Clinical, Microbiological, and Economic Benefit of a Change in Antibiotic Prophylaxis for Cardiac Surgery

2002 ◽  
Vol 23 (7) ◽  
pp. 402-404 ◽  
Author(s):  
Denis Spelman ◽  
Glenys Harrington ◽  
Phil Russo ◽  
S. Wesselingh
Keyword(s):  
Cardiac Surgery ◽  
Coronary Artery ◽  
Confidence Interval ◽  
Antibiotic Prophylaxis ◽  
Economic Benefit ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Artery Bypass ◽  
Site Infection ◽  
Surgical Site Infection Rate

AbstractVancomycin and rifampicin replaced cephazolin as antibiotic prophylaxis for coronary artery bypass surgery at our institution. Following this intervention, there was a significant decrease (P< .001) in the surgical-site infection rate from 10.5 (95% confidence interval, 8.2 to 13.3) to 4.9 (95% confidence interval, 3.2 to 7.1) infections per 100 procedures. An estimated $576,655 (Australian) was saved between two 12-month periods.

Pathophysiological aspects of cardiotomy suction usage

Perfusion ◽  
2010 ◽  
Vol 25 (3) ◽  
pp. 147-152 ◽  
Author(s):  
Vladimir Svitek ◽  
Vladimir Lonsky ◽  
Faraz Anjum
Keyword(s):  
Cardiac Surgery ◽  
Coronary Artery ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Transfusion Requirement ◽  
Artery Bypass ◽  
Autologous Blood ◽  
The Other ◽  
Coronary Artery Surgery ◽  
Cardiotomy Suction

Cardiotomy suction is used for preservation of autologous blood during on-pump cardiac surgery at present. Controversially, the exclusion of cardiotomy suction in some types of operations (coronary artery bypass surgery) is not necessarily associated with an increased transfusion requirement. On the other hand, the use of cardiotomy suction causes an amplification of systemic inflammatory response and a resulting coagulopathy, as well as exacerbation of the microembolic load and hemolysis. This leads to a tendency towards increased blood loss, transfusion requirement and organ dysfunction. On the basis of these facts, it is appropriate to reconsider routine use of cardiotomy suction in on-pump coronary artery surgery.

Chylopericardium following aortic valve replacement and coronary artery bypass surgery: a case report and discussion

1994 ◽  
Vol 3 (4) ◽  
pp. 313-315
Author(s):  
M Schactman ◽  
C Scott ◽  
DR Glibbery-Fiesel ◽  
M Murello ◽  
P Kerr
Keyword(s):  
Cardiac Surgery ◽  
Case Report ◽  
Coronary Artery ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Coronary Artery Bypass ◽  
Valve Replacement ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Artery Bypass

The incidence of chylopericardium after cardiac surgery is unusual, but there are documented cases. Those caring for these patients need to be aware of the symptoms and management of chylopericardium because, if left untreated, it may cause catastrophic consequences.

scholarly journals Evaluation of Body Mass Index as a Factor of Outcome in Coronary Artery Bypass Surgery

2018 ◽  
Vol 10 (2) ◽  
pp. 150-157
Author(s):  
Mohammad Jahangir Alam ◽  
Imran Ahmed ◽  
Razia Begum ◽  
Kazi Al Hosne Jamil ◽  
Shahriar Moinuddin
Keyword(s):  
Body Mass Index ◽  
Coronary Artery ◽  
Hospital Mortality ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Artery Bypass ◽  
Obese Group ◽  
Obese Patients ◽  
Site Infection ◽  
Harvest Site

Background: Obesity is supposed to be a risk factor for patients undergoing coronary artery bypass surgery (CABG) increasing risk of in-hospital mortality and postoperative morbidity. So, this study was conducted to evaluate the outcome of CABG in obese patients in Bangladesh.Methods: This prospective clinical trial was undertaken in the Department of Cardiac Surgery, National Institute of Cardiovascular Diseases, Dhaka, Bangladesh from January 2015 to December 2016. A total of 60 consecutive patients were selected for CABG operation and their outcome measured against pre-set variables. Body mass index (BMI) 25kg/m2was considered as cut off value between obese and non-obese patients.Results: Mortality after CABG surgery was 9.5% in obese group and 10.3% in non-obese group (p= 0.976) showing no significant difference but average hospital stay was more in obese group (10.2 + 25 days) than non-obese group (8.3 +3.7 days), p=0.489. Sternal would infection (50.0% &8.69%) and conduit harvest site infection (35.7% &4.34%) is also more in obese group but not significant statistically (p= 0.064 & 0.084 respectively).Conclusion: Patients with a BMI higher than normal are not at greater risk of in-hospital mortality after CABG. But obese patients should be more cared in post operative period for sternal and conduit harvest site infection as infection is more in obese patients.Cardiovasc. j. 2018; 10(2): 150-157

scholarly journals CARDIAC SURGERY Validation of EuroSCORE II risk model for coronary artery bypass surgery in high-risk patients

2014 ◽  
Vol 3 ◽  
pp. 252-256 ◽  
Author(s):  
Mehmet Kalender ◽  
Taylan Adademir ◽  
Mehmet Tasar ◽  
Ata Niyazi Ecevit ◽  
Okay Guven Karaca ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Coronary Artery ◽  
High Risk ◽  
Coronary Artery Bypass ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Risk Model ◽  
Artery Bypass ◽  
High Risk Patients ◽  
Risk Patients

Comparison of Sleep and Mood in Patients After On-Pump and Off-Pump Coronary Artery Bypass Surgery

2008 ◽  
Vol 17 (2) ◽  
pp. 133-140 ◽  
Author(s):  
Christine Hedges ◽  
Nancy S. Redeker
Keyword(s):  
Cardiac Surgery ◽  
Coronary Artery ◽  
Sleep Quality ◽  
Coronary Artery Bypass ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Artery Bypass ◽  
Mood Disturbance ◽  
Off Pump ◽  
Pump Coronary Artery Bypass

Background Off-pump coronary artery bypass surgical procedures have been advocated to reduce the adverse effects of cardiopulmonary bypass on the brain. Objective To examine differences in objective and subjective characteristics of sleep and mood disturbance between patients after on-pump and off-pump coronary artery bypass surgery. Methods In a secondary analysis of pooled data from 2 previous studies, sleep characteristics and mood disturbance on postoperative night 2 after transfer to the cardiac surgery step-down unit were compared in patients who had on-pump and off-pump cardiac surgery. The sample included 129 coronary artery bypass patients: 48 on-pump patients from one hospital and 81 off-pump patients from another hospital. Data were obtained with wrist actigraphs. Subjective characteristics of sleep were determined by using the Pittsburgh Sleep Quality Index and a sleep diary; mood disturbance was evaluated by using the short form of the Profile of Mood States. Results Off-pump surgery was associated with better objective sleep continuity (decreased percentage of wake time after sleep onset and fewer awakenings) but not longer sleep duration after controlling for age and sex. The 2 groups of patients did not differ overall in subjective sleep characteristics, mood disturbance, or preoperative sleep quality. Conclusion Use of off-pump coronary artery bypass surgery may improve sleep continuity during the early postoperative period. Prospective longitudinal studies are needed to evaluate the potential long-term benefits of this procedure during the different phases of recovery.

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