Nihan YAPICI

Kalp cerrahisi yoğun bakımdan kim sorumlu olmalı? Kardiyak anestezist/yoğun bakım uzmanı bakış açısından

Kalp damar yoğun bakım ünitesi, üçüncü düzey yoğun bakım ünitelerinin en karmaşık ve özellikli hasta grubuna hizmet vermektedir. Multidisipliner yaklaşım gerektiren bu hastalarda yoğun bakım ünitesinde tedavi sürecine hangi klinisyenin önderlik edeceği hep bir tartışma konusu olmuştur. Cerrahinin esas çalışma alanının ameliyathaneler olarak görülmesi, yoğun bakım ünitelerinin ikinci planda kalmasına neden olmaktadır. Bu nedenle, kardiyak anestezistlerinin de yoğun bakım ünitesinde görev alması; sorumluluğun paylaşılması, multidisipliner tedavi yaklaşımlarının ve anestezi-yoğun bakım ünitesi dallarındaki gelişmelerin kalp damar yoğun bakım ünitelerinde ivedilikle uygulanabilmesi anlamına gelecektir.

Who should be responsible from cardiac surgery intensive care? From the perspective of a cardiac anesthesiologist/intensive care specialist

Cardiovascular intensive care unit serves the most complicated and selected patient group in the third-level intensive care units. There has been always a debate as to which clinician would lead the treatment process in the intensive care unit for these patients which require a multidisciplinary approach. Considering operating rooms as primary working areas of surgery has caused intensive care units to be of secondary importance. Therefore, the assignment of cardiac anesthesiologists in the intensive care unit would imply sharing of responsibility, provision of multidisciplinary treatment, and immediate application of the advances in anesthesiology-intensive care unit branches in cardiovascular intensive care units.

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