Artículos de revistas
Use Of A Thin Retrocardiac Drain After Open Heart Surgery. Description Of The Technique [uso De Dreno Fino Retrocardíaco Em Pós-operatório De Cirurgia Cardíaca. Descrição De Técnica]
Registro en:
Arquivos Brasileiros De Cardiologia. , v. 68, n. 3, p. 181 - 183, 1997.
0066782X
2-s2.0-2442484991
Autor
Petrucci Jr. O.
De Oliveira P.P.M.
Antoniali F.
Baccarin V.
Braile D.M.
Vieira R.W.
Institución
Resumen
Purpose - To describe a technique with a thin drainage system placed behind the heart, avoiding reoperation caused by tamponade due to pericardial effusion in patients who undergo open heart surgery. Methods- We studied 59 patients, average age of 50 years. Twenty-six (44%) patients had undergone CABG, 25 (42%) valvar procedures and 8 (14%) different procedures. The control group were 20 patients, average age 44 years. Nine (45%) undewent CABG, 6 (30%) valvar procedures and 5 (25%) other procedures. Every patient was submitted to echocardiographic study to verify presence of pericardiol effusion after operation. Results - There was one patient with pericardial effusion with 8mm in the study group. Six patients showed pericardial effusion in the control group. The control group had mean drainage flow of 320±110ml and average permanence time was 45±10h. The study group had mean drainage flow of 410±122ml, the average permanence time was 46±10h. There was statistic difference between both groups when we compared the frequency of pericardial effusion. Conclusion - This drainage system reduces pericardial effusion comparing with the literature and causes little disconfort to the patient. The fixed rule to remove the drains did not present more disconfort to the patient and there were no complications related to its permanence. 68 3 181 183 Warner, S.L., Child, J.S., Laks, A., Kern, L., Incidence and significance of early pericardial effusion after cardiac sugery (1984) Am J Cardiol, 54, pp. 848-851 Weitzman, L.B., Tinker, W.P., Kronzon, I., Cohen, M.L., Glassman, E., Spencer, F.C., The incidence and natural history of pericardial effusion after cardiac surgery - An echocardiographic study (1984) Circulation, 69, pp. 506-510 Robert, L.H., Mark, T., David, B.L., Stewers, R.D., O'Toole, J.D., Salermi, R., Bahnson, H.T., Delayed postoperative cardiac tamponade: Diagnosis and management (1978) Ann Thorac Surg, 26, pp. 155-164 Clapp, S.K., Garon Jr., A., Gutgexll, H.P., Cooley, D.A., McNamara, D.G., Postoperative pericardial effusion and its relation to the post pericariotomy syndrome (1980) Pediatrics, 66, pp. 585-588 Borkon, A.M., Schoff, H.V., Gardner, T.J., Diagnosis and management of postoperative pericarial effusions and late cardiac tamponade following open heart surgery (1981) Ann Thorac Surg, 31, pp. 512-519 Ellison, L.H., Kirsh, M.M., Delayed mediastinal tamponade after open heart surgery (1974) Chest, 65, pp. 64-66 Frater, R.N.M., Santos, G.H., Sources of infection in open heart sugery (1974) N Y State J Med, 74, pp. 2386-2388 Angelini, G.D., Bryan, A.J., Lamarra, M., Refractory supraventricular iachyarrhytmias due to early pericardial effusion following open heart surgery (1988) Thorac Cardiovasc Surg, 36, pp. 162-163 Solomon, V., Single drain (pleura, pericardium, mediastinum) after open heart operations (1991) Ann Thorac Surg, 51, pp. 345-346 Wijma, J., Kauer, F.M., Van Seane, H.K., Van De Weil, H.B., Janssens, J., Antibiotics and suction drainage as prophylaxis in vaginal and abdominal hysterectomy (1987) Obstet Gynecol, 70, pp. 384-386 Chilton, C.P., Mann, C.V., Drainage after cholecystectorny (1980) Ann R Coll Surg Engl, 62, pp. 60-68 Kochelberg, R.C., Harris, A.M., Roy, M.J., Bosley, J.S., Finnin, R.K., Prolonged suction drainage preventes serous wound discharge after cardiac surgery (1994) Ann R Coll Surg Engl, 76, pp. 30-32 Pirk, J., Hronek, I., Use of thin retrocardial drain to prevent pericardial effusion (1993) Cardiovasc Surg, 1, pp. 664-665