Title Difficult decisions in cardiothoracic critical care surgery : an evidence-based approach / Vassyl A. Lonchyna, editors

Published Cham, Switzerland : Springer, 2019

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Description 1 online resource (xviii, 719 pages) : illustrations (some color) Series Difficult decisions in surgery, 2198-7750 Difficult decisions in surgery, 2198-7750 Contents Intro; Foreword; Preface; References; Contents; Chapter 1: Introduction; Evidence Based Medicine; A History Lesson; The Death of George Washington; Bloodletting as Therapy; The Book; Grade; Quality of Evidence; Why Separate the Evidence from the Recommendation?; Strength of Recommendation; Summary; References; Part I: Quality, Care and Ethics; Chapter 2: Quality and Value in the Cardiothoracic Intensive Care Unit; Introduction; Search Strategy; Results; Cardiothoracic Critical Care (CCC) Structure; Cardiothoracic Critical Care (CCC) Process; Goal-Directed Therapy (GDT); Recommendations Personal ViewSummary; Appendices; Appendix 1; Appendix 2; References; Chapter 3: OR to ICU Patient Handoff: A Matter of Communication; Introduction; Why Have Handoff Checklists?; Is There Data That Handoffs Make a Difference?; How to Implement Checklists; References; Chapter 4: Palliative Care in the Intensive Care Unit: A Universal Need; Introduction; Search Strategy; Results; International/National Organizations Guidelines and Recommendations/Palliative Care; Clinical Relevance of Integrative Palliative Care Consultation Within Non-cardiac Surgical Intensive Care Units; Risk Factors Recommendations Based on the DataA Personal View of the Data and of the Practice of Perioperative Palliative Care; References; Chapter 5: Ethics: When to Turn Off the VAD; Introduction; Search Strategy; Results; Data Showing Increasing Palliative Care Consultations; Potential Value of Palliative Care Specialist Involvement; Theoretical Constructs from the Literature; Outcomes of Empirical Studies of Palliative Care Involvement in VAD Patient Care; Recommendations Based on the Data; Personal View of the Data; References Chapter 6: Communication Surrounding Prognostication in the ICU: More Than Mere Talk?Introduction; Search Strategy; Results; Discordance in Expectations; Framing Prognostic Information; Recommendations; A Personal View; References; Part II: Resuscitation; Chapter 7: Defibrillation/Pacing First for Witnessed Cardiac Arrest in Post-cardiac Surgery Patients; Introduction; Search Strategy; Results; The Effect of Defibrillation/Pacing and External Cardiac Massage; In-Hospital Cardiac Arrest; Out-of-Hospital Cardiac Arrest; The Harm of External Cardiac Massage; Recommendations A Personal View of the DataAppendix; References; Chapter 8: Emergency Resternotomy in Post-operative Cardiac Surgery Patients Who Suffer Cardiac Arrest; Introduction; Search Strategy; Results; Emergency Resternotomy; Alternative Treatment Strategies; Subxiphoid Incision; ECMO; Conduct of the Emergency Resternotomy; Recommendations; A Personal View of the Data; Appendix 1; Appendix 2; References; Chapter 9: Epinephrine and Vasopressin Use Following Cardiac Arrest After Cardiac Surgery; Introduction; Search Strategy; Evidence Review; Results; Epinephrine; Vasopressin Summary Critical care medicine is responsible for many of the most important advances in outcomes after cardiothoracic surgery in the past two decades. The expertise developed in this subspecialty accounts for the resiliency that characterizes gold standard results evident in institutions recognized for excellence. This volume is intended to share ideas and algorithms that will improve outcomes in cardiothoracic critical care units. This book is part of the Difficult Decisions in Surgery series that covers surgical specialties. The volumes are multi-authored, containing brief chapters, each of which are devoted to one or two specific questions or decisions within that specialty that are difficult or controversial. The volumes are intended as a current and timely reference source for practicing surgeons, surgeons in training, and educators that describe the recommended ideal approach, rather than customary care, in selected clinical situations Bibliography Includes bibliographical references and index Notes Online resource; title from PDF title page (SpringerLink, viewed February 21, 2019) Subject Heart -- Surgery. Chest -- Surgery. Chest -- Surgery Heart -- Surgery Genre/Form Electronic books Form Electronic book Author Lonchyna, Vassyl A., editor ISBN 9783030041465 3030041468 303004145X 9783030041458 9783030041472 3030041476

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