Cardiothoracic Critical Care

An indispensible pocket reference for critical care trainees, consultants and intensive care nurses, this new Oxford Specialist Handbook provides an evidence-based approach to all aspects of patient care in cardiothoracic intensive care. Written in the Oxford Handbook format, each section is comprised of short topics ideal for quick reference. Portable, accessible, and reliable, the book equips the clinician with the basic scientific and clinical knowledge to safely assist in formulating management plans, based on current best practice. Cardiothoracic Critical Care addresses major recent developments in cardiothoracic critical care, such as cardiovascular support, mechanical support (IABP, VADS, and ECMO), and drug therapies such as nitric oxide and other new inotropic agents. The management of postoperative bleeding is covered in detail, as it increasingly involves updated fluid and blood-product therapies including blood preservation techniques such as cell salvage. Robyn Smith, Consultant in Critical Care Medicine and Anaesthesia, West of Scotland Heart and Lung Centre, Golden Jubilee National Hospital, Glasgow, UK, Michael Higgins, Consultant in Critical Care Medicine and Anaesthesia, West of Scotland Heart and Lung Centre, Golden Jubilee National Hospital, Glasgow, UK, and Alistair Macfie, Consultant in Critical Care Medicine and Anaesthesia, West of Scotland Heart and Lung Centre, Golden Jubilee National Hospital, Glasgow, UK CONTENTS Part 1. Early postoperative management 1: The normal postoperative cardiac patient 2: Risk prediction and outcome 3: Fast-tracking the low-risk patient 4: Resuscitation in the cardiac intensive care setting 5: Myocardial ischaemia and infarction 6: Bleeding 7: Postoperative hypotension 8: Glucose, lactate, and acid-base 9: Postoperative medications 10: Information handover and care planning Part 2. Organ dysfunction 11: Heart 12: Lung 13: Kidney 14: Gut 15: Nervous system 16: Immune system 17: Haematology Part 3. Specific patient groups 18: The thoracic patient 19: The adult patient with congenital heart disease 20: The obstetric patient with cardiac disease 21: Heart failure resistant to standard medical therapy 22: The transplant patient 23: Acute cardiology Part 4. Treatments and procedures 24: Central venous cannulation, pulmonary artery catheter, and minimally invasive cardiac output monitoring 25: Airway management 26: Respiratory management 27: Circulatory support 28: Epicardial pacing 29: Sedation and pain relief 30: Wound management 31: Infection control and prevention 32: Bedside echocardiography