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Care for the Postoperative Cardiac Surgery Patient

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Surgical Critical Care Therapy

Abstract

The care for patients after cardiac surgery should begin with standardized pathways, with the goal of structured care criteria rooted in best available evidence. Such pathways are only a starting place, however, as every patient’s procedure and course is unique. Optimal care relies on a team that is able to recognize deviations from normal physiology and recovery in the context of a given condition and procedure and that institutes early and appropriate action when faced with potential complications.

In this chapter, a review of general management principles and techniques relevant to the care of cardiac surgical patients will be followed by guidance for the management of more specific clinical scenarios. Finally, this chapter will present some considerations unique to particular cardiac surgical procedures.

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References

  1. Cohn LH, Rosborough D, Fernandez J. Reducing costs and length of stay and improving efficiency and quality of care in cardiac surgery. Ann Thorac Surg. 1997;64(6 Suppl):S58–60. discussion S80-2

    Article  CAS  PubMed  Google Scholar 

  2. Xu F, et al. Use of pulmonary artery catheter in coronary artery bypass graft. Costs and long-term outcomes. PLoS One. 2015;10(2):e0117610.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  3. Whitener S, Konoske R, Mark JB. Pulmonary artery catheter. Best Pract Res Clin Anaesthesiol. 2014;28(4):323–35.

    Article  PubMed  Google Scholar 

  4. St Andre AC, DelRossi A. Hemodynamic management of patients in the first 24 hours after cardiac surgery. Crit Care Med. 2005;33(9):2082–93.

    Article  PubMed  Google Scholar 

  5. Baele PL, et al. Continuous monitoring of mixed venous oxygen saturation in critically ill patients. Anesth Analg. 1982;61(6):513–7.

    Article  CAS  PubMed  Google Scholar 

  6. Marik PE, Cavallazzi R. Does the central venous pressure predict fluid responsiveness? An updated meta-analysis and a plea for some common sense. Crit Care Med. 2013;41(7):1774–81.

    Article  PubMed  Google Scholar 

  7. Reddy PS, et al. Cardiac tamponade: hemodynamic observations in man. Circulation. 1978;58(2):265–72.

    Article  CAS  PubMed  Google Scholar 

  8. Stern DH, et al. Can we trust the direct radial artery pressure immediately following cardiopulmonary bypass? Anesthesiology. 1985;62(5):557–61.

    Article  CAS  PubMed  Google Scholar 

  9. Pauca AL, et al. Radial artery-to-aorta pressure difference after discontinuation of cardiopulmonary bypass. Anesthesiology. 1989;70(6):935–41.

    Article  CAS  PubMed  Google Scholar 

  10. Gravlee GP, et al. A comparison of radial, brachial, and aortic pressures after cardiopulmonary bypass. J Cardiothorac Anesth. 1989;3(1):20–6.

    Article  CAS  PubMed  Google Scholar 

  11. Herr DL, Sum-Ping ST, England M. ICU sedation after coronary artery bypass graft surgery: dexmedetomidine-based versus propofol-based sedation regimens. J Cardiothorac Vasc Anesth. 2003;17(5):576–84.

    Article  PubMed  Google Scholar 

  12. Ketorolac Medication Guide, R.L. Inc, Editor. Nutley, 2008. https://www.accessdata.fda.gov/drugsatfda_docs/label/2013/019645s019lbl.pdf

  13. Oliveri L, Jerzewski K, Kulik A. Black box warning: is ketorolac safe for use after cardiac surgery? J Cardiothorac Vasc Anesth. 2014;28(2):274–9.

    Article  CAS  PubMed  Google Scholar 

  14. Wong WT, et al. Fast-track cardiac care for adult cardiac surgical patients. Cochrane Database Syst Rev. 2016;9:Cd003587.

    PubMed  Google Scholar 

  15. Rafiq S, et al. Multimodal analgesia versus traditional opiate based analgesia after cardiac surgery, a randomized controlled trial. J Cardiothorac Surg. 2014;9:52.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Ucak A, et al. The effects of gabapentin on acute and chronic postoperative pain after coronary artery bypass graft surgery. J Cardiothorac Vasc Anesth. 2011;25(5):824–9.

    Article  CAS  PubMed  Google Scholar 

  17. Rodrigues RR, et al. Computed tomography assessment of lung structure in patients undergoing cardiac surgery with cardiopulmonary bypass. Braz J Med Biol Res. 2011;44(6):598–605.

