scholarly journals The impact of family support program on depression, anxiety, stress, and satisfaction in the family members of open-heart surgery patients

2020 ◽  
Vol 7 (2) ◽  
pp. 69 ◽  
Author(s):  
Vida Shafipour ◽  
Fariba Shoushi ◽  
Yadollah Janati ◽  
Nouraddin Mousavinasab ◽  
Mahsa Kamali
Keyword(s):  
Family Support ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Family Members ◽  
Support Program ◽  
Open Heart ◽  
The Family ◽  
Family Support Program ◽  
The Impact

scholarly journals The Impact of Perioperative Viscoelastic Test Application on Blood Product Usage and Outcome in Cardiac Surgery; Regional Cardiac Surgery Center Experience

2021 ◽  
Author(s):  
Murat Aksun ◽  
Saliha Aksun ◽  
Mehmet Ali Çoşar ◽  
Elif Neziroğlu ◽  
Senem Girgin ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Clinical Experience ◽  
Heart Surgery ◽  
Blood Product ◽  
Open Heart Surgery ◽  
Control Group ◽  
Open Heart ◽  
Blood Products ◽  
Product Use ◽  
The Impact

Objective: Thromboelastography (TEG) is a diagnostic modality that gives information about coagulation. Despite all blood-preserving precautions in open heart surgery there are blood losses and the use of blood and blood products becomes inevitable. TEG is mostly not available in every center and habits, trends and clinical experience in blood use create the possibility of causing unnecessary use of blood and blood products. In this study, it was aimed to determine the effect of the use of thromboelastography on the use of blood and blood products in cardiac surgery. Methods: Two hundred patients between 18-70 years old who underwent open heart surgery were included in the study. After the cardiopulmonary bypass (CPB), the cases were confirmed to have an Activated Clotting Time (ACT) value in the range of 120-150 sec after protamine administration. In 100 patients in the TEG group, the coagulation status was evaluated with TEG and it was decided how to apply blood and blood product use. Blood and blood product use was applied to 100 patients in the control group based on clinical experience and foresight. The total amount of blood and blood product used, fluid balance, need for inotropics, mechanical ventilator time, complications, duration of intensive care and discharge times were recorded. Results: Use of Fresh Frozen Plasma (FFP) at the after CPB in the TEG group was statistically significantly lower than that of the control group FFP (p<0.05). Postoperative FFP and postoperative platelet use in the study group were statistically significantly lower than in the postoperative FFP and postoperative platelet values of the control group (p <0.05). Conclusion: The use of thromboelastography is a very useful monitoring in terms of reducing FFP use after CPB and reducing FFP and platelet usage in the postoperative period. In this way, the unnecessary use of blood and blood products can be prevented.

scholarly journals The Effect of Distraction with a Loved One’s Voice on Pain Reduction While Extracting the Chest Tube after Open Heart Surgery

2019 ◽  
Vol 12 (1) ◽  
pp. 6-10
Author(s):  
Hakimeh Sheykhasadi ◽  
Abbas Abbaszadeh ◽  
Homira Bonakdar ◽  
Fatemeh Salmani ◽  
Asghar Tavan ◽  
...  
Keyword(s):  
Chest Tube ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Control Group ◽  
Open Heart ◽  
Care Providers ◽  
Tube Removal ◽  
Significant Difference ◽  
Chest Tube Removal ◽  
The Impact

Background:One of the forms of ost-operative care after open heart surgery is controlling the pain resulting from chest tube insertion. Management of pain is considered vital and requires the awareness of health care providers. One of the main responsibilities of nurses is to prepare patients for invasive procedures such as the removal of the chest tube. This study was designed to analyze the impact of a loved one’s voice for distraction in patients undergoing open heart surgery.Methods:This study was a clinical trial. The research sample was randomly selected from patients undergoing open heart surgery. In this study, the number of samples for each group was considered to be 64 people, where the total number of samples was 128 people. The data collection tools included Visual Analog Scale (VAS) assessment tool and a researcher-made questionnaire. After selecting the eligible samples and obtaining the informed consent, each patient was randomly assigned to one of the two groups (intervention group and control group). The pain was measured before, immediately, and 10 minutes after removing the chest tube.Results:The findings of this study indicated that the two groups had no statistically significant differences in pain before chest tube removal. The mean pain during chest tube removal and 10 minutes later in both groups indicated a significant difference based on Mann-Whitney test (P<0.001).Conclusion:This study showed that a loved one’s voice is effective in reducing pain during chest tube removal after open heart surgery.

