Postoperative care of the adult cardiac surgical patient

Publication date: Available online 11 September 2015 Source:Anaesthesia & Intensive Care Medicine Author(s): Christopher P. Press, Jonathan H. Rosser, Alison D. Parnell Most patients are ready to be transferred to a ward after 24–48 hours on a cardiac intensive care unit (CICU); however, several potential complications can occur during this period. The risks during transfer from theatre to CICU increase if a long distance is involved. A thorough handover to nursing staff is mandatory. Problems with blood pressure and arrhythmias are common on the CICU. Patients undergoing hypothermic cardiopulmonary bypass are at greater risk of hypothermia postoperatively. Multiple factors can cause postoperative cardiac surgical bleeding. Despite efforts to correct clotting abnormalities, patients occasionally need to return to theatre because of mediastinal bleeding or cardiac tamponade. The avoidance of multiorgan failure by maintaining good tissue perfusion and oxygenation is the main aim of perioperative care and through the initial postoperative period. Avoidance or treatment of a low cardiac output state often necessitates cardiac output monitoring and the use of inotropes, vasoactive drugs or mechanical assist devices such as an intra-aortic balloon pump. Established organ failure leads to a longer stay on a CICU, a growing proportion of patients having a protracted critical care stay.
Source: Anaesthesia and intensive care medicine - Category: Anesthesiology Source Type: research

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[Radio Dabanga] Merowe / Khartoum -- In the localities of Merowe and Ed Debba in Northern State, "fevers accompanied by bleeding and a decrease in blood platelets" resulting in the death of 10 people and leaving hundreds in critical condition were reported yesterday.
Source: AllAfrica News: Health and Medicine - Category: African Health Source Type: news
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Source: Journal of Bronchology and Interventional Pulmonology - Category: Respiratory Medicine Tags: Original Investigations Source Type: research
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Source: Dr. Smith's ECG Blog - Category: Cardiology Authors: Source Type: blogs
Marco Vacante1, Antonio Biondi1, Francesco Basile1, Roberto Ciuni1, Salvatore Luca1, Salomone Di Saverio2, Carola Buscemi3, Enzo Saretto Dante Vicari3 and Antonio Maria Borzì3* 1Department of General Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy 2Cambridge Colorectal Unit, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom 3Department of Clinical and Experimental Medicine, Specialization School in Geriatrics, University of Catania, Catania, Italy There is a high prevalence of hypothyroidism in the elderly population, mainly among women. The mo...
Source: Frontiers in Endocrinology - Category: Endocrinology Source Type: research
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Source: Journal of Korean Neurosurgical Society - Category: Neurosurgery Tags: J Korean Neurosurg Soc Source Type: research
(Br J Anaesth. 2016;117(5):676) In this correspondence, the author addressed a few points regarding Sultan and colleagues’ article, which discussed the efficacy of actively warming patients during elective cesarean delivery. The Sultan article highlighted aggressive warming of parturients during cesarean section either with warmed intravenous fluid or warming blankets to provide comfort and prevent neuraxial blockade-related shivering. Warming patients not only improves a patient’s comfort, but also may avoid hypothermia-related complications such as bleeding, coagulopathy, myocardial arrhythmias or ischemia, ...
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Short Takes Source Type: research
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Source: Heart - Category: Cardiology Authors: Tags: Bradyarrhythmias and heart block, Drugs: cardiovascular system, Acute coronary syndromes, Epidemiology Coronary artery disease Source Type: research
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Source: Critical Care - Category: Intensive Care Authors: Source Type: research
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Source: Critical Care Medicine - Category: Emergency Medicine Tags: Neurologic Critical Care Source Type: research
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Source: Circulation: Cardiovascular Interventions - Category: Cardiology Authors: Tags: Catheter-based coronary interventions: stents, Other Treatment Myocardial Infarction Source Type: research
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