    Article  CAS  PubMed  Google Scholar 

  18. Garcia-Delgado M, Navarrete-Sanchez I, Colmenero M. Preventing and managing perioperative pulmonary complications following cardiac surgery. Curr Opin Anaesthesiol. 2014;27(2):146–52.

    Article  PubMed  Google Scholar 

  19. Haverich A. Frequency, risk factors, and outcome of hyperlactatemia after cardiac surgery. J Thorac Cardiovasc Surg. 2003;123(5):1361–6.

    Google Scholar 

  20. O’Shaughnessy K. Adrenergic mechanisms and drugs. In: Clinical pharmacology. Edinburgh: Elsevier; 2012. p. 382–92.

    Chapter  Google Scholar 

  21. Morales DL, et al. A double-blind randomized trial: prophylactic vasopressin reduces hypotension after cardiopulmonary bypass. Ann Thorac Surg. 2003;75(3):926–30.

    Article  PubMed  Google Scholar 

  22. Leyh RG, et al. Methylene blue: the drug of choice for catecholamine-refractory vasoplegia after cardiopulmonary bypass? J Thorac Cardiovasc Surg. 2003;125(6):1426–31.

    Article  CAS  PubMed  Google Scholar 

  23. Cotton BA, et al. Increased risk of adrenal insufficiency following etomidate exposure in critically injured patients. Arch Surg. 2008;143(1):62–7. discussion 67

    Article  PubMed  Google Scholar 

  24. Lexicomp. 2016. Wolters Kluwer. https://dailymed.nlm.nih.gov/dailymed/archives/fdaDrugInfo.cfm?archiveid=4086.

  25. Ho KM, Bham E, Pavey W. Incidence of venous thromboembolism and benefits and risks of Thromboprophylaxis after cardiac surgery: a systematic review and meta-analysis. J Am Heart Assoc. 2015;4(10):e002652.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  26. Dunning J, et al. Guideline on antiplatelet and anticoagulation management in cardiac surgery. Eur J Cardiothorac Surg. 2008;34(1):73–92.

    Article  PubMed  Google Scholar 

  27. Mathew JG, et al. Efficacy and safety of early parenteral anticoagulation as a bridge to warfarin after mechanical valve replacement. Thromb Haemost. 2014;112(6):1120–8.

    Article  CAS  PubMed  Google Scholar 

  28. Passaglia LG, de Barros GM, de Sousa MR. Early postoperative bridging anticoagulation after mechanical heart valve replacement: a systematic review and meta-analysis. J Thromb Haemost. 2015;13(9):1557–67.

    Article  CAS  PubMed  Google Scholar 

  29. Jain MK, Ridker PM. Anti-inflammatory effects of statins: clinical evidence and basic mechanisms. Nat Rev Drug Discov. 2005;4(12):977–87.

    Article  CAS  PubMed  Google Scholar 

  30. Mariscalco G, et al. Observational study on the beneficial effect of preoperative statins in reducing atrial fibrillation after coronary surgery. Ann Thorac Surg. 2007;84(4):1158–64.

    Article  PubMed  Google Scholar 

  31. Ozguler IM, et al. Rosuvastatin lowers systemic inflammatory response in coronary artery bypass graft accompanied by cardiopulmonary bypass surgery: a randomized controlled study. Clin Invest Med. 2015;38(4):E154–63.

    Article  CAS  PubMed  Google Scholar 

  32. Zheng Z, et al. Perioperative Rosuvastatin in cardiac surgery. N Engl J Med. 2016;374(18):1744–53.

    Article  CAS  PubMed  Google Scholar 

  33. Ker K, et al. Effect of tranexamic acid on surgical bleeding: systematic review and cumulative meta-analysis. BMJ. 2012;344:e3054.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  34. Blommaert D, et al. Effective prevention of atrial fibrillation by continuous atrial overdrive pacing after coronary artery bypass surgery. J Am Coll Cardiol. 2000;35(6):1411–5.

    Article  CAS  PubMed  Google Scholar 

  35. Neto VA, et al. Temporary atrial pacing in the prevention of postoperative atrial fibrillation. Pacing Clin Electrophysiol. 2007;30(Suppl 1):S79–83.

    Article  PubMed  Google Scholar 

  36. Alpert JS, Petersen P, Godtfredsen J. Atrial fibrillation: natural history, complications, and management. Annu Rev Med. 1988;39:41–52.

