Management of Cardiovascular Dysfunction After Cardiac Surgery
Patients undergoing cardiac operations especially in combination with cardiopulmonary bypass present with important functional changes in almost all organ systems. The extent of these changes and hence its clinical importance depend on various factors such as preoperative function and degree of functional reserves (e.g. kidney, lung), duration and adequacy of extracorporeal support or nature of cardiac lesion and completeness of its repair. However, the techniques of postoperative care for cardiac patients are similar to those applied to other categories of critically ill patients. The understanding of the underlying pathophysiologic mechanisms of the separate but interrelated organ dysfunction can considerably improve the management of these patients.
KeywordsDepression Ischemia Dopamine Adenosine Gall
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