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Impact of 24-Hour In-House Intensivists on a Dedicated Cardiac Surgery Intensive Care Unit
Annals of Thoracic Surgery, 09/23/09
Kumar K et al. – The current Manitoba CICU model of 24–hour intensive care physician/cardiac anesthesiologist staffing in postoperative cardiac surgery care is associated with reduced transfusion of blood components, decreased requirement for mechanical ventilation, and shorter hospital length of stay.
Dr Arora, 09/23/09
| The “typical” cardiac surgery patient is ever evolving. The impression that patients being presented for cardiac surgery are becoming “older and sicker” has likely now come to fruition. Elderly patients with multiple comorbidities are now the mainstay in most centers performing cardiac surgical procedure. At the same time, however, there are competing economic pressures that demand more efficient care with lower patient morbidity and mortality. The ICU model presented has been developed to address this dichotomy of patient care. Specifically, the 24-hour bedside presence of highly-qualified personnel cardiac specialists, with expertise in both ultra-fasttrack clinical pathways and as well as a detailed approach the multi-system patient can provide meaningful benefits that lead to improved patient outcomes. |
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