The Journal of Thoracic and Cardiovascular Surgery, Vol 87, 629-630, Copyright © 1984 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
Who manages the postoperative cardiac patient?
IL Kron, DL Kaiser, SP Nolan, IK Crosby, RM Mentzer and K Rheuban
Information on the role of the intensivist in postoperative cardiovascular
patient care was obtained from a national survey of cardiac surgeons. The
cardiac surgeon today retains overall responsibility for patient care.
However, when intensivists are present, they significantly reduce the
involvement of the cardiac surgeon in most aspects of patient care,
particular ventilatory support. Intensivists are less likely to practice in
nonteaching hospitals and less likely to be present in those cardiac
surgical units that are not combined with other services. Because of the
preponderance of intensivists in training programs, the surgical resident's
role in patient care may be reduced in the future.