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    The early postoperative management strategies after heart transplantation include optimizing the function of the denervated heart, correcting the causes of hemodynamic instability, and initiating and maintaining immunosuppressive therapy, allograft rejection surveillance, and prophylaxis against infections caused by immunosuppression. The course of postoperative support is influenced by the…

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    Catheter ablation procedures for arrhythmias or implantation and/or extraction of cardiac pacemakers can present many clinical challenges. It is imperative that there is clear communication and understanding between the anesthesiologist and electrophysiologist during the perioperative period regarding the mode of ventilation, hemodynamic considerations, and various procedural complications. This…

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    Section snippetsWhat Generates Conflict?Although minor disagreements occur on a daily basis (eg, music choice within the OR, the actual amount of blood loss during a surgical case), conflict becomes significant when the following occurs: (1) opinions differ, (2) the stakes are high, and (3) emotions run strong.6 When this occurs, effective communication among the parties involved must occur to…

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