Table 1.
Broad Area | Specific Topics |
---|---|
Hemodynamic Monitoring | |
PAC use in cardiogenic shock | |
Non-invasive hemodynamics devices | |
Evidenced based use of POCUS | |
Respiratory Management | |
Strategies to avoid invasive mechanical ventilation | |
Efficacy and safety of alternative ventilatory modes and settings | |
Heart-lung interactions with positive pressure ventilation | |
Optimal extubation strategies | |
Sedation and analgesia for mechanical ventilation | |
Arterial oxygen and carbon dioxide targets for cardiac patients | |
Acute Arrhythmias | |
Ventricular tachycardia storm management | |
Acute treatment of rapid atrial fibrillation | |
Medical management of unstable bradyarrhythmias | |
Prognostication/Advanced Phenotyping | |
Appropriateness criteria for triage to the CICU | |
Risk prediction across various diagnoses, (e.g., acute heart failure, cardiogenic shock, cardiac arrest) | |
Neuroprognostication after cardiac arrest | |
Deep phenotyping to tailor therapies (e.g., cardiogenic shock type to tailored medical or mechanical therapy) | |
Application of biomarkers and proteomics for prognostication | |
Identifying futility to better counsel patients/families | |
Quantifying the impact of frailty on outcomes and response to therapies | |
Selection of patients for transfer to advanced care centers | |
Timing of palliative care involvement | |
Cardiogenic Shock | |
Improving medical management paradigms | |
Identifying evidence-based approaches to and selection of MCS | |
Optimal hemodynamic targets (e.g., mean arterial pressure) | |
Management of acute and chronic right ventricular failure | |
Strategies for identifying and managing mixed shock | |
Mitigation of device complications | |
Venting strategies for ECMO | |
Cardiac Arrest | |
Post-cardiac arrest management (e.g., temperature targets) | |
Strategies to optimize ECMO for cardiopulmonary resuscitation | |
CCC Education/Staffing | |
Delineation of the skills and training for CICU practitioners | |
Appropriate staffing models stratified by CICU level | |
Renal Management | |
Identification and treatment of cardiorenal syndrome | |
Timing and modes of renal replacement therapy in cardiac patients | |
Research Methods | |
Methods and strategies for implementation of structured severity staging within registries and clinical trials | |
Applications of artificial intelligence in the data rich CICU | |
Ethical and efficient informed consent in CCC research | |
Implementation of novel and pragmatic trial designs, including Bayesian adaptive designs, registry and EHR-based studies | |
Post-Cardiotomy Critical Care |
PAC = Pulmonary artery catheter; POCUS = Point-of-care ultrasound; CICU = Cardiac intensive care unit; MCS = Mechanical circulatory support; ECMO = Extracorporeal membrane oxygenation; CCC = Critical care cardiology; EHR = Electronic heath record