Coronary Artery Bypass Graft (CABG) Surgery
Coronary Artery Bypass Graft (CABG) Surgery; most common cardiothoracic surgical case seen in ICU
Category CCC
The LITFL Critical Care Compendium is a comprehensive collection of pages concisely covering the core topics and controversies of critical care.
Cardiothoracic Surgery Literature Summaries
Cardiothoracic Surgery Literature Summaries
Cardiopulmonary Bypass
Cardiopulmonary bypass (CPB) replaces the function of the heart and lungs while the heart is arrested to provide a bloodless, stable surgical field
Cardiac Arrest Management After Cardiac Surgery
Cardiac arrest occurs after 0.7 - 2.9% of cardiac surgery cases. Usually preceded by physiological deterioration but can occur in previously stable patients
Pulsus Paradoxus
Pulsus paradoxus is defined as an inspiratory drop in blood pressure of 10mmHg or more during normal breathing.
Murmurs DDx
Heart murmurs are abnormal heart sounds believed to be caused by turbulent flow across heart valves or vascular abnormalities.
When assessing a murmur, determine 6 characteristics: position at which it is loudest, grade, timing, duration, presence of a thrill, radiation and changes during respiration or with dynamic manoeuvers
Co-oximeter
Co-oximeter: a device that uses spectrophotometry to measure relative blood concentrations of oxyhemoglobin, carboxyhemoglobin, methemoglobin, and reduced haemoglobin
High-flow nasal cannula
High-flow nasal cannula aka heated humidified HFNC or high floe nasal prongs used in cases of hypoxic respiratory failure
Gastric Residual Volume
Gastric residual volume is the amount aspirated from the stomach following administration of enteral feed. An aspirated amount of ≤ 500ml 6 hourly is safe and indicates that the GIT is functioning
Best use for a bougie?
Much to our disgust EMCrit beat us to this one, hands down. But, given that the bougie is my favourite piece of kit and best buddy in the resus room, I’ve gone ahead and reposted these videos on LITFL. They…
Befriend the bougie!
OK people, time to share. Following on from befriend the bougie! @MDaware shared a great tip about using the bougie to assist in intercostal catheter placement in obese patients. Indeed, I suggested that the bougie is so fantastic, if there…
Paediatric Life Support
KEY FEATURES CAB (ERC still advocates 5 initial rescue breaths) good quality CPR in 15:2 ratio removal of ‘look, listen, feel’ de-emphasis on pulse check AED and defibrillation use encouraged (infants manual defibrillation) capnography recommended defibrillation: 4 J/kg adrenaline 10…