With approximately 100000 operations performed in Germany per year, cardiac surgery is among the surgical specialties that require intensive care tratment most frequently. Although all therapeutic aspects of ICU treatment are of high importance among cardiac surgery patients, there is a focus on hemodynamics with the overarching goal of sufficient oxygen delivery. Patients undergoing cardiac surgery are particularily prone to hemodynamic instability and low cardiac output syndrome, potentially culminating into cardiogenic shock. This article presents an overview of essential elements of intensive care medicine in cardiac surgery, paying special attention to hemodynamic monitoring, low cardiac output syndrome, inotropy, cardiac arrhyhmia, perioperative myocardial infarction, and patient blood management.
Keyphrases
- cardiac surgery
- acute kidney injury
- left ventricular
- patients undergoing
- end stage renal disease
- case report
- heart failure
- chronic kidney disease
- ejection fraction
- minimally invasive
- newly diagnosed
- intensive care unit
- peritoneal dialysis
- prognostic factors
- working memory
- atrial fibrillation
- coronary artery bypass
- acute coronary syndrome
- percutaneous coronary intervention
- patient reported