Specific Issues in Perioperative Care
Author:
Publisher
Springer Singapore
Link
http://link.springer.com/content/pdf/10.1007/978-981-15-0902-5_22
Reference7 articles.
1. Allou N, Bronchard R. Risk factors for postoperative pneumonia after cardiac surgery and development of a preoperative risk score. Crit Care Med. 2014;42(5):1150. Multivariate analysis identified four risk factors for postoperative pneumonia: age (odds ratio, chronic obstructive pulmonary disease preoperative left ventricular ejection fraction, and the interaction between RBC transfusion during surgery and duration of cardiopulmonary bypass). A 6-point score including the three preoperative variables then defined two risk groups corresponding to postoperative pneumonia rates of 1.8% (score < 3) and 6.5% (score ≥ 3).
2. Behera BK, Puri GD. Patient-controlled epidural analgesia with fentanyl and bupivacaine provides better analgesia than intravenous morphine patient-controlled analgesia for early thoracotomy pain. J Postgrad Med. 2008;54(2):86–90. Significantly less number of patients required rescue analgesia in PCEA group (P < 0.05). Pain relief was better both at rest and during coughing (P < 0.05) in PCEA group as compared to IVPCA. Patients in the PCEA group were less sedated and had fewer incidences of side effects, that is, nausea/vomiting and pruritus.
3. Bláha J, Mráz M, Kopecký P. Perioperative tight glucose control reduces postoperative adverse events in nondiabetic cardiac surgery patients. J Clin Endocrinol Metab. 2015;100(8):3081–9. Perioperative initiation of intensive insulin therapy during cardiac surgery reduces postoperative morbidity in nondiabetic patients while having a minimal effect in diabetic subjects.
4. Karamichalis JM. Cardiovascular complications after lung surgery. Thorac Surg Clin. 2006;16(3):253–60. Although postoperative cardiac events cannot be completely eliminated from the thoracic surgery population, the prevention, treatment, and follow-up strategies outlined can attenuate these significant morbid and mortal events.
5. Landoni G, Lomivorotov VV. Levosimendan for hemodynamic support after cardiac surgery. CHEETAH Study Group. N Engl J Med. 2017;376(21):2021–31. In patients who required perioperative hemodynamic support after cardiac surgery, low-dose levosimendan in addition to standard care did not result in lower 30-day mortality than placebo.
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