Behandlungsprinzipien in der herzchirurgischen Intensivmedizin

Thomas Breuer; Gernot Marx

doi:10.1055/a-1085-8823

Intensivmedizin up2date, Table of Contents

Intensivmedizin up2date 2020; 16(02): 211-227
DOI: 10.1055/a-1085-8823

Operative Intensivmedizin

Behandlungsprinzipien in der herzchirurgischen Intensivmedizin

Thomas Breuer

,

Gernot Marx

Abstract

All articles of this category

Ein interdisziplinär eng abgestimmtes Handeln von Chirurgen, Kardioanästhesisten, Kardiotechnikern und Intensivmedizinern ist für das Outcome herzchirurgischer Patienten nach wie vor elementar. Diese Übersichtsarbeit fokussiert sich auf grundsätzliche Pathomechanismen und Behandlungsprinzipien der perioperativen herzchirurgischen Intensivmedizin und möchte damit als „Amuse-Gueule“ für den Herzchirurgie-affinen Intensivmediziner verstanden werden.

Schlüsselwörter

herzchirurgische Intensivmedizin - Hämodynamik - Vorlast - Nachlast - Beatmungsmanagement

Full Text

References

Literatur
1 Caruba T, Katsahian S, Schramm C. et al. Treatment for stable coronary artery disease: a network meta-analysis of cost-effectiveness studies. Plos One 2014; 9: e98371
2 Stephens RS, Whitman GJR. Postoperative Critical Care of the Adult Cardiac Surgical Patient. Part I: Routine Postoperative Care. Crit Care Med 2015; 43: 1477-1497
3 Aberg T, Hentschel J. Improved total quality by monitoring of a cardiothoracic unit. Medical, administrative and economic data followed for 9 years. Interact Cardiovasc Thorac Surg 2004; 3: 33-40
4 Gibbon JH. The development of the heart-lung apparatus. Rev Surg 1970; 27: 231-244
5 Vineberg A, Miller G. Internal mammary coronary anastomosis in the surgical treatment of coronary artery insufficiency. Can Med Assoc J 1951; 64: 204-210
6 Goetz RH, Rohman M, Haller JD. et al. Internal mammary-coronary artery anastomosis. A nonsuture method employing tantalum rings. J Thorac Cardiovasc Surg 1961; 41: 378-386
7 Guru V, Tu JV, Etchells E. et al. Relationship between preventability of death after coronary artery bypass graft surgery and all-cause risk-adjusted mortality rates. Circulation 2008; 117: 2969-2976
8 Ahmed EO, Butler R, Novick RJ. Failure-to-rescue rate as a measure of quality of care in a cardiac surgery recovery unit: a five-year study. Ann Thorac Surg 2014; 97: 147-152
9 Sherif HMF. Developing a curriculum for cardiothoracic surgical critical care: impetus and goals. J Thorac Cardiovasc Surg 2012; 143: 804-808
10 Warren OJ, Smith AJ, Alexiou C. et al. The inflammatory response to cardiopulmonary bypass: part 1-mechanisms of pathogenesis. J Cardiothorac Vasc Anesth 2009; 23: 223-231
11 Davidson S. State of the art – how I manage coagulopathy in cardiac surgery patients. Brit J Haematol 2014; 164: 779-789
12 Besser MW, Klein AA. The coagulopathy of cardiopulmonary bypass. Crit Rev Cl Lab Sci 2010; 47: 197-212
13 Muhs BE, Galloway AC, Lombino M. et al. Arterial injuries from femoral artery cannulation with port access cardiac surgery. Vasc Endovasc Surg 2005; 39: 153-158
14 Selim M. Perioperative stroke. N Engl J Med 2007; 356: 706-713
15 Hausenloy DJ, Boston-Griffiths E, Yellon DM. Cardioprotection during cardiac surgery. Cardiovasc Res 2012; 94: 253-265
16 Driessen JJ, Dhaese H, Fransen G. et al. Pulsatile compared with nonpulsatile perfusion using a centrifugal pump for cardiopulmonary bypass during coronary artery bypass grafting. Effects on systemic haemodynamics, oxygenation, and inflammatory response parameters. Perfusion 1995; 10: 3-12
17 Reich DL, Bodian CA, Krol M. et al. Intraoperative hemodynamic predictors of mortality, stroke, and myocardial infarction after coronary artery bypass surgery. Anesth Analg 1999; 89: 814-822
18 Cheitlin MD, Armstrong WF, Aurigemma GP. et al. ACC/AHA/ASE 2003 guideline update for the clinical application of echocardiography: summary article: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/ASE Committee to Update the 1997 Guidelines for the Clinical Application of Echocardiography). Circulation 2003; 108: 1146-1162
