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, 1985·The Annals of Thoracic Surgery·R L McKowenT D Maher
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
Apr 25, 2006·The Annals of Thoracic Surgery·Joel DunningAdrian Levine
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
Sep 11, 2012·The Annals of Thoracic Surgery·Diana ReserSacha P Salzberg
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