Psychopathology Observed on Follow-Up After Coronary Bypass Surgery

Rabiner, Charles J.; Willner, Allen E.

doi:10.1097/00005053-197611000-00001

Cited by 26 publications

(6 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…For most patients, transferring out of an open heart recovery room can produce an improvement in 24 to 48 hours 22,34,67 without specific treatment 80 . Where that is not possible or transfer alone does not produce improvement, it is important to create an environment that places minimum demands on a patient's cognitive function.…”

Section: Management Of Pcd: a Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Delirium in the Postoperative Cardiac Patient: A Review

et al. 2005

View full text Add to dashboard Cite

A multifactorial model should be applied when considering risk stratification for and prevention of delirium postoperatively. Pharmacologically, conventional antipsychotic agents, such as haloperidol, have long been used to manage delirium. In light of haloperidol's side effects, particularly those applicable to the cardiac patient, further research is required into the role of second generation antipsychotics. These agents are common in clinical use, and may be the preferred medications.

show abstract

Section: Management Of Pcd: a Discussionmentioning

confidence: 99%

“…Pain control is vital to patient comfort and prevention of delirium 80 . Medications such as fentanyl, morphine and demerol are all valuable agents in providing necessary analgesia in the postoperative setting.…”

Section: Risk Factors For Pcdmentioning

confidence: 99%

Delirium in the Postoperative Cardiac Patient: A Review

et al. 2005

View full text Add to dashboard Cite

show abstract

“…If this suggestion is valid, then the preoperative assessment should One possible explanation regarding this dissociation is that the psychological Thus preoperative adjustment is associated mostly with coping capabilities, take place much earlier. Most of the studies [3, [9][10][11][12]15, 361 have used a similar strategy.…”

Section: Discussionmentioning

confidence: 99%

Psychosocial Adjustment before and after Coronary Artery Bypass Surgery

Stein

Troudart

Hymowitz

et al. 1990

Int J Psychiatry Med

View full text Add to dashboard Cite

Twenty-eight consecutive male patients were examined a few days before, and again twelve months after, coronary artery bypass surgery. The evaluation included the patients' psychological distress, psychosocial adjustment, cardiac state, personality and family relations. Before surgery the patients were relatively well adjusted, despite being severely disabled physically. On the follow-up evaluation the cardiac state improved significantly on every index examined. On the other hand no change occurred in the psychological distress, personality and family relations. Significant post-operative improvement was found in some of the domains of the psychosocial adjustment, but not in others.

show abstract

“…Andere Autoren konnten hingegen keinen Zusammenhang zwischen der Ausprägung eines frühen Postkardiotomiedelirs und den Ergebnissen einer psychologischen Testung ein Jahr nach erfolgter Operation aufzeigen. In einer Untersuchung von Rabiner u. Willner [120] blieb die Inzidenzrate psychopathologischer Symptome zwar nahezu unverändert (16 versus 15% für Patienten mit Klappenersatz-Operationen), jedoch waren zum großen Teil andere Patienten betroffen. Die in der frühen postoperativen Phase hinsichtlich der Prävalenz deliranter Episoden beobachteten signifikanten Unterschiede zwischen Kollektiven mit Operationen am offenen bzw.…”

Section: Dauer Und Verlauf Neuropsychologischer Und Psychopathologiscunclassified

“…Die in der frühen postoperativen Phase hinsichtlich der Prävalenz deliranter Episoden beobachteten signifikanten Unterschiede zwischen Kollektiven mit Operationen am offenen bzw. geschlossenen Herzen [121] konnten 12 Monate postoperativ nicht mehr nachgewiesen werden (120]. Als Risikofaktor für psychopathologische Störungen in der späten postoperativen Phase wurde eine psychiatrische Anamnese konstatiert.…”

Section: Dauer Und Verlauf Neuropsychologischer Und Psychopathologiscunclassified

Neuropsychologische und psychopathologische Veränderungen nach kardiochirurgischen Eingriffen

Walzer

Herrmann²

1998

Fortschr Neurol Psychiatr

View full text Add to dashboard Cite

Neuropsychological and neuropsychiatric disorders following open heart surgery are estimated to occur in as many as 80 per cent of all patients. They have been recognised from the very beginning of modern heart surgery. Despite a huge amount of scientific literature, data concerning incidence, the phenomenology and duration of symptoms diverge. This finding may be explained by heterogeneous aetiopathogenetic concepts and methodological and terminological problems associated with the investigation of postoperative delirium or neuropsychological and psychopathological sequelae of cardiac surgery. Nowadays, most authors agree in respect of a multifactorial pathogenesis of cognitive deficits following cardiac surgery. Factors influencing the psychopathological and neuropsychological outcome of cardiac surgery can be divided into pre-, intra- and postoperative variables. Advanced age, degree of cardiovascular impairment and other case histories, as well as history of drug abuse, are those preoperative variables that may be responsible for a postoperative cognitive decline. The predictive value of personality traits (depression and/or anxiety), however, is most controversial. Among the intraoperative variables related to the postoperative cognitive state, are e.g. the type of operation and technical procedure (micro-/macroembolism due to the way of oxygenation, pulsatile/-non-pulsatile flow) and duration of extracorporeal circulation. In the postoperative period, the duration of intubation or ICU stay and related variables (like sleep or sensory deprivation/hyperstimulation) were identified as significant predictors of neuropsychological and psychopathological alterations. Modern research focusses on neurobiochemical markers of brain injury which may serve as early predictors of a postoperative cognitive decrease. These parameters may indicate an early postoperative diagnosis and neuroprotective treatment in patients at risk.

show abstract

Psychopathology Observed on Follow-Up After Coronary Bypass Surgery

Cited by 26 publications

References 0 publications

Delirium in the Postoperative Cardiac Patient: A Review

Delirium in the Postoperative Cardiac Patient: A Review

Psychosocial Adjustment before and after Coronary Artery Bypass Surgery

Neuropsychologische und psychopathologische Veränderungen nach kardiochirurgischen Eingriffen

Contact Info

Product

Resources

About