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New challenges in cardiac intensive care units

Enzo Lüsebrink1,2, Antonia Kellnar1,2, Clemens Scherer1,2

  • 1Cardiac Intensive Care Unit, Medizinische Klinik und Poliklinik I, Klinikum der Universität München, Marchioninistraße 15, 81377, Munich, Germany.

Clinical Research in Cardiology : Official Journal of the German Cardiac Society
|May 9, 2021
PubMed

Insights

Critical care cardiology, or CICU, is a demanding subspecialty. Modern CICUs manage complex patients, requiring multidisciplinary expertise and advanced skills for critical cardiovascular conditions.

Area of Science:

  • Cardiology
  • Critical Care Medicine

Background:

  • Critical care cardiology has evolved significantly since the 1960s.
  • Modern cardiac intensive care units (CICUs) manage complex patients with high burdens of cardiovascular and non-cardiovascular critical illnesses.

Purpose of the Study:

  • To highlight the challenges and successful management strategies in CICUs.
  • To emphasize the need for integrating advanced CICU management into critical care training.

Main Methods:

  • Review of current practices in CICU patient management.
  • Focus on multidisciplinary approaches and specialized skills required.

Main Results:

  • CICUs require a combination of expertise in cardiovascular diseases, emergency, critical care, and internal medicine.
  • Technological innovations, including venoarterial extracorporeal membrane oxygenation (VA-ECMO), present new challenges and require specialized training.

Conclusions:

  • Successful management of complex CICU patient cohorts is crucial.
  • Advanced CICU management must become an integral part of critical care training for fellows-in-training (FIT).

Keywords:
Cardiac intensive care unitsInterventional cardiologyInterventional proceduresVenoarterial extracorporeal membrane oxygenation

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