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M. England W. Konertz C. Spies 2006 Prolonged intensive care unit stay in cardiac surgery: risk
Cikkükben a szerzők egy olyan sebészi feltárót (ún. jakoszkóp) mutatnak be, amely hasi, urológiai, mellkasi, ér- és szívsebészeti területen egyaránt használhatónak bizonyult. Az eszköz sokoldalú használhatósága a felépítésének köszönhető, és lehetővé teszi a fenti sebészeti szakmákban a minimálisan invazív direkt feltárást. Ezzel a műszerrel a szerzők sikeresen végeztek aortaműbillentyű-beültetést jobb oldali mini-thoracotomiából, koszorúér-áthidalást mini-thoracotomiából dobogó szíven, illetőleg elektrofiziológiai beavatkozások során bal kamrai elektródaimplantációt és radiofrekvenciás pulmonalis vénaablatiót. Jelen közleményükben elsőként szeretnék közölni szívsebészetben szerzett tapasztalataikat. Az előbb említett beavatkozásoknál a jakoszkóp minimális behatolás mellett megfelelő direkt feltárást biztosított, szövődmény egyik esetben sem lépett fel.
Stroke and Encephalopathy After Cardiac Surgery The number of major heart operations and procedures is constantly growing, as advancements in surgical procedures, medical technology, and clinical understanding allow for a
Nosocomial bloodstream infection (BSI) is a common finding in cardiac surgery intensive care units and is associated with excess mortality and hospital costs. Additional data are needed about incidence, characteristics, predictors, associated microorganisms of nosocomial BSI in cardiac surgical patients in order to refine measures to prevent nosocomial infections and to improve recovery outcomes in this patient population. The 3912 cardio-thoracic surgery patients from all age groups were admitted to the study at the Gottsegen György Hungarian Institute of Cardiology between January 1999 and December 2000. In each patient with BSI demographic, epidemiological and clinical variables were recorded along with potential risk factors. Incidence of associated pathogens and their possible sources were evaluated and outcome and mortality risk factors were assessed. There were a total of 134 episodes of BSI. The incidence was 34.25 per 1000 admissions. The leading microorganisms were staphylococci (37.7%). Bacteremic episodes developed secondary to an identifiable source in 27.6% of the cases, or were catheter-related (16.4%). In 56% of the cases the source was not identified. The crude mortality rate was 33.3%. Higher mortality rate was associated with intracardial grafts (p < 0.05), low left ventricular ejection fraction (p < 0.04), diabetes mellitus (p < 0.05), an age above 16 years (p < 0.02), severe sepsis (p < 0.001) and high APACHE II score (p < 0.001). As the identified main sources of BSI were intravascular lines, mortality from BSI could probably be reduced by paying more attention to the prevention, early recognition and prompt management of intravascular device associated infections.
) 13. Roselli EE , Pettersson GB , Blackstone EH , Brizzio ME , Houghtaling PL , Hauck R , Burke JM , Lytle BW : Adverse events during reoperative cardiac surgery
Introduction Cardiac surgery and use of cardiopulmonary bypass require cannulation of main arterial and venous systems. Arterial cannulation allows blood flow from cardiopulmonary pump into arterial system. For this purpose
Butts RJ, Scheurer MA, Zyblewski SC, Wahlquist AE, Nietert PJ, Bradley SM, Atz AM, Graham EM: A composite outcome for neonatal cardiac surgery research. J Thorac Cardiovasc Surg 147, 428–433 (2014) Graham E
M.D. Twite R.H. Friesen 2008 Postoperative hyperglycemia is associated with mediastinitis following pediatric cardiac surgery
aims of our study were to present a case of R. pickettii bacteremia in a cardiac surgery patient who underwent hemodialysis, to evaluate the ability of the isolate to survive and grow in saline solution, and to form biofilm
antibiotics that works against Gram-positive and Gram-negative aerobic bacteria and anaerobic bacteria [ 17 , 18 ] (structure shown in Fig. 1 ). Its prophylactic use is a standard in a cardiac surgery. For this reason, it is important to develop and improve
