Difficult Decisions in Cardiothoracic Critical Care Surgery: An Evidence-Based Approach

Front Matter ....Pages i-xviii
 Introduction  (Vassyl A. Lonchyna)....Pages 1-11
Front Matter ....Pages 13-13
 Quality and Value in the Cardiothoracic Intensive Care Unit  (Kevin Lobdell, Joe Mishkin, Rakesh C. Arora, Rohan Mukund Sanjanwala)....Pages 15-32
 OR to ICU Patient Handoff: A Matter of Communication  (Subhasis Chatterjee)....Pages 33-40
 Palliative Care in the Intensive Care Unit: A Universal Need  (Allen N. Gustin)....Pages 41-50
 Ethics: When to Turn Off the VAD  (Scott B. Grant, Peter Angelos)....Pages 51-61
 Communication Surrounding Prognostication in the ICU: More Than Mere Talk?  (Darren S. Bryan, Selwyn O. Rogers Jr)....Pages 63-71
Front Matter ....Pages 73-73
 Defibrillation/Pacing First for Witnessed Cardiac Arrest in Post-cardiac Surgery Patients  (Lu Wang, Joel Dunning)....Pages 75-89
 Emergency Resternotomy in Post-operative Cardiac Surgery Patients Who Suffer Cardiac Arrest  (Lu Wang, Joel Dunning)....Pages 91-109
 Epinephrine and Vasopressin Use Following Cardiac Arrest After Cardiac Surgery  (Aymen Benkreira, Yoan Lamarche)....Pages 111-123
 Cardiac Arrest in the Minimally Invasive Cardiac Surgery Patient: Is Conservatism an Aggressive Approach?  (Brody Wehman, Husam H. Balkhy)....Pages 125-131
Front Matter ....Pages 133-133
 Intravascular Devices in the ICU  (Danisa Daubenspeck, Aalok Kacha)....Pages 135-148
 Role of Ultrasound Guidance for Central Venous Access, Chest Tube Insertion, and Interventional Management of Cholecystitis in ICU Patients  (Steven M. Yevich, Rahul A. Sheth)....Pages 149-162
 Focused Cardiac Ultrasound in the CT ICU: Helpful or Just Another Toy?  (Kirk T. Spencer†)....Pages 163-174
 Inotropes and Vasopressors in the CT ICU: Getting the Mixture Right  (Allison Dalton)....Pages 175-185
 Prevention of Postoperative Atrial Fibrillation After Adult Cardiac Surgery  (Jamie M. Eridon, Mark K. Ferguson)....Pages 187-198
 Atrial Fibrillation: Aggressive Treatment in the Postoperative Cardiothoracic Surgery Patient  (Jason W. Greenberg, Ralph J. Damiano Jr., Spencer J. Melby)....Pages 199-209
Front Matter ....Pages 211-211
 What is the Role of the ABCDEF Bundle in Patients on Extracorporeal Membrane Oxygenation?  (Mina F. Nordness, Mayur B. Patel)....Pages 213-230
 ECMO as a Bridge to Lung Transplantation  (Christian A. Bermudez, JaBaris D. Swain)....Pages 231-254
 When on ECMO: Awaken, Extubate and Mobilize  (Rakesh C. Arora, Dave Nagpal, Yoan Lamarche, Rohan Sanjanwala, Andrea Szwajcer)....Pages 255-271
Front Matter ....Pages 273-273
 Percutaneous Assist Devices as Salvage from Cardiogenic Shock  (Isla McClelland, Rohan Kalathiya, Atman P. Shah)....Pages 275-288
 The LVAD Patient with Dark Urine and Elevated LDH: Diagnosis and Treatment of Pump Thrombosis  (Erin M. Schumer, Mark S. Slaughter)....Pages 289-298
 Liver Dysfunction in a Patient with Ventricular Assist Device  (Helen S. Te)....Pages 299-312
Front Matter ....Pages 313-313
 Vasoplegia in the Postoperative Period After Cardiac Transplantation  (Joshua L. Chan, Fardad Esmailian)....Pages 315-329
 Severe Hypertension After Cardiac Transplantation  (Laura M. Lourenço, Gene Kim)....Pages 331-349
 Post-Transplant Right Ventricular Failure  (Marshall T. Bell, David A. Fullerton)....Pages 351-362
 Lung Infiltrates in Post-Operative Lung Transplant Patients: Pneumonia, Rejection or Edema?  (Siddhartha G. Kapnadak, Erika D. Lease, Michael S. Mulligan)....Pages 363-379
 Clearance of Pulmonary Secretions After Lung Transplantation  (Christopher H. Wigfield, Ankeeta Mehta, Charles Alex)....Pages 381-395
Front Matter ....Pages 397-397
 Perioperative Nutrition Support in Cardiothoracic Surgery  (Krishnan Sriram)....Pages 399-409
 Glycemic Control Does Matter in the Cardiac Surgery Patient  (Stephanie Cha, Glenn J. Whitman)....Pages 411-425
Front Matter ....Pages 427-427
 The Bleeding Post-op CT Patient: Coagulation Tests Versus Thromboelastography  (Oksana Volod, Julie Wegner)....Pages 429-443
 Bleeding in Cardiac Surgery: Should Massive Transfusion Be in a 1:1:1 Ratio?  (James M. Bardes, Kenji Inaba)....Pages 445-453
 If the Platelets Are Low, Is It HIT?  (Theodore E. Warkentin)....Pages 455-479
 Newest Antithrombotic Agents: Uses, Challenges, and Reversal Strategies for Surgical Procedures  (Eisha Wali, Sandeep Nathan)....Pages 481-497
 Complex Cardiac Surgery Without Blood Transfusions: Lessons Learned from Managing Jehovah Witness Patients  (Hiroto Kitahara, Takeyoshi Ota, Valluvan Jeevanandam)....Pages 499-508
Front Matter ....Pages 509-509
 Cardiac Surgery Acute Kidney Injury: Controversy in Renal Support  (Aaron M. Cheng, Seth Wright)....Pages 511-523
 Role of Biomarkers in Predicting AKI in the CT ICU  (Jay L. Koyner)....Pages 525-545
 Cardiorenal Syndrome in Heart Failure Patients: ICU Management  (Andrew Kowalski, Jonathan D. Rich)....Pages 547-565
 Management of Patients with Difficult Vascular Access Issues  (Bailey Su, Yolanda Becker)....Pages 567-577
Front Matter ....Pages 579-579
 Free Air in the Postoperative CT Patient: Observe or Operate?  (Robert Keskey, John Alverdy)....Pages 581-593
 Ischemic Bowel in the Post Cardiothoracic Patient  (Ashley J. Williamson, J. Michael Millis)....Pages 595-608
 Confusion in the ICU: Anticoagulated VAD Patient with MS Changes  (Agnieszka A. Ardelt)....Pages 609-624
 Acute Ischemic Stroke in the Cardiothoracic Surgery Patient: Thrombolytic Therapy or Mechanical Thrombectomy?  (Masoom Desai, Deborah M. Stein)....Pages 625-655
 Neurologic Catastrophe in the CT ICU: A Neurosurgeon’s Dilemma  (Emily P. Sieg, Russell A. Carter, Shelly D. Timmons)....Pages 657-679
 Management of Malperfusion Syndrome in Acute Type A Aortic Dissection  (Hiroto Kitahara, Akiko Tanaka, Takeyoshi Ota)....Pages 681-692
 Ischemic Leg Following IABP Insertion: Timing of Diagnosis and Treatment  (Theodore Hart, Ross Milner)....Pages 693-702
Back Matter ....Pages 703-719