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ICU Management of the Cardiac Patient

Management of the cardiac surgery patient continues in the intensive care unit, necessitating an understanding of the underlying disease process, operative procedure, and potential complications. Complications in cardiac surgery patients span virtually every organ system and manifest at different times in the postoperative period. As such, successful outcomes in cardiac surgery require a multidisciplinary approach, with postoperative care tailored to the pathophysiology present. This chapter discusses the commonly encountered postoperative concerns and overarching management pearls, beginning from intensive care unit handoff to weaning circulatory support and extubation. Also discussed are the postoperative implications of specific interventions utilized in cardiac surgery.