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Cardio Thoracic Surgery - DOAJ

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Last Updated: 10 July 2022

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Postoperative outcomes of cardio-thoracic surgery in post-COVID versus non-COVID patients - Single-center experience

Objective: The aim of this research is to investigate the postoperative outcomes in post-COVID versus non-COVID patients undergoing cardiac surgery. Materials and Methods: A retrospective cohort review was done to determine the effect of COVID-19 in patients undergoing elective or emergency cardiac surgery. Compared to a cohort of non-COVID patients, the clinical outcomes and mortality of post-COVID patients were compared. Among the post-COVID patients, 53. 3 percent of the post-COVID patients were under COVID category A, followed by category B 28. 6%, and category C 17. 1%. Following COVID-19, about half of post-COVID patients had complications, including pneumonia and myocardial infarction. The majority of the surgeries were coronary artery bypass graft, and a significant difference was seen in the need of an intra-aortic balloon pump in post-COVID patients. Conclusion: The post-COVID patients were recovered in a similar manner as non-COVID patients after cardiac surgery in our study.

Source link: https://doi.org/10.4103/jpcs.jpcs_66_21


Stratification of complexity in congenital heart surgery: comparative study of the Risk Adjustment for Congenital Heart Surgery (RACHS-1) method, Aristotle basic score and Society of Thoracic Surgeons-European Association for Cardio- Thoracic Surgery (STS-EACTS) mortality score

Abstract Objective: The aim was to determine if stratification of complexity models in congenital heart surgery fit to our center and determine the correct way to distinguish hospital mortality in patients under 18 years of age. For each category from the three models, the outcome hospital mortality was estimated. Results: According to the three methods, 360 patients were allocated according to the three methods. According to the researchers, discriminatory capability of the models was established by determining the area under the ROC curve and comparing the three curves. RACHS-1-0. 638; STS-EACTS-0. 739; Aristotle-0. 766, Conclusive Conclusion: The three models of stratification of complexity that are currently available in the literature were all effective in determining the area under the ROC curve; TS-EACTS-0. 739; Aristotle-0. 766.

Source link: https://doi.org/10.5935/1678-9741.20150001


Predicting outcome of rethoracotomy for suspected pericardial tamponade following cardio-thoracic surgery in the intensive care unit

In the intensive care unit, we sought to find the reasons that predicted the outcome of surgery for suspected tamponade after cardio-thoracic surgery. Methods Twenty-one consecutive patients undergoing rethoracotomy for suspected pericardial tamponade in the ICU were identified for this retrospective review, which was admitted after primary cardio-thoracic surgery. According to the cardiovascular component of the sequential organ failure assessment score, we compared patients with or without a decrease in serious haemodynamic impairment after rethoracotomy. In 11 of patients and characterized by an increase in cardiac output, less fluid, and norepinephrine requirements, a favourable haemodynamic reaction to rethoracotomy was observed. Even though 9 of the 13 pericardial clots discovered at surgery were found preoperatively, echocardiographic results were of no help in predicting the postoperative course. Only the absence of heparin therapy, a high positive fluid balance, and low cardiac indice all predicted a favourable haemodynamic response to rethoracotomy.

Source link: https://doi.org/10.1186/1749-8090-6-79


The Impact of Biomedical Engineering on the Development of Minimally Invasive Cardio-Thoracic Surgery

With the intention to minimize procedure-related patient injury and pain, we'll explore the boundary conditions for minimally invasive cardiac surgery. The MICS work process and its demand for new equipment and accessories are outlined in detail, as well as a brief overview of the relevant sub-specialties of bio-medical engineering: electronics, biomechanics, and materials sciences. Innovations may be a finalization of an existing work process or a radical rewrite of procedures and equipment such as in transcutaneous procedures. The costu2013benefit room for commercial use of technology is shaped by factors such as time-to-market and returns on investment.

Source link: https://doi.org/10.3390/jcm10173877

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions