Critical care medicine is responsible for many of the most important advances in outcomes after cardiothoracic surgery in the past two decades. The expertise developed in this subspecialty accounts for the resiliency that characterizes gold standard results evident in institutions recognized for excellence. This volume is intended to share ideas and algorithms that will improve outcomes in cardiothoracic critical care units.
This book is part of the Difficult Decisions in Surgery series that covers surgical specialties. The volumes are multi-authored, containing brief chapters, each of which are devoted to one or two specific questions or decisions within that specialty that are difficult or controversial. The volumes are intended as a current and timely reference source for practicing surgeons, surgeons in training, and educators that describe the recommended ideal approach, rather than customary care, in selected clinical situations.
Arvustused
The audience includes practitioners, mainly cardiac intensivists, surgical critical care intensivists, and medical intensivists taking care of cardiothoracic surgery patients. This excellent book covers important aspects of the care of complex cardiothoracic patients in the ICU that have yet to be addressed. (Jeffanne E Millien, Doody's Book Reviews, October 18, 2019)
1. Introduction.-
2. Evaluating evidence.-
3. Quality and Value in the
Cardiothoracic ICU.-
4. Fungal Infection in the ICU.-
5. Palliative Care in
the ICU.-
6. Ethics: When to turn off the VAD.-
7. Care in the ICU.-
8.
Defibrillation/pacing first for witnessed cardiac arrest in postop cardiac
surgery.-
9. Early Re-Sternotomy in post-op cardiac surgery patients who
suffer cardiac arrest.-
10. Epinephrine and Vasopressin use following cardiac
arrest in post-op cardiac surgery.-
11. Role of early sternotomy after
cardiac arrest in minimally invasive surgery patients.-
12. Intravascular
Devices in the ICU.-
13. Central Venous Oxygen Saturation vs. Mixed Venous
Oxygen Saturation Monitoring in Patients After Cardiac Surgery.-
14. The
utility of hemodynamic waveform analysis in the ICU.-
15. Pressors and
Vasodilators in the CT ICU: Getting the mixture right.-
16. Pocket ECHO in
the CT ICU: helpful or just another toy?.-
17. Prevention of postoperative
atrial fibrillation.-
18. Does aggressivetreatment of postoperative atrial
fibrillation improve outcomes?.-
19. Role of noninvasive ventilation in the
CT ICU.-
20. Daily Awakening of Ventilated Patients and Extubation after
Cardio-thoracic Surgery.-
21. ECMO for Salvage of Influenza Patients.-
22.
When on ECMO: Awaken, Extubate and Mobilize.-
23. ECMO as bridge to lung
transplantation.-
24. Right Ventricular Failure.-
25. My LVAD patient is
fully anticoagulated and vomiting blood.-
26. LVAD patient with dark urine
and elevated LDH: Diagnose and Treat Thrombosis.-
27. Misadventures with
IABP: troubleshooting and interventions.-
28. Liver dysfunction in VAD
patients.-
29. Percutaneous assist devices as salvage from cardiogenic
shock.-
30. Vasoplegia In the postoperative period after Cardiac
Transplantation.-
31. Severe Hypertension after Cardiac Transplantation.-
32.
Post-Transplant Right Ventricular Failure.-
33. Lung Inifiltrate in post-op
Lung Transplant Patient: Pneumonia, Rejection or Edema?.-
34. Handling
Secretions after lung transplantation.-
35. Early Nutrition in Cardiothoracic
patients in the ICU.-
36. Glycemic Control does matter in the Post cardiac
surgery patient.-
37. Problems of the morbidly obese patient following
cardiothoracic surgery.-
38. The Bleeding Post-op CT patient: coagulation
tests vs. thromboelastography.-
39. Bleeding post cardiac surgery.-
40. If
the platelets are low, is it HIT?.-
41. Newest Antithrombotic Agents: Uses,
Abuses, Reversals for Surgical Procedures.-
42. Coagulopathy in the Heart
Failure Patient.-
43. Should Blood Conservation Tactics in the Jehovah's
Witness patient be applied universally?.-
44. Incidence and Causes AKI in the
Cardiothoracic ICU.-
45. Role of Biomarkers in Predicting AKI in the CT ICU.-
46. Diuretic Use in the Postop CT patient: Does it Prevent or Improve AKI?.-
47. Cardiorenal Syndrome in Heart failure patients: ICU management.-
48.
Access for RRT in CT patients with No Place for Access.-
49. Free Air in the
Popstoperative CT patient: Observe or Operate?.-
50. Ischemic bowel in the
post cardiothoracic patient.-
51. Ischemic Stroke in the CT patient:
Thrombolytic or Stent?.-
52. Confusion in the ICU: management of
anticoagulated VAD patient with MS changes.-
53. Cerebral edema in the CT
ICU: to bolt or not to bolt?.-
54. Malperfusion After Aortic
Dissection/Aneurysm Repair: when is intervention warranted?.-
55. Ischemic
Leg Following IABP Insertion: Timing of Diagnosis and Treatment.
Dr. Vassyl A. Lonchyna is a cardiothoracic surgeon and a surgical intensivist in Chicago, Illinois (USA), affiliated with The University of Chicago. He received his medical degree from Wayne State University School of Medicine, his surgical training at Duke University and Loyola University and his surgical critical care training at Stroger Hospital in Chicago. He has been in practice for more than 30 years.
Lisainfo e-raamatute kohta