Ebook Postoperative critical care for cardiac surgical patients: Part 2
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Ebook Postoperative critical care for cardiac surgical patients: Part 2
Noncardiac Complications After Cardiac Surgery8Antonio Hernandez Conte and Mahnoosh ForoughiContents8.1Respiratory Complications...................... Ebook Postoperative critical care for cardiac surgical patients: Part 2................................ 2148.1.1Prolonged Intubation and Failure to Extubate........................... 2148.1.2Tracheostomy........................................................... 2158.1.3Pneumonia.............................................................. 2168.2Renal Complications.. Ebook Postoperative critical care for cardiac surgical patients: Part 2......................................................... 2228.2.1Acute Kidney Injury.................................................... 2228.3InfectEbook Postoperative critical care for cardiac surgical patients: Part 2
ious Complications...................................................... 2248.3.1Surgical Site Infections.............................................Noncardiac Complications After Cardiac Surgery8Antonio Hernandez Conte and Mahnoosh ForoughiContents8.1Respiratory Complications...................... Ebook Postoperative critical care for cardiac surgical patients: Part 2............ 230Reference.......................................................................... 231Suggested Reading.................................................................. 231AbstractSurgical, technological, and pharmacologic advances during the past 25 years have enabled complex card Ebook Postoperative critical care for cardiac surgical patients: Part 2iac surgery to become more routine: however, one cannot underestimate the multiple potential complications that can still arise in the postoperative sEbook Postoperative critical care for cardiac surgical patients: Part 2
etting. The anesthesiologist, physician intensivist, and critical care nurse should be thoroughly familiar with a wide range of issues that can arise Noncardiac Complications After Cardiac Surgery8Antonio Hernandez Conte and Mahnoosh ForoughiContents8.1Respiratory Complications...................... Ebook Postoperative critical care for cardiac surgical patients: Part 2esophageal Echocardiography Education.Division of Cardiothoracic Anesthesiology. Department of Anesthesiology.Cedars-Sinai Medical Center. Los Angeles. CA. USAe-mail: antonio.conte@cshs.orgM. Foroughi. MDCardiovascular Research Center. Shahid Beheshti Universityof Medical Sciences. Tehran. Irane-mai Ebook Postoperative critical care for cardiac surgical patients: Part 2l: mahnoosh.foroughi@gmail.com. m_foroughi@sbmu.ac.irA. Dabbagh et al. (eds.). Postoperative Critical Care for Cardiac Surgical Patients.213214A.H. CoEbook Postoperative critical care for cardiac surgical patients: Part 2
nte and M. ForoughiThe widespread use of large long-term clinical databases has led to a greater understanding of the most common complications facingNoncardiac Complications After Cardiac Surgery8Antonio Hernandez Conte and Mahnoosh ForoughiContents8.1Respiratory Complications...................... Ebook Postoperative critical care for cardiac surgical patients: Part 2perative events. Although an extremely vast myriad of noncardiac-related postoperative complications may occur after a patient has undergone cardiac surgery, this chapter will focus on the most common noncardiac complications after the patient has left the cardiac surgical operative arena and entere Ebook Postoperative critical care for cardiac surgical patients: Part 2d into the postoperative phase of care, typically provided in the intensive care unit.8.1Respiratory ComplicationsDuring cardiac surgery, patients expEbook Postoperative critical care for cardiac surgical patients: Part 2
erience multiple physiologic and mechanical alterations in respiratory function due to endotracheal intubation, positive-pressure mechanical ventilatiNoncardiac Complications After Cardiac Surgery8Antonio Hernandez Conte and Mahnoosh ForoughiContents8.1Respiratory Complications...................... Ebook Postoperative critical care for cardiac surgical patients: Part 2urgical alterations further exacerbating respiratory mechanics. Therefore, the respiratory system is prone to multiple complications after cardiac surgery, most notably prolonged intubation and/or potential infectious processes.8.1.1Prolonged Intubation and Failure to ExtubateAfter cardiac surgery, Ebook Postoperative critical care for cardiac surgical patients: Part 2virtually all patients present to the intensive care unit with an in situ endotracheal lube and require mechanical ventilation for a short period of tEbook Postoperative critical care for cardiac surgical patients: Part 2
ime before weaning can be initiated. In the last 20 years, improved surgical techniques and shorter-acting anesthetic agents have allowed extubation aNoncardiac Complications After Cardiac Surgery8Antonio Hernandez Conte and Mahnoosh ForoughiContents8.1Respiratory Complications...................... Ebook Postoperative critical care for cardiac surgical patients: Part 2arly extubation, anesthesiologists and surgeons have been able to identify preoperative, intraoperative, and postoperative risk factors for prolonged intubation or failure to extubate. Prolonged intubation not only extolls additional morbidity and mortality upon patients, but it also creates notewor Ebook Postoperative critical care for cardiac surgical patients: Part 2thy economic costs upon the health-care system. Early extubation may result in shorter ICU length of stays and earlier discharge, as well as lower perEbook Postoperative critical care for cardiac surgical patients: Part 2
ioperative morbidity and mortality. While early extubation is not associated w ith higher complications, it may be more beneficial in low-risk patientNoncardiac Complications After Cardiac Surgery8Antonio Hernandez Conte and Mahnoosh ForoughiContents8.1Respiratory Complications...................... Ebook Postoperative critical care for cardiac surgical patients: Part 2epines can be administered and concomitantly receive propofol or dexmedetomidine. In the ICU. reversal of neuromuscular blockade and rapidly decreasing levels of sedation can accelerate extubation.Early extubation is not impacted by preoperative routine lung function tests such as spirometry, and th Ebook Postoperative critical care for cardiac surgical patients: Part 2is does not predict the length of postoperative intubation. While patients who have a history of smoking may have increased pulmonaryNoncardiac Complications After Cardiac Surgery8Antonio Hernandez Conte and Mahnoosh ForoughiContents8.1Respiratory Complications......................Noncardiac Complications After Cardiac Surgery8Antonio Hernandez Conte and Mahnoosh ForoughiContents8.1Respiratory Complications......................Gọi ngay
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