Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Dec 1999
Letter Case ReportsPostoperative delirium and defibrillation.
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J. Cardiothorac. Vasc. Anesth. · Dec 1999
Clinical TrialIncreased extracellular brain water after coronary artery bypass grafting is avoided by off-pump surgery.
To determine if coronary artery bypass graft (CABG) surgery without cardiopulmonary bypass (CPB) avoids the brain swelling known to occur after CPB, to quantify these brain water compartment changes, and to identify the water shifts as due to intracellular or extracellular water. ⋯ Changes consistent with increased extracellular brain water seen after CABG with CPB were not observed in patients undergoing CABG without CPB. The clinical significance of brain water changes and increased brain water content after surgery with CPB remains undefined.
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J. Cardiothorac. Vasc. Anesth. · Oct 1999
The association between preoperative patient characteristics and both clinical and economic outcomes after abdominal aortic surgery.
To evaluate the association between patient characteristics and both clinical and economic outcomes in patients having abdominal aortic surgery in Maryland between 1994 and 1996. ⋯ In patients having aortic surgery, several patient characteristics such as mild liver disease and chronic renal failure, were associated with increased in-hospital mortality and length of stay. The practice of admitting patients to the hospital 1 to 2 days before surgery should be reevaluated because this was not associated with reduced in-hospital mortality but was associated with increased hospital and ICU stay.