19 Kaufmnan J, Twite M, Barrett C. et al. A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative period. Jt Comm J Qual Patient Saf 2013; 39: 306-311
20 Joy BF, Elliott E, Hardy C. et al. Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit. Pediatr Crit Care Med 2011; 12: 304-308
21 Tolsma M, Kröner A, van den Hombergh CLM. et al. The clinical value of routine chest radiographs in the first 24 hours after cardiac surgery. Anesth Analg 2011; 112: 139-142
22 Yokoyama Y, Chaitman BR, Hardison RM. et al. Association between new electrocardiographic abnormalities after coronary revascularization and five-year cardiac mortality in BARI randomized and registry patients. Am J Cardiol 2000; 86: 819-824
23 Wajon P, Lindsay G. Detection of postoperative myocardial ischemia by bedside ST-segment analysis in coronary artery bypass graft patients. J Cardiothorac Vasc Anesth 1998; 12: 620-624
24 Salamonsen RF, Schneider H-G, Bailey M. et al. Cardiac troponin I concentrations, but not electrocardiographic results, predict an extended hospital stay after coronary artery bypass graft surgery. Clin Chem 2005; 51: 40-46
25 Tuman KJ, McCarthy RJ, Spiess BD. et al. Effect of pulmonary artery catheterization on outcome in patients undergoing coronary artery surgery. Anesthesiology 1989; 70: 199-206
26 Kastrup M, Carl M, Spies C. et al. Clinical impact of the publication of S3 guidelines for intensive care in cardiac surgery patients in Germany: results from a postal survey. Acta Anaesth Scand 2013; 57: 206-213
27 Schwann TA, Zacharias A, Riordan CJ. et al. Safe, highly selective use of pulmonary artery catheters in coronary artery bypass grafting: an objective patient selection method. Ann Thorac Surg 2002; 73: 1394-1401
28 Ranucci M. Which cardiac surgical patients can benefit from placement of a pulmonary artery catheter?. Crit Care 2006; 10 (Suppl. 03) S6-S8
29 Thielmann M, Massoudy P, Marggraf G. et al. Role of troponin I, myoglobin, and creatine kinase for the detection of early graft failure following coronary artery bypass grafting. Eur J Cardiothorac Surg 2004; 26: 102-109
30 Alyanakian MA, Dehoux M, Chatel D. et al. Cardiac troponin I in diagnosis of perioperative myocardial infarction after cardiac surgery. J Cardiothorac Vasc Anesth 1998; 12: 288-294
31 Benoit MO, Paris M, Silleran J. et al. Cardiac troponin I: its contribution to the diagnosis of perioperative myocardial infarction and various complications of cardiac surgery. Crit Care Med 2001; 29: 1880-1886
32 Gerritsen WB, Boven WJ van Driessen AH. et al. Off-pump versus on-pump coronary artery bypass grafting: oxidative stress and renal function. Eur J Cardiothorac Surg 2001; 20: 923-929
33 André ACS, DelRossi A. Hemodynamic management of patients in the first 24 hours after cardiac surgery. Crit Care Med 2005; 33: 2082-2093
34 Aya HD, Cecconi M, Hamilton M. et al. Goal-directed therapy in cardiac surgery: a systematic review and meta-analysis. Brit J Anaesth 2013; 110: 510-517
35 Habicher M, Zajonz T, Heringlake M. et al. S3-Leitlinie zur intensivmedizinischen Versorgung herzchirurgischer Patienten. Hämodynamisches Monitoring und Herz-Kreislauf – ein Update. Anaesthesist 2018; 67: 375-379
36 Trof RJ, Danad I, Reilingh MWL. et al. Cardiac filling volumes versus pressures for predicting fluid responsiveness after cardiovascular surgery: the role of systolic cardiac function. Crit Care 2011; 15: R73
37 Marx G. Neue AWMF-S3-Leitlinie Volumentherapie. Med Klin Intensivmed Notfmed 2015; 110: 108-109
38 Marik PE, Baram M, Vahid B. Does central venous pressure predict fluid responsiveness? A systematic review of the literature and the tale of seven mares. Chest 2008; 134: 172-178
39 Osman D, Ridel C, Ray P. et al. Cardiac filling pressures are not appropriate to predict hemodynamic response to volume challenge. Crit Care Med 2007; 35: 64-68