Abstract 467: Glucose Promotes M2-related Transcriptional Reprogramming of Resident Cardiac Macrophages in Response to Hypothermic Ischemic Arrest and Reperfusion

2016 ◽  
Vol 119 (suppl_1) ◽  
Author(s):  
Ahmed Bux ◽  
Hernan Vasquez ◽  
Heinrich Taegtmeyer ◽  
Romain Harmancey
Keyword(s):  
Stress Response ◽  
Left Ventricle ◽  
Rat Heart ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Alternative Activation ◽  
Open Heart ◽  
The Impact ◽  
Perfused Hearts ◽  
Working Rat Heart

Stress hyperglycemia and inflammation frequently develop in open heart surgery patients. Although both factors independently contribute to increased peri-operative morbidity and mortality, the impact of high glucose levels on cardiac inflammatory response remains unknown. We investigated the isolated working rat heart as a model to study cardiac early stress response to surgery. Hearts of male Sprague Dawley rats were cold-arrested and subjected to 60 minutes normothermic reperfusion in the working mode with Krebs-Henseleit buffer supplemented with ketone bodies and propionate plus glucose (25 mM) or mannitol (25 mM; osmotic control). Alterations of gene expression in the left ventricle were determined by microarray and real-time PCR analyses. Compared to non-perfused hearts, perfused hearts displayed a more than twofold increased expression for 71 genes (mannitol group) and 103 genes (glucose group) connected to inflammation, cell proliferation, and apoptosis. The transcriptional changes were highly similar to gene alterations previously reported in the right atrium ( P < 2.34E-16) and left ventricle ( P < 4.83E-46) of patients who underwent cardiac surgery with cardiopulmonary bypass. Pathway analysis with Reactome revealed an up-regulation of metabolic processes associated with the proliferation and activation of immune cells, including glycolysis, glutaminolysis, fatty acid synthesis, polyamine synthesis, and hexosamine synthesis. Although the transcriptional remodeling occurred independently from the presence of glucose, glucose significantly increased further the expression of several transcription factors and markers associated with M2 polarization of macrophages, including Myc (1.6-fold), Nr4a1 (1.3-fold), Nr4a2 (1.8-fold), Zc3h12a (1.3-fold), Fosl2 (1.4-fold), Cebpb (1.2-fold), and Arg1 (1.7-fold). Interestingly, glucose failed to enhance the expression of M2-related genes in the heart of rats rendered insulin resistant by high-sucrose feeding. Besides demonstrating that the isolated working rat heart accurately reproduces the stress response associated with open heart surgery, the results also suggest that glucose promotes the alternative activation of resident cardiac macrophages in the stressed heart.

Blood Product Use During Routine Open Heart Surgery: The Impact of the Centrifugal Pump

2001 ◽  
Vol 25 (4) ◽  
pp. 300-305 ◽  
Author(s):  
Michael Klein ◽  
Chris Brown Mahoney ◽  
Chris Probst ◽  
Hagen D. Schulte ◽  
Emmeran Gams
Keyword(s):  
Centrifugal Pump ◽  
Heart Surgery ◽  
Blood Product ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Product Use ◽  
The Impact

Blood Product Use During Routine Open Heart Surgery: The Impact of the Centrifugal Pump

2001 ◽  
Vol 25 (4) ◽  
pp. 300-305 ◽  
Author(s):  
Michael Klein ◽  
Chris Brown Mahoney ◽  
Chris Probst ◽  
Hagen D. Schulte ◽  
Emmeran Gams
Keyword(s):  
Centrifugal Pump ◽  
Heart Surgery ◽  
Blood Product ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Product Use ◽  
The Impact

scholarly journals Familias multiproblemáticas y el programa de apoyo a familias en Soria

2020 ◽  
pp. 57
Author(s):  
Senador Pascual Lavilla
Keyword(s):  
Family Support ◽  
Support Program ◽  
Social Interventions ◽  
The Family ◽  
Family Support Program ◽  
Positive Results

El siguiente artículo es un estudio de las familias multiproblemáticas a través de una investigación con familias usuarias del Programa de Apoyo a Familias. En él se analizan una serie de características que hemos considerado importantes para entender este tipo de familias y la causa de muchos de los problemas a los que se enfrentan. Se prende con esto, llegar a entenderlas mejor y conseguir resultados más positivos en intervenciones sociales que se realicen con ellas.The following article is a study of multi-problem families through an investigation with families which are users of the Family Support Program. The article analyzes a series of characteristics which we have considered important in order to understand this type of families as well as the cause of many of the problems they face.The aim of this article is to understand them better and reach more positive results in social interventions that are carried out with them.

Sign in / Sign up

Export Citation Format

Share Document