Surgery in the Cardiovascular Surgical Intensive Care Unit

Cirugía española
Juan Fernando EncaladaCarlos-Alberto Mestres

Abstract

To analyze the indications, actions and results of the operations performed in the Cardiovascular Surgery Intensive Care Unit. Retrospective analysis of consecutive non-selected adult patients operated in the ICU. All operations were included. Descriptive statistics were used. Between 2008 and 2013, 3379 consecutive adult patients were operated upon. A total of 124 operations were performed in the ICU in 109 patients, 70 male (64.2%) and 39 female (35.8%) with a mean age of 61.6 years (12-80). This represented 3.2% of all operations. During the study period, 185 patients (5.5%) were reoperated for postoperative bleeding/tamponade in the operating room. The index interventions were for valvular heart disease (34.9%), aortic disease (22.9%), ischemic heart disease (15.6%), combined valvular/ischemic (12%), valvular/aorta (11%) and miscellaneous (3.6%). The indications for reoperation were persistent bleeding 54 (43.5%), pericardial tamponade 41 (33%), low cardiac output 13 (10.5%), cardiac arrest/arrhythmia 8 (6.5%), respiratory insufficiency 6 (4.8%) and acute ischemic limb 2 (1.7%). Operations performed were: mediastinal exploration 73 (58.9%), implant/removal of ECMO 17 (13.7%), sternal closure 16 (12.9%), open resuscitation 9...Continue Reading

References

May 1, 1991·The Annals of Thoracic Surgery·C A MestresJ Mulet
Jun 1, 1990·The Annals of Thoracic Surgery·G C KaiserV L Willman
Oct 1, 1981·The Annals of Thoracic Surgery·R M Fairman, L H Edmunds
Jun 28, 2001·The Annals of Thoracic Surgery·S M FiserI L Kron
Dec 22, 2005·The Annals of Thoracic Surgery·Charalambos P CharalambousDanny J Keenan
Mar 4, 2008·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Cary W AkinsBruce W Lytle
Mar 22, 2008·The Annals of Thoracic Surgery·Cary W AkinsUNKNOWN EACTS
Apr 1, 2008·The Journal of Thoracic and Cardiovascular Surgery·Cary W AkinsUNKNOWN Ad Hoc Liaison Committee for Standardizing Definitions of Prosthetic Heart Valve Morbidity
Mar 20, 2009·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Joel DunningUNKNOWN EACTS Clinical Guidelines Committee
Jun 13, 2009·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Eric M Rottenberg
Mar 1, 2012·Interactive Cardiovascular and Thoracic Surgery·Katrine Lawaetz KristensenBo Juel Kjeldsen
Jun 7, 2013·Circulation·UNKNOWN WRITING COMMITTEE MEMBERSUNKNOWN American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines
Sep 1, 2014·The Annals of Thoracic Surgery·Damien J LaParIrving L Kron

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Brain Ischemia

Brain ischemia is a condition in which there is insufficient blood flow to the brain to meet metabolic demand. Discover the latest research on brain ischemia here.

Related Papers

Revista portuguesa de cirurgia cardio-torácica e vascular : órgão oficial da Sociedade Portuguesa de Cirurgia Cardio-Torácica e Vascular
Pedro CoelhoJosé Roquette
© 2021 Meta ULC. All rights reserved