Perioperative Critical Care

Atul P Kulkarni MD Professor and Head, Division of Critical Care JV Divatia MD Professor and Head Sohan Lal Solanki MD PDCC MAMS Professor All at Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Mumbai, Maharashtra, India

Section 1 General





Critical care in perioperative period - need, indications, infrastructure and staffing
Supplemental oxygenation
Airway management in critical care setting
Pain, agitation and delirium in postoperative period
Goal directed fluid therapy in perioperative critical care
Shock in postoperative period
Fluid and electrolyte disturbances in the perioperative period
Arterial blood gas analysis
Acute respiratory failure and mechanical ventilation in postoperative critical care
Venous and pulmonary thromboembolism


 



Section 2 Cardiothoracic and Vascular





CABG - On pump and off pump
Pediatric cardiac surgeries - cyanotic and acyanotic
Valvular heart surgeries
Blunt trauma chest surgeries
Mediastinal mass excision
Major lung resections - pneumonectomies and lobectomies
Tracheal tumor surgeries
Major Vascular surgeries
Oesophageal surgeries - transthoracic, transhiatal
Perioperative MI


 



Section 3 Neurosciences





Brain aneurysmal surgeries
Brain tumor surgeries including awake craniotomy
Spinal surgeries
Management of patients after surgery for neurotrauma


 



Section 4 Pediatrics





Surgeries for developmental defects - TOF, diaphragmatic hernia, anorectal malformations
Perioperative management of pediatric major abdominal cancer surgeries


 



Section 5 Obstetrics & Gynecology





Postpartum obstetric hemorrhage
Major gynecological cancer surgeries
Perioperative management of patients with pre-eclampsia and eclampsia
Non obstetric major surgeries in pregnant patient


 



Section 6 Gastrointestinal





Perioperative management of major Abdominal Surgeries-Pancreas, Stomach, retroperitoneal mass
Major liver resections
Perioperative management of colorectal surgeries
Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy
Blunt trauma abdomen
Emergency laparotomy including damage control surgeries
Intra-abdominal hypertension and abdominal compartment syndrome


 



Section 7 Genitourinary





Bladder and prostate cancer surgeries
Renal tumor surgeries including IVC thrombus
Adrenal and extraadrenal pheochromocytoma


 



Section 8 Orthopedics





Hemi-pelvectomies
Perioperative management of major orthopedic trauma including pelvis fracture


 



Section 9 Head and Neck





Major head and neck cancer surgeries
Skull base surgeries including pituitary surgery


 



Section 10 Transplantation





Renal transplantation
Perioperative care of patients undergoing liver transplant
Perioperative care of patients undergoing heart transplant
Perioperative care of patients undergoing lung transplant


 



Section 11 Miscellaneous





Nutrition in perioperative critical care setting
Prehabilitation and rehabilitation
ICU physiotherapy and weaning
Hemodynamic monitoring in postoperative critical care
Vasoactive agents
Blood transfusion in the perioperative period
Role of POCUS in the perioperative period
Management of hypertension in the perioperative period
Antibiotic strategies in postoperative period
Trans-thoracic echocardiography
Trans-esophageal echocardiography
Renal replacement therapy
Postoperative pulmonary complications and treatment
Perioperative mechanical ventilation
Sepsis and infection control in perioperative critical care
Critical care nursing
Audit and quality improvement in perioperative critical care
Communication in the perioperative period
Evaluation and management of obstructive sleep apnea during perioperative care
Neonatal postoperative critical care