Intraoperative Cardiac Emergencies

Tyler, Chrystal L.

doi:10.1016/j.cnc.2014.10.009

Cited by 2 publications

(2 citation statements)

References 25 publications

(27 reference statements)

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“…Arrhythmias that are usually identified during preoperative assessment and can be controlled by appropriate methods may be encountered many times unexpectedly during the intraoperative and postoperative period. Generally, these arrhythmias, occurring linked to an underlying disease, occur independently of the predisposing factors of surgical cases (Tyler, 2015). The localization and dimension of the surgical procedure may facilitate the occurrence of arrhythmias.…”

Section: Introductionmentioning

confidence: 99%

Perioperative arrhythmias

Altınbaş

Taş

Bektaş

2017

Middle Black Sea Journal of Health Science

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Arrhythmias are the most commonly encountered cardiovascular complications during anesthesia administration. Perioperative arrhythmias disrupt the hemodynamic state of the patients and are known to cause increases in mortality and morbidity. Anesthetic agents and methods affect cardiac conduction and cause arrhythmia. At the same time, patients with additional cardiac diseases and other systemic diseases affecting the cardiovascular system have increased risk of perioperative arrhythmia. For the patient, regardless of whether due to the surgical procedure or anesthesia type, the most important effect of intraoperative arrhythmias is undoubtedly the resulting hemodynamic instability. It is possible to encounter a broad range of serious rhythm and hemodynamic disorders from rare ventricular extrasystole to malignant character arrhythmia and sudden cardiac arrest. Temperature changes occurring in the intraoperative period, hypoxia, acid-base disorders and variations in electrolyte balance are significant factors affecting the occurrence of arrhythmia. As there are many factors and mechanisms in the etiology, identifying arrhythmia under anesthesia and performing the necessary intervention in the shortest time possible has vital importance. This review deals with the importance of arrhythmia occurring in the perioperative period and methods of approach for arrhythmia.

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Section: Introductionmentioning

confidence: 99%

Perioperative arrhythmias

Altınbaş

Taş

Bektaş

2017

Middle Black Sea Journal of Health Science

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“…Excess fluid in or around the pericardium impedes cardiac function by reducing cardiac filling and stroke volume in a condition called tamponade. 9 Tamponade after cardiac surgery occurs when blood and fluids pool in the mediastinal and pericardial cavities and compress the heart.…”

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confidence: 99%

Place Atrium to Water Seal (PAWS): Assessing Wall Suction Versus No Suction for Chest Tubes After Open Heart Surgery

Kruse

Wahl

Guthrie

et al. 2017

Critical Care Nurse

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BACKGROUND Traditionally chest tubes are set to −20 cm H2O wall suctioning until removal to facilitate drainage of blood, fluid, and air from the pleural or mediastinal space in patients after open heart surgery. However, no clear evidence supports using wall suction in these patients. Some studies in patients after pulmonary surgery indicate that using chest tubes with a water seal is safer, because this practice decreases duration of chest tube placement and eliminates air leaks. OBJECTIVE To show that changing chest tubes to a water seal after 12 hours of wall suction (intervention) is a safe alternative to using chest tubes with wall suction until removal of the tubes (usual care) in patients after open heart surgery. METHODS A before-and-after quality improvement design was used to evaluate the differences between the 2 chest tube management approaches in chest tube complications, output, and duration of placement. RESULTS A total of 48 patients received the intervention; 52 received usual care. The 2 groups (intervention vs usual care) did not differ significantly in complications (0 vs 2 events; P = .23), chest tube output (H1 = 0.001, P = .97), or duration of placement (median, 47 hours for both groups). CONCLUSION Changing chest tubes from wall suction to water seal after 12 hours of wall suction is a safe alternative to using wall suctioning until removal of the tubes.

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Intraoperative Cardiac Emergencies

Cited by 2 publications

References 25 publications

Perioperative arrhythmias

Perioperative arrhythmias

Place Atrium to Water Seal (PAWS): Assessing Wall Suction Versus No Suction for Chest Tubes After Open Heart Surgery

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