Affiliation:
1. Regional Clinical Hospital, Yaroslavl, Russia
Abstract
In cardiac surgery, patient’s awareness and consent to surgery are problematic as due to the lack of previous medical background a patient can’t understand the processes occurring in the body and effects of exposure on them. Thus, provision of sufficient information by a doctor is a part of safe surgical strategy. An open randomized prospective trial involving 89 patients with stable coronary artery disease (CAD) was conducted. High rate of blood oxidation is believed to be an independent predictor of cognitive dysfunction development during the early postoperative period of coronary artery bypass grafting (CABG). Determination of blood oxidation rate is a tool of risk management during cardiac surgery starting from the stage of preoperative preparation, which is optimal to implement a safe strategy, including psychological and drug-induced support of the patient aimed at prevention of cognitive disturbances.
Publisher
Pirogov Russian National Research Medical University
Reference15 articles.
1. Solodukhin AV, Trubnikova OA, Yanitskiy MS, Seryy AV, Barbarash OL. Kliniko-psikhologicheskaya kharakteristika patsiyentov s IBS pered podgotovkoy k koronarnomu shuntirovaniyu v zavisimosti ot ikh psikhoemotsional’nogo statusa. Lechashchiy vrach. 2017; 11: 76–79. Russian.
2. Kavarana MN, Sade RM. Ethical issues in cardiac surgery. Future Cardiol. 2012; 8(3): 451–65.
3. Mzhavanadze ND. Sotsial’no-psikhologicheskiye aspekty professional’noy deyatel’nosti serdechno-sosudistogo khirurga. Lichnost’ v menyayushchemsya mire: zdorov’ye, adaptatsiya, razvitiye. 2015; № 3(10): 53–58. Russian.
4. Argunova YuA, Barbarash OL. Optimizatsiya podgotovki patsiyenta k kardiokhirurgicheskomu vmeshatel’stvu. Kardiologiya i serdechno-sosudistaya khirurgiya. 2023; 2(16): 171–177. Russian.
5. Taran IN, Solodukhin AV, Argunova YuA, Pomeshkina SA, Barbarash OL. Funktsional’nyy i psikhologicheskiy status patsiyentov posle koronarnogo shuntirovaniya: effekty ranney reabilitatsii s aerobnymi fizicheskimi nagruzkami i perioperatsionnogo psikhologicheskogo soprovozhdeniya. Kardiologiya i serdechno-sosudistaya khirurgiya. 2021; 14(3): 164–170. Russian.