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Postoperative Care of the Cardiac Surgery Patient

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Critical Care Study Guide

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Abstract

Learning Objectives After studying this chapter, you should be able to Recognize common causes of postoperative complications in cardiac surgery patients. Understand the pathophysiology of cardiac and hematologic dysfunction following cardiac surgery. Treat common events that lead to hemodynamic instability in the early postoperative period.

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References

  1. National Center for Health Statistics. http://www.cdc.gov/nchs/fastats/insurg.htm;2008 Accessed 5.08.08.

  2. Katz NM. The emerging specialty of cardiothoracic surgical critical care: the leadership role of cardiothoracic surgeons on the multidisciplinary team. J Thorac Cardiovasc Surg. 2007;134:1109.

    Article  PubMed  Google Scholar 

  3. Andre AC, DelRossi A. Hemodynamic monitoring of patients in the first 24 hours after cardiac surgery. Crit Care Med. 2005;33:2082.

    Article  Google Scholar 

  4. Slama M, Modeliar SS. Hypertension in the intensive care unit. Curr Opin Cardiol. 2006;2:279.

    Article  Google Scholar 

  5. Arellano R, Gan BS, Salpeter MJ, et al. A triple blinded randomized trial comparing the hemostatic effects of large dose 10% hydroxylethyl starch 264/0.45 versus 5% albumin during major reconstructive surgery. Anes Anal. 2005;100:1846-1853.

    Google Scholar 

  6. Brunkhorst FM, Engel C, Bloos F, Meier-Hellmann A, et al. Intensive insulin therapy and pentastarch resuscitation in severe sepsis. N Engl J Med. 2008;358:125.

    Article  PubMed  CAS  Google Scholar 

  7. Herbert PC, Yetisir E, Martin C, et al. Is a low transfusion threshold safe in critically ill patients with cardiovascular diseases? Crit Care Med. 2001;29:227.

    Article  Google Scholar 

  8. The Society of Thoracic Surgeons and The Society of Cardiovascular Anesthesiologists special task force on blood transfusion. Perioperative blood transfusion and blood conservation in cardiac surgery: the society of thoracic surgeons and society of cardiovascular anesthesiologists clinical practice guideline. Ann Thorac Surg. 2007;83:S27.

    Google Scholar 

  9. Oliver JA, Landry DW. Endogenous and exogenous vasopressin in septic shock. Curr Opin Crit Care. 2007;13:376.

    Article  PubMed  Google Scholar 

  10. Morales DL, Gregg D, Helman DN, et al. Arginine vasopressin in the treatment of 50 patients with postcardiotomy vasodilatory shock. Ann Thorac Surg. 2000;69:102.

    Article  PubMed  CAS  Google Scholar 

  11. Rho RW, Bridges CR, Kocovic D. Management of postoperative arrhythmias. Semin Thorac Cardiovasc Surg. 2000;12:349.

    Article  PubMed  CAS  Google Scholar 

  12. Andrews TC, Reimold SC, Berlin JA, et al. Prevention of supraventricular arrhythmias after coronary artery bypass surgery: a meta-analysis of randomized control trials. Circulation. 1999;84:236.

    Google Scholar 

  13. Crystal E, Connolly SJ, Sleik K, et al. Interventions on prevention of postoperative atrial fibrillation in patients undergoing heart surgery: a meta analysis. Circulation. 2002;106:75-80.

    Article  PubMed  Google Scholar 

  14. Creswell LL, Schuessler RB, Rosenbloom M, et al. Hazards of postoperative atrial arrhythmias. Ann Thorac Surg. 1993;36:253.

    Google Scholar 

  15. Bradley D, Creswell LL, Hogue CW Jr, Epstein AE, Prystowsky EN, Daoud EG. Pharmacologic prophylaxis: American College of Chest Physicians guidelines for the prevention and management of postoperative atrial fibrillation after cardiac surgery. Chest. 2005;128:39.

    Article  Google Scholar 

  16. Martinez EA, Epstein AE, Bass EB. Pharmacologic control of ventricular rate: American College of Chest Physicians guidelines for the prevention and management of postoperative atrial fibrillation after cardiac surgery. Chest. 2005;128:56.

    Article  Google Scholar 

  17. Mooss AN, Wurdeman RL, Mohiuddin SM, et al. Esmolol versus diltiazem in the treatment of postoperative atrial fibrillation/atrial flutter after open heart surgery. Am Heart J. 2000;140:176.

    Article  PubMed  CAS  Google Scholar 

  18. Fuster V, Ryden LE, Asinger RW, et al. ACC/AHA/ESC 2006 guidelines for the management of patients with atrial fibrillation: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines and Policy Conferences (Committee to Develop Guidelines for the Management of Patients with Atrial Fibrillation). Circulation. 2006;114:700-752.

