28 – Acute Dyspnoea and Respiratory Failure

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28 Acute Dyspnoea and Respiratory Failure Ken Kuljit Parhar Introduction Respiration is a complex process during which gas exchange occurs between the respiratory system of the patient and the surrounding…

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32 – The Infected Patient

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32 The Infected Patient Simon J Finney Infection is a common problem for patients in cardiothoracic intensive care units (CT ICUs) and although it may be the primary reason for…

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29 – Shock in the Cardiothoracic Intensive Care Unit

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29 Shock in the Cardiothoracic Intensive Care Unit Fabio Guarracino and Rubia Baldassarri Definition Shock may be defined as acute circulatory failure characterised by inadequate tissue perfusion and cellular damage. The…

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21 – Percutaneous Mechanical Circulatory Support

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21 Percutaneous Mechanical Circulatory Support Evgeny Pavlushkov and Marius Berman Short-term mechanical circulatory support (MCS) devices are used to maintain haemodynamic stability in cardiogenic shock and provide reliable oxygenation in…

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23 – Cardiac Extracorporeal Membrane Oxygenation

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23 Cardiac Extracorporeal Membrane Oxygenation Jason M Ali and David P Jenkins Extracorporeal membrane oxygenation (ECMO) is an advanced form of temporary life support to aid respiratory and/or cardiac function…

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25A – Resuscitation after Adult Cardiac Surgery

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25A Resuscitation after Adult Cardiac Surgery Jonathan H Mackay Defibrillation, ventilation, pacing and resuscitation are essential components of cardiac surgical care. The 2015 European Resuscitation Council (ERC) guidelines report the…

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22 – Ventricular Assist Devices (VAD)

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22 Ventricular Assist Devices (VAD) Harikrishna M Doshi and Steven SL Tsui Introduction The UK National Heart Failure Audit 2013–2014 estimated that there are 2 million people in the UK…

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