Routine postoperative care of patients undergoing coronary artery bypass grafting on cardiopulmonary bypass.
Seminars in cardiothoracic and vascular anesthesia
2015; 19 (2): 78-86
Safer tracheostomy: a proposal for the routine use of an airway exchange catheter during tracheostomy.
A & A case reports
2014; 3 (11): 146-148
The postoperative course of a patient undergoing cardiac surgery (CS) is dictated by a largely predictable set of interactions between disease-specific and therapeutic factors. ICU personnel need to quickly develop a detailed understanding of the patient's current status and how critical care resources can be used to promote further recovery and eventual independence from external support. The goal of this article is to describe a typical operative and postoperative course, with emphasis on the latter, and the diagnostic and therapeutic options necessary for the proper care of these patients. This paper will focus on coronary artery bypass grafting as a model for understanding the course of CS patients; however, many of the principles discussed are applicable to most cardiac surgery patients.
View details for DOI 10.1177/1089253215584993
View details for PubMedID 25975592
In the United States, more than 100,000 tracheostomies are performed annually. Many patients undergoing tracheostomy are critically ill, making them higher risk surgical candidates. Fortunately, the loss of airway during the procedure is rare, but when it occurs, the outcome can be catastrophic. In this report, we describe a technique to minimize the risk of airway loss by using an airway exchange catheter as an airway conduit during endotracheal tube removal. We present 2 clinical cases in which this technique was used successfully and made an important contribution to patient safety.
View details for DOI 10.1213/XAA.0000000000000092
View details for PubMedID 25612101