Psychological Disturbances Associated with Open Heart Surgery

Abstract

In our unit open heart surgery has provided sufficient stress to precipitate post-operative psychological disturbances in a high proportion of patients. In the year before this investigation was begun, 21 of 108 patients developed obvious mental abnormalities post-operatively. Blickenstorfer (1) reported post-operative psychosis in 3 per cent, of 300 patients subjected to open heart surgery, and the same incidence, 3 per cent., was reported by Bolton and Bailey (3) following closed and open heart surgery on 1,500 adult patients. The incidence of mental disturbance in our unit was so much higher that a detailed study of all patients (141) operated on in the unit during a 10-month period appeared to be indicated.

Open-Heart Surgery: Somatic Predictors of Postoperative Psychopathology

“…In our survey, no correlation between the perfusion time and the occurrence and severity of psychic disturbances could be demonstrated. Our results agree with those of Egerton and Kay and Layne and Yudofsky (5,11). According to several authors (8,1,14,20) the frequency of postoperative psychic disturbances increases with age.…”

“…Numerous authors (5,12,14,15) agree that after operations with the heart-lung machine, the fre quency of psychopathological phenomena is signifi cantly higher than after operations without extra corporeal circulation. Disagreement exists about the extent to which the duration of perfusion has an effect.…”

Intraoperative Tight Glucose Control Using Hyperinsulinemic Normoglycemia Increases Delirium After Cardiac Surgery

“…[45][46][47][48][49][50] The extent to which our results generalize to other populations remains to be determined. We included both diabetic and non-diabetic patients, but did not attempt a sub-analysis because only about 30 patients in each group were diabetic.…”

Probleme der Klassifizierung psychopathologischer Auffälligkeiten nach Herzoperationen mit extrakorporaler Zirkulation

“…oneiroid oder amentiell) (2 ) Typ 2:prolongicrt (schizophrenieahn-1 ich) Hackett and Weisman, 1960 (1) Delirium state (2) Psyehotic rcaction Heller et al, 1970 (1) Early postoperative organic brain syndrome (2) Post-cardiotomy delirium (a) minor delirium (b) major delirium Lehmann et al, 1968 ( Bonhoeffer (1910Bonhoeffer ( , 1912Bonhoeffer ( , 1917 zuzuordnen sind. Lehmann et al (1968) sowie Tufo et al (1970) Kay (1964) und Jakubik (1972 werden depressive und "hysterische" resp. "neurotische" Syndrome genannt.…”