CHYLOTHORAX AFTER CARDIAC SURGERY

... (Early cohort) Chylothorax 06/2010-08/2011 (n= 45) (Late cohort) -> Effect of CPG ? CONCLUSIONS Chylothorax after cardiac surgery: • Incidence: 0.25-9% • Treatment: Nonsurgery/ Surgery • Establish ... vomitting, child birth, child abuse CHYLOTHORAX AFTER CARDIAC SURGERY Incidence 0.25 - 9.2% Incidence and treatment of chylothorax after cardiac surgery in children: Analysis of a large multiinstitution ... before surgery Chylothorax in Infants and Children; James D Tutor, American Academy of Pediatrics, 2014 SURGERY • Thoractic duct ligation • Obliteration of the pleural space: Pleudoresis SURGERY...

Báo cáo y học: "Secondary omental and pectoralis major double flap reconstruction following aggressive sternectomy for deep sternal wound infections after cardiac surgery" ppt

... article as: Kobayashi et al.: Secondary omental and pectoralis major double flap reconstruction following aggressive sternectomy for deep sternal wound infections after cardiac surgery Journal of ... total sternectomy, Partial: partial sternectomy, None: sternectomy was not performed OF: Omental flap, PF: Pectralis major flap, VAC: VAC therapy Primary: primary wound closure, Secondary: secondary ... (total sternectomy) followed by VAC therapy and secondary wound closure with omental and bilateral pectralis major flap reconstruction We analyzed the long-term outcome and quality of life (QOL)...

Báo cáo y học: " Recurrent pericardial effusion after cardiac surgery: the use of colchicine after recalcitrant conventional therapy" pptx

... Dainese et al.: Recurrent pericardial effusion after cardiac surgery: the use of colchicine after recalcitrant conventional therapy Journal of Cardiothoracic Surgery 2011 6:96 Received: May 2011 Accepted: ... effective Nowadays there is not uniformity on the dosage, the duration of the therapy after the release of symptoms, expecially after surgical procedure (Table 1) Colchicine is a tricyclic alkaloid, ... prevention of recurrent pericarditis (RP) after failure of conventional therapies The dose recommanded for RP is mg/day for one or two day followed by mg/day The dose for initial attack or prevention of...

Báo cáo y học: "The effect of tight glycaemic control, during and after cardiac surgery, on patient mortality and morbidity: A systematic review and meta-analysis" pptx

... tight glycaemic control, during and after cardiac surgery, on patient mortality and morbidity: A systematic review and meta-analysis Journal of Cardiothoracic Surgery 2011 6:3 Submit your next manuscript ... mortality and morbidity in cardiac surgery patients The effect of tight glycaemic control on mortality following cardiac surgery The results of our meta-analysis on early mortality, including data ... data as a median and range, and asked if they could provide their data as means and standard deviations, unfortunately, these data were not available Therefore, we conducted a meta-analysis of...

Báo cáo y học: "Effect of pentoxifylline on preventing acute kidney injury after cardiac surgery by measuring urinary neutrophil gelatinase - associated lipocalin" pps

... of pentoxifylline on preventing acute kidney injury after cardiac surgery by measuring urinary neutrophil gelatinase - associated lipocalin Journal of Cardiothoracic Surgery 2011 6:8 Submit your ... detection of acute kidney injury by plasma and urinary neutrophil gelatinaseassociated lipocalin after cardiopulmonary bypass J Cardiovasc Pharmacol 2009, 53:26 1-6 15 Asimakopoulos G, Gourlay T: ... renal injury by measuring sCr and a-1-microglobulin was investigated in one study and a beneficial role of PTX on prevention of kidney injury was observed [11] Our study, confirms this effect of...

Báo cáo y học: "Chylopericardium after cardiac surgery can be treated successfully by oral dietary manipulation: a case report" docx

... Isolated primary chylopericardium: treatment by thoracoscopic thoracic duct ligation and pericardial fenestration J Thorac Cardiovasc Surg 1996, 112:1120-1 Sakata S, Yoshida I, Otani Y, Ishikawa ... thoracic duct injury J R Coll Surg Edin 1995, 40:303-4 In conclusion, patients with chylopericardium after cardiac surgery can potentially be treated effectively with oral dietary manipulation ... identification of the site of chyle leak can be problematic A lymphangiogram can be performed preoperatively to give an indication of the area where the leakage is situated Other measures to assist...

Báo cáo y học: "Dose dependent effect of statins on postoperative atrial fibrillation after cardiac surgery among patients treated with beta blockers" docx

... reduction of postoperative atrial fibrillation in patients undergoing cardiac surgery: results of the ARMYDA-3 [Atorvastatin for Reduction of MYocardial Dysrhythmia After cardiac surgery] study Circulation ... were treated with beta blockers within 24 hours of cardiac surgery Administering beta blockers after surgery reduce AF incidence and withdrawal of preoperative beta blockers is one of the strongest ... Smoking, % History of myocardial infarction, % History of heart surgery, % LV ejection fraction ...

