Lonchyna Vassyl (ed.) Difficult Decisions in Cardiothoracic Critical Care Surgery: An Evidence-Based Approach

Springer, 2019. — 699 p. — (Difficult Decisions in Surgery: An Evidence-Based Approach) — ISBN: 978-3-030-04145-8Critical 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.Quality, Care and Ethics
Quality and Value in the Cardiothoracic Intensive Care Unit
OR to ICU Patient Handoff: A Matter of Communication
Palliative Care in the Intensive Care Unit: A Universal Need
Ethics: When to Turn Off the VAD
Communication Surrounding Prognostication in the ICU: More Than Mere Talk?
Resuscitation
Defibrillation/Pacing First for Witnessed Cardiac Arrest in Post-cardiac Surgery Patients
Emergency Resternotomy in Post-operative Cardiac Surgery Patients Who Suffer Cardiac Arrest
Epinephrine and Vasopressin Use Following Cardiac Arrest After Cardiac Surgery
Cardiac Arrest in the Minimally Invasive Cardiac Surgery Patient: Is Conservatism an Aggressive Approach?
Hemodynamics
Intravascular Devices in the ICU
Role of Ultrasound Guidance for Central Venous Access, Chest Tube Insertion, and Interventional Management of Cholecystitis in ICU Patients
Focused Cardiac Ultrasound in the CT ICU: Helpful or Just Another Toy?
Inotropes and Vasopressors in the CT ICU: Getting the Mixture Right
Prevention of Postoperative Atrial Fibrillation After Adult Cardiac Surgery
Atrial Fibrillation: Aggressive Treatment in the Postoperative Cardiothoracic Surgery Patient
Pulmonary Support in the CT Patient
What is the Role of the ABCDEF Bundle in Patients on Extracorporeal Membrane Oxygenation?
ECMO as a Bridge to Lung Transplantation
When on ECMO: Awaken, Extubate and Mobilize
Mechanical Assist Devices
Percutaneous Assist Devices as Salvage from Cardiogenic Shock
The LVAD Patient with Dark Urine and Elevated LDH: Diagnosis and Treatment of Pump Thrombosis
Liver Dysfunction in a Patient with Ventricular Assist Device
Transplantation
Vasoplegia in the Postoperative Period After Cardiac Transplantation
Severe Hypertension After Cardiac Transplantation
Post-Transplant Right Ventricular Failure
Lung Infiltrates in Post-Operative Lung Transplant Patients: Pneumonia, Rejection or Edema?
Clearance of Pulmonary Secretions After Lung Transplantation
Electrolytes and Nutrition
Perioperative Nutrition Support in Cardiothoracic Surgery
Glycemic Control Does Matter in the Cardiac Surgery Patient
Coagulopathy
The Bleeding Post-op CT Patient: Coagulation Tests Versus Thromboelastography
Bleeding in Cardiac Surgery: Should Massive Transfusion Be in a 1:1:1 Ratio?
If the Platelets Are Low, Is It HIT?
Newest Antithrombotic Agents: Uses, Challenges, and Reversal Strategies for Surgical Procedures
Complex Cardiac Surgery Without Blood Transfusions: Lessons Learned from Managing Jehovah Witness Patients
Acute Kidney Injury
Cardiac Surgery Acute Kidney Injury: Controversy in Renal Support
Role of Biomarkers in Predicting AKI in the CT ICU
Cardiorenal Syndrome in Heart Failure Patients: ICU Management
Management of Patients with Difficult Vascular Access Issues
ICU Catastrophes
Free Air in the Postoperative CT Patient: Observe or Operate?
Ischemic Bowel in the Post Cardiothoracic Patient
Confusion in the ICU: Anticoagulated VAD Patient with MS Changes
Acute Ischemic Stroke in the Cardiothoracic Surgery Patient: Thrombolytic Therapy or Mechanical Thrombectomy?
Neurologic Catastrophe in the CT ICU: A Neurosurgeon’s Dilemma
Management of Malperfusion Syndrome in Acute Type A Aortic Dissection
Ischemic Leg Following IABP Insertion: Timing of Diagnosis and Treatment