Unit:
Κατεύθυνση Επείγουσα ΝοσηλευτικήLibrary of the School of Health Sciences
Author:
Chrysostomou Vasileios
Supervisors info:
Χριστίνα Μαρβάκη, Ομότιμη Καθηγήτρια , Τμήμα Νοσηλευτικής, ΠΑΔΑ
Βασιλική Βαρτελά, Επιστημονικός Συνεργάτης, Τμήμα Ιατρικής, ΕΚΠΑ
Ευτυχία Δεμερούτη, Επιστημονικός Συνεργάτης, Τμήμα Ιατρικής, ΕΚΠΑ
Original Title:
Η διάρκεια της εξωσωματικής κυκλοφορίας σε σχέση με την αποσωλήνωση των καρδιοχειρουργημένων ασθενών
Translated title:
The correlation of the duration of extracorporeal circulation and the extubation in cardiac surgery patients
Summary:
Introduction:
Cardiac surgery has entered a new era where there is a bloodless surgical field and higher success rates of operations. Scientists have laid the groundwork for the development of the extracorporeal circulation machine with cardiopulmonary bypass. During this time, the function of the heart and lungs is bypassed. The heart stops beating and the treatment can be done with little blood loss.
Extracorporeal circulation is associated with post-operative complications such as bleeding, low cardiac output, arrhythmias, respiratory failure, acute renal failure, neurological disorders, acid-base balance disorders, hemolysis, and systemic inflammatory disease. Post-operative patients are transferred to the cardiac surgery intensive care unit to be extubated as quickly as possible.
Scope of research paper
The scope of this research paper was to assess the correlation between the duration of extracorporeal circulation time during cardiac surgery and the extubation time.
Material methodology
During the period 1/6/2023 to 30/9/2023 a randomized prospective study was conducted involving 200 patients who underwent cardiac surgery in an Athens hospital and were put on extracorporeal circulation took part. The data collection was done by means of registration form where there were data about the operation as well as demographic data.
Statistical analysis
The statistical program SPSS 26.0 was used for the analysis
Results
The median extracorporeal circulation time was 81 minutes, the median intubation time was 450 minutes, and the median ischemia time was 50 minutes. In the study it was found that the time of extracorporeal circulation, the time of ischemia, the old age and the comorbidities of the heart surgery patients affect the time the patient will remain intubated in the cardiac surgery recovery unit (CSRU).
In detail, the extracorporeal circulation time is related to the extubation time in the CSRU (p<0.001).
Older age is related to patients' extubation time p=0.031.
Postoperative complications overall affect patient extubation p<0.001.
Comorbidities influence extubation time, diabetes mellitus with p=0.006, heart failure with p=0.181, arterial hypertension with p= 0.238 and dyslipidemia with p=0.276.
In total, comorbidities with p< 0.001
Conclusions
The time of extracorporeal circulation and the time of ischemia of the heart affect the time of extubation. Also, post-operative complications, diabetes mellitus and the old age of the patient delay the extubation time.
Main subject category:
Health Sciences
Keywords:
Extracorporeal circulation, Postoperative complications, Comorbidity, Extubation, Diabetes
File:
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Chrysostomou_Vasileios_MSc.pdf
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