Intro to the Cardiovascular ICU
Most people are familiar with the term “Intensive Care Unit,” which refers to a special area of the hospital for patients recovering from more severe injuries or intensive surgeries. But most people don’t know that there is specialized intensive care for patients who have cardiovascular conditions. The cardiovascular intensive care unit, or CVICU, is dedicated to caring for patients who are recovering from cardiovascular surgery.
Who Goes to the CVICU
Virtually any patient who undergoes heart surgery benefits from a stay in the CVICU. Patients usually stay there for one to three days after the following procedures:
· Open heart surgery, such as coronary artery bypass (CABG) or valve repair
· Repair of an aneurysm, blocked artery, or dysfunctional valve
· Thoracic surgery, where there’s an incision in the lung or chest wall
· Angioplasty or stent placement following a heart attack
· Placement of an Intra Aortic Balloon Pump (IABP), a catheter-inserted balloon placed near the heart that inflates with each beat, allowing the heart to rest
Patients who are on medication to control their blood pressure, suffer an arrhythmia, or have been diagnosed with congestive heart failure (CHF) may also be admitted to the CVICU for recovery after surgeries.
What to Expect in the CVICU
Every patient is different, and it’s important to speak to your doctor about what to expect before any cardiovascular procedure. Share your concerns so that the cardiac surgeon can make you—and your family—feel more confident about your care and recovery.
- While most heart surgery takes about 2-4 hours, the entire process (from admitting to post-op) can take more like 4-6 hours. Let family members know what to expect, and find out where they can get information about how your procedure is progressing.
- The cardiac surgeon will generally come out to talk to family members or loved ones once the procedure is complete. After that, it may take a little while for visitors to be allowed to visit the patient.
- Patients are brought straight from surgery to the CVICU. They usually stay no more than three days, although this can vary based on the patient’s overall physical condition and other factors.
- There is usually quite a bit of equipment in the CVICU. Each may have its own beeps or flashes. The nurse can explain the purpose of each. A nurse will also stay with the patient for the first 24 hours after surgery, monitoring vital signs and ensuring that the patient is as comfortable as possible.
- Some patients may need a respirator (also called a ventilator or breathing machine) after a cardiac surgery or thoracic surgery. The respirator is placed in the patient’s throat, past the vocal cords. It does impede talking, but generally can be removed within 4 to 8 hours of the procedure.
- Patient comfort is always a priority. Nurses will monitor patients’ pain levels and work hard to keep them comfortable. Patients will also remain sedated until their vital signs are stable.
If you have questions about cardiovascular care or heart surgery, please contact us at Lawnwood Regional Medical Center and Heart Institute. Visit us online or call Consult-a-Nurse® at -800-382-3522 for answers to your questions and free physician referrals.
August 31, 2010 | Posted by Lawnwood Regional Medical Center
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