Infectious Complications and Cost-Effectiveness of Open Resuscitation in the Surgical Intensive Care Unit after Cardiac Surgery
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Cited by (28)
The Society of Thoracic Surgeons Expert Consensus for the Resuscitation of Patients Who Arrest After Cardiac Surgery
2017, Annals of Thoracic SurgeryCitation Excerpt :Once the chest has been opened, this set can be discarded and a full set opened in a more measured fashion. This concept is not new and dates back to 1985 [48]. Emergency resternotomy is required for 20% to 50% of cardiac arrests after cardiac surgery [8, 14]; and it is a multipractitioner procedure that should ideally be performed as rapidly as possible using full aseptic technique.
Long-Term Outcomes of Patients Who Had Cardiac Arrest After Cardiac Operations
2016, Annals of Thoracic SurgeryCitation Excerpt :Our results from a small but important subgroup extend these results to patients who had postoperative cardiac arrest. The incidence of cardiac arrest after cardiac operations has previously been reported to be as high as 5%, with emergency operations, low preoperative ejection fraction, higher New York Heart Association class, myocardial infarction, renal dysfunction, and non-CABG cardiac operations being important risk factors [1–7]. Further, the rate of failure to rescue in this population has been reported to be as high as 60% [3].
Surgery in the Cardiovascular Surgical Intensive Care Unit
2016, Cirugia EspanolaEuropean Resuscitation Council Guidelines for Resuscitation 2015. Section 4. Cardiac arrest in special circumstances
2015, ResuscitationCitation Excerpt :Discuss and agree on the time at which the DNAR decision is reinstated.445 Cardiac arrest following major cardiac surgery is relatively common in the immediate post-operative phase, with a reported incidence of 0.7–8%.446–455 It is usually preceded by physiological deterioration,456 although it can occur suddenly in stable patients.452
Current trends in preoperative, intraoperative, and postoperative care of the adult cardiac surgery patient
2015, Current Problems in SurgeryCitation Excerpt :Re-exploration in the ICU is associated with a high survival rate compared with emergency thoracotomy for lethal arrhythmia, or MI.72 There is evidence that early re-exploration for bleeding may reduce blood transfusions, the risk of respiratory insufficiency, and the rate of infection for undrained hematoma.73-75 Outside the operating room, many centers are developing protocols to provide MCS devices to the sickest patients.
Presented at the Twenty-first Annual Meeting of The Society of Thoracic Surgeons, Phoenix, AZ, Jan 21–23, 1985.