40 Marik PE, Cavallazzi R, Vasu T. et al. Dynamic changes in arterial waveform derived variables and fluid responsiveness in mechanically ventilated patients: a systematic review of the literature. Crit Care Med 2009; 37: 2642-2647
41 Marik PE, Monnet X, Teboul J-L. Hemodynamic parameters to guide fluid therapy. Ann Intensive Care 2011; 1: 1-9
42 Sobczyk D, Nycz K, Andruszkiewicz P. Bedside ultrasonographic measurement of the inferior vena cava fails to predict fluid responsiveness in the first 6 hours after cardiac surgery: a prospective case series observational study. J Cardiothorac Vasc Anesth 2015; 29: 663-669
43 Hu BY, Laine GA, Wang S. et al. Combined central venous oxygen saturation and lactate as markers of occult hypoperfusion and outcome following cardiac surgery. J Cardiothorac Vasc Anesth 2012; 26: 52-57
44 Hajjar LA, Almeida JP, Fukushima JT. et al. High lactate levels are predictors of major complications after cardiac surgery. J Thorac Cardiovasc Surg 2013; 146: 455-460
45 Thiele RH, Bartels K, Gan TJ. Cardiac output monitoring: a contemporary assessment and review. Crit Care Med 2015; 43: 177-185
46 Buhre W, Weyland A, Kazmaier S. et al. Comparison of cardiac output assessed by pulse-contour analysis and thermodilution in patients undergoing minimally invasive direct coronary artery bypass grafting. J Cardiothorac Vasc Anesth 1999; 13: 437-440
47 Smetkin AA, Hussain A, Kuzkov VV. et al. Validation of cardiac output monitoring based on uncalibrated pulse contour analysis vs. transpulmonary thermodilution during off-pump coronary artery bypass grafting. Brit J Anaesth 2014; 112: 1024-1031
48 Desebbe O, Henaine R, Keller G. et al. Ability of the third-generation FloTrac/Vigileo software to track changes in cardiac output in cardiac surgery patients: a polar plot approach. J Cardiothorac Vasc Anesth 2013; 27: 1122-1127
49 Magilligan DJ, Teasdall R, Eisinminger R. et al. Mixed venous oxygen saturation as a predictor of cardiac output in the postoperative cardiac surgical patient. Ann Thorac Surg 1987; 44: 260-262
50 Monnet X, Julien F, Ait-Hamou N. et al. Lactate and venoarterial carbon dioxide difference/arterial-venous oxygen difference ratio, but not central venous oxygen saturation, predict increase in oxygen consumption in fluid responders. Crit Care Med 2013; 41: 1412-1420
51 Beest P van Wietasch G, Scheeren T. et al. Clinical review: use of venous oxygen saturations as a goal – a yet unfinished puzzle. Crit Care 2011; 15: 232-239
52 Myburgh JA, Finfer S, Billot L. et al. Hydroxyethyl starch or saline in intensive care. N Engl J Med 2013; 368: 775
53 Bayer O, Schwarzkopf D, Doenst T. et al. Perioperative fluid therapy with tetrastarch and gelatin in cardiac surgery–a prospective sequential analysis*. Crit Care Med 2013; 41: 2532-2542
54 Toraman F, Evrenkaya S, Yuce M. et al. Highly positive intraoperative fluid balance during cardiac surgery is associated with adverse outcome. Perfusion 2004; 19: 85-91
55 Maas JJ, Pinsky MR. et al. Wilde RB de et al. Cardiac output response to norepinephrine in postoperative cardiac surgery patients: interpretation with venous return and cardiac function curves. Crit Care Med 2013; 41: 143-150
56 Günnicker M, Brinkmann M, Donovan TJ. et al. The efficacy of amrinone or adrenaline on low cardiac output following cardiopulmonary bypass in patients with coronary artery disease undergoing preoperative beta-blockade. Thorac Cardiovasc Surg 1995; 43: 153-160
57 Romson JL, Leung JM, Bellows WH. et al. Effects of dobutamine on hemodynamics and left ventricular performance after cardiopulmonary bypass in cardiac surgical patients. Anesthesiology 1999; 91: 1318-1328
58 Gillies M, Bellomo R, Doolan L. et al. Bench-to-bedside review: Inotropic drug therapy after adult cardiac surgery – a systematic literature review. Crit Care 2005; 9: 266-279
59 Backer DD, Biston P, Devriendt J. et al. Comparison of dopamine and norepinephrine in the treatment of shock. N Engl J Med 2010; 362: 779-789
