Infecção do sítio operatório em cirurgia cardíaca

Gelape, Cláudio Léo

doi:10.1590/s0066-782x2007001300013

Cited by 17 publications

(31 citation statements)

References 35 publications

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“…Surgical wound infection is a severe postoperative complication and leads to prolonged in-hospital stay, increased hospital costs, and high rates of patient morbidity and mortality [15] . Regarding the microorganisms identified in cultures of the surgical wounds, the incidence of S. aureus both in ARM (40%) and LEG (60%) was higher than that of other microbial agents, which confirms the results reported in the literature [6,7] . However, the cultures of surgical wound exudates may be negative for microorganisms in some cases because of the prophylactic use of antibiotics [4] .…”

Section: Discussionsupporting

confidence: 87%

“…The early recognition and diagnosis of sternal complications is imperative to ensure timely management [3,5] . Nowadays, the treatment of mediastinitis consists in drainage, debridement, or complete sternectomy [6] . The use of the vacuum-assisted closure (VAC) system and continuous closed mediastinal irrigation with antibiotics has improved the prognosis of these patients [7,8] .…”

Section: Introductionmentioning

confidence: 99%

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Infra-Abdominal Muscles Activation Brings Benefits to the Pulmonary Function of Patients with Sternal Instability after Cardiac Surgery

Nozawa¹,

Gonçalves²,

Almeida³

et al. 2020

Braz J Cardiovasc Surg

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Objective: To compare physical therapy strategies involving abdominal muscle stabilization, with and without upper limb movement, in patients with sternal instability after heart surgery and during in-hospital care.Methods: This prospective, longitudinal, randomized, and comparative clinical study included 20 patients, which were divided into two groups: ARM, the arm group (n=10), and LEG, the leg group (n=10). The study involved the evaluation of scores of visual analog scales for sternal instability, pain, discomfort, functional impairment, lung function, and maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP) before and after the interventions. Two protocols consisting of abdominal exercises in both groups with upper limb movements (ARM) and just abdominal activation with leg movements (LEG) were used for three weeks.Results: There were statistically significant (P≤0.01) improvements in pain, discomfort, and functional impairment scores, and in MIP (P=0.04) and MEP (P≤0.01) after intervention in both groups and just LEG showed improvement in forced vital capacity (P=0.043) and forced expiratory volume in one second (P=0.011).Conclusion: Both strategies promoted improvement in pain, discomfort, and functional impairment scores and in the values of inspiratory and expiratory pressures. Perhaps they were influenced by the time and resolution of the infection process, although exercises with upper limb movements seem to be safe in this population. The activation of the infra-abdominal muscles through leg movements seems to bring more benefits to lung function.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Infra-Abdominal Muscles Activation Brings Benefits to the Pulmonary Function of Patients with Sternal Instability after Cardiac Surgery

Nozawa¹,

Gonçalves²,

Almeida³

et al. 2020

Braz J Cardiovasc Surg

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“…There was no established link between gender and development of SSI. Gelape study followed patients undergoing heart surgery and found a higher incidence of SSI in men, which, according to the author, may have been due to the higher tension on the sternal wound 12 .…”

Section: Discussion Discussion Discussion Discussionmentioning

confidence: 99%

Incidência de infecção do sítio cirúrgico com o preparo pré-operatório utilizando iodopolividona 10% hidroalcoólica e clorexidina alcoólica 0,5%

2013

Rev. Col. Bras. Cir.

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“…As características encontradas nas populações do presente estudo foram semelhantes à de outros estudos consultados [2][3][4]6 . As médias de idade para GI e GNI, apesar do estudo aceitar pacientes acima dos 60 anos, ficou acima dos 70 anos, evidenciando o envelhecimento da população que se submete a cirurgias cardíacas.…”

Section: Discussionunclassified

“…Independente do motivo de sangramento, na maioria das vezes tem-se necessidade de hemotransfusão. A utilização de concentrado de hemácias demonstrou significância estatística nos testes realizados (p=0,005), demonstrando ser um fator favorecedor de ISC quando comparados GI e GNI, de acordo com os dados encontrados na literatura 2,8,11 . No entanto, quando analisar o risco associado aos hemocomponentes responsáveis por fator de coagulação, notase tendência protetora para o uso de crio precipitado e concentrado de plaquetas.…”

Section: Discussionunclassified

Fatores Associados À Infecção De Sítio Cirúrgico Em Pacientes Idosos Submetidos À Cirurgia Cardíaca Com Esternotomia

Oliveira

Paula²

2014

Saúde (Sta. Maria)

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Factors associated with surgical site infection in elderly patients undergoing cardiac surgery with sternotomy ABSTRACTIntroduction -Surgical Site Infection SSI in cardiac surgery is a serious complication in the postoperative period; it challenges health teams, despite advances in medicine and surgical techniques. Objective -To evaluate the association between predictors in patients undergoing cardiac surgery in a cardiac surgery service in Curitiba. Methodology -Conducted in the years 2007/2008 with 42 patients divided into 02 groups, matched by age and gender. They were subjected to 03 nursing visits for information gathering which were performed preoperatively, immediately postoperatively and in the fourth week after surgery. Results -The use of Concentrate Erythrocytes showed statistical significance, favoring SSI p 0.005. In the analysis of the relative risk was found that smokers had 2:33 times more chances of infection. Diabetes, prolonged hospitalization or obese had also more SSI. Conclusion -Diabetes, prolonged preoperative hospitalization, smoking, obesity and use of use of red blood cells concentrate in the population studied favored the risk for SSI in cardiac surgery.

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Infecção do sítio operatório em cirurgia cardíaca

Cited by 17 publications

References 35 publications

Infra-Abdominal Muscles Activation Brings Benefits to the Pulmonary Function of Patients with Sternal Instability after Cardiac Surgery

Infra-Abdominal Muscles Activation Brings Benefits to the Pulmonary Function of Patients with Sternal Instability after Cardiac Surgery

Incidência de infecção do sítio cirúrgico com o preparo pré-operatório utilizando iodopolividona 10% hidroalcoólica e clorexidina alcoólica 0,5%

Fatores Associados À Infecção De Sítio Cirúrgico Em Pacientes Idosos Submetidos À Cirurgia Cardíaca Com Esternotomia

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