Critical care after cardiac surgery

doi:N/A

eISSN: None / ISSN: None

Netharland Journal of Critical Care

2009, Volume 13, Issue 6 : 303-310

Review

Critical care after cardiac surgery

Heijmans J.H.

Roekaerts P.M.H.J.

Department of Anaesthesiology, Maastricht University Medical Center, Netherlands

Department of Intensive Care, Maastricht University Medical Center, Netherlands

Abstract

For several decades, the medical care of the cardiac surgical patient in the perioperative setting consisted of high-dose opioid stress-free anaesthesia and prolonged mechanical ventilation in the ICU. In recent years, the concepts of fast-track cardiac anaesthesia and short-stay intensive care have become the backbone of modern perioperative care. This review will focus on the safety and efficacy of early extubation and short-stay intensive care and will highlight some of the pitfalls associated with the implementation of a clinical pathway protocol for these patients. Copyright © 2009, Nederlandse Vereniging voor Intensive Care. All Rights Reserved.

Keywords

Early extubation

Fast track cardiac anaesthesia

Short-stay intenisve care after CABG

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