scholarly journals Non-Cardiac Surgery and Its Effects on Brain Growth and Neurodevelopment: A Case Control Study

2018 ◽  
Vol 54 ◽  
pp. 36-37
2017 ◽  
Vol 6 (3) ◽  
pp. 5
Author(s):  
JuanCarlos Núñez-Enríquez ◽  
IsabelZnaya Ramírez-Flores ◽  
Maribel Ibarra-Sarlat ◽  
Vivian Neme-Bechara ◽  
Alejandro Herrera-Landero ◽  
...  

2020 ◽  
Vol 61 (11) ◽  
pp. 1444-1451
Author(s):  
Henning Mothes ◽  
Vetlana Mueller-Mau ◽  
Lukas Lehmkuhl ◽  
Thomas Lehmann ◽  
Utz Settmacher ◽  
...  

Background Computed tomography (CT) can be used as the primary screening modality for the evaluation of patients suspected of having acute mesenteric ischemia known to show high sensitivity and specificity rates. Purpose To prove the value of CT in patients with pathological abdominal findings following cardiac surgery. Material and Methods In a retrospective case-control study, 12 different CT scan parameters of patients with or without mesenteric ischemia following cardiac surgery were compared using univariate and logistic regression analyses. Results Of 14,176 patients, 133 (0.9%) received an abdominal CT scan during postoperative care due to pathological abdominal findings. Sixty-eight patients were diagnosed with acute mesenteric ischemia. In-hospital mortality was 73.5% for this group. CT parameters with the highest specificity for indicating colonic ischemia were intestinal (99%) or porto-venous (96%) pneumatosis, abnormal contrast medium enhancement (89%), and occlusion of the proximal inferior mesenteric artery (81%). All of those parameters showed low sensitivity levels in the range of 15%–23%. A statistically significant association between acute mesenteric ischemia and CT appearance was obtained for contrast medium enhancement (odds ratio [OR] 12.2, 95% confidence interval [CI] 1.5–99.2) and intestinal pneumatosis (OR 21.0, 95% CI 2.7–165.2) only. Conclusion The typical CT criteria indicating mesenteric ischemia lose their accuracy in patients under critical clinical conditions. As CT remains the first-line diagnostic imaging modality for abnormal abdominal findings following cardiac surgery, negative signs should not prevent early laparotomy if clinical suspicion remains high.


2006 ◽  
Vol 27 (1) ◽  
pp. 83-85 ◽  
Author(s):  
Christian Olsson ◽  
Ann Tammelin ◽  
Stefan Thelin

Thirty-eight patients (10 cases and 28 controls) were included in a case-control study ofStaphylococcus aureusbloodstream infection after cardiac surgery in 833 patients. All bacterial strains were found to be unique by pulsed-field gel electrophoresis. In multivariable risk-factor analysis, only valve prosthesis implantation was associated with blood-stream infection. The early and late case mortality rate was 0%.


2006 ◽  
Vol 64 ◽  
pp. S88
Author(s):  
A. Gossink ◽  
S. van den Hof ◽  
A.T. Bernards ◽  
M.I.M. Versteegh ◽  
P.J. van den Broek

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Pierre-Grégoire Guinot ◽  
Alexandra Spitz ◽  
Vivien Berthoud ◽  
Omar Ellouze ◽  
Anis Missaoui ◽  
...  

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