Handoffs From the Operating Room to the Intensive Care Unit After Cardiothoracic Surgery: From The Society of Thoracic Surgeons Workforce on Critical Care

Chatterjee, Subhasis; Shake, Jay G.; Arora, Rakesh C.; Engelman, Daniel T.; Firstenberg, Michael S.; Geller, Charles M.; Hirose, Hitoshi; Lonchyna, Vassyl A.; Lytle, Francis; Milewski, Rita K.; Moosdorf, Rainer; Rabin, Joseph; Sanjanwala, Rohan; Galati, Marianne; Whitman, Glenn

doi:10.1016/j.athoracsur.2018.11.010

Cited by 17 publications

(12 citation statements)

References 39 publications

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“…An integral component of these practice bundles includes preoperative and postoperative nutrition strategies developed to optimize the nutritional status of cardiac surgery patients with nutritional risk. 5,8,9 An inadequate or delayed initiation of nutritional support after surgery may aggravate preexisting malnutrition of cardiac surgery patients. Therefore, there is an urgent need to systematically identify malnourished patients who would most likely benefit from early initiated intense perioperative nutrition support.…”

Section: Perioperative Care: Cardiac Surgery Patients Need Nutrition mentioning

confidence: 99%

Nutrition support in cardiac surgery patients: Be calm and feed on!

Stoppe

Whitlock

Arora

et al. 2019

The Journal of Thoracic and Cardiovascular Surgery

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Section: Perioperative Care: Cardiac Surgery Patients Need Nutrition mentioning

confidence: 99%

Nutrition support in cardiac surgery patients: Be calm and feed on!

Stoppe

Whitlock

Arora

et al. 2019

The Journal of Thoracic and Cardiovascular Surgery

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“…The overall analysis using the REM revealed that there was a notable difference between the experimental group and the baseline, with Z=7.62, RR =0.33, and 95% CI: 0.24 to 0.43. After CTS, there were 72.46% of critical patients with grade I and II cardiac function, lower than 87.49% reported by Chatterjee et al [2019] (16).…”

Section: Discussionmentioning

confidence: 62%

A systematic review and meta-analysis on the curative effects of cardiothoracic surgery for critical patients in the intensive care unit

Geng

Cui

et al. 2021

Ann Palliat Med

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Background: The aim of this study was to explore the curative effects of cardiothoracic surgery (CTS) for critical patients in the intensive care unit (ICU) using meta-analysis.Methods: Literature was searched using the following search terms: "cardiothoracic surgery", "intensive care unit", "critical patients", "post-operation", and "curative effects". Rev Man 5.3 was used for metaanalysis.Results: A total of 15 randomized controlled trials (RCTs) were included, all of which had a low risk of bias, indicating medium and high quality. At 30 days after CTS, the number of patients with grade III and IV cardiac function was reduced by 76.84%, and the overall heterogeneity test results revealed that Tau 2 =0.09, Chi 2 =17.08, df=5, I 2 =71%, P=0.004<0.01, Z=7.62, RR =0.33, and 95% CI: 0.24 to 0.43. The incidence of adverse reactions was analyzed in 6 RCTs, and mainly manifested as improper anticoagulation thrombosis and bleeding. The overall heterogeneity test results revealed that Chi 2 =1.07, df=5, I 2 =0%, P=0.96, Z=4.93, OR =0.46, 95% CI: 0.34 to 0.63, and P<0.01. The 30-day mortality rate was analyzed in 8 RCTs. The overall analysis using the fixed effects model revealed that there was a notable difference between the experimental group and the baseline, with Z=10.11, OR =0.12, 95% CI: 0.08 to 0.18, and P<0.01. Discussion: CTS can reduce the incidence of adverse events and the mortality rate of critical patients in the ICU, demonstrating high safety.

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“…After the procedure is completed during the recovery period, clear communication between the surgical, anesthesia, critical care and nursing teams are vital (5). Communication should focus on the extent of stent graft coverage, hemodynamic disturbances, airway or pulmonary concerns, whether planned or unplanned concomitant procedures were performed, anatomical concerns for malperfusion, whether femoral closure devices were deployed and distal pulse examination.…”

Section: Preoperative Considerationsmentioning

confidence: 99%

Perioperative management of patients undergoing thoracic endovascular repair

Chatterjee¹,

Preventza²,

Orozco-Sevilla³

et al. 2021

Ann Cardiothorac Surg

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Thoracic endovascular aortic repair (TEVAR) is a less invasive method for treating thoracic and some thoracoabdominal aortic aneurysms, dissections of the thoracic aorta and blunt traumatic aortic injury, compared with conventional open surgery. Maximizing the likelihood of a successful outcome requires diligent multidisciplinary (surgical, critical care, nursing, pharmacy, nutrition and physical therapy) perioperative care. In this article, we discuss fundamentals for managing patients after endovascular aortic aneurysm repair. These principles focus on the transition between the operating room and the intensive care unit, prevention and management of spinal cord deficits (SCD), and vital neurological, respiratory, cardiovascular, renal, gastrointestinal and hematological concerns. The better the care team understands the expected postoperative course, the earlier that deviations can be recognized and the more likely that successful rescue can be achieved to reduce the incidence and severity of adverse outcomes. Achieving optimal results after TEVAR requires attention to detail across the preoperative, intraoperative and postoperative phases of care.

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Handoffs From the Operating Room to the Intensive Care Unit After Cardiothoracic Surgery: From The Society of Thoracic Surgeons Workforce on Critical Care

Abstract: This document has been approved by The Society of Thoracic Surgeons Executive Committee.

Cited by 17 publications

References 39 publications

Nutrition support in cardiac surgery patients: Be calm and feed on!

Nutrition support in cardiac surgery patients: Be calm and feed on!

A systematic review and meta-analysis on the curative effects of cardiothoracic surgery for critical patients in the intensive care unit

Perioperative management of patients undergoing thoracic endovascular repair

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