Cardiothoracic Critical Care

Brigid Flynn; Natalia S. Ivascu; Vivek K. Moitra; Brigid Flynn; Alan Gaffney

Cardiothoracic Critical Care covers an engaging collection of critical scenarios based on actual cardiothoracic intensive care unit events, ranging in topics from fundamentals of critical care to management of mechanical circulatory support devices. Each chapter discusses a unique case scenario, the appropriate diagnosis, and summarizes the most up-to-date evidence-based management recommendations and best practice guidelines. Combining years of critical care experience into a problem-based learning compendium, Cardiothoracic Critical Care is an ideal resource for the diverse group of medical providers and levels of experience working in the intensive care unit.


1 Risk Assessment Scores in Cardiac Surgery
Matthew Hulse and Stuart Lowson
2 Pulmonary Artery Catheterization in Cardiac Surgery
Daniel L. Jacobs and Brigid C. Flynn
3 Oxygen Consumption and Delivery in Critical Illness
Hans Tregear and Brigid C. Flynn
4 Glycemic Control After Cardiac Surgery
Casey Shelley and Katherine Palmieri
5 Post-Thoracotomy Care
Martin De Ruyter and Laura McKenzie
6 Pulmonary Embolism and Postoperative Care
Daniel Haines and Joel Grigsby
7 Respiratory Acidosis in the Intensive Care Unit
Jared Staab
8 Metabolic Acidosis in the Cardiothoracic Intensive Care Unit
Paul D. Weyker and Christopher Webb
9 Rhabdomyolysis Due to Extracorporeal Membrane Oxygenation
Candice Metzinger and Aaron LacKamp
10 Postoperative Septic Shock
James E. Littlejohn
11 Postoperative Right Ventricular Failure
Marguerite Hoyler and Natalia S. Ivascu
12 Postoperative Atrial Fibrillation
Liang Shen
13 QTc Prolongation and Torsades de Pointes
Ankur Srivastava and James E. Littlejohn
14 Postoperative Ventricular Fibrillation
Gurbinder Singh and Natalia S. Ivascu
15 Advanced Cardiovascular Life Support Post-Cardiac Surgery
Caryl Bailey and Michael Faulkner
16 Critical Case of Aortic Stenosis
Rebecca Lee and Natalia S. Ivascu
17 Robotic Mitral Valve Surgery and Unilateral Pulmonary Edema
Cindy Cheung and Christopher W. Tam
18 Left Ventricular Assist Device Implantation and Management
Christopher W. Tam
19 Left Ventricular Assist Device Troubleshooting: Hypotension
Jan M. Griffin, Bushra W. Taha, and Yoshifumi Naka
20 Left Ventricular Assist Device Troubleshooting: Bleeding and Thrombosis
Jan M. Griffin, Bushra W. Taha, and Kelly M. Axsom
21 Gastrointestinal Bleeding in the Setting of Left Ventricular Assist Device Support
Michael E. Kiyatkin, Adam S. Faye, and Tamas A. Gonda
22 Right Ventricular Assist Device Therapies
Adrian Alexis-Ruiz and Marisa Cevasco
23 A Failure to Oxygenate: A Case for Venovenous Extracorporeal Membrane Oxygenation
Andrew Pellet
24 Critical Concepts in Extracorporeal Life Support for Cardiogenic Shock
Juan C. Diaz Soto, Justin A. Fried, and A. Reshad Garan
25 Orthotopic Heart Transplant Management
Artem Emple and Kelly M. Axsom
26 Orthotopic Heart Transplant Rejection and Immunosuppression
Kevin J. Clerkin and Maryjane A. Farr
27 Pulmonary Infiltrates and Hypoxemia After Lung Transplantation
Lauren D. Sutherland and Teresa A. Mulaikal
28 Intra-aortic Balloon Pump
Christopher Choi and Amirali Masoumi
29 Cardiac Tamponade
Christopher Read and Emer Curran
30 Endocarditis
Ruth Boylan and Ian Conrick-Martin
31 Postoperative Pneumothorax
Aoife Doolan and Gerard Curley
32 Postoperative Cerebrovascular Injury
Naomi Quigley and Ruth-Aoibheann O'Leary
33 Coagulopathy in Cardiac Surgery: Etiology and Treatment Options
Dana Teodorescu and Caroline Larkin
34 Postoperative Diastolic Heart Failure
Eimhin Dunne and Niall Fanning
35 Postoperative Vasodilatory Shock
Fiona Roberts and Alan Gaffney
36 Postoperative Cardiogenic Shock
Maurice Hogan
37 Cardiac Surgery-Associated Acute Kidney Injury
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Brigid C. Flynn, MD, is an anesthesiologist and intensivist at The University of Kansas Medical Center in Kansas City, Kansas with focus in the care of postoperative cardiac surgical and heart failure patients. She completed her residency in anesthesiology at The University of Virginia followed by a fellowship in critical care medicine at Columbia University Medical Center. When not caring for patients, Brigid pursues research interests concerning postoperative coagulopathy and workplace wellness.; Natalia S. Ivascu, MD, is an Associate Professor of Clinical Anesthesiology and Chief of Critical Care Anesthesiology at Weill Cornell Medical College. She serves as the Medical Director of the Cardiothoracic Surgical Intensive Care Unit and the Adult Extracoporeal membrane Oxygenation (ECMO) service. Dr. Ivascu is board certified in Anesthesiology and Critical Care Medicine. Her research interests include acquired coagulopathy, neurological complications of cardiac surgery, and medical ethics.; Vivek K. Moitra, MD, MHA, is the Allen I. Hyman Professor of Critical Care Anesthesiology at the Columbia University Medical Center. Dr. Moitra is Division Chief of Critical Care Medicine and Medical Director of the Surgical Intensive Care Unit and the Cardiothoracic Intensive Care Unit.; Alan Gaffney, MB BCh PhD, is an anesthesiologist and intensivist at Beaumont Hospital in Dublin, Ireland. He completed his residency in anesthesiology in Ireland and his fellowship in critical care medicine at Columbia University Medical Center.