Management of the Postoperative Cardiac Surgical Patient

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

Intensive care may account for more than one-third of the total hospital costs for cardiac surgery patients, and much of the short-term morbidity and mortality are based on perioperative events. The overall mortality after cardiac surgery is low. However, this ranges from less than 1% for elective coronary artery bypass grafting to more than 30% for more complex surgery in patients with significant myocardial dysfunction and significant comorbidities. Hence a comprehensive understanding of cardiovascular physiology and surgery is essential for a
modern-day intensivist.
The initial days of care for a cardiac surgery patient present multiple challenges for an intensivist. The intensive care unit (ICU) stay for most patients lasts for 24–48 hours, but during this critical period, life threatening problems such as low cardiac output (CO), arrhythmias, and coagulopathy may occur. After 48 hours, the problems encountered tend to become more like those experienced by other groups of critically ill patients.
Original languageEnglish
Title of host publicationTextbook of critical care
EditorsJean-Louis Vincent, Frederick A. Moore, Rinaldo Bellomo, John J. Marini
Place of PublicationAmsterdam
PublisherElsevier
Chapter144
Pages1144-1158, e1-e4
Number of pages19
Edition8th edition
ISBN (Electronic)9780323759304
ISBN (Print)9780323759298
Publication statusPublished - 2024

Keywords

  • postoperative care
  • cardiac surgery
  • cardiac patients
  • perioperative care
  • intensive care

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