60 Murphree SS, Saffitz JE. Distribution of beta-adrenergic receptors in failing human myocardium. Implications for mechanisms of down-regulation. Circulation 1989; 79: 1214-1225
61 Smiley RM, Pantuck CB, Chadburn A. et al. Down-regulation and desensitization of the beta-adrenergic receptor system of human lymphocytes after cardiac surgery. Anesth Analg 1993; 77: 653-661
62 Metra M, Nodari S, DʼAloia A. et al. Beta-blocker therapy influences the hemodynamic response to inotropic agents in patients with heart failure: a randomized comparison of dobutamine and enoximone before and after chronic treatment with metoprolol or carvedilol. J Am Coll Cardiol 2002; 40: 1248-1258
63 Schumann J, Henrich EC, Strobl H. et al. Inotropic agents and vasodilator strategies for the treatment of cardiogenic shock or low cardiac output syndrome. Cochrane Database Syst Rev 2018; (01) CD009669
64 Hajjar LA, Vincent J-L, Galas FRBG. et al. Vasopressin versus Norepinephrine in Patients with Vasoplegic Shock after Cardiac Surgery: The VANCS Randomized Controlled Trial. Anesthesiology 2017; 126: 85-93
65 Jebeli M, Ghazinoor M, Mandegar MH. et al. Effect of milrinone on short-term outcome of patients with myocardial dysfunction undergoing coronary artery bypass graft: A randomized controlled trial. Cardiol J 2010; 17: 73-78
66 Jenkins IR, Dolman J, OʼConnor JP. et al. Amrinone versus dobutamine in cardiac surgical patients with severe pulmonary hypertension after cardiopulmonary bypass: a prospective, randomized double-blinded trial. Anaesth Intens Care 1997; 25: 245-249
67 Mebazaa A, Pitsis AA, Rudiger A. et al. Clinical review: practical recommendations on the management of perioperative heart failure in cardiac surgery. Crit Care 2010; 14: 201-214
68 Shahin J, DeVarennes B, Tse CW. et al. The relationship between inotrope exposure, six-hour postoperative physiological variables, hospital mortality and renal dysfunction in patients undergoing cardiac surgery. Crit Care 2011; 15: R162
69 Nielsen DV, Hansen MK, Johnsen SP. et al. Health outcomes with and without use of inotropic therapy in cardiac surgery: results of a propensity score-matched analysis. Anesthesiology 2014; 120: 1098-1108
70 Gaudino M, Antoniades C, Benedetto U. et al. Mechanisms, Consequences, and Prevention of Coronary Graft Failure. Circulation 2017; 136: 1749-1764
71 Williams JB, Hernandez AF, Li S. et al. Postoperative inotrope and vasopressor use following CABG: outcome data from the CAPS-care study. J Cardiac Surg 2011; 26: 572-578
72 Callahan LA, Nethery D, Stofan D. et al. Free radical-induced contractile protein dysfunction in endotoxin-induced sepsis. Am J Resp Cell Mol 2001; 24: 210-217
73 Hu Y, Yang X, Zhang L. et al. Perioperative diltiazem or nitroglycerin in on-pump coronary artery bypass: A systematic review and network meta-analysis. Plos One 2018; 13: e0203315
74 Skarvan K, Zuber M, Seeberger M. et al. Immediate effects of mitral valve replacement on left ventricular function and its determinants. Eur J Anaesth 1999; 16: 590-599
75 Mathew JP, Parks R, Savino JS. et al. Atrial fibrillation following coronary artery bypass graft surgery: predictors, outcomes, and resource utilization. MultiCenter Study of Perioperative Ischemia Research Group. JAMA 1996; 276: 300-306
76 Arsenault KA, Yusuf AM, Crystal E. et al. Interventions for preventing post-operative atrial fibrillation in patients undergoing heart surgery. Cochrane Database Syst Rev 2013; (01) CD003611
77 Ommen SR, Odell JA, Stanton MS. Atrial arrhythmias after cardiothoracic surgery. N Engl J Med 1997; 336: 1429-1434
78 Howitt SH, Grant SW, Campbell NG. et al. Are Serum Potassium and Magnesium Levels Associated with Atrial Fibrillation After Cardiac Surgery?. J Cardiothorac Vasc Anesth 2020; 34: 1152-1159
79 Soar J, Nolan JP, Böttiger BW. et al. European Resuscitation Council Guidelines for Resuscitation 2015: Section 3. Adult advanced life support. Resuscitation 2015; 95: 100-147