    Article  Google Scholar 

  19. Epstein AE, Alexander JC, Gutterman DD, Maisel W, Wharton JM. Anticoagulation: American College of Chest Physicians guidelines for the prevention and management of postoperative atrial fibrillation after cardiac surgery. Chest. 2005;128:24.

    Article  Google Scholar 

  20. Warkentin TE. Heparin-induced thrombocytopenia. Hematol Oncol Clin North Am. 2007;21:589.

    Article  PubMed  Google Scholar 

  21. Dellinger RP, Levy MM, Carlet JM, Bion J, et al. Surviving sepsis campaign: guidelines for management of severe sepsis and septic shock. Intensive Care Med. 2008;34:17.

    Article  PubMed  Google Scholar 

  22. American Thoracic Society. Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia. Am J Respir Crit Care Med. 2005;171:338.

    Google Scholar 

  23. Schweickert WD, Hall J. ICU acquired weakness. Chest. 2007;131:1541.

    Article  PubMed  Google Scholar 

  24. Carr JM, Sellke FW, Fey M, et al. Implementing tight glucose control after coronary artery bypass surgery. Ann Thorac Surg. 2005;80:902-909.

    Article  PubMed  Google Scholar 

  25. O’Grady NP, Alexander M, Dellinger EP, et al. Guidelines for prevention of intravascular catheter-related infections. http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5110a1.htm;2005 Accessed 5.08.08.

Additional Reading

  • The Society of Thoracic Surgeons and The Society of Cardiovascular Anesthesiologists special task force on blood transfusion. Perioperative blood transfusion and blood conservation in cardiac surgery: the society of thoracic surgeons and society of cardiovascular anesthesiologists clinical practice guideline. Ann Thorac Surg. 2007;83:S27.

    Google Scholar 

  • Dellinger RP, Levy MM, Carlet JM, Bion J, et al. Surviving sepsis campaign: guidelines for management of severe sepsis and septic shock. Intensive Care Med. 2008;34:17.

    Article  PubMed  Google Scholar 

  • Fuster V, Ryden LE, Asinger RW, et al. ACC/AHA/ESC 2006 guidelines for the management of patients with atrial fibrillation: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines and Policy Conferences (Committee to Develop Guidelines for the Management of Patients with Atrial Fibrillation). Circulation. 2006;114:700-752.

    Article  Google Scholar 

  • American Thoracic Society. Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia. Am J Respir Crit Care Med. 2005;171:338.

    Google Scholar 

  • O’Grady NP, Alexander M, Dellinger EP, et al. Guidelines for prevention of intravascular catheter-related infections. http://www.cdc.gov/MMWR.

  • Epstein AE, Alexander JC, Gutterman DD, et al. American College of chest physicians guidelines for the prevention and management of postoperative atrial fibrillation after cardiac surgery. Chest. 2005;128:24S-27S.

    Article  PubMed  Google Scholar 

  • Stein PD, Alpert JS, Bussey HI, et al. Antithrombotic therapy in patients with mechanical and biological prosthetic heart valves. Chest. 2001;119:220S-227S.

    Article  PubMed  CAS  Google Scholar 

  • Vanhoebeek I, Langouche L, Vanden Berghe g. Tight Glucose control with insulin in the ICU. Chest. 2007;132:268-278.

    Article  Google Scholar 

  • Schweickert WD, Hall J. ICU Acquired weakness. Chest. 2007;131:1541-1549.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, Temple University School of Medicine, Philadelphia, PA, 19140, USA

    Sheela S. Pai MD

  2. Division of Pulmonary and Critical Care, Temple University Hospital, Philadelphia, PA, 19140, USA

    Aaron Crookshank MD

  3. Division of Pulmonary and Critical Care Medicine, Temple University School of Medicine, Philadelphia, PA, 19140, USA

    Wissam Chatila MD

Authors
  1. Sheela S. Pai MD
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  2. Aaron Crookshank MD
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  3. Wissam Chatila MD
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Editor information

Editors and Affiliations

  1. School of Medicine, Temple University, N. Broad St. 3420, Philadelphia, 19140, USA

    Gerard J. Criner

  2. Dept. Medicine, Temple University, N. Broad Street 3401, Philadelphia, 19140, USA

    Rodger E. Barnette

  3. School of Medicine, Temple University, N. Broad St. 3420, Philadelphia, 19140, USA

    Gilbert E. D'Alonzo

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Pai, S.S., Crookshank, A., Chatila, W. (2010). Postoperative Care of the Cardiac Surgery Patient. In: Criner, G., Barnette, R., D'Alonzo, G. (eds) Critical Care Study Guide. Springer, New York, NY. https://doi.org/10.1007/978-0-387-77452-7_42

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  • DOI: https://doi.org/10.1007/978-0-387-77452-7_42

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-77327-8

  • Online ISBN: 978-0-387-77452-7

  • eBook Packages: MedicineMedicine (R0)

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