CV-EMCrit - Post-CABG Care | EMCrit FOAM Feed

In this episode of the EMCrit podcast, Scott Weingart interviews cardiac expert Trina Augustin about the management of post-CABG patients in the CT ICU. Trina shares her approach to handling these patients, emphasizing the importance of a comprehensive handoff, anticipating potential complications, and optimizing care through a system-by-system evaluation. The discussion covers neurological issues, hemodynamic instability, inotrope selection, vasoplegia, chronotropy, and post-operative atrial fibrillation, providing listeners with a detailed primer on managing these complex cases. Trina highlights the need for vigilance, tailored interventions, and early action to improve patient outcomes, directing listeners to a comprehensive post for further information.

Outlines

Part 1: Introduction and Initial Assessment

Part 2: Hemodynamic Management

Part 3: Arrhythmias and Conclusion

Part 4: Call to Action

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CV-EMCrit - Post-CABG Care

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Part 1: Introduction and Initial Assessment

Introduction to Post-CABG Patient Management in the CT ICU

The Importance of Proactive Management and Handoff in Post-CABG Care

Initial Assessment and Systemic Effects of Cardiopulmonary Bypass

Neurological Considerations in Post-CABG Patients

Sedation Strategies and Neurological Assessment

Part 2: Hemodynamic Management

Hypothermia and Hemodynamic Management

Hemodynamic Lability and Initial Evaluation

Utilizing PA Catheter Data and Identifying Hemodynamic Phenotypes

Volume Resuscitation and Inotropic Support

Tailoring Inotropic Support to Patient Physiology

Low-Dose Epinephrine and Its Hemodynamic Effects

Determining the Need for Mechanical Circulatory Support

Impella vs. VA ECMO for Mechanical Circulatory Support

Avoiding Hypotension in RV Failure and MAP Targets

Managing Vasoplegia and Afterload

Dosing and Usage of Vasopressors and Hydroxycobalamin

PA Catheter Types and Data Interpretation

Part 3: Arrhythmias and Conclusion

Chronotropy and Pacing Wires

Managing Bradycardia Without Pacing Wires and Pacer Box Safety

Post-Operative Atrial Fibrillation Management

Ventricular Arrhythmias and Conclusion

Part 4: Call to Action

Call to Action: Become an EMCrit Member

CV-EMCrit - Post-CABG Care

EMCrit FOAM Feed

Part 1: Introduction and Initial Assessment

00:00Introduction to Post-CABG Patient Management in the CT ICU

Introduction to Post-CABG Patient Management in the CT ICU

01:27The Importance of Proactive Management and Handoff in Post-CABG Care

The Importance of Proactive Management and Handoff in Post-CABG Care

03:48Initial Assessment and Systemic Effects of Cardiopulmonary Bypass

Initial Assessment and Systemic Effects of Cardiopulmonary Bypass

06:05Neurological Considerations in Post-CABG Patients

Neurological Considerations in Post-CABG Patients

08:26Sedation Strategies and Neurological Assessment

Sedation Strategies and Neurological Assessment

Part 2: Hemodynamic Management

10:26Hypothermia and Hemodynamic Management

Hypothermia and Hemodynamic Management

12:22Hemodynamic Lability and Initial Evaluation

Hemodynamic Lability and Initial Evaluation

14:08Utilizing PA Catheter Data and Identifying Hemodynamic Phenotypes

Utilizing PA Catheter Data and Identifying Hemodynamic Phenotypes

16:29Volume Resuscitation and Inotropic Support

Volume Resuscitation and Inotropic Support

18:44Tailoring Inotropic Support to Patient Physiology

Tailoring Inotropic Support to Patient Physiology

20:08Low-Dose Epinephrine and Its Hemodynamic Effects

Low-Dose Epinephrine and Its Hemodynamic Effects

22:14Determining the Need for Mechanical Circulatory Support

Determining the Need for Mechanical Circulatory Support

24:21Impella vs. VA ECMO for Mechanical Circulatory Support

Impella vs. VA ECMO for Mechanical Circulatory Support

26:11Avoiding Hypotension in RV Failure and MAP Targets

Avoiding Hypotension in RV Failure and MAP Targets

27:39Managing Vasoplegia and Afterload

Managing Vasoplegia and Afterload

29:59Dosing and Usage of Vasopressors and Hydroxycobalamin

Dosing and Usage of Vasopressors and Hydroxycobalamin

32:31PA Catheter Types and Data Interpretation

PA Catheter Types and Data Interpretation

Part 3: Arrhythmias and Conclusion

33:35Chronotropy and Pacing Wires

Chronotropy and Pacing Wires

35:53Managing Bradycardia Without Pacing Wires and Pacer Box Safety

Managing Bradycardia Without Pacing Wires and Pacer Box Safety

37:25Post-Operative Atrial Fibrillation Management

Post-Operative Atrial Fibrillation Management

39:51Ventricular Arrhythmias and Conclusion

Ventricular Arrhythmias and Conclusion

Part 4: Call to Action

41:21Call to Action: Become an EMCrit Member

Call to Action: Become an EMCrit Member