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Point-of-Care Ultrasound (POCUS) is a bedside tool that increasingly is available in the health care setting. This video will demonstrate how to obtain images easily and how they can help clinicians diagnose and treat postoperative hypotension in critically ill patients.  

Presenters:
Jeffrey R. Kangas, MD
Detroit Medical Center

Frank A. Baciewicz Jr., MD
Wayne State University 

Understanding the dynamics of extracorporeal membrane oxygenation (ECMO) circuit pressure and flow is essential to guide decisions, including how much ECMO blood flow is appropriate during management, weaning, and specific clinical scenarios such as North-South or Harlequin syndrome. This video highlights the circuit-patient management interface for physicians.  

Presenters:
Rita Karianna Milewski, MD, PhD, MSEd
University of Pennsylvania

Cory M. Alwardt, PhD 
Mayo Clinic

Cardiac surgery is an underappreciated contributor to the opioid crisis, with patients commonly utilizing opioid prescriptions months after their index procedure. This video addresses the historical basis for opioid-based anesthesia and analgesia in cardiac surgery and describes five programmatic strategies to reduce the perioperative use of opioids.  

Presenter:
Michael C. Grant, MD, MSE
Johns Hopkins Medicine

Lactate production is a consequence of cardiac surgery and cardiopulmonary bypass. Patients with elevated lactate levels have increased 30-day mortality. This video addresses the etiology of elevated lactate and aggressive treatment to ensure the best postoperative outcome.

Presenters:
Shahnur Ahmed 
Wayne State University 

Frank A. Baciewicz Jr., MD
Wayne State University 

Vasoplegic shock after cardiopulmonary bypass is characterized by refractory hypotension and high cardiac output with systemic vasodilatation. It also is associated with increased mortality. In this video, the latest strategies to prevent, mitigate, and treat this common problem are discussed.

Presenter:
Subhasis Chatterjee, MD
Baylor College of Medicine

Contributor:
Joseph Rabin, MD
University of Maryland Medical Center

Importance of considering delirium as a medical emergency in the postoperative cardiac surgery patient.

Ventilatory management in the use of venovenous extracorporeal membrane oxygenation (ECMO), highlighting contemporary evidence to guide bedside decision-making.