Show Summary Details
Page of

The Dreaded Bring Backs: A Problem-Based Approach 

The Dreaded Bring Backs: A Problem-Based Approach
The Dreaded Bring Backs: A Problem-Based Approach

Ahmed Zaky

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2020. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 11 August 2020

The postoperative care of the cardiac surgical patient continues to be an ongoing challenge. An aging population coupled with increasing comorbidities results in sicker patients now undergoing open-heart surgery. Moreover, those patients with high operative risk are undergoing minimally invasive cardiac procedures that are associated with their own newly recognized inherent risks. Anesthesiologists and intensivists caring for cardiac surgical patients should be aware of the challenges imposed by the population and by the procedures. Their scope of skills should expand to encompass fluency in bedside echocardiography, electrophysiology, and bedside extracorporeal and balloon pump insertion techniques. In so doing, cardiac anesthesiologists/intensivists not only will be able to make critical abstract plans that are implemented by other personnel, but also will be able to pursue lifesaving prompt diagnostic and therapeutic procedures frequently needed in this acutely critically ill patient population. This chapter discusses some of the frequently encountered life-threatening complications that occur in the postoperative cardiac surgical patient that may lead to surgical reexploration. The chapter focus is on the definitive and supportive management of these complications and their underlying mechanisms with more specific attention on postoperative bleeding and coagulopathy.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.