
Contents
-
-
-
-
-
-
Introduction Introduction
-
Effects of surgery and cardiopulmonary bypass Effects of surgery and cardiopulmonary bypass
-
Inflammatory response Inflammatory response
-
Cooling Cooling
-
Pulmonary effects Pulmonary effects
-
Urine output and fluid balance Urine output and fluid balance
-
Pain Pain
-
Cardiac function Cardiac function
-
Bleeding Bleeding
-
-
Typical progression Typical progression
-
On admission On admission
-
First hour First hour
-
1–4 hours 1–4 hours
-
4–6 hours 4–6 hours
-
-
Routine management Routine management
-
Ventilation Ventilation
-
Extubation criteria Extubation criteria
-
-
Re-warming Re-warming
-
Inotropes and vasopressors Inotropes and vasopressors
-
Fluid and electrolyte management Fluid and electrolyte management
-
Analgesia and antiemesis Analgesia and antiemesis
-
-
Warning signs Warning signs
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Cite
Abstract
The chapter describes the normal recovery process after cardiac surgery. This is generally uneventful; however, a small proportion of routine patients develop an important treatable complication. A second small group of patients are critically ill and dependant on exact optimization of their physiology, either because of their preoperative condition or their operative course or both. The latter group are usually obvious and are often already on substantial support and invasive monitoring when they leave theatre. Recognizing the first group is crucial and is a key skill of cardiac intensive care. The key to success with these patients is early proactive management. In turn, this requires attention to detail, an understanding of normal postoperative course, close serial observation, and excellent diagnosis employing early use of additional monitoring and investigation
Sign in
Personal account
- Sign in with email/username & password
- Get email alerts
- Save searches
- Purchase content
- Activate your purchase/trial code
- Add your ORCID iD
Purchase
Our books are available by subscription or purchase to libraries and institutions.
Purchasing informationMonth: | Total Views: |
---|---|
October 2022 | 5 |
November 2022 | 4 |
January 2023 | 1 |
February 2023 | 5 |
March 2023 | 4 |
April 2023 | 2 |
May 2023 | 1 |
July 2023 | 2 |
August 2023 | 5 |
September 2023 | 1 |
October 2023 | 4 |
January 2024 | 1 |
March 2024 | 1 |
June 2024 | 1 |
July 2024 | 4 |
August 2024 | 2 |
September 2024 | 4 |
October 2024 | 3 |
November 2024 | 7 |
December 2024 | 2 |
January 2025 | 4 |
February 2025 | 1 |
March 2025 | 2 |
Get help with access
Institutional access
Access to content on Oxford Academic is often provided through institutional subscriptions and purchases. If you are a member of an institution with an active account, you may be able to access content in one of the following ways:
IP based access
Typically, access is provided across an institutional network to a range of IP addresses. This authentication occurs automatically, and it is not possible to sign out of an IP authenticated account.
Sign in through your institution
Choose this option to get remote access when outside your institution. Shibboleth/Open Athens technology is used to provide single sign-on between your institution’s website and Oxford Academic.
If your institution is not listed or you cannot sign in to your institution’s website, please contact your librarian or administrator.
Sign in with a library card
Enter your library card number to sign in. If you cannot sign in, please contact your librarian.
Society Members
Society member access to a journal is achieved in one of the following ways:
Sign in through society site
Many societies offer single sign-on between the society website and Oxford Academic. If you see ‘Sign in through society site’ in the sign in pane within a journal:
If you do not have a society account or have forgotten your username or password, please contact your society.
Sign in using a personal account
Some societies use Oxford Academic personal accounts to provide access to their members. See below.
Personal account
A personal account can be used to get email alerts, save searches, purchase content, and activate subscriptions.
Some societies use Oxford Academic personal accounts to provide access to their members.
Viewing your signed in accounts
Click the account icon in the top right to:
Signed in but can't access content
Oxford Academic is home to a wide variety of products. The institutional subscription may not cover the content that you are trying to access. If you believe you should have access to that content, please contact your librarian.
Institutional account management
For librarians and administrators, your personal account also provides access to institutional account management. Here you will find options to view and activate subscriptions, manage institutional settings and access options, access usage statistics, and more.