This study is a prospective trial comparing the incidence of post-operative complications to fluid status in patients undergoing coronary artery bypass grafting (CABG) surgery. One hundred and nine subjects undergoing...This study is a prospective trial comparing the incidence of post-operative complications to fluid status in patients undergoing coronary artery bypass grafting (CABG) surgery. One hundred and nine subjects undergoing CABG surgery at the Jewish general hospital were recruited over a 5 months period in the year 2006. All of the patients underwent CABG surgery “on pump”. Post operative fluid overload was measured by weight gain. Using logistic regression with complications (major vs. minor only/none) as an outcome and fluid overload as a covariate, the risk of major complications significantly increases for fluid overload ≥5 kg compared to 1 - 5 kg (p < 0.001), while the risk for ≤1 kg is not significantly different from 1 - 5 kg. Also, the risk of major complications significantly (p = 0.012) increases for days with fluid overload ≥5 days in comparison to ≤1 day.展开更多
This is a very unusual case with unexpected findings. In spite of sophisticated investigation tests such as MRI and pul?monary angiogram, it may be very difficult to identify the nature of pulmonary artery stenosis or...This is a very unusual case with unexpected findings. In spite of sophisticated investigation tests such as MRI and pul?monary angiogram, it may be very difficult to identify the nature of pulmonary artery stenosis or occlusion.展开更多
We describe a patient who developed catastrophic consequences of heparin-induced thrombocytopenia (HIT) post car?diac surgery, for which she required reoperation using CPB. We also illustrate the impact of intraoperat...We describe a patient who developed catastrophic consequences of heparin-induced thrombocytopenia (HIT) post car?diac surgery, for which she required reoperation using CPB. We also illustrate the impact of intraoperative transe?sophageal echocardiography (TEE) in the surgical management of this patient.展开更多
文摘This study is a prospective trial comparing the incidence of post-operative complications to fluid status in patients undergoing coronary artery bypass grafting (CABG) surgery. One hundred and nine subjects undergoing CABG surgery at the Jewish general hospital were recruited over a 5 months period in the year 2006. All of the patients underwent CABG surgery “on pump”. Post operative fluid overload was measured by weight gain. Using logistic regression with complications (major vs. minor only/none) as an outcome and fluid overload as a covariate, the risk of major complications significantly increases for fluid overload ≥5 kg compared to 1 - 5 kg (p < 0.001), while the risk for ≤1 kg is not significantly different from 1 - 5 kg. Also, the risk of major complications significantly (p = 0.012) increases for days with fluid overload ≥5 days in comparison to ≤1 day.
文摘This is a very unusual case with unexpected findings. In spite of sophisticated investigation tests such as MRI and pul?monary angiogram, it may be very difficult to identify the nature of pulmonary artery stenosis or occlusion.
文摘We describe a patient who developed catastrophic consequences of heparin-induced thrombocytopenia (HIT) post car?diac surgery, for which she required reoperation using CPB. We also illustrate the impact of intraoperative transe?sophageal echocardiography (TEE) in the surgical management of this patient.
