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Year in Review 2023: Noteworthy Literature in Cardiothoracic Critical Care
Sarah Alber1, Kenji Tanabe1, Andrew Hennigan1
1University of Colorado, Aurora, CO, USA.
This review highlights key 2023 research and guidelines for critically ill cardiothoracic surgical patients, covering resuscitation, nutrition, ECMO, and ARDS management.
Area of Science:
- Critical Care Medicine
- Cardiothoracic Surgery
- Pulmonary Medicine
Background:
- Optimal care for critically ill cardiothoracic surgical patients requires continuous integration of new evidence.
- The year 2023 saw significant advancements and guideline updates impacting this patient population.
Purpose of the Study:
- To synthesize and present pivotal research and society recommendations from 2023.
- To provide a concise overview of advancements in critical care for cardiothoracic surgical patients.
Main Methods:
- Systematic review of 3,214 articles published in 2023.
- Selection of 18 high-impact publications relevant to cardiothoracic critical care.
- Categorization of findings across diverse clinical topics.
Main Results:
- Identified key advancements in resuscitation strategies.
- Highlighted new insights into nutrition and antibiotic management.
- Summarized updates on extracorporeal membrane oxygenation (ECMO) and neurologic care post-cardiac arrest.
- Reviewed literature on coagulopathy, transfusion, steroid use in pulmonary infections, and Acute Respiratory Distress Syndrome (ARDS) guidelines.
Conclusions:
- The reviewed literature provides crucial updates for managing critically ill cardiothoracic surgical patients.
- Adherence to these findings and guidelines can optimize patient outcomes.
- Ongoing evaluation of research is essential for evidence-based critical care in this specialty.
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