Patient population includes post-op cardiac surgery (CABG, MVR, AVR), cardiac surgery re-admissions/ICU bounce-backs, structural heart-TAVR, mitral clips, pre-op cardiac patients, STEMI/NSTEMI, cardiogenic shock, and Inari procedures. Manages complex post-op patients requiring multiple inotropic medications, hemodynamic instability management, active cardiac output management, extreme coagulopathy, open chest, OHS/Impella, ECMO (perfusionist on-site), CRRT (dialysis on-site), and IABP.