    Article  CAS  PubMed  Google Scholar 

  37. Elmi F, Tullo NG, Khalighi K. Natural history and predictors of temporary epicardial pacemaker wire function in patients after open heart surgery. Cardiology. 2002;98(4):175–80.

    Article  PubMed  Google Scholar 

  38. Gordon RS, et al. Permanent cardiac pacing after a cardiac operation: predicting the use of permanent pacemakers. Ann Thorac Surg. 1998;66(5):1698–704.

    Article  CAS  PubMed  Google Scholar 

  39. Merin O, et al. Permanent pacemaker implantation following cardiac surgery: indications and long-term follow-up. Pacing Clin Electrophysiol. 2009;32(1):7–12.

    Article  PubMed  Google Scholar 

  40. Del Nido P, Goldman BS. Temporary epicardial pacing after open heart surgery: complications and prevention. J Card Surg. 1989;4(1):99–103.

    Article  PubMed  Google Scholar 

  41. van den Berghe G, et al. Intensive insulin therapy in critically ill patients. N Engl J Med. 2001;345(19):1359–67.

    Article  PubMed  Google Scholar 

  42. Hajjar LA, et al. Transfusion requirements after cardiac surgery: the TRACS randomized controlled trial. JAMA. 2010;304(14):1559–67.

    Article  CAS  PubMed  Google Scholar 

  43. van Straten AH, et al. Transfusion of red blood cells: the impact on short-term and long-term survival after coronary artery bypass grafting, a ten-year follow-up. Interact Cardiovasc Thorac Surg. 2010;10(1):37–42.

    Article  PubMed  Google Scholar 

  44. Hebert PC, et al. A multicenter, randomized, controlled clinical trial of transfusion requirements in critical care. Transfusion requirements in critical care investigators, Canadian critical care trials group. N Engl J Med. 1999;340(6):409–17.

    Article  CAS  PubMed  Google Scholar 

  45. Weitzel NS, et al. Platelet mapping as part of modified thromboelastography (TEG(R)) in patients undergoing cardiac surgery and cardiopulmonary bypass. Anaesthesia. 2012;67(10):1158–65.

    Article  CAS  PubMed  Google Scholar 

  46. White JM, Ruygrok PN. Intra-aortic balloon counterpulsation in contemporary practice - where are we? Heart Lung Circ. 2015;24(4):335–41.

    Article  PubMed  Google Scholar 

  47. Kogan A, et al. Heparin-free management of intra-aortic balloon pump after cardiac surgery. J Card Surg. 2012;27(4):434–7.

    Article  PubMed  Google Scholar 

  48. Choong CK, et al. Delayed re-exploration for bleeding after coronary artery bypass surgery results in adverse outcomes. Eur J Cardiothorac Surg. 2007;31(5):834–8.

    Article  PubMed  Google Scholar 

  49. Dunning J, et al. Guideline for resuscitation in cardiac arrest after cardiac surgery. Eur J Cardiothorac Surg. 2009;36(1):3–28.

    Article  PubMed  Google Scholar 

  50. Schulman S. Pharmacologic tools to reduce bleeding in surgery. Hematology Am Soc Hematol Educ Program. 2012;2012:517–21.

    PubMed  Google Scholar 

  51. Bolliger D, et al. The anticoagulant effect of protamine sulfate is attenuated in the presence of platelets or elevated factor VIII concentrations. Anesth Analg. 2010;111(3):601–8.

    Article  CAS  PubMed  Google Scholar 

  52. O’Connell KA, et al. Thromboembolic adverse events after use of recombinant human coagulation factor VIIa. JAMA. 2006;295(3):293–8.

    Article  PubMed  Google Scholar 

  53. Carmona P, et al. Management of cardiac tamponade after cardiac surgery. J Cardiothorac Vasc Anesth. 2012;26(2):302–11.

    Article  PubMed  Google Scholar 

  54. Pepi M, et al. Pericardial effusion after cardiac surgery: incidence, site, size, and haemodynamic consequences. Br Heart J. 1994;72(4):327–31.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  55. Tsang TS, Oh JK, Seward JB. Diagnosis and management of cardiac tamponade in the era of echocardiography. Clin Cardiol. 1999;22(7):446–52.

    Article  CAS  PubMed  Google Scholar 

  56. Price S, et al. 'Tamponade' following cardiac surgery: terminology and echocardiography may both mislead. Eur J Cardiothorac Surg. 2004;26(6):1156–60.

