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Intensive Care Unit and Stepdown Management

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Contemporary Heart Transplantation

Part of the book series: Organ and Tissue Transplantation ((OTT))

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Abstract

Heart transplant is the definitive treatment for patients with end-stage heart failure. Patients who undergo a transplant have the same physiologic burden as typical cardiac procedures with the added strain of organ transplant and immunosuppression. In this chapter, current principles in the postoperative management of the heart transplant patient are discussed. This includes a systematic review of surgical issues presenting in the immediate postoperative period and the physiological perturbations unique to the transplant patient. Standard of care in hemodynamic monitoring and mechanical ventilatory support methods are discussed with a focus on the postoperative transplant patient. Management of hemodynamic instability and common arrhythmias occurring in the perioperative period will be discussed with a review of pharmacological and mechanical approaches used in the management of these problems. Finally, nutritional guidelines pertaining to postcardiotomy patients with specific recommendations related to the transplant patient are reviewed.

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Authors and Affiliations

  1. University of Pittsburgh Medical Center, Pittsburgh, PA, USA

    Arturo Cardounel, Edgar Aranda-Michel & Christopher M. Sciortino

  2. Department of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, PA, USA

    Carlos-Eduardo Diaz-Castrillon

Authors
  1. Arturo Cardounel
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  2. Carlos-Eduardo Diaz-Castrillon
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  3. Edgar Aranda-Michel
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  4. Christopher M. Sciortino
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Corresponding author

Correspondence to Christopher M. Sciortino .

Editor information

Editors and Affiliations

  1. AdventHealth Transplant Institute, Orlando, FL, USA

    Linda Bogar

  2. Division of Cardiology, University of Washington, Seattle, WA, USA

    April Stempien-Otero

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Cardounel, A., Diaz-Castrillon, CE., Aranda-Michel, E., Sciortino, C.M. (2020). Intensive Care Unit and Stepdown Management. In: Bogar, L., Stempien-Otero, A. (eds) Contemporary Heart Transplantation. Organ and Tissue Transplantation. Springer, Cham. https://doi.org/10.1007/978-3-319-33280-2_43-1

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  • DOI: https://doi.org/10.1007/978-3-319-33280-2_43-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-33280-2

  • Online ISBN: 978-3-319-33280-2

  • eBook Packages: Springer Reference MedicineReference Module Medicine

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