80 Papiris SA, Triantafillidou C, Kolilekas L. et al. Amiodarone: review of pulmonary effects and toxicity. Drug Safety 2010; 33: 539-558
81 Moss AJ, Zareba W, Hall WJ. et al. Prophylactic implantation of a defibrillator in patients with myocardial infarction and reduced ejection fraction. N Engl J Med 2002; 346: 877-883
82 Maisel WH, Epstein AE. et al. The role of cardiac pacing: American College of Chest Physicians guidelines for the prevention and management of postoperative atrial fibrillation after cardiac surgery. Chest 2005; 128 (Suppl. 02) 36S-38S
83 Dzemali O, Bakhtiary F, Israel CW. et al. Impact of different pacing modes on left ventricular function following cardiopulmonary bypass. Thorac Cardiovasc Surg 2008; 56: 87-92
84 Al-Ghamdi B, Mallawi Y, Shafquat A. et al. Predictors of permanent pacemaker implantation after coronary artery bypass grafting and valve surgery in adult patients in current surgical era. Cardiol Res 2016; 7: 123-129
85 Johnson D, Hurst T, Thomson D. et al. Respiratory function after cardiac surgery. J Cardiothorac Vasc Anesth 1996; 10: 571-577
86 Camp SL, Stamou SC, Stiegel RM. et al. Can timing of tracheal extubation predict improved outcomes after cardiac surgery?. HSR Proc Intensive Care Cardiovasc Anesth 2009; 1: 39-47
87 Ranucci M, Bellucci C, Conti D. et al. Determinants of early discharge from the intensive care unit after cardiac operations. Ann Thorac Surg 2007; 83: 1089-1095
88 Cheng DC, Karski J, Peniston C. et al. Early tracheal extubation after coronary artery bypass graft surgery reduces costs and improves resource use: a prospective, randomized, controlled trial. Anesthesiology 1996; 85: 1300-1310
89 Myles PS, Daly DJ, Djaiani G. et al. A systematic review of the safety and effectiveness of fast-track cardiac anesthesia. Anesthesiology 2003; 99: 982-987
90 Bainbridge D, Cheng D. Current evidence on fast track cardiac recovery management. European Heart Journal Supplements 2017; 19 (Suppl. A) A3-A7
91 Totonchi Z, Azarfarin R, Jafari L. et al. Feasibility of on-table extubation after cardiac surgery with cardiopulmonary bypass: a randomized clinical trial. Anesthesiol Pain Medicine 2018; 8: e80158
92 Dyke C, Aronson S, Dietrich W. et al. Universal definition of perioperative bleeding in adult cardiac surgery. J Thorac Cardiovasc Surg 2014; 147: 1458-1463.e1
93 Kinnunen E-M, Juvonen T, Airaksinen KEJ. et al. Clinical significance and determinants of the universal definition of perioperative bleeding classification in patients undergoing coronary artery bypass surgery. J Thorac Cardiovasc Surg 2014; 148: 1640-1646.e2
94 Bennett-Guerrero E, Zhao Y, OʼBrien SM. et al. Variation in use of blood transfusion in coronary artery bypass graft surgery. JAMA 2010; 304: 1568-1575
95 Kilic A, Whitman GJR. Blood transfusions in cardiac surgery: indications, risks, and conservation strategies. Ann Thorac Surg 2014; 97: 726-734
96 Paone G, Likosky DS, Brewer R. et al. Transfusion of 1 and 2 units of red blood cells is associated with increased morbidity and mortality. Ann Thorac Surg 2014; 97: 87-94
97 Karkouti K, Wijeysundera DN, Yau TM. et al. The independent association of massive blood loss with mortality in cardiac surgery. Transfusion 2004; 44: 1453-1462
98 Pagano D, Milojevic M, Meesters MI. et al. 2017 EACTS/EACTA Guidelines on patient blood management for adult cardiac surgery. Eur J Cardiothorac Surg 2017; 53: 79-111
99 Hajjar LA, Vincent J-L, Galas FRBG. et al. Transfusion requirements after cardiac surgery: the TRACS randomized controlled trial. JAMA 2010; 304: 1559-1567
100 Sarani B, Dunkman WJ, Dean L. et al. Transfusion of fresh frozen plasma in critically ill surgical patients is associated with an increased risk of infection. Crit Care Med 2008; 36: 1114-1118
101 Whitlock R, Crowther MA, Ng HJ. Bleeding in cardiac surgery: its prevention and treatment–an evidence-based review. Crit Care Clin 2005; 21: 589-610
