Temporary pacing

ESC CardioMed ◽  
2018 ◽  
pp. 1978-1980
Author(s):  
Alexander Bauer
Keyword(s):  
Critical Care ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Non Invasive ◽  
Temporary Pacing ◽  
Life Saving ◽  
Transcutaneous Pacing ◽  
The Right

Temporary pacing was first introduced in 1952 by Zoll and co-workers. This life-saving technique is used in a variety of critical care settings. It can be achieved by leads placed in the right ventricle or atrium, or both, via the femoral, jugular, or subclavian vein. Epicardial insertion of pacing leads is frequently used during open heart surgery. A non-invasive option is transcutaneous pacing through adhesive electrode pads. This chapter discusses indications, technique, implantation, complications, and follow-up of temporary pacemakers.

scholarly journals Neuropsychomotor development before and after open-heart surgery in infants

2009 ◽  
Vol 67 (2b) ◽  
pp. 457-462 ◽  
Author(s):  
Taís Sica da Rocha ◽  
Ana Guardiola ◽  
Jefferson Pedro Piva ◽  
Cláudia Pires Ricachinevski ◽  
Aldemir Nogueira
Keyword(s):  
Heart Surgery ◽  
Intensive Care Unit Discharge ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Neurodevelopmental Outcomes ◽  
Early Improvement ◽  
Before And After ◽  
Neurological Exam ◽  
Brazilian Studies

There are few Brazilian studies on neuropsychomotor follow-up after open-heart surgery with circulatory bypass in infants. Twenthy infants had neurodevelopmental outcomes (neurological exam and Denver II test) assessed before open-heart surgery, after intensive care unit discharge and 3-6 months after hospital discharge. Heart lesions consisted of septal defects in 11 cases (55%). The mean circulatory bypass time was 67 ± 23.6 minutes. Fifteen infants had altered neurological examination and also neurodevelopment delay before surgery. After 6 months it was observed normalization in 6 infants. When Denver II test indexes were analysed, it was observed an improvement in all domains except personal-social. Although those infants were in risk of new neurological findings, an early improvement on neuropsychomotor indexes were seen.

scholarly journals Influence of biomarkers level during follow-up when operating under cardiopulmonary bypass

2015 ◽  
Vol 18 (3) ◽  
pp. 39
Author(s):  
Yu. I. Petrishchev ◽  
A. L. Levit ◽  
I. N. Leyderman
Keyword(s):  
Cardiac Surgery ◽  
Length Of Stay ◽  
Plasma Levels ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Cardiac Surgeons ◽  
The Given ◽  
The Relationship

Systemic inflammatory response was first determined in 1980 and cardiac surgeons turned to it in 1996. At present, there are a lot of publications on this issue, however, the extent of operation and duration of CPB are considered in clinical practice as crucial indicators of severity of patient's condition following cardiac surgery. In our study we tried to look at this problem from a different perspective and draw a parallel between the severity of patient's condition resulting from operational trauma and CPB. We included 48 patients who under-went cardiac surgery under CPB. Plasma levels of procalcitonin (PCT), lactate and interleukin-6 were investigated before the operation, after CPB and at 24 hours. Also revealed was the relationship between the plasma levels of IL-6, lactate and PCT (r = 0.53; p = 0.000 in both cases). The level of PCT at the 3rd stage was found to relate to the duration of CPB (r = 0.4; p = 0.005), ALV (r = 0.44; p = 0.001) and length of stay at ICU (r = 0.53; p = 0.000). We didn't manage to find any relationship between the length of stay at ICU and the duration of CPB. Correlation between the PCT plasma level and the duration of intensive care indicates the importance of dynamics of the given biomarker for early prediction of follow-up course after open-heart surgery.

Delayed sternal closure: an effective procedure for life-saving in open-heart surgery

2010 ◽  
Vol 10 (2) ◽  
pp. 163-167 ◽  
Author(s):  
Haydar Yasa ◽  
Banu Bahriye Lafci ◽  
Levent Yilik ◽  
Mehmet Bademci ◽  
Aykut Sahin ◽  
...  
Keyword(s):  
Heart Surgery ◽  
Open Heart Surgery ◽  
Effective Procedure ◽  
Open Heart ◽  
Sternal Closure ◽  
Life Saving ◽  
Delayed Sternal Closure

Cardiothoracic Surgery and Postoperative Intensive Care

2019 ◽  
pp. 417-423
Author(s):  
Juan G. Ripoll Sanz ◽  
Robert A. Ratzlaff
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Patient Care ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Cardiothoracic Surgery ◽  
Open Heart ◽  
Postoperative Intensive Care ◽  
Main Factor

Cardiothoracic surgical (CTS) critical care responsibilities have progressively shifted away from surgeons and toward intensivists in the past several decades. CTS patients present unique challenges, and optimal patient care in the intensive care unit is a main factor for the prevention of deaths after any type of open heart surgery.

