Most patients in cardiac intensive care are post surgery. The type of surgery may be CABG, valve repair/replacement, heart or lung transplant. Ocassionally patients may be admitted for preop stabilisation.
Hand Over following CABG:
1. Know the number of grafts done.
2. Whether radial artery was used.
3. Pre -op LV function. Intraop TOE finding
4. Bypass and cross clamp time
5. Intraop hemodynamic instability
6. Ease of coming off bypass
7. Post bypass supports - pharmacological, mechanical and electrical(pacing)
8. Underlying rhythm.
9. Plan
Things to do on arrival:
1. Connect to ventilator and confirm air entry and ventilator settings
2. Do 12 lead ECG
3. Monitor bleeding - inform surgeons if >400ml in first hour, >250 in next three hours.
4. See the blood gas and adjust ventilation
5. Fill in the drug chart.
6. Go through the clinical notes - co-existing illness, medications, allergies.
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