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Early postoperative management 

Early postoperative management
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date: 18 October 2019

The chapter describes the normal recovery process after cardiac surgery. This is generally uneventful; however, a small proportion of routine patients develop an important treatable complication. A second small group of patients are critically ill and dependant on exact optimization of their physiology, either because of their preoperative condition or their operative course or both. The latter group are usually obvious and are often already on substantial support and invasive monitoring when they leave theatre. Recognizing the first group is crucial and is a key skill of cardiac intensive care. The key to success with these patients is early proactive management. In turn, this requires attention to detail, an understanding of normal postoperative course, close serial observation, and excellent diagnosis employing early use of additional monitoring and investigation

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