Synchronous Open Heart Surgery and Laparoscopic Cholecystectomy: An Observational Case Study with 28 Patients

2017 ◽  
Vol 83 (3) ◽  
pp. 314-321
Author(s):  
Mustafa Bilge Erdogan ◽  
Mehmet Kaplan ◽  
Hakki Kazaz ◽  
Bulent Salman
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Acalculous Cholecystitis ◽  
Tricuspid Valve Repair ◽  
Inhospital Mortality ◽  
Open Heart ◽  
Severe Problem

Acute cholecystitis (AC) may be a severe problem and may increase the mortality rate and hospital stay in patients who undergo open heart surgery (OHS), due to its aggressive course; therefore, AC should be treated as soon as possible. We aimed to present data on our synchronous cardiac and laparoscopic cholecystectomy (LC) operations performed for AC complicating patients with cardiac disease and who were waiting to undergo OHS. Between January 2008 and September 2014, we performed 2773 OHSs in Medical Park Gaziantep Hospital. Among these, 28 (1%) patients underwent concomitant LC in the same session by the same experienced surgeon. The mean age of the patients was 61.4 ± 9.1 years, and the proportion of males was 71.4 per cent. Acalculous cholecystitis was found in 42.9 per cent of the patients. Patients stayed in the intensive care unit for 3.1 ± 1.4 days and were discharged from the hospital after 16.5 ± 6.3 days. Postoperative 2-year follow-up was completed in all patients with a mean follow-up period of 3.4 ± 2.0 years. The overall complication rate was 28.6 per cent. LC-related complications were seen in four patients. No inhospital mortality was observed. Only one patient who underwent mitral valve replacement and tricuspid valve repair died in the second year after the operation due to congestive heart failure. Three patients died due to noncardiac reasons in the follow-up period. By increasing the experiences of surgeons in laparoscopic surgery in critically ill patients, LC can be safely performed concurrently in patients scheduled for OHS.

scholarly journals Impalement Injury to The Heart

2012 ◽  
Vol 9 (1) ◽  
pp. 80-82
Author(s):  
S Pradhan ◽  
R Sapkota ◽  
U K Shrestha ◽  
R Amatya ◽  
B Koirala
Keyword(s):  
Heart Surgery ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Blood Products ◽  
Surgical Team ◽  
Rapid Imaging ◽  
Cardiac Trauma ◽  
Impalement Injury ◽  
Chest Injuries ◽  
The Right

Cardiac impalement injury is rare and one of the most severe penetrating chest injuries, often fatal. The management of penetrating cardiac injuries is a challenging one. The success in management of impaling cardiac trauma requires stabilization of the impaling object, expeditious transfer to a facility for open heart surgery, rapid imaging, access to blood and blood products and a ready surgical team. We report a case of impalement injury to the heart by a stick, transfixing the right ventricle and its successful treatment. http://dx.doi.org/10.3126/kumj.v9i1.6270 Kathmandu Univ Med J 2011;9(1):80-2

Follow-up of Australian Aboriginal Patients Following Open-Heart Surgery in Western Australia

2004 ◽  
Vol 13 (1) ◽  
pp. 70-73 ◽  
Author(s):  
Nand K Kejriwal ◽  
J.T.H Tan ◽  
A Vasudevan ◽  
M Ong ◽  
M.A.J Newman ◽  
...  
Keyword(s):  
Western Australia ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Australian Aboriginal

Non Invasive Transcutaneous Carbondioxide Monitoring in Adult Open Heart Surgery

2013 ◽  
Vol 19 (3) ◽  
pp. 118-122
Author(s):  
Perihan Ucar ◽  
Gulcin Gazioglu ◽  
Ozcan Erdemli ◽  
Omer Faruk Cicek ◽  
Asli Demir
Keyword(s):  
Heart Surgery ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Non Invasive

scholarly journals Long-term cerebral outcome after open-heart surgery. A five-year neuropsychological follow-up study.

Stroke ◽  
1986 ◽  
Vol 17 (3) ◽  
pp. 410-416 ◽  
Author(s):  
K A Sotaniemi ◽  
H Mononen ◽  
T E Hokkanen
Keyword(s):  
Heart Surgery ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Follow Up Study
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