    Article  PubMed  Google Scholar 

  57. Vives M, et al. Cardiac surgery-associated acute kidney injury. Interact Cardiovasc Thorac Surg. 2014;18(5):637–45.

    Article  PubMed  Google Scholar 

  58. Shin SR, et al. Prediction and prevention of acute kidney injury after cardiac surgery. Biomed Res Int. 2016;2016:2985148.

    PubMed  PubMed Central  Google Scholar 

  59. Dreischulte T, et al. Combined use of nonsteroidal anti-inflammatory drugs with diuretics and/or renin-angiotensin system inhibitors in the community increases the risk of acute kidney injury. Kidney Int. 2015;88(2):396–403.

    Article  CAS  PubMed  Google Scholar 

  60. Zacharias M, et al. Interventions for protecting renal function in the perioperative period. Cochrane Database Syst Rev. 2013;9:Cd003590.

    Google Scholar 

  61. Itagaki S, Hosseinian L, Varghese R. Right ventricular failure after cardiac surgery: management strategies. Semin Thorac Cardiovasc Surg. 2012;24(3):188–94.

    Article  PubMed  Google Scholar 

  62. Vlahakes GJ. Right ventricular failure after cardiac surgery. Cardiol Clin. 2012;30(2):283–9.

    Article  PubMed  Google Scholar 

  63. Thunberg CA, et al. Pulmonary hypertension in patients undergoing cardiac surgery: pathophysiology, perioperative management, and outcomes. J Cardiothorac Vasc Anesth. 2013;27(3):551–72.

    Article  PubMed  Google Scholar 

  64. Zener JC, et al. Regression of extreme pulmonary hypertension after mitral valve surgery. Am J Cardiol. 1972;30(8):820–6.

    Article  CAS  PubMed  Google Scholar 

  65. Denault A, et al. Pulmonary hypertension in cardiac surgery. Curr Cardiol Rev. 2010;6(1):1–14.

    Article  PubMed  PubMed Central  Google Scholar 

  66. Mathew JP, et al. Atrial fibrillation following coronary artery bypass graft surgery: predictors, outcomes, and resource utilization. MultiCenter study of perioperative ischemia research group. JAMA. 1996;276(4):300–6.

    Article  CAS  PubMed  Google Scholar 

  67. Mathew JP, et al. A multicenter risk index for atrial fibrillation after cardiac surgery. JAMA. 2004;291(14):1720–9.

    Article  CAS  PubMed  Google Scholar 

  68. Gowda SA, Shah A, Steinberg JS. Cardioversion of atrial fibrillation. Prog Cardiovasc Dis. 2005;48(2):88–107.

    Article  PubMed  Google Scholar 

  69. Risius T, et al. Comparison of antero-lateral versus antero-posterior electrode position for biphasic external cardioversion of atrial flutter. Am J Cardiol. 2009;104(11):1547–50.

    Article  PubMed  Google Scholar 

  70. Khasnis A, et al. Tachycardia-induced cardiomyopathy: a review of literature. Pacing Clin Electrophysiol. 2005;28(7):710–21.

    Article  PubMed  Google Scholar 

  71. Arsenault KA, et al. Interventions for preventing post-operative atrial fibrillation in patients undergoing heart surgery. Cochrane Database Syst Rev. 2013;1:Cd003611.

    Google Scholar 

  72. McDonald MG, Au NT, Rettie AE. P450-based drug-drug interactions of Amiodarone and its metabolites: diversity of inhibitory mechanisms. Drug Metab Dispos. 2015;43(11):1661–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  73. Oral H, et al. Facilitating transthoracic cardioversion of atrial fibrillation with ibutilide pretreatment. N Engl J Med. 1999;340(24):1849–54.

    Article  CAS  PubMed  Google Scholar 

  74. Chatterjee S, et al. Timing and route of amiodarone for prevention of postoperative atrial fibrillation after cardiac surgery: a network regression meta-analysis. Pacing Clin Electrophysiol. 2013;36(8):1017–23.

    Article  PubMed  Google Scholar 

  75. Vereckei A. Current algorithms for the diagnosis of wide QRS complex tachycardias. Curr Cardiol Rev. 2014;10(3):262–76.

