Intercostal versus subxiphoid approach for pleural drainage post coronary artery bypass grafting

Elnasr, Mohamed Abo; Arafat, Amr A.; Wahab, Amr Abdel; Taha, Abdel-Hady M.

doi:10.1016/j.jescts.2017.01.001

Cited by 7 publications

(19 citation statements)

References 11 publications

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“…Conhecer os fatores clínicos, psicológicos e sociais é primordial para que os profissionais de saúde envolvidos no cuidado direto ao paciente possam estabelecer estratégias de educação, seguimento e reavaliação de sua prática diária 2 . Nesse sentido, a educação em saúde deve ser um processo contínuo, objetivando a conservação e motivação do autocuidado e estímulo ao desenvolvimento de hábitos saudáveis 10 .…”

Section: Discussionunclassified

“…O pericárdio visceral e a pleura são compostos por fibras nociceptivas, sendo assim a dor fica condicionada a região de manipulação para a inserção do dreno 11,15 . A abertura da cavidade pleural durante a ressecção da artéria torácica interna pode prejudicar a função pulmonar.…”

Section: Discussionunclassified

“…A abertura da cavidade pleural durante a ressecção da artéria torácica interna pode prejudicar a função pulmonar. Ambas as técnicas são realizadas de acordo com a preferência dos cirurgiões, muitas vezes sem nenhum protocolo 15 .…”

Section: Discussionunclassified

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Ansiedade e intensidade da experiência dolorosa no perioperatório de cirurgia cardíaca / Anxiety and intensity of the painful experience in perioperative cardiac surgery

Nicoletti¹,

Hillesheim²,

Zamberlan³

et al. 2021

Braz. J. Hea. Rev.

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Objetivo: avaliar o nível de ansiedade e intensidade da experiência dolorosa de pacientes adultos no perioperatório de cirúrgica cardíaca. Métodos: estudo de coorte, prospectivo longitudinal e observacional realizado em um hospital universitário do sul do Brasil no período de setembro de 2017 a dezembro de 2018. A amostra é constituída de 116 pacientes submetidos a cirurgia cardíaca. Foi utilizado um o inventário de traço e estado

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Section: Discussionunclassified

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Ansiedade e intensidade da experiência dolorosa no perioperatório de cirurgia cardíaca / Anxiety and intensity of the painful experience in perioperative cardiac surgery

Nicoletti¹,

Hillesheim²,

Zamberlan³

et al. 2021

Braz. J. Hea. Rev.

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“…Our surgical techniques and postoperative ICU protocol were previously published. 7 A nurse collected the data without pre-knowledge of patients' group until patients' weaning from mechanical ventilation and eventually patients' discharge from the ICU took place. The data recorded in the ICU included patients' demographic data (age, sex, and the enlisted surgical procedure), patients' vitals, the duration of mechanical ventilation, post-recovery VAS post-endotracheal extubation (PEX), 12 hours PEX, 24 hours PEX and 48 hours PEX, and ICU and hospital stay.…”

Section: Methodsmentioning

confidence: 99%

Bilateral Paravertebral Block versus Thoracic Epidural Analgesia for Pain Control Post-Cardiac Surgery: A Randomized Controlled Trial

Shora

Beleehy

Abdelwahab

et al. 2018

Thorac Cardiovasc Surg

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“…All distal anastomoses were done under complete cardiac arrest, and proximal anastomoses were done using partial aortic crossclamp. After removal of the aortic clamp, an electrical defibrillator was used if there was ventricular fibrillation [7].…”

Section: Data and Techniquementioning

confidence: 99%

Could heart-type fatty acid binding protein predict clinical outcome in coronary artery bypass graft surgery?

Aboelnasr

Elfeky

Ali

et al. 2019

Egypt. Cardiothoracic. Surg.

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Background: Detection of myocardial damage and its degree during open heart surgery were studied previously using different biomarkers. Heart fatty acid binding protein (h-FABP) was used in the diagnosis of myocardial infarction with variable results. In this study, we aimed to find the possibility of the use of this biomarker as a predictor of myocardial damage after coronary artery bypass graft (CABG) surgery. Methods: We conducted a prospective study on 47 patients who had CABG surgery. Blood samples (4 ml) were drawn from patients at 5 points: before induction of anesthesia, after aortic declamping, 1 hour after declamping, 6 hours after declamping and one day after surgery. Levels of h-FABP and creatine kinase muscle/brain (CK-MB) were estimated, and the relationship between h-FABP and operative and postoperative outcomes were recorded. Results: There were statistically significant correlations between higher levels of h-FABP measured immediately after aortic declamping and need for intra-aortic balloon (116.55 + 9.26 vs, 84.34 + 19.55 ng/ml; p= 0.022), inotropes (107.04+ 14.79 vs, 79.95 + 17.59ng/ml; p< 0.001), defibrillators (97.73 + 15.18 vs 81.59 + 20.31 ng/ml; p=0.016), and postoperative atrial fibrillation (99.94 + 17.83 vs 80.84 + 18.89ng/ml; p= 0.004). No mortality was detected in our study. h-FABP levels showed an early peak just after aortic declamping and reached baseline by postoperative day one. CK-MB peaked 1 hour after aortic declamping and remained elevated for more than 24 hours. Conclusion: h-FABP is a cardiac biomarker that could be used as a rapid indicator of ventricular dysfunction and atrial fibrillation post-CABG surgery.

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Intercostal versus subxiphoid approach for pleural drainage post coronary artery bypass grafting

Cited by 7 publications

References 11 publications

Ansiedade e intensidade da experiência dolorosa no perioperatório de cirurgia cardíaca / Anxiety and intensity of the painful experience in perioperative cardiac surgery

Ansiedade e intensidade da experiência dolorosa no perioperatório de cirurgia cardíaca / Anxiety and intensity of the painful experience in perioperative cardiac surgery

Bilateral Paravertebral Block versus Thoracic Epidural Analgesia for Pain Control Post-Cardiac Surgery: A Randomized Controlled Trial

Could heart-type fatty acid binding protein predict clinical outcome in coronary artery bypass graft surgery?

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