Impact of the opening of a specialized cardiac surgery recovery unit on postoperative outcomes in an academic health sciences centre

Novick, Richard J.; Fox, Stephanie A.; Stitt, Larry; Butler, Richard; Kroh, Mary; Hurlock-Chorostecki, Christina; Harris, Chad; Cheng, Davy

doi:10.1007/bf03026870

Cited by 20 publications

(18 citation statements)

References 16 publications

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“…[14] Kumar et al ., in a large prospective cohort study had also demonstrated a significantly shorter ICU and hospital stay following postoperative care in a dedicated adult cardiac surgical unit. [15]…”

Section: Discussionmentioning

confidence: 99%

Dedicated pediatric cardiac intensive care unit in a developing country: Does it improve the outcome?

et al. 2011

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Introduction and Aim:Focussed cardiac intensive care is known to produce better outcomes. We have evaluated the benefits of a dedicated Pediatric Cardiac Intensive Care Unit (PCICU) in the early postoperative outcomes of patients undergoing surgery for congenital heart disease.Methods:Prospectively collected data of 634 consecutive patients who underwent congenital heart surgery from September 2008 to September 2009 were analyzed. Midway through this period a dedicated PCICU was started. The patients who were treated in this new PCICU formed the study group (Group B, n = 318). The patients who were treated in a common postoperative cardiac surgery ICU formed the control group (Group A, n = 316). Early postoperative outcomes between the two groups were compared.Results:The two groups were comparable with respect to demographic data and intraoperative variables. The duration of mechanical ventilation in the dedicated pediatric cardiac ICU group (32.22 ± 52.02 hours) was lower when compared with the combined adult and pediatric surgery ICU group (42.92 ± 74.24 hours, P= 0.04). There was a shorter duration of ICU stay in the dedicated pediatric cardiac ICU group (2.69 ± 2.9 days vs. 3.43 ± 3.80 days, P = 0.001). The study group also showed a shorter duration of inotropic support and duration of invasive lines. The incidence of blood stream infections was also lower in the dedicated pediatric ICU group (5.03 vs. 9.18%, P = 0.04). A subgroup analysis of neonates and infants <1 year showed that the advantages of a dedicated pediatric intensive care unit were more pronounced in this group of patients.Conclusions:Establishment of a dedicated pediatric cardiac intensive care unit has shown better outcomes in terms of earlier extubation, de-intensification, and discharge from the ICU. Blood stream infections were also reduced.

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Section: Discussionmentioning

confidence: 99%

Dedicated pediatric cardiac intensive care unit in a developing country: Does it improve the outcome?

et al. 2011

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“…In den meisten Fällen werden die Fast-track-Konzepte postoperativ auf der Intensivstation umgesetzt. Die Behandlung der Patienten in einem speziellen kardiochirurgischen AWR stellt weltweit weiterhin eine Rarität dar [5,6,7,8].…”

Section: "Fast-track"-konzepteunclassified

“…Die Hypnose wurde in allen Operationsphasen ohne kardiopulmonalen Bypass ("off-pump") mit Sevofluran (0, 8 War der Patient wach, kooperativ und bei suffizienter assistierter Spontanatmung kardiopulmonal stabil, wurde er extubiert und anschließend für mindestens 1 h noninvasiv beatmet.…”

Section: Fast-track-protokollunclassified

Leipziger „Fast-track“-Protokoll in der Kardioanästhesie

Häntschel

Fassl²,

Scholz³

et al. 2009

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“…Anesthesiologists have played a crucial role in improving access, particularly to cardiac care and arthroplasties, by improving postoperative pain control and facilitating rapid discharge from hospital. 1 Chronic pain management is another area in which anesthesiologists have traditionally played a lead role. A recent survey of hospital-based services for non-cancer pain treatment in Quebec found that almost 30% of anesthesiologists in that province were involved in treating chronic pain.…”

mentioning

confidence: 99%

“…Les anesthésiologistes ont joué un rôle crucial dans l'amélioration de l'accès aux soins, particulièrement dans les domaines des soins cardiaques et des arthroplasties, en améliorant le contrôle de la douleur postopératoire et en facilitant un congé de l'hôpital plus rapide. 1 La prise en charge de la douleur chronique est un autre domaine dans lequel les anesthésiologistes jouent traditionnellement un rôle essentiel. Un sondage récent des services basés en hôpital pour le traitement des douleurs non cancéreuses au Québec a démontré que presque 30 % des anesthésiologistes de cette province étaient impliqués d'une manière ou d'une autre dans le traitement des douleurs chroniques.…”

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Tomorrow and tomorrow and tomorrow: wait times for multidisciplinary pain clinics in Canada

Morley‐Forster

2007

Can J Anesth/J Can Anesth

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Impact of the opening of a specialized cardiac surgery recovery unit on postoperative outcomes in an academic health sciences centre

Cited by 20 publications

References 16 publications

Dedicated pediatric cardiac intensive care unit in a developing country: Does it improve the outcome?

Dedicated pediatric cardiac intensive care unit in a developing country: Does it improve the outcome?

Leipziger „Fast-track“-Protokoll in der Kardioanästhesie

Tomorrow and tomorrow and tomorrow: wait times for multidisciplinary pain clinics in Canada

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