global-cardiology-congress-2019-keynote

2 / 3

Global Cardiology Congress 2019 Journal of Cardiovascular Medicine and Therapeutics | Volume 3
Page 15
June 19-20, 2019 | Dublin, Ireland
OF EXCELLENCE
IN INTERNATIONAL
MEETINGS
YEARS
CARDIOLOGY AND
CARDIOVASCULAR MEDICINE
6th International Conference on
ATRIAL SEPTAL DEFECT CLOSURE
IN JEHOVAH’S WITNESS AS PART
ENHANCED RECOVERY AFTER SURGERY
PROGRAM
Background: The great advance of anaesthesiology, surgery and crit-
ical care allow a perioperative management on the basis of enhanced
outcome. ERAS protocols are multimodal perioperative care pathways
designed to accelerate postoperative convalescence and reduce general
morbidity. So that, nearly every patient–even high risk patients such as
Jehovah Witnesses (JWs)-presenting for cardiac surgery may be consid-
ered for ERAS. However, whichever posterior readmission to the Inten-
sive Care Unit (ICU) is associated with higher mortality. Therefore, identi-
fying patients along with a well-motivatedmultidisciplinary clinical team
and optimal perioperative management will be essential for a successful
outcome. Cardiac surgery in JWs is occurring more often. Since they re-
ject heterogenic blood products, the management of anaemia remains
challenging. ERAS protocols, which include transfusion avoidance strat-
egies are desirable.
Method: A 55-year-old female Jehovah‘s Witness (JWs) patient was
scheduled for surgical closure of an atrial septal defect (ASD), ostium se-
cundum, through an enhanced recovery after surgery (ERAS) program
respecting the patient‘s religious beliefs of rejection of blood transfu-
sions. The ERAS focuses on advances in minimally invasive heart surgery,
multimodal anaesthetic techniques and careful perioperative manage-
ment, facilitated early tracheal extubation and hospital discharge with-
out sacrificing perioperative safety.
Maria Amparo Lopez-Ruiz, J Cardiovasc Med Ther 2019, Volume 3
Maria Amparo Lopez-Ruiz has completed her
PhD from Valencia University and Postdoctoral
studies from CEU Cardinal Herrera Health Scienc-
es Faculty, Spain. She obtained her Doctorate
in Medicine with the doctoral thesis on “Anal-
ysis of the use of medication in the paediatric
population that visit accident and emergency
department” with Summa Cum Laude. She has
achieved the qualification of University Expert in
Neonatology from the Catholic University in Va-
lencia and Master’s Degree in Neonatology (from
de SENeo-Neonatology Spanish Society)”. She is
Medicine Degree Coordinator in CEU Cardinal
Herrera University since 2015. She is the Director
of the Master’s Degree in Neonatal intensive care
and Neonatal Nursing. She has attended to Inter-
national Congresses of Pediatrics as a keynote
speaker and she has been part of the Organizing
Committee member for the 12th International
Conference on Pediatric Pathology and Laborato-
ry Medicine, for the 11th International Conference
and Exhibition on Pharmacovigilance and Drug
Safety and for the 17th International Conference
on Pathology and Cancer Epidemiology. One of
her latest publications is “White coat syndrome:
A reality beyond the myth. A review of the liter-
ature” and as an Anatomy Professor she is an ex-
pertise in heart anatomy and cardiac dissection.
Maria Amparo Lopez-Ruiz
CEU Cardinal Herrera University, Spain
BIOGRAPHY