Articles: postoperative-complications.
-
Journal of gerontology · Jan 1977
Case ReportsThe effect of incidental hypothermia on elderly surgical patients.
Elderly surgical patients are especially susceptible to incidental hypothermia. Thermoregulatory mechanisms and cardiopulmonary systems are limited in recovery potential. To prevent postoperative shock secondary to decreased cardiac output an hypoxia, temperature should be carefully monitored with vital signs during and after surgery.
-
British heart journal · Dec 1976
Closure of pericardium after open heart surgery. A way to prevent postoperative cardiac tamponade.
Between July 1968 and