Cardiothoracic surgical nursing has undergone immense change over the past decade, owing in part to professional, economic and societal changes. The profile of patients undergoing cardiothoracic surgery has also changed as cardiothoracic surgery is performed upon the more elderly, the high-risk or those with co- morbidity. Although previously considered at too high a risk for surgery, improved surgical techniques, pharmacology and pre- and post-operative care have resulted in a successful outcome for many patients and a return to an improved quality of life