Titlebook: Difficult Decisions in Cardiothoracic Critical Care Surgery; An Evidence-Based Ap Vassyl A. Lonchyna Book 2019 Springer Nature Switzerland

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Defibrillation/Pacing First for Witnessed Cardiac Arrest in Post-cardiac Surgery Patients be deferred for immediate defibrillation/pacing is one of the difficult decisions which has been debated in the last few decades. Among the 1785 papers identified in the literature search, 9 clinical studies and 4 systematic reviews were pertinent to answer this question. As no studies were perform

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Emergency Resternotomy in Post-operative Cardiac Surgery Patients Who Suffer Cardiac Arresta cardiac arrest after cardiac surgery, based on best evidence available. These recommendations commence by aiming to address all possible quickly reversible causes of the arrest such as endotracheal tube displacement, tension pneumothorax, arrhythmia or pacing complication. However, once all quickl

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Epinephrine and Vasopressin Use Following Cardiac Arrest After Cardiac Surgerysely, the evidence surrounding the usage of these two drugs, their side effects and current opinions about their administration. This review was done by integrating major guideline publications and additional expert opinions published after the most recent official guidelines. While literature is sc

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Role of Ultrasound Guidance for Central Venous Access, Chest Tube Insertion, and Interventional Mana traditional surgical approaches. Procedural applications for the cardiothoracic critical care surgical patient include central venous access, insertion of chest tubes, and management of cholecystitis. The use of realtime ultrasound in central venous access has received high grade recommendations fo

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Focused Cardiac Ultrasound in the CT ICU: Helpful or Just Another Toy?echocardiography is the primary imaging tool used, comprehensive examinations performed by a sonographer and interpreted by a cardiologist may not be available when assessment is required urgently or frequently. Focused cardiac ultrasound (FCU) is an ultrasound examination performed and interpreted

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Inotropes and Vasopressors in the CT ICU: Getting the Mixture Righte catecholamines, but phosphodiesterase inhibitors or calcium sensitizers have been shown to be effective and indicated in specific patients. For patients with postoperative vasoplegic shock, catecholamines function as vasopressors to increase systemic vascular resistance and mean arterial pressure.

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