Critical Matters Management of Complications Post-Cardiotomy
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Nov 12, 2024 In this discussion, Dr. Christopher Knoll, a critical care attending and associate program director at Cooper University Healthcare, dives into managing complications after cardiac surgery. He shares insights on the intricacies of handling hemorrhage and cardiac arrest, emphasizing the need for effective communication between surgical and intensive care teams. Dr. Knoll highlights the role of advanced technologies in improving outcomes and the importance of interdisciplinary collaboration. The conversation also takes a lighter turn, exploring music and travel interests, showcasing his engaging personality.
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Critical ICU Complications Overview
- Post-operative bleeding and cardiac arrest are critical complications that require immediate recognition in cardiac surgery ICU patients.
- Intensivists often manage these emergencies when surgeons are not immediately present, impacting patient outcomes.
Monitor Chest Drain Bleeding Closely
- Monitor chest drain output color and bleeding tempo carefully in post-cardiac surgery patients.
- Rapid and persistent bright red or clotting blood or escalating output warrants close observation and possible intervention.
Increase Intrathoracic Pressure for Bleeding
- Use increased PEEP or tidal volume to raise intrathoracic pressure and tamponade diffuse bleeding.
- Discuss with surgeons to tailor ventilator settings to minimize bleeding postoperatively.