12. POSTOPERATIVE MANAGEMENT IN THE INTENSIVE CARE UNIT Successful outcomes after cardiac surgery for LT-MCS depend on optimum postoperative care in the intensive care unit. Key elements of this multifaceted bundle of care include appropriate monitoring, with specific attention to right ventricular function, optimized volume and inotropic support, adequate management of sedation, analgesia, and ventilation and appropriate anticoagulation and transfusion strategies. Patients supported with LT-MCS should have standard monitoring used in the institution for patients after cardiac surgery. Additional monitoring specific for these patients is presented below.