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Workflow Processes
🛬
Receiving from OR
Handoff, first hours, POD#1
✅
Plan A Workflow
Extubation, transfer criteria, reasons to delay extubation
🛫
Sending to OR
NPO, consent, team notification
🏥
Morning Rounds
6am surgeons, intensivists rounds
🛏️
Bedflow & Transfers
Floor criteria, CICU/MICU transfers
📞
Communication
When to call, general rules
👥
Team Directory
APPs, surgeons, fellows, intensivists
Cardiac Surgical Procedures
🫀
CABG
Bypass, graft considerations
🫀
SAVR
Aortic valve replacement
🫀
MV Repair / Replacement
Mitral valve, SAM, AV block
🫀
TV Repair / Replacement
Tricuspid, RV function
🩸
Ascending Aorta / Arch
MAP goals, swallow eval, circ arrest
🩸
Open TAAA Repair
Spinal cord, mesenteric ischemia
💚
Heart Transplantation
RV failure, rejection, biopsy
🫁
Lung Transplantation
Vent targets, swallow eval, VV ECMO
🫁
PTE (Pulmonary Thromboendarterectomy)
Reperfusion, iNO, heparin
⚙️
LVAD (Surgical)
Flow, rpm, PI, RV function
🫀
TAVR
Access sites, AV block, RP hematoma
🩸
TEVAR / EVAR
Spinal cord ischemia, mesenteric ischemia
⚙️
Medical LVAD Admission
Pump thrombosis, ICH, RV dysfunction
Post-Surgical Complications
💔
Cardiogenic Shock
LV/RV dysfunction, MCS options
💧
Hypovolemic Shock
Bleeding, chest tube output, products
🩸
Bleeding / Coagulopathy
Goals, products, Belmont
🚨
Tamponade
TTE/TEE, OR preparation
💊
Vasoplegia
Pressor titration, volume, contractility
📈
Arrhythmias
Afib, VT, overdrive pacing
🫁
Respiratory Failure
ARDS, diuresis, iNO, VV ECMO
🧪
AKI
Perfusion, dialysis planning
Mechanical Cardiac Support
⚙️
IABP
Position, limb perfusion, weaning
⚙️
Impella
Size, position, suckdown, anticoag
🔄
VA ECMO
LV decompression, north-south, weaning
🔄
VV ECMO
Hypoxia, recirculation, sweep trial
🔄
V-AV ECMO
Hybrid support, flow distribution
⚙️
HM3 LVAD
Flow, rpm, PI, power, anticoag
⚙️
RVAD
Cannulation, rpm, RV parameters
🔧
ECMO Circuit Change
Blood products, team roles, emergent backup