    Article  PubMed  PubMed Central  Google Scholar 

  76. Califf RM, et al. Myonecrosis after revascularization procedures. J Am Coll Cardiol. 1998;31(2):241–51.

    Article  CAS  PubMed  Google Scholar 

  77. Domanski MJ, et al. Association of myocardial enzyme elevation and survival following coronary artery bypass graft surgery. JAMA. 2011;305(6):585–91.

    Article  CAS  PubMed  Google Scholar 

  78. Hauser AM, et al. Sequence of mechanical, electrocardiographic and clinical effects of repeated coronary artery occlusion in human beings: echocardiographic observations during coronary angioplasty. J Am Coll Cardiol. 1985;5(2 Pt 1):193–7.

    Article  CAS  PubMed  Google Scholar 

  79. Lobo DN, Awad S. Should chloride-rich crystalloids remain the mainstay of fluid resuscitation to prevent 'pre-renal' acute kidney injury?: con. Kidney Int. 2014;86(6):1096–105.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  80. McKhann GM, et al. Stroke and encephalopathy after cardiac surgery: an update. Stroke. 2006;37(2):562–71.

    Article  PubMed  Google Scholar 

  81. Wityk RJ, et al. Diffusion- and perfusion-weighted brain magnetic resonance imaging in patients with neurologic complications after cardiac surgery. Arch Neurol. 2001;58(4):571–6.

    Article  CAS  PubMed  Google Scholar 

  82. Hartnell GG, et al. Safety of MR imaging in patients who have retained metallic materials after cardiac surgery. AJR Am J Roentgenol. 1997;168(5):1157–9.

    Article  CAS  PubMed  Google Scholar 

  83. Bush CK, et al. Endovascular treatment with stent-retriever devices for acute ischemic stroke: a meta-analysis of randomized controlled trials. PLoS One. 2016;11(1):e0147287.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  84. Coull BM, et al. Anticoagulants and antiplatelet agents in acute ischemic stroke: report of the joint stroke guideline development Committee of the American Academy of neurology and the American Stroke Association (a division of the American Heart Association). Stroke. 2002;33(7):1934–42.

    Article  CAS  PubMed  Google Scholar 

  85. Muth CM, Shank ES. Gas embolism. N Engl J Med. 2000;342(7):476–82.

    Article  CAS  PubMed  Google Scholar 

  86. Gootjes EC, Wijdicks EF, McClelland RL. Postoperative stupor and coma. Mayo Clin Proc. 2005;80(3):350–4.

    Article  PubMed  Google Scholar 

  87. Acher CW, et al. Lexicomp a quantitative assessment of the impact of intercostal artery reimplantation on paralysis risk in thoracoabdominal aortic aneurysm repair. Ann Surg. 2016;248(4):529–40.

    Google Scholar 

  88. Coselli JS, et al. Cerebrospinal fluid drainage reduces paraplegia after thoracoabdominal aortic aneurysm repair: results of a randomized clinical trial. J Vasc Surg. 2002;35(4):631–9.

    Article  PubMed  Google Scholar 

  89. Ranucci M. Hemostatic and thrombotic issues in cardiac surgery. Semin Thromb Hemost. 2015;41(1):84–90.

    Article  PubMed  Google Scholar 

  90. Nader ND, et al. Blood product use in cardiac revascularization: comparison of on- and off-pump techniques. Ann Thorac Surg. 1999;68(5):1640–3.

    Article  CAS  PubMed  Google Scholar 

  91. Warkentin TE, Kelton JG. Temporal aspects of heparin-induced thrombocytopenia. N Engl J Med. 2001;344(17):1286–92.

    Article  CAS  PubMed  Google Scholar 

  92. Kerendi F, et al. Impact of heparin-induced thrombocytopenia on postoperative outcomes after cardiac surgery. Ann Thorac Surg. 2007;84(5):1548–53. discussion 1554-5

    Article  PubMed  Google Scholar 

  93. Wan C, et al. Clinical presentation, temporal relationship, and outcome in thirty-three patients with type 2 heparin-induced thrombocytopenia after cardiotomy. Ann Thorac Surg. 2006;82(1):21–6.

    Article  PubMed  Google Scholar 

  94. Warkentin TE, Sheppard JA. Testing for heparin-induced thrombocytopenia antibodies. Transfus Med Rev. 2006;20(4):259–72.

    Article  PubMed  Google Scholar 

  95. Greinacher A, Warkentin TE. Recognition, treatment, and prevention of heparin-induced thrombocytopenia: review and update. Thromb Res. 2006;118(2):165–76.

