Preditores de mediastinite em cirurgia cardíaca

Guaragna, João Carlos Vieira da Costa; Facchi, Luciane Maria; Baião, Carolina Guerra; Cruz, Ivana Beatrice Mânica da; Bodanese, Luiz Carlos; Albuquerque, Luciano Cabral; Petracco, João Batista; Goldani, Marco Antônio

doi:10.1590/s0102-76382004000200011

Cited by 19 publications

(33 citation statements)

References 27 publications

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“…The present study, in line with other investigations (13,14,15,16), shows that postoperative morbidity is significantly higher in patients aged 70 years or older. In our sample, patients in this age group that underwent CAGB had more pulmonary complications in postoperative hospitalization compared to younger individuals.…”

Section: Discussionsupporting

confidence: 93%

Pulmonary complications in patients undergoing coronary artery bypass grafting at a hospital in Maceio, Brazil

et al. 2016

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Pulmonary complications in patients undergoing coronary artery bypass grafting at a hospital in Maceio, Brazil [I] Complicações pulmonares em pacientes submetidos à cirurgia de revascularização do miocárdio em um hospital de Maceió [A] Ana Carolina do Nascimento Calles [a] , Jéssyca Lane Fausto Lira [a] , Karolyne Soares Barbosa Granja [a] , Jaime Dativo de Medeiro [a] , Adoniran Rodrigues Farias [b] , Ricardo César Cavalcanti [c]* [a] Centro Universitário Tiradentes (UNIT), Maceió, AL, Brazil [b] Universidade Estadual de Ciências da Saúde de Alagoas (UNCISAL), Maceió, AL, Brazil [c] Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil [R] Abstract Introduction: Despite technological advances aimed at reducing complications and hospital stay, pulmonary complications in the postoperative period of CABG surgery remain one of the most important causes of morbidity. These may be related to the patient's quality of life, the use of cardiopulmonary bypass, as well as a decline in postoperative respiratory muscle strength, contributing to the emergence of restrictive respiratory disorders. Objective: Assess pulmonary complications in patients undergoing coronary artery bypass graft surgery and identify their association with risk factors. Methods: A retrospective study with non-probability convenience sampling of 168 patients at the Hospital Calles ACN, Lira JLF, Granja KSB, Medeiro JD, Farias AR, Cavalcanti RC. 662 failure (1.2%); and bronchopneumonia (0.6%). Female patients and those aged 70 years or older experienced more pulmonary complications after surgery. Conclusion: Women and patients older than 70 years had the most severe postoperative pulmonary complications, the most common being pleural effusion and atelectasis.

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Section: Discussionsupporting

confidence: 93%

Pulmonary complications in patients undergoing coronary artery bypass grafting at a hospital in Maceio, Brazil

et al. 2016

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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

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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“…Recognizing the high risk of de dehiscence and/or surgical wound infection, it seems logical to deduce that the application of methods to reinforce the sternum would be useful to avoid such events; however, earlier recognition of sternal wound complications and aggressive treatment seems to be the better procedure to deal with the clinical pictures of surgical wound infectious complications [10,25].…”

Section: Reinforced Sternal Synthesismentioning

confidence: 99%

“…Such a benefit seems more evident in young patients, but it cannot be ruled out that those other groups of less favorable prognostic can get advantages of this surgical strategy [9]. DM is long recognized as an important risk factor for infection and dehiscence of surgical wound [10]; therefore, there is a special concern with diabetic patients.…”

Section: Introductionmentioning

confidence: 99%

Revascularização do miocárdio com emprego de ambas artérias mamárias internas em pacientes com diabetes mellitus

Martins¹,

Santos²,

Tirado³

et al. 2007

Rev Bras Cir Cardiovasc

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Revascularização do miocárdio com emprego de ambas artérias mamárias internas em pacientes com diabetes mellitusCoronary artery bypass grafting using both internal mammary arteries in patients with diabetes mellitus Abstract Objective: We sought to describe the use of both internal thoracic arteries (ITA) in patients with diabetes mellitus (DM) submitted to a coronary artery bypass grafting (CABG).Method: Between January 1995 to August 2005, 4,569 patients received isolated CABG in our institution. Of the initial population, 1,298 had DM. The median age of the patients was 62 years and total mortality rate was 2.18% (100 patients). Both internal thoracic arteries were used in 700 patients. Patients were divided into two groups: with DM (group I, 148 patients), and without DM (group II, 552 patients). Patient selection for double ITA grafting was based on coronary artery anatomy and on the quality of sternum. The later was evaluated during the sternal transsection. When these two factors were considered favorable, we have both ITAs dissected, regardless whether the patient had DM. During the dissection of both internal thoracic arteries, one must take care not to open the pleural spaces.Results: There was a small difference between the two groups in terms of morbidity and mortality.Conclusion: Our data suggests that patients with DM can benefit with the efficient use of both internal thoracic arteries with a small increase in the risk of complications, if its application is carefully indicated.

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Preditores de mediastinite em cirurgia cardíaca

Cited by 19 publications

References 27 publications

Pulmonary complications in patients undergoing coronary artery bypass grafting at a hospital in Maceio, Brazil

Pulmonary complications in patients undergoing coronary artery bypass grafting at a hospital in Maceio, Brazil

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

Revascularização do miocárdio com emprego de ambas artérias mamárias internas em pacientes com diabetes mellitus

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