Postoperative intensive care in cardiac surgery
作者:
Pamela Wake,
Davy Cheng,
期刊:
Current Opinion in Anaesthesiology
(OVID Available online 2001)
卷期:
Volume 14,
issue 1
页码: 41-45
ISSN:0952-7907
年代: 2001
出版商: OVID
数据来源: OVID
摘要:
Postoperative intensive care in cardiac surgery is a growing area, fuelled by the increase in the number of cardiac surgical procedures performed. An increase in the number of patients has resulted in increased resource utilization. Much of the recent research in this field is concerned with the early extubation of cardiac surgical patients, reducing the length of stay in the intensive care unit and predicting which patients will have delayed extubation and a prolonged length of stay. A number of recent studies have been published advocating ‘off pump’ cardiac surgery as a way of reducing the physiological insult of cardiopulmonary bypass and thereby improving the postoperative course. There is still insufficient evidence that this approach reduces morbidity and intensive care unit length of stay in multi-vessel off-pump coronary artery bypass surgery. The traditional design of post-cardiac surgical intensive care units and high dependancy units has also recently been challenged. More flexible integrated units improve cost control and are more suited to modern cardiac surgery.
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