Book contents
- Intensive Care Medicine
- Intensive Care Medicine
- Copyright page
- Dedication
- Dedication
- Epigraph
- Contents
- Contributors
- Preface
- Foreword
- Abbreviations
- Section 1 Resuscitation and Management of the Acutely Ill Patient
- Section 2 Diagnosis, Assessment, Investigation, Monitoring and Data Interpretation
- Domain 3 Disease Management: Recognition, Causes and Management
- Section 4 Therapeutic Interventions and Organ Support
- Domain 5 Practical Procedures
- Section 6 Perioperative Care
- Introduction
- Risk Scoring and ICU Triage
- Pre-optimisation/Prehabilitation
- Intraoperative Care
- Perioperative Fluid Management
- Post-operative Care
- Evidence for Intensive Care in High-Risk Surgical Patients
- Conclusion
- Introduction
- Handover
- Examination
- Investigations in the Post-operative Setting
- Introduction
- Criteria for CCU Admission Following Craniotomy
- Interventions Requiring CCU Admission
- Complications Requiring CCU Admission
- Pain Management
- Conclusion
- Introduction
- Cardiovascular
- Renal Failure
- Hepatorenal Syndrome
- Ventilation
- Allograft Function
- Infection
- Nutrition
- Post-operative Complications in the ICU
- Introduction
- Monitoring
- Haemodynamics
- Right Ventricular Failure
- Rate and Rhythm
- Fluids and Renal Function
- Bleeding
- Immunosuppression and Infection
- Acute Rejection
- Non-cardiac Surgery in Heart Transplant Patients
- Introduction
- Surgery and Monitoring
- Management after Lung Transplant
- Complications after Lung Transplant
- Introduction
- Severity of Injury
- Problems and Treatment Strategies in the ICU
- Introduction
- Multi-modal, Opioid-Sparing Analgesia
- Effective Circulating Volume/Adequate Resuscitation
- Addressing the Need for Anti-microbial Treatment
- Nutritional Support
- Prophylaxis against ICU Complications
- Abdominal Catastrophes
- 6.1 Management of Pre- and Post-operative Care of the High-Risk Surgical Patient
- 6.2 Management of the Critical Care Patient Following Cardiac Surgery
- 6.3 Management of the Critical Care Patient Following Craniotomy
- 6.4 Management of the Critical Care Patient Following Liver Transplant
- 6.5 Management of the Critical Care Patient Following Heart Transplant
- 6.6 Management of the Critical Care Patient Following Lung Transplant
- 6.7 Pre- and Post-operative Management of the Critical Care Trauma Patient
- 6.8 Management of the Critical Care Patient Following Major Abdominal Surgery
- Section 7 Comfort and Recovery
- Section 8 End-of-Life Care
- Section 9 Paediatric Care
- Section 10 Transport
- Section 11 Professionalism, Patient Safety, Governance and Health Systems Management
- Index
- References
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
Book contents
- Intensive Care Medicine
- Intensive Care Medicine
- Copyright page
- Dedication
- Dedication
- Epigraph
- Contents
- Contributors
- Preface
- Foreword
- Abbreviations
- Section 1 Resuscitation and Management of the Acutely Ill Patient
- Section 2 Diagnosis, Assessment, Investigation, Monitoring and Data Interpretation
- Domain 3 Disease Management: Recognition, Causes and Management
- Section 4 Therapeutic Interventions and Organ Support
- Domain 5 Practical Procedures
- Section 6 Perioperative Care
- Introduction
- Risk Scoring and ICU Triage
- Pre-optimisation/Prehabilitation
- Intraoperative Care
- Perioperative Fluid Management
- Post-operative Care
- Evidence for Intensive Care in High-Risk Surgical Patients
- Conclusion
- Introduction
- Handover
- Examination
- Investigations in the Post-operative Setting
- Introduction
- Criteria for CCU Admission Following Craniotomy
- Interventions Requiring CCU Admission
- Complications Requiring CCU Admission
- Pain Management
- Conclusion
- Introduction
- Cardiovascular
- Renal Failure
- Hepatorenal Syndrome
- Ventilation
- Allograft Function
- Infection
- Nutrition
- Post-operative Complications in the ICU
- Introduction
- Monitoring
- Haemodynamics
- Right Ventricular Failure
- Rate and Rhythm
- Fluids and Renal Function
- Bleeding
- Immunosuppression and Infection
- Acute Rejection
- Non-cardiac Surgery in Heart Transplant Patients
- Introduction
- Surgery and Monitoring
- Management after Lung Transplant
- Complications after Lung Transplant
- Introduction
- Severity of Injury
- Problems and Treatment Strategies in the ICU
- Introduction
- Multi-modal, Opioid-Sparing Analgesia
- Effective Circulating Volume/Adequate Resuscitation
- Addressing the Need for Anti-microbial Treatment
- Nutritional Support
- Prophylaxis against ICU Complications
- Abdominal Catastrophes
- 6.1 Management of Pre- and Post-operative Care of the High-Risk Surgical Patient
- 6.2 Management of the Critical Care Patient Following Cardiac Surgery
- 6.3 Management of the Critical Care Patient Following Craniotomy
- 6.4 Management of the Critical Care Patient Following Liver Transplant
- 6.5 Management of the Critical Care Patient Following Heart Transplant
- 6.6 Management of the Critical Care Patient Following Lung Transplant
- 6.7 Pre- and Post-operative Management of the Critical Care Trauma Patient
- 6.8 Management of the Critical Care Patient Following Major Abdominal Surgery
- Section 7 Comfort and Recovery
- Section 8 End-of-Life Care
- Section 9 Paediatric Care
- Section 10 Transport
- Section 11 Professionalism, Patient Safety, Governance and Health Systems Management
- Index
- References
Summary
Key Learning Points
1. The same principles of evidenced-based intensive care should be applied to cardiac surgical patients.
2. There is particular focus on invasive haemodynamic monitoring and immediate access to echocardiography.
3. Many elective patients can be managed aiming for early extubation and rapid discharge.
4. Inotropes and vasopressors are titrated according to assessment of left and right heart function and vascular resistance.
5. Complications include bleeding, tamponade, low cardiac output syndrome and arrhythmias.
- Type
- Chapter
- Information
- Intensive Care MedicineThe Essential Guide, pp. 627 - 631Publisher: Cambridge University PressPrint publication year: 2021
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