Báo cáo khoa học: "French multicentre survey on the use of inotropes after cardiac surgery" pptx

... 7% of the patients; and inotropes were used systematically in 2% An important component of the survey was to determine the reasons for choices regarding inotropic therapy In 81% of cases inotropes ... echocardiography was used in 82% following mitral valve surgery Monitoring of cardiac output was done in only 42% of patients treated with inotropes (Fig 2) 242 When considering these results, which ... results, which strictly apply only to France, one may question the importance of determining the optimal monitoring strategy before conducting any multicentre trial in LCOS Monitoring strategy means...

Bóa cáo y học: "Clinical review: Thyroid hormone replacement in children after cardiac surgery – is it worth a try" docx

... hypopituitarism and SES in critically ill infants and children Iodinated antiseptics in cardiac surgery Infants may absorb significant quantities of iodine in iodinated topical antiseptics transcutaneously ... neonatal adaption and illness are well described [43,44] Dopamine infusion additionally induces or aggravates partial hypopituitarism and SES in critically ill infants and children [45] In summary, ... coronary artery bypass surgery; they showed a significant increase in cardiac output and a decrease in systemic vascular resistance Vavouranakis and colleagues [108] showed that T3 administration lessened...

Báo cáo khoa học: "Diagnostic value and prognostic implications of serum procalcitonin after cardiac surgery: a systematic review of the literature" pptx

... intra-assay CV of less than or equal to 7% and an interassay CV of less than or equal to 10%, and at concentrations greater than 0.3 ng/ml the intra-assay CV is less than or equal to 3% and the interassay ... rejection after heart and/ or lung transplantation from bacterial and fungal infections PCT levels typically remain unchanged after acute rejection but increase markedly after bacterial and fungal infections ... contributions All authors participated in the design of the study CS and YS contributed to data collection and drafted the manuscript KR and FB revised the article All authors read and approved the final...

Báo cáo y học: " Determination of the threshold of cardiac troponin I associated with an adverse postoperative outcome after cardiac surgery: a comparative study between coronary artery bypass graft, valve surgery, and combined cardiac surgery" ppt

... statistical analysis and participated in the design of the study BR participated in the design and coordination of the study and performed the statistical analysis All authors read and approved the ... determination of a particular threshold in each type of cardiac surgery, the accuracy of cTnI was significantly greater in CABG than in valve surgery or combined surgery, and the specificity of ... outcome in cardiac surgical patients [11,12] A technician who was unaware of the clinical and electrocardiogram data performed the assays cTnI was analyzed with a sensitive and highly specific immunoenzymometric...

Báo cáo y học: "Novel polymorphism of interleukin-18 associated with greater inflammation after cardiac surgery" pps

... reproducibility Conclusions In the present study the TT genotype of a novel polymorphism of the IL-18 gene, 9545 T/G, was associated with greater occurrence of prolonged ICU stay after CPB surgery, greater ... occurrence of our primary clinical outcome (prolonged ICU stay) by PHASE-inferred haplotype in our study cohort We found haplotypes to were associated with greater occurrence of prolonged ICU stay (Figure ... concentrations of the anti-inflammatory cytokine IL-10 These widely varied markers of intensity of recovery post-CPB indicate this genotype is potentially a risk factor for patients undergoing CPB surgery...

Báo cáo y học: " Comparison of three methods of extravascular lung water volume measurement in patients after cardiac surgery" ppt

... with measurements of extravascular lung water (EVLW) volume of paired using the lithium-thermal indicator diluBland-Altman analysis made bythe indocyanine green-thermal indicator water (EVLW) volume ... Maddison et al including a good safety profile, small displacement volume, and minimal indicator loss [9-12] However, in a recent laboratory investigation in porcine models of acute lung injury, both ... (EVLW) volume of paired using the single-thermal indicator diluBland-Altman analysis made bythe indocyanine green-thermal indicator water (EVLW) volume made by using the single-thermal indicator...

Báo cáo y học: " Endothelial Endotoxemia related to cardiopulmonary bypass is associated with increased risk of infection after cardiac surgery: a prospective observational stud" pptx

... conventional cardiopulmonary bypass J Thorac Cardiovasc Surg 2003, 125:843-848 doi:10.1186/cc10051 Cite this article as: Klein et al.: Endotoxemia related to cardiopulmonary bypass is associated with increased ... surgery is uncommon compared to previous reports • Endotoxemia correlates with the duration of surgery • Patients who have cardiopulmonary bypass associated endotoxemia are at a significantly increased ... in study design, data collection and analysis RN was responsible for statistical analysis and contributed to the manuscript ADR was involved in performing the assay and data analysis, and contributed...

Báo cáo y học: " Chylothorax after surgery on congenital heart disease in newborns and infants – risk factors and efficacy of MCT-diet" pot

... al.: Chylothorax after surgery on congenital heart disease in newborns and infants – risk factors and efficacy of MCT-diet Journal of Cardiothoracic Surgery 2010 5:127 Submit your next manuscript ... diagnosed A lysis therapy in out of these patients was successful in reopening the vein, but resolved chylothorax only in In one patient who had a contraindication for a lysis therapy, chylothorax ... prophylactic administration of MCT diet after complex heart surgery without evidence of chylothorax In contrast, TPN has much more side effects and has no higher efficacy in treating chylothorax...

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