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6.2 - Management of the Critical Care Patient Following Cardiac Surgery

from Section 6 - Perioperative Care

Published online by Cambridge University Press:  27 July 2023

By
Nick Lees
Edited by
Ned Gilbert-Kawai ,
Debashish Dutta  and
Carl Waldmann
Ned Gilbert-Kawai
Affiliation:
The Royal Liverpool Hospital
Debashish Dutta
Affiliation:
Princess Alexandra Hospital NHS Trust, Harlow
Carl Waldmann
Affiliation:
Royal Berkshire Hospital, Reading
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Summary

Key Learning Points

  1. 1. The same principles of evidenced-based intensive care should be applied to cardiac surgical patients.

  2. 2. There is particular focus on invasive haemodynamic monitoring and immediate access to echocardiography.

  3. 3. Many elective patients can be managed aiming for early extubation and rapid discharge.

  4. 4. Inotropes and vasopressors are titrated according to assessment of left and right heart function and vascular resistance.

  5. 5. Complications include bleeding, tamponade, low cardiac output syndrome and arrhythmias.

Keywords

critical carecardiacsurgeryperioperative
Type
Chapter
Information
Intensive Care Medicine
The Essential Guide
 , pp. 627 - 631
Publisher: Cambridge University Press
Print publication year: 2021

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References

References and Further Reading

Griffiths, SV, Conway, DH; POPC-CB Investigators, et al. What are the optimum components in a care bundle aimed at reducing post-operative pulmonary complications in high-risk patients? Perioper Med 2018;7:7.CrossRefGoogle Scholar
Pearse, RM, Rhodes, A, Grounds, RM. Clinical review: how to optimize management of high-risk surgical patients. Crit Care 2004;8:503–7.Google ScholarPubMed

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