Difficult Decisions in Cardiothoracic Critical Care Surgery : An Evidence-Based Approach / edited by Vassyl A. Lonchyna.

Format:

Book

Contributor:

Lonchyna, Vassyl A., editor.

SpringerLink (Online service)

Series:

Medicine (Springer-11650)

Difficult Decisions in Surgery: An Evidence-Based Approach,. 2198-7750

Difficult Decisions in Surgery: An Evidence-Based Approach, 2198-7750

Language:

English

Subjects (All):

Heart--Surgery.

Heart.

Chest--Surgery.

Chest.

Critical care medicine.

Cardiac Surgery.

Thoracic Surgery.

Intensive / Critical Care Medicine.

Local Subjects:

Cardiac Surgery.

Thoracic Surgery.

Intensive / Critical Care Medicine.

Physical Description:

1 online resource (XVIII, 719 pages) : 48 illustrations, 30 illustrations in color.

Edition:

First edition 2019.

Contained In:

Springer eBooks

Place of Publication:

Cham : Springer International Publishing : Imprint: Springer, 2019.

System Details:

text file PDF

Summary:

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.

Contents:

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 aggressive treatment 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. .

Other Format:

Printed edition:

ISBN:

978-3-030-04146-5

9783030041465

Access Restriction:

Restricted for use by site license.