    Article  CAS  PubMed  Google Scholar 

  96. Kitamura T, et al. Vascular antispastic medication should take priority over other antihypertensives after coronary artery bypass grafting using a radial artery conduit. Interact Cardiovasc Thorac Surg. 2011;13(6):679–81.

    Article  PubMed  Google Scholar 

  97. Kon ZN, et al. Warm ischemia provokes inflammation and regional hypercoagulability within the heart during off-pump coronary artery bypass: a possible target for serine protease inhibition. Eur J Cardiothorac Surg. 2008;33(2):215–21.

    Article  PubMed  Google Scholar 

  98. Roger VL, et al. Heart disease and stroke statistics--2011 update: a report from the American Heart Association. Circulation. 2011;123(4):e18–e209.

    Article  PubMed  Google Scholar 

  99. Yoganathan AP, Woo YR, Sung HW. Turbulent shear stress measurements in the vicinity of aortic heart valve prostheses. J Biomech. 1986;19(6):433–42.

    Article  CAS  PubMed  Google Scholar 

  100. Matthews IG, et al. In patients undergoing aortic valve replacement, what factors predict the requirement for permanent pacemaker implantation? Interact Cardiovasc Thorac Surg. 2011;12(3):475–9.

    Article  PubMed  Google Scholar 

  101. Onalan O, et al. Determinants of pacemaker dependency after coronary and/or mitral or aortic valve surgery with long-term follow-up. Am J Cardiol. 2008;101(2):203–8.

    Article  PubMed  Google Scholar 

  102. von Oppell UO, et al. Mitral valve surgery plus concomitant atrial fibrillation ablation is superior to mitral valve surgery alone with an intensive rhythm control strategy. Eur J Cardiothorac Surg. 2009;35(4):641–50.

    Article  Google Scholar 

  103. Bojar RM, et al. Manual of perioperative Care in Adult Cardiac Surgery the anticoagulant effect of protamine sulfate is attenuated in the presence of platelets or elevated factor VIII concentrations. Anesth Analg. 2011;111(3):601–8.

    Google Scholar 

  104. Kaneko T, et al. The safety of deep hypothermic circulatory arrest in aortic valve replacement with unclampable aorta in non-octogenarians. Interact Cardiovasc Thorac Surg. 2015;20(1):79–84.

    Article  PubMed  Google Scholar 

  105. Bilal H, et al. Is cerebrospinal fluid drainage of benefit to neuroprotection in patients undergoing surgery on the descending thoracic aorta or thoracoabdominal aorta? Interact Cardiovasc Thorac Surg. 2012;15(4):702–8.

    Article  PubMed  PubMed Central  Google Scholar 

  106. Hernandez AF, et al. A decade of short-term outcomes in post cardiac surgery ventricular assist device implantation: data from the Society of Thoracic Surgeons' national cardiac database. Circulation. 2007;116(6):606–12.

    Article  PubMed  Google Scholar 

  107. Combes A, et al. Extracorporeal membrane oxygenation for respiratory failure in adults. Curr Opin Crit Care. 2012;18(1):99–104.

    Article  PubMed  Google Scholar 

  108. Klima U, et al. Severe right heart failure after heart transplantation. A single-center experience. Transpl Int. 2005;18(3):326–32.

    Article  PubMed  Google Scholar 

  109. Al-Dadah AS, et al. Clinical course and predictors of pericardial effusion following cardiac transplantation. Transplant Proc. 2007;39(5):1589–92.

    Article  CAS  PubMed  Google Scholar 

  110. Davies RR, et al. Standard versus bicaval techniques for orthotopic heart transplantation: an analysis of the united network for organ sharing database. J Thorac Cardiovasc Surg. 2010;140(3):700–8. 708.e1-2

    Article  PubMed  Google Scholar 

  111. Thajudeen A, et al. Arrhythmias after heart transplantation: mechanisms and management. J Am Heart Assoc. 2012;1(2):e001461.

    Article  PubMed  PubMed Central  Google Scholar 

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Kaufman, A.S., Mullenix, P.S., Antevil, J.L. (2018). Care for the Postoperative Cardiac Surgery Patient. In: Salim, A., Brown, C., Inaba, K., Martin, M. (eds) Surgical Critical Care Therapy . Springer, Cham. https://doi.org/10.1007/978-3-319-71712-8_13

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