Correlation of wound pain following open heart surgery (median sternotomy) and sternum misalignment assessed using X-ray computed tomography

2011 ◽  
Vol 9 (03) ◽  
pp. 159-163 ◽  
Author(s):  
Eiji Tamiya ◽  
Masako Asakawa ◽  
Masaaki Shibamoto ◽  
Nobuhiko Ito ◽  
Hiroshi Ikenouchi ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Median Sternotomy ◽  
Open Heart ◽  
X Ray ◽  
Wound Pain ◽  
X Ray Computed

Cardiac Compression due to Closure of the Median Sternotomy in Open Heart Surgery

CHEST Journal ◽  
1975 ◽  
Vol 67 (1) ◽  
pp. 113-114 ◽  
Author(s):  
Mohammad Riahi ◽  
Luis A. Tomatis ◽  
Ralph J. Schlosser ◽  
Enrique Bertolozzi ◽  
Daniel W. Johnston
Keyword(s):  
Heart Surgery ◽  
Open Heart Surgery ◽  
Median Sternotomy ◽  
Open Heart ◽  
Cardiac Compression

scholarly journals Use of a force measuring walker to optimize recovery after median sternotomy

2021 ◽  
Vol 20 (Supplement_1) ◽  
Author(s):  
A Lapier ◽  
K Cleary
Keyword(s):  
Heart Surgery ◽  
Open Heart Surgery ◽  
Median Sternotomy ◽  
Functional Mobility ◽  
Emg Activity ◽  
Vertical Force ◽  
Open Heart ◽  
Design Elements ◽  
Feedback Training ◽  
Older Subjects

Abstract Funding Acknowledgements Type of funding sources: None. BACKGROUND Patients often need to use their arms to assist with functional activities, but after open-heart surgery, pushing with the arms is often limited to <10 lb (4.5 kg), to minimize force across the healing sternum. Restricting arm use often limits patient functional independence which can contribute to longer hospital stays and greater need for care after hospitalization. Therefore, appropriate arm use is important for return to function. Currently, no method exists to measure patient upper extremity weight bearing (UEWB) forces objectively in clinical settings. The ultimate goal was to develop a walker that provides UEWB force feedback to patients recovering from median sternotomy. This research project included three interrelated parts that sequentially built on each other. PART 1 First, I conducted a secondary data analysis comparing UEWB force and Pectoralis Major Muscle EMG during functional mobility in younger vs. older subjects (n = 65). Results showed that the mean arm force was >10 lb before feedback training during all functional mobility tasks for both groups. There were significant differences in UEWB force and EMG between groups (young vs. old) and trials (pre- vs. post-feedback training). There was significantly greater improvement (change) in the UEWB force in the older than younger subjects. We also found a significantly greater reduction in EMG activity in the older subjects than younger subjects for all tasks except during stand-to-sit. Results suggested that patients, particularly older ones, may not accurately estimate UEWB force <10 lb, and feedback training is effective for improving accuracy. This established proof-of-concept, the need for a Clinical Force Measuring (CFM) walker, and the efficacy of its use with feedback training. PART 2 Next, I completed a qualitative study to obtain critiques of a CFM walker prototype from rehabilitation professionals through structured interviews that were recorded and transcribed. I coded key statements and phrases that allowed "themes" to emerge (Table 1), which guided device revisions. PART 3 Lastly, I fabricated and tested a second CFM Walker prototype (Figure 1) based on key design elements including: 1) integrated vertical force measuring capability, 2) ergonomic handles, 3) simple visual and auditory feedback with upper limit alarms, 4) streamline, stable, and manoeuvrable frame, 5) lightweight construction, 6) minimal drag, 7) adjustable height, 8) ability to disinfect, and 9) affordable cost. CONCLUSIONS The CFM Walker could help patients recover safer and faster from open heart surgery, especially elderly adults.

scholarly journals Detection of intrapericardial hematoma after open heart surgery: The roles of echocardiography and computed tomography

1985 ◽  
Vol 5 (6) ◽  
pp. 1496-1499 ◽  
Author(s):  
F. Earl Fyke ◽  
Robert G. Tancredi ◽  
Clarence Shub ◽  
Paul R. Julsrud ◽  
Patrick F. Sheedy
Keyword(s):  
Computed Tomography ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Open Heart

Aorto-Innominate Vein Fistula: A Rare Complication following Open-Heart Surgery

1996 ◽  
Vol 4 (1) ◽  
pp. 54-56
Author(s):  
Lokeswara Rao Sajja ◽  
Satyanarayana Rao Pinnamaneni ◽  
Madhusudan Kandukuri Narasimha ◽  
Chinna Reddy Naresh Kumar Reddy ◽  
Benjavani Sita Ram Reddy
Keyword(s):  
Cardiopulmonary Bypass ◽  
Heart Surgery ◽  
Rare Complication ◽  
Open Heart Surgery ◽  
Median Sternotomy ◽  
Innominate Vein ◽  
Moderate Hypothermia ◽  
Open Heart

A case of aorto-innominate vein fistula following open-heart surgery is reported. This was successfully repaired through a redo median sternotomy using partial cardiopulmonary bypass and moderate hypothermia.

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