Search for the best heart valve- from replacement to repair

Satsangi, Deepak Kumar

doi:10.1007/s12055-011-0119-z

Cited by 2 publications

(3 citation statements)

References 26 publications

(25 reference statements)

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“…Among risk factors associated with mechanical forces acting upon the sternotomy site, some were identified also in our sample: chronic obstructive lung disease [17,43], macromastia [8,44], and obesity [16,17,45]. However, maybe due to the small sample, we found higher perceived levels of pain and effort only in patients with macromastia.…”

Section: Discussionmentioning

confidence: 48%

“…Cough and asymmetrical movements with upper limbs and trunk are the main risk factors for sternal displacement [4,[11][12][13][14]. Thus, optimising timely intervention and providing the patient with detailed indications on how to perform daily life activities might reduce pain, morbidity, mortality, and total cost of care [1,2,[15][16][17][18]. These indications are called "sternal precautions" [19].…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Two Techniques Performing the Supine-to-Sitting Postural Change in Patients with Sternotomy

Giardini

Guenzi

Arcolin

et al. 2023

JCM

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Patients with sternotomy are advised to follow sternal precautions to avoid the risk of sternal complications. However, there are no standard recommendations, in particular to perform the supine-to-sitting postural change, where sternal asymmetrical force may be applied. The aim of this study was to compare the rotational movement and the use of a tied rope (individual device for supine-to-sitting, “IDSS”) to perform the supine-to-sitting postural change. A total of 92 patients (26% female) admitted to a rehabilitative post-surgery ward with sternotomy were assessed for sternal instability. Levels of pain and perceived effort during the two modalities of postural change and at rest were assessed. Patients reported higher values of pain and perceived effort (both p < 0.0005) during rotational movement with respect to the use of the IDSS. Moreover, patients with sternal instability (14%) and female patients with macromastia (25%) reported higher pain than those stable or without macromastia (both p < 0.05). No other risk factors were associated with pain. Thus, the IDSS seems to reduce the levels of pain and perceived effort during the supine-to-sitting postural change. Future studies with quantitative assessments are required to suggest the adoption of this technique, mostly in patients with high levels of pain or with sternal instability.

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Section: Discussionmentioning

confidence: 48%

Section: Introductionmentioning

confidence: 99%

Comparison of Two Techniques Performing the Supine-to-Sitting Postural Change in Patients with Sternotomy

Giardini

Guenzi

Arcolin

et al. 2023

JCM

View full text Add to dashboard Cite

show abstract

“…orldwide, median sternotomies are performed during an estimated 1 million procedures that include surgery for valve, transplant, and coronary revascularization surgery. [1][2][3] These procedures have a risk of sternal wound complications that can lead to increased morbidity, poor quality of life, prolonged or recurring hospitalizations, higher health care costs, and mortality rates of 15% to 40%. [4][5][6] The consequences of sternal complications can be so severe that physicians consider driving restrictions essential for the appropriate recuperation and benefit of the patient.…”

mentioning

confidence: 99%