scholarly journals DRESSINGS INDICATED IN THE TREATMENT OF MEDIASTINITIS AFTER CARDIAC SURGERY: INTEGRATIVE REVIEW

2019 ◽  
Vol 28 ◽  
Author(s):  
Cristina Valéria Frantz ◽  
Janislei Giseli Dorociaki Stocco ◽  
Anna Carolina Gaspar Ribeiro ◽  
Ana Laura Gomide Vieira

ABSTRACT Objective: identify and describe which dressings are recommended in the treatment of mediastinitis after cardiac surgery in adult patients. Method: integrative review held in the databases MEDLINE/PubMed, LILACS, CINAHL, Web of Science, Cochrane, SCOPUS and manual search, between December 2017 and January 2018. It was selected studies on dressings used in the treatment of mediastinitis after cardiac surgery. Results: eight articles were included: three addressed the treatment of negative pressure wounds and reported that most of the patients analyzed were successful in treatment, reducing the need for other interventions; four compared the previous therapy with conventional dressings and concluded that the rates of sternal reinfection and hospital mortality were lower in the first group; and one compared vacuum assisted therapy with a closed drainage system and lower rates of sternal reinfection were seen in the group undergoing vacuum treatment. Conclusion: the evidence indicates that the use of vacuum therapy to treat mediastinitis after cardiac surgery was effective. However, despite the positive outcome, clinical trials with strict methodological description and significant samples are suggested to minimize the risk of bias and to evaluate the impact of dressings in the treatment of mediastinitis.

1990 ◽  
Vol 48 (7) ◽  
pp. 758-759 ◽  
Author(s):  
Ninian S. Peckitt ◽  
Martyn J. Fields ◽  
Maxwell C. Gregory

1974 ◽  
Vol 38 (5) ◽  
pp. 813-818 ◽  
Author(s):  
D. D. Malo ◽  
B. K. Worcester ◽  
D. K. Cassel ◽  
K. D. Matzdorf

2002 ◽  
Vol 72 (11) ◽  
pp. 806-807
Author(s):  
Sean Flanagan ◽  
David Logan ◽  
Mark G. Joseph

1997 ◽  
Vol 53 (4) ◽  
pp. 327-328
Author(s):  
S MEHROTRA ◽  
SK MOHANTY ◽  
KK MAUDAR ◽  
AK TYAGI

2017 ◽  
Vol 7 (2) ◽  
pp. 298-307
Author(s):  
Aline Cristina Tavares ◽  
Pedro Nabuco De Araujo

Context: The drained pleural contents may vary, as well as their drainage, however closed drainage system is the most frequent one and reaches flaws along those who are in charge of their management. Objetive: Provide a comprehensive review about close chest drainage. Methods: A systematic search of the PubMed and Medline databases was conducted on closed drainage system using the following keyword combination: chest tubes AND drainage.  Results: From eight hundred eight-three articles retrieved after our preliminary search, 17 articles were chosen for final analysis. Representative schemes were drawn to better understanding of the three types of chest drainage systems for pleura effusion: (i) the closed drainage system; (ii) the open drainage system; and (iii) the suction drainage system. Representative pictures were also developed in order to facilitate additional care in the field. Conclusions: Bringing information together about chest tube management in closed drainage system may imply in a better approach to the patients, minimize institutional cost, minimize material waste and promote efficient communication among the multidisciplinary staff.  Understanding details about tubular tube, pig tail tube, one-way bag, one-way valve and collectors is the only way to perform a better approach to the patient who needs closed drainage system.


2021 ◽  
Vol 12 ◽  
pp. 124
Author(s):  
Yu Shimizu ◽  
Kazuhiko Tokuda ◽  
Park Cheho

Background: Chronic subdural hematomas (CSDHs) mainly occur in elderly people and usually develop after minor head injuries. CSDH can be cured by a relatively simple burr hole surgery. Rarely reported, hemorrhagic postsurgical complications include subarachnoid, intracerebral, intraventricular, and remote cerebellar hemorrhages. The causes of such uncommon complications are difficult to explain and remain poorly understood. Case Description: We report the case study of an 89-year-old man with CSDH who presented with the right hemiparesis. He underwent burr hole surgery with a closed-drainage system. A computed tomography (CT) scan conducted the following day demonstrated an acute intraventricular hemorrhage and hyperperfusion of the ipsilateral hemisphere. Conclusion: This is a rare case of an acute hematoma in the ventricle following drainage of a CSDH. The likely mechanism of this intraventricular hemorrhage could be that the drainage of the hematoma produced a movement of the ventricle and hemisphere accompanied by hyperperfusion.


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