TY - CHAP M1 - Book, Section TI - Postoperative and Postprocedural Care in the Cardiac Intensive Care Unit A1 - Menon, Venu A2 - Fuster, Valentin A2 - Narula, Jagat A2 - Vaishnava, Prashant A2 - Leon, Martin B. A2 - Callans, David J. A2 - Rumsfeld, John S. A2 - Poppas, Athena PY - 2022 T2 - Fuster and Hurst's The Heart, 15e AB - Chapter SummaryThis chapter describes broad principles that ensure optimal and consistent postoperative and postprocedural care in the cardiac intensive care unit (CICU). Most patients admitted to the CICU undergo multiple diagnostic and therapeutic procedures. An organized physician and nursing leadership structure is central to the delivery of optimal multidisciplinary care in the CICU (see Fuster and Hurst's Central Illustration). Most clinical issues to be addressed in postprocedural and postoperative settings are well described and can be easily anticipated and prevented by the adoption of evidence-based standard operating protocols and implantation bundles, which ensure consistency and optimal outcomes. Protocol creation should involve a multidisciplinary team including physicians, nurses, and other relevant ancillary medical personnel. Some common clinical areas addressed include provision of analgesia, prevention of infection, screening for and treatment of delirium, sedation for mechanical ventilation, early mobilization and prevention of deep venous thrombosis, and adequate glycemic control. The utilization of checklists and the ability to promptly recognize and treat complications is crucial. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accesscardiology.mhmedical.com/content.aspx?aid=1202451229 ER -