a Thoracic Aneurysm Insertion of an Artificial Cardiac Pacemaker Insertion of an Intra-Aortic Balloon Pump (IABP) Implantation of a Left Ventricular Assist Device Heart Transplantation Closure of a Patent Ductus Arteriosus Correction of a Coarctation of the Thoracic Aorta Total Correction of Tetralogy of Fallot Correction of Pulmonary Valve Stenosis Closure of an Atrial Septal Defect Closure of a Ventricular Septal Defect |
Learning Activities (choose one or more to equal 50 min)
| 5 | REVIEW (30 min) • Break the class into small groups. Assign each group a cardiac surgery procedure. Give each group a stack of 10 index cards. Have the groups write one step from the technique box for their procedure on each card, but without labeling the step number. Have each group shuffle its cards and pass them to the group on the left to place in correct order. Repeat until all groups have sequenced each procedure. Appropriate Settings: Traditional classroom |
| 6 | DISCUSS (30 min) • Discuss the different instrument sets used in common cardiac procedures. Appropriate Settings: Traditional/online/flipped classroom |
Critical Thinking Question
Why is the needle count in cardiothoracic surgery particularly important?
Discussion Guidelines: The needle count is more challenging in cardiothoracic surgery because many of the needles are very small. Also, there are a greater number of needles used in these procedures. The surgical technologist must be vigilant to accomplish a correct count and maintain patient safety.
Assessments
Chapter 32: Cardiac Surgery
ASSESSMENTS BY OBJECTIVE
| 1-6 | Workbook • Chapter 32 Evolve Instructor Resources • Test Bank Create a quiz using ExamView; sort by objective. Evolve Student Resources • Mock Certification Exam • Review Questions |
| All | Elsevier Adaptive Quizzing • Chapter 32 – Graded quizzes (Mastery Levels 1, 2, and 3) |
