Who manages the postoperative cardiac patient?

Information on the role of the intensivist in postoperative cardiovascular patient care was obtained from a national survey of cardiac surgeons. The cardiac surgeon today retains overall responsibility for patient care. However, when intensivists are present, they significantly reduce the involvement of the cardiac surgeon in most aspects of patient care, particular ventilatory suppport. Intensivists are less likely to practice in nonteaching hospitals and less likely to be present in those cardiac surgical units that are not combined with other services. Because of the preponderance of intensivists in training programs, the surgical resident's role in patient care may be reduced in the future.