102 Kutcher ME, Kornblith LZ. et al. A paradigm shift in trauma resuscitation. JAMA Surg 2013; 148: 834
103 Reynolds BR, Forsythe RM, Harbrecht BG. et al. Hypothermia in massive transfusion: have we been paying enough attention to it?. J Trauma Acute Care Surg 2012; 73: 486-491
104 Spahn DR, Bouillon B, Cerny V. et al. The European guideline on management of major bleeding and coagulopathy following trauma: fifth edition. Crit Care 2019; 23: 98
105 Brown C, Joshi B, Faraday N. et al. Emergency cardiac surgery in patients with acute coronary syndromes: a review of the evidence and perioperative implications of medical and mechanical therapeutics. Anesth Analg 2011; 112: 777-799
106 Perkins JG, Cap AP, Weiss BM. et al. Massive transfusion and nonsurgical hemostatic agents. Crit Care Med 2008; 36 (Suppl.) S325-S339
107 Arnékian V, Camous J, Fattal S. et al. Use of prothrombin complex concentrate for excessive bleeding after cardiac surgery. Interact Cardiovasc Thorac Surg 2012; 15: 382-389
108 Vivacqua A, Koch CG, Yousuf AM. et al. Morbidity of bleeding after cardiac surgery: is it blood transfusion, reoperation for bleeding, or both?. Ann Thorac Surg 2011; 91: 1780-1790
109 Kornhall DK, Dolven T. Resuscitative thoracotomies and open chest cardiac compressions in non-traumatic cardiac arrest. World J Emerg Surg 2014; 9: 54
110 Gill R, Herbertson M, Vuylsteke A. et al. Safety and Efficacy of Recombinant Activated Factor VII. Circulation 2009; 120: 21-27
111 Levi M, Levy JH, Andersen HF. et al. Safety of recombinant activated factor VII in randomized clinical trials. N Engl J Med 2010; 363: 1791-1800
112 European Delirium Association, American Delirium Society. The DSM-5 criteria, level of arousal and delirium diagnosis: inclusiveness is safer. BMC Med 2014; 12: 141
113 Rudolph JL, Jones RN, Grande LJ. et al. Impaired Executive Function Is Associated with Delirium After Coronary Artery Bypass Graft Surgery. J Am Geriatr Soc 2006; 54: 937-941
114 Maldonado JR. Neuropathogenesis of delirium: review of current etiologic theories and common pathways. Am J Geriat Psychiat 2013; 21: 1190-1222
115 Siddiqi N, Harrison JK, Clegg A. et al. Interventions for preventing delirium in hospitalised non-ICU patients. Cochrane Database Syst Rev 2016; (03) CD005563
116 van den Boogaard M, Slooter AJC, Brüggemann RJM. et al. Effect of haloperidol on survival among critically ill adults with a high risk of delirium: The REDUCE randomized clinical trial. JAMA 2018; 319: 680-690
117 Regenmortel NV, Jorens PG, Malbrain MLNG. Fluid management before, during and after elective surgery. Curr Opin Crit Care 2014; 20: 390-395
118 Walsh SR, Cook EJ, Bentley R. et al. Perioperative fluid management: prospective audit. Int J Clin Pract 2007; 62: 492-497
119 Truong AD, Fan E, Brower RG. et al. Bench-to-bedside review: mobilizing patients in the intensive care unit–from pathophysiology to clinical trials. Crit Care 2009; 13: 216
120 Westerdahl E, Möller M. Physiotherapy-supervised mobilization and exercise following cardiac surgery: A national questionnaire survey in Sweden. J Cardiothorac Surg 2010; 5: 67
121 Rosenberger LH, Politano AD, Sawyer RG. The surgical care improvement project and prevention of post-operative infection, including surgical site infection. Surg Infect (Larchmt) 2011; 12: 163-168
122 Guillou VL, Tavolacci M-P, Baste J-M. et al. Surgical site infection after central venous catheter-related infection in cardiac surgery. Analysis of a cohort of 7557 patients. J Hosp Infect 2011; 79: 236-241
123 Lazarescu C, Kara-Mostefa S, Parlanti J-M. et al. Reassessment of the natural evolution and complications of temporary epicardial wires after cardiac surgery. J Cardiothorac Vasc Anesth 2014; 28: 506-511
124 Smulders YM, Wiepking ME, Moulijn AC. et al. How soon should drainage tubes be removed after cardiac operations?. Ann Thorac Surg 1989; 48: 540-543