Postoperative ICU Management of Vascular Surgery Patients

Crimi, Ettore; Hill, Charles C.

doi:10.1016/j.anclin.2014.05.001

Cited by 18 publications

(19 citation statements)

References 98 publications

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“…Immediately after operation, Crimi and Hill in their study point out the importance of resolving hemodynamic, pulmonary, renal, neurological, hematological, and gastrointestinal complications ( 20 ). The disorders of these organ systems are the result of ischemic–reperfusion injury.…”

Section: Postoperative Periodmentioning

confidence: 99%

“…Respiratory failure, most commonly caused by infection and pulmonary pathology, is still the most common complication after surgery of thoracoabdominal aorta and occurs in about 30% of patients ( 20 ). Respiratory function is often most stable shortly after surgery and patients can usually be extubated within 6–12 h or even earlier.…”

Section: Postoperative Periodmentioning

confidence: 99%

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Enhanced Recovery after Vascular Surgery

et al. 2018

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The beginnings of the enhanced recovery after surgery (ERAS) program were first developed for patients in colorectal surgery, and after it was established as the standard of care in this surgical field, it began to be applied in many others surgical areas. This is multimodal, evidence-based approach program and includes simultaneous optimization of preoperative status of patients, adequate selection of surgical procedure and postoperative management. The aim of this program is to reduce complications, the length of hospital stay and to improve the patients outcome. Over the past decades, special attention was directed to the postoperative management in vascular surgery, especially after major vascular surgery because of the great risk of multiorgan failure, such as: respiratory failure, myocardial infarction, hemodynamic instability, coagulopathy, renal failure, neurological disorders, and intra-abdominal complications. Although a lot of effort was put into it, there is no unique acceptable program for ERAS in this surgical field, and there is still a need to point out the factors responsible for postoperative outcomes of these patients. So far, it is known that special attention should be paid to already existing diseases, type and the duration of the surgical intervention, hemodynamic and fluid management, nutrition, pain management, and early mobilization of patients.

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Section: Postoperative Periodmentioning

confidence: 99%

Section: Postoperative Periodmentioning

confidence: 99%

Enhanced Recovery after Vascular Surgery

et al. 2018

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“…• [1], respiratory function is mostly stable immediately after surgery and patients can usually be extubated within 6-12 hours or earlier. Only in rare occasions of transfusion related lung injury (TRALI) or an exacerbation of a chest infection in urgent patients, gas exchange is impaired requiring prolonged postoperative ventilation.…”

Section: Immediate Postoperative Care In Icumentioning

confidence: 99%

Postoperative management

Schraag

2016

Best Practice & Research Clinical Anaesthesiology

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Most patients undergoing major aortic surgery have multiple comorbidities and are at high risk of postoperative complications that affect multiple organ systems. Different aortic pathologies and surgical repair techniques have specific impact on the postoperative course. Ischemia-reperfusion injury is the common denominator in aortic surgery and influences the integrity of end-organ function. Common postoperative problems include hemodynamic instability due to the immediate inflammatory response, renal impairment, spinal cord ischemia, respiratory failure with prolonged mechanical ventilation, and gastrointestinal symptoms such as ileus or mesenteric ischemia. Focused care bundles to establish homeostasis and a team working toward an early functional recovery determine the success of effective rehabilitation and outcomes after aortic surgery.

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“…Dokulardan sızıntı şeklin-de kanama normal ACT değerine rağmen devam ediyorsa, taze donmuş plazma, tranexamic acid ya da trombosit verilebilir. Toraks kapatıldıktan sonra, orotrakeal entübe olan hastanın invazif arteriel monitorizasyon eşliğinde ambulanarak kardiyovasküler cerrahi yoğun bakım ünitesine transportu planlanmalıdır ve mekanik ventilatör hazır bulundurulmalıdır (36,37).…”

Section: Ekstrakorporeal Dolaşım Sonrasıunclassified

Anesthesia for adults in open heart surgery

Işıl¹,

Oba²

2015

Sisli Etfal

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Derleme / Review ÖZET:Erişkin hastalarda açık kalp cerrahisi için anestezi Anesthesia for adults in open heart surgeryIn our hospital the first open heart surgery was done in March 2015 and is still beeing processed successfully since. Open heart surgery is a major surgical procedure challenging the anesthesiologist to be skilled and carefully during every stage. In this review we aimed to summarize properties of anesthesia for cardiovascular surgery in adults.

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Postoperative ICU Management of Vascular Surgery Patients

Cited by 18 publications

References 98 publications

Enhanced Recovery after Vascular Surgery

Enhanced Recovery after Vascular Surgery

Postoperative management

Anesthesia for adults in open heart surgery

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