An intensivist on a learning frenzy. Caring for the critically ill using evidence-based medicine.
We all wish that every patient who goes into cardiac surgery would be a straight-forward fast track case. Unfortunately, the issues that lead most patients to need cardiac surgery also put them at risk for complications. Some patients present with pulmonary hypertension that is discovered in the operating room once the pulmonary artery catheter is …
Continue reading Nitric Oxide and Epoprostenol (Flolan) Use in Cardiac Surgery
This is a one minute journal club-ish. This is not medical advice. Read the article for yourself and do not trust me.Patients with severe, symptomatic aortic stenosis: what’s the best way to fix it, surgical AVR or a TAVR.TAVR and TAVI are the same thing.This is a non-inferiority trail meaning they didn’t think there would …
Continue reading TAVR vs. Surgical Aortic Valve Replacement (AVR): 1-Minute Journal Club
So there's little to no formal documentation from the perspective of an Intensivist on how to manage a CABG patient who is coming out of the CVOR to the CVICU. I'm sure some brilliant anesthesiologist or other intensivist has done this before, but I just haven't found it. Let's start. By the way, this is …
Continue reading Recovering CABG & Cardiac/Heart Surgery Patients in the CVICU
This post is a collection of evidence-based practices in the management of patients in the cardiac and cardiothoracic ICU (CVICU) with my personal take on it. I am working on improving this page regularly. The last update was on 10/06/22.Let's start off with the basics. Patients who have cardiac surgery, especially those who go "on …
Continue reading CVICU: Management of Post-Op Cardiac Surgery Patients