Thank you very much for your comments and insightful questions. Since we implemented the simulation training, which we complete twice a year, we have not had to perform an emergent resternotomy in the intensive care unit (ICU). Having said that, the 2017 Society of Thoracic Surgeons postcardiac surgery arrest protocol1 has been a part of the simulation training, and we have seen that all staff follow this specialized cardiopulmonary rescucitation protocol when needed (which is more often than having to perform a resternotomy). This situation was certainly not the case before we implemented our simulation training, when most ICU staff would follow the traditional Advanced Cardiac Life Support protocol. There is definitely a sense of comfort among our nursing staff and advanced practice providers with both postcardiac surgery cardiac arrest resuscitation and being prepared to perform a sternotomy in the ICU. The didactic slides, followed immediately by simulation scenarios...
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1 February 2025
Letter to the Editor|
February 01 2025
The Authors Respond
Athanasios Tsiouris, MD, PhD
Athanasios Tsiouris, MD, PhD
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Crit Care Nurse (2025) 45 (1): 11.
Citation
Athanasios Tsiouris; The Authors Respond. Crit Care Nurse 1 February 2025; 45 (1): 11. doi: https://doi.org/10.4037/ccn2025736
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