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Intensive Care Medicine

, Volume 44, Issue 6, pp 799–810 | Cite as

Advances in critical care management of patients undergoing cardiac surgery

  • Anders AnemanEmail author
  • Nicholas Brechot
  • Daniel Brodie
  • Frances Colreavy
  • John Fraser
  • Charles Gomersall
  • Peter McCanny
  • Peter Hasse Moller-Sorensen
  • Jukka Takala
  • Kamen Valchanov
  • Michael Vallely
Review

Abstract

Cardiac surgery has been evolving to include minimally invasive, hybrid and transcatheter techniques. Increasing patient age and medical complexity means that critical care management needs to adapt and evolve. Recent advances have occurred in several areas, including ventilation, haemodynamics and mechanical circulatory support, bleeding and coagulation, acute kidney injury, and neurological management. This narrative review describes standard care, recent advances, and future areas of research in the critical care management of patients undergoing cardiac surgery.

Keywords

Cardiac surgery Intensive care 

Notes

Compliance with ethical standards

Conflicts of interest

Drs Anders Aneman, Peter McCanny, Frances Colreavy, Peter Hasse Moller-Sorensen do not have any relevant conflicts of interest to declare. Dr Brodie is currently the co-chair of the Trial Steering Committee for the VENT-AVOID trial sponsored by ALung Technologies and Kadence (Johnson & Johnson). All compensation for these activities is paid to Columbia University. Dr Vallely is a proctor for Abbott and serves on an Advisory Board for Medtronic.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature and ESICM 2018

Authors and Affiliations

  • Anders Aneman
    • 1
    Email author
  • Nicholas Brechot
    • 2
  • Daniel Brodie
    • 3
  • Frances Colreavy
    • 4
  • John Fraser
    • 5
  • Charles Gomersall
    • 6
  • Peter McCanny
    • 7
  • Peter Hasse Moller-Sorensen
    • 8
  • Jukka Takala
    • 9
  • Kamen Valchanov
    • 10
  • Michael Vallely
    • 11
  1. 1.Intensive Care UnitLiverpool Hospital, Southwestern Sydney Local Health DistrictLiverpool BCAustralia
  2. 2.Medical-Surgical Intensive Care UnitHôpital Pitié-Salpêtrière, Assistance Publique-Hôpitaux de ParisParisFrance
  3. 3.Department of MedicineColumbia University College of Physicians and Surgeons, New York-Presbyterian HospitalNew YorkUSA
  4. 4.Department of Critical Care MedicineMater Misericordiae University HospitalDublinIreland
  5. 5.Adult Intensive Care ServiceThe Prince Charles HospitalBrisbaneAustralia
  6. 6.Department of Anaesthesia & Intensive CarePrince of Wales Hospital, The Chinese University of Hong KongShatinHong Kong
  7. 7.Intensive Care UnitLiverpool Hospital, Southwestern Sydney Local Health DistrictSydneyAustralia
  8. 8.Department of Cardiothoracic AnesthesiologyRigshospitalet, University of CopenhagenCopenhagenDenmark
  9. 9.Department of Intensive Care MedicineInselspital, Bern University Hospital, University of BernBernSwitzerland
  10. 10.Department of AnaesthesiaPapworth HospitalCambridgeUK
  11. 11.Cardiothoracic Surgical UnitRoyal Prince Alfred Hospital, The University of SydneySydneyAustralia

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