Circulação Extracorpórea

Braile, Domingo Marcolino

doi:10.1590/s0102-76382010000400002

Cited by 6 publications

(4 citation statements)

References 25 publications

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“…Heart transplantation involves, among its stages, Extracorporeal Circulation (ECC), which allows direct manipulation of the heart, still, during surgery 3 . The ECC produces systemic inflammatory response by releasing catecholamines and changing the blood fluid and the electrolyte status, allowing disorders such as edema, leukocyte clumping, low output syndrome, infections and glycemic decompensation.…”

Section: Introductionmentioning

confidence: 99%

Surgical site infection in patients submitted to heart transplantation

Rodrigues

Ferretti-Rebustini

Poveda

2016

Rev. Latino-Am. Enfermagem

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Objectives: to analyze the occurrence and predisposing factors for surgical site infection in patients submitted to heart transplantation, evaluating the relationship between cases of infections and the variables related to the patient and the surgical procedure. Method: retrospective cohort study, with review of the medical records of patients older than 18 years submitted to heart transplantation. The correlation between variables was evaluated by using Fisher's exact test and Mann-Whitney-Wilcoxon test. Results: the sample consisted of 86 patients, predominantly men, with severe systemic disease, submitted to extensive preoperative hospitalizations. Signs of surgical site infection were observed in 9.3% of transplanted patients, with five (62.5%) superficial incisional, two (25%) deep and one (12.5%) case of organ/space infection. There was no statistically significant association between the variables related to the patient and the surgery. Conclusion: there was no association between the studied variables and the cases of surgical site infection, possibly due to the small number of cases of infection observed in the sample investigated.

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Section: Introductionmentioning

confidence: 99%

Surgical site infection in patients submitted to heart transplantation

Rodrigues

Ferretti-Rebustini

Poveda

2016

Rev. Latino-Am. Enfermagem

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“…A máquina é composta por um mecanismo que faz propulsão e aspiração do sangue (conectado ao corpo dos pacientes por circuitos tubulares), o oxigenador de membrana (onde ocorre a oxigenação do sangue), reservatório, "bio-pump" (bomba centrífuga), cardioplegia (sistema de mistura de sangue e solução cardioplégica) e os tubos, que são separados para os tipos de sangue (arterial e venosos). A CEC, também chamada de perfusão extracorpórea (PE), ocorre durante todo o tempo em que o coração é parado através de solução cardioplégica, para que ocorram os reparos cirúrgicos (Braile, 2010). A função primária da máquina de circulação extracorpórea (CEC) é fornecer suporte circulatório e respiratório sistêmico, enquanto acontece a intervenção cirúrgica, para o coração e grandes vasos, mas pode ser utilizada para administrar os medicamentos durante a cirurgia.…”

Section: E World Health Organization [Who] 2014)unclassified

Intracranial pressure changes of cardiac patients that have passed by extracorphorus circulation: A brief literature review

Cosmoski

Drewnowski

Bueno

et al. 2022

RSD

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In the course of cardiac surgery with cardiopulmonary bypass (CPB) many factors come into play. A lot of care is needed, in addition to the surgery itself, especially with regard to blood oxygenation, blood pressure and the formation of microemboli, which will directly influence the pathogenesis of neurological abnormalities found in the postoperative period. Elevations in the values of intracranial pressure (ICP) in adults can be small to severe, and may pose a threat to the patient's life, according to this increase. The objective of the present study is to discuss possible changes in the ICP of patients who underwent cardiac surgery as possible consequences of CPB. Since perfusion triggers the Systemic Inflammatory Response Syndrome, directly and indirectly interfering with the mechanisms that maintain brain compliance, such changes in ICP may occur as a consequence of CPB, however, investigations are needed to explain this possible relationship.

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“…Another important factor mentioned in the studies analyzed addresses the surgical condition, such as the use of CPB and/or TEE. CPB is commonly used during surgery of coronary and valvular insufficiencies because it allows safety optimization and provides reproducibility of results; however, due to its systemic inflammatory response, CPB is associated with postoperative complications (8,39) . Respiratory complications are the most important, because systemic inflammation alters the vascular permeability of the lung and also causes acute pulmonary injury, respiratory distress syndrome, increased incidence of pneumonia, and longer mechanical ventilation (MV) time (8,40,41) .…”

Section: Characterization Of Studiesmentioning

confidence: 99%

Fatores relacionados à disfagia orofaríngea no pós-operatório de cirurgia cardíaca: revisão sistemática

Werle

Steidl

Mancopes

2016

CoDAS

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RESUMO Objetivo Identificar os principais fatores relacionados à disfagia orofaríngea no pós-operatório de cirurgia cardíaca, por meio de uma revisão sistemática de literatura. Método Foi realizada pesquisa bibliográfica nas bases PubMed e ScienceDirect, utilizando os termos cardiac surgery, deglutition disorders e dysphagia. Critérios de seleção Foram selecionados artigos sem limitação de ano escritos em português, inglês ou espanhol e que referissem disfagia orofaríngea no pós-operatório de cirurgia cardíaca. Apenas os estudos disponíveis na íntegra foram incluídos. Análise dos dados Cada artigo passou pela análise de títulos e resumos, sendo posteriormente submetido à avaliação na íntegra por dois juízes cegados. Os seguintes dados foram extraídos: autores/ano, desenho do estudo, amostra, variáveis avaliadas e principais resultados. Resultados Os principais fatores relacionados à disfagia orofaríngea no pós-operatório de cirurgia cardíaca foram: idade avançada, presença de comorbidades e outras doenças associadas, tempo de intubação e condições cirúrgicas. Conclusão Os estudos foram bastante heterogêneos, demonstrando que sujeitos submetidos a procedimentos cirúrgicos cardíacos, em especial idosos, apresentam diversos fatores relacionados à disfagia orofaríngea no pós-operatório, como o uso de circulação extracorpórea e ecocardiografia transesofágica, comorbidades associadas, desenvolvimento de sepse pós-operatória e condições cardíacas prévias.

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Circulação Extracorpórea

Cited by 6 publications

References 25 publications

Surgical site infection in patients submitted to heart transplantation

Surgical site infection in patients submitted to heart transplantation

Intracranial pressure changes of cardiac patients that have passed by extracorphorus circulation: A brief literature review

Fatores relacionados à disfagia orofaríngea no pós-operatório de cirurgia cardíaca: revisão sistemática

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