Difficult Decisions in Cardiothoracic Critical Care Surgery

1. Introduction.- 2. Evaluating evidence.- 3. Quality and Value in the Cardiothoracic ICU.- 4. Fungal Infection in the ICU.- 5. Palliative Care in the ICU.- 6. Ethics: When to turn off the VAD.- 7. Care in the ICU.- 8. Defibrillation/pacing first for witnessed cardiac arrest in postop cardiac surgery.- 9. Early Re-Sternotomy in post-op cardiac surgery patients who suffer cardiac arrest.- 10. Epinephrine and Vasopressin use following cardiac arrest in post-op cardiac surgery.- 11. Role of early sternotomy after cardiac arrest in minimally invasive surgery patients.- 12. Intravascular Devices in the ICU.- 13. Central Venous Oxygen Saturation vs. Mixed Venous Oxygen Saturation Monitoring in Patients After Cardiac Surgery.- 14. The utility of hemodynamic waveform analysis in the ICU.- 15. Pressors and Vasodilators in the CT ICU: Getting the mixture right.- 16. Pocket ECHO in the CT ICU: helpful or just another toy?.- 17. Prevention of postoperative atrial fibrillation.- 18. Does aggressivetreatment of postoperative atrial fibrillation improve outcomes?.- 19. Role of noninvasive ventilation in the CT ICU.- 20. Daily Awakening of Ventilated Patients and Extubation after Cardio-thoracic Surgery.- 21. ECMO for Salvage of Influenza Patients.- 22. When on ECMO: Awaken, Extubate and Mobilize.- 23. ECMO as bridge to lung transplantation.- 24. Right Ventricular Failure.- 25. My LVAD patient is fully anticoagulated and vomiting blood.- 26. LVAD patient with dark urine and elevated LDH: Diagnose and Treat Thrombosis.- 27. Misadventures with IABP: troubleshooting and interventions.- 28. Liver dysfunction in VAD patients.- 29. Percutaneous assist devices as salvage from cardiogenic shock.- 30. Vasoplegia In the postoperative period after Cardiac Transplantation.- 31. Severe Hypertension after Cardiac Transplantation.- 32. Post-Transplant Right Ventricular Failure.- 33. Lung Inifiltrate in post-op Lung Transplant Patient: Pneumonia, Rejection or Edema?.- 34. Handling Secretions after lung transplantation.- 35. Early Nutrition in Cardiothoracic patients in the ICU.- 36. Glycemic Control does matter in the Post cardiac surgery patient.- 37. Problems of the morbidly obese patient following cardiothoracic surgery.- 38. The Bleeding Post-op CT patient: coagulation tests vs. thromboelastography.- 39. Bleeding post cardiac surgery.- 40. If the platelets are low, is it HIT?.- 41. Newest Antithrombotic Agents: Uses, Abuses, Reversals for Surgical Procedures.- 42. Coagulopathy in the Heart Failure Patient.- 43. Should Blood Conservation Tactics in the Jehovah's Witness patient be applied universally?.- 44. Incidence and Causes AKI in the Cardiothoracic ICU.- 45. Role of Biomarkers in Predicting AKI in the CT ICU.- 46. Diuretic Use in the Postop CT patient: Does it Prevent or Improve AKI?.- 47. Cardiorenal Syndrome in Heart failure patients: ICU management.- 48. Access for RRT in CT patients with No Place for Access.- 49. Free Air in the Popstoperative CT patient: Observe or Operate?.- 50. Ischemic bowel in the post cardiothoracic patient.- 51. Ischemic Stroke in the CT patient: Thrombolytic or Stent?.- 52. Confusion in the ICU: management of anticoagulated VAD patient with MS changes.- 53. Cerebral edema in the CT ICU: to bolt or not to bolt?.- 54. Malperfusion After Aortic Dissection/Aneurysm Repair: when is intervention warranted?.- 55. Ischemic Leg Following IABP Insertion: Timing of Diagnosis and Treatment.