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Review
. 2024 Aug 13:18:e11.
doi: 10.15420/usc.2024.16. eCollection 2024.

Management of Post-cardiotomy Shock

Eric J Hall  1 , Alexander I Papolos  2 , P Elliott Miller  3 , Christopher F Barnett  4 , Benjamin B Kenigsberg  2
Affiliations
Review

Management of Post-cardiotomy Shock

Eric J Hall et al. US Cardiol. .

Abstract

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.

Keywords: Shock; cardiac surgery; cardiogenic shock; cardiotomy; mechanical circulatory support; post-cardiotomy shock.

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Conflict of interest statement

Disclosure: EJH is supported by the National Heart, Lung, and Blood Institute of the National Institutes of Health under award number T32HL125247. CFB has received consulting fees from Zoll and Abiomed. All other authors have no conflicts of interest to declare.

Figures

Figure 1:
Figure 1:. Diagnostic Approach to Post-cardiotomy Shock
Figure 2:
Figure 2:. Management of Cardiac Arrest in the Post-cardiotomy Patient
See this image and copyright information in PMC

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