Management of Post-cardiotomy Shock-Reference-Cited by-同舟云学术

Management of Post-cardiotomy Shock

Published:2024-08-13 Issue: Volume:18 Page:
ISSN:1758-390X
Container-title:US Cardiology Review
language:en
Short-container-title:US Cardiol

Author:

Hall Eric J¹^ORCID,Papolos Alexander I²^ORCID,Miller P Elliott³^ORCID,Barnett Christopher F⁴^ORCID,Kenigsberg Benjamin B²^ORCID

Affiliation:

1. Division of Cardiology, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX

2. Division of Cardiology and Department of Critical Care, MedStar Washington Hospital Center, Washington, DC

3. Section of Cardiovascular Medicine, Yale University School of Medicine, New Haven, CT

4. Division of Cardiology, Department of Medicine, University of California San Francisco, San Francisco, CA

Abstract

Patients undergoing cardiac surgery experience significant physiologic derangements that place them at risk for multiple shock phenotypes. Any combination of cardiogenic, obstructive, hemorrhagic, or vasoplegic shock occurs commonly in post-cardiotomy patients. The approach to the diagnosis and management of these shock states has many facets that are distinct compared to non-surgical cardiac intensive care unit patients. Additionally, the approach to and associated outcomes of cardiac arrest in the post-cardiotomy population are uniquely characterized by emergent bedside resternotomy if the circulation is not immediately restored. This review focuses on the unique aspects of the diagnosis and management of post-cardiotomy shock.

Publisher

Radcliffe Media Media Ltd

Reference114 articles.

1. Fiaccadori E, Vezzani A, Coffrini E, et al. Cell metabolism in patients undergoing major valvular heart surgery: relationship with intra and postoperative hemodynamics, oxygen transport, and oxygen utilization patterns. Crit Care Med 1989;17:1286–92. https://doi.org/10.1097/00003246-198912000-00008; PMID: 2591223.

2. McKenney PA, Apstein CS, Mendes LA, et al. Increased left ventricular diastolic chamber stiffness immediately after coronary artery bypass surgery. J Am Coll Cardiol 1994;24:1189–94. https://doi.org/10.1016/0735-1097(94)90097-3; PMID: 7930238.

3. Butler J, Rocker GM, Westaby S. Inflammatory response to cardiopulmonary bypass. Ann Thorac Surg 1993;55:552–9. https://doi.org/10.1016/0003-4975(93)91048-r; PMID: 8431082.

4. Raman JS, Bellomo R, Hayhoe M, et al. Metabolic changes and myocardial injury during cardioplegia: a pilot study. Ann Thorac Surg 2001;72:1566–71. https://doi.org/10.1016/s0003-4975(01)03089-2; PMID: 11722045.

5. Cecconi M, De Backer D, Antonelli M, et al. Consensus on circulatory shock and hemodynamic monitoring. Task force of the European Society of Intensive Care Medicine. Intensive Care Med 2014;40:1795–815. https://doi.org/10.1007/s00134-014-3525-z; PMID: 25392034.