Management of Post-cardiotomy Shock

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 mana...

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Main Authors: Eric J Hall, Alexander I Papolos, P Elliott Miller, Christopher F Barnett, Benjamin B Kenigsberg
Format: Article
Language:English
Published: Radcliffe Medical Media 2024-08-01
Series:US Cardiology Review
Online Access:https://www.uscjournal.com/articleindex/usc.2024.16
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author Eric J Hall
Alexander I Papolos
P Elliott Miller
Christopher F Barnett
Benjamin B Kenigsberg
author_facet Eric J Hall
Alexander I Papolos
P Elliott Miller
Christopher F Barnett
Benjamin B Kenigsberg
author_sort Eric J Hall
collection DOAJ
description 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.
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id doaj-art-9bf53016faa84e3fa2d463ef1bd518f2
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issn 1758-3896
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language English
publishDate 2024-08-01
publisher Radcliffe Medical Media
record_format Article
series US Cardiology Review
spelling doaj-art-9bf53016faa84e3fa2d463ef1bd518f22025-08-20T02:37:51ZengRadcliffe Medical MediaUS Cardiology Review1758-38961758-390X2024-08-011810.15420/usc.2024.16Management of Post-cardiotomy ShockEric J Hall0Alexander I Papolos1P Elliott Miller2Christopher F Barnett3Benjamin B Kenigsberg4Division of Cardiology, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TXDivision of Cardiology and Department of Critical Care, MedStar Washington Hospital Center, Washington, DCSection of Cardiovascular Medicine, Yale University School of Medicine, New Haven, CTDivision of Cardiology, Department of Medicine, University of California San Francisco, San Francisco, CADivision of Cardiology and Department of Critical Care, MedStar Washington Hospital Center, Washington, DCPatients 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.https://www.uscjournal.com/articleindex/usc.2024.16
spellingShingle Eric J Hall
Alexander I Papolos
P Elliott Miller
Christopher F Barnett
Benjamin B Kenigsberg
Management of Post-cardiotomy Shock
US Cardiology Review
title Management of Post-cardiotomy Shock
title_full Management of Post-cardiotomy Shock
title_fullStr Management of Post-cardiotomy Shock
title_full_unstemmed Management of Post-cardiotomy Shock
title_short Management of Post-cardiotomy Shock
title_sort management of post cardiotomy shock
url https://www.uscjournal.com/articleindex/usc.2024.16
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AT alexanderipapolos managementofpostcardiotomyshock
AT pelliottmiller managementofpostcardiotomyshock
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AT benjaminbkenigsberg managementofpostcardiotomyshock