Abstract
There is about seven decades that cardiac surgery began to take shape as we know it.
Cardiopulmonary bypass (CPB) is one of the most important advances in medicine and essential milestone of cardiac surgery to maintain tissue oxygenation, myocardial protection, and systemic circulation during cardioplegic cardiac arrest with suspension of ventilatory support. During this period, both CPB machine and protocols have been changed frequently. Despite the steady progress in CPB techniques, it is not a perfect model, and optimal design to reduce its complication is a great challenge.
The concept of critical care unit was first introduced in the late 1950s for life-threatened patients. The progressive technologic advances let the care units as multidisciplinary organization with continuous bedside rather than remote monitoring for old patients with multiple comorbidities who should tolerate the deleterious effects of CPB too.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Alexander D. Principles of cardiac anaesthesia. Anaesth Intensive Care. 2015;16:479–83.
Alston RP, Ranucci M, Myles PS. Oxford textbook of cardiothoracic anaesthesia. Oxford: Oxford University Press; 2015.
Braile DM, Godoy MF. History of heart surgery in the world, 1996. Rev Bras Cir Cardiovasc. 2012;27:125–36.
Gullo A, Lumb PD. Intensive and critical care medicine. Milan: Springer; 2009.
Hessel EA 2nd. History of cardiopulmonary bypass (CPB). Best Pract Res Clin Anaesthesiol. 2015;29:99–111.
Kapadohos T, Angelopoulos E, Vasileiadis I, Nanas S, Kotanidou A, Karabinis A, Marathias K, Routsi C. Determinants of prolonged intensive care unit stay in patients after cardiac surgery: a prospective observational study. J Thorac Dis. 2017;9:70.
Parnell AD, Massey NJ. Postoperative care of the adult cardiac surgical patient. Anaesth Intensive Care. 2009;10:430–6.
Punjabi PP, Taylor KM. The science and practice of cardiopulmonary bypass: from cross circulation to ECMO and SIRS. Glob Cardiol Sci Pract. 2013;2013:249–60.
Stephenson LW. History of cardiac surgery. Surgery. 2008:1471–9.
Szelkowski LA, Puri NK, Singh R, Massimiano PS. Current trends in preoperative, intraoperative, and postoperative care of the adult cardiac surgery patient. Curr Probl Surg. 2015;52:531–69.
Yapıcı N. Who should be responsible from cardiac surgery intensive care? From the perspective of a cardiac anesthesiologist/intensive care specialist. Turkish J Thorac Cardiovasc Surg. 2017;25:314–8.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Foroughi, M. (2018). Introduction and History of Postoperative Care for Adult Cardiac Surgical Patients. In: Dabbagh, A., Esmailian, F., Aranki, S. (eds) Postoperative Critical Care for Adult Cardiac Surgical Patients. Springer, Cham. https://doi.org/10.1007/978-3-319-75747-6_1
Download citation
DOI: https://doi.org/10.1007/978-3-319-75747-6_1
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-75746-9
Online ISBN: 978-3-319-75747-6
eBook Packages: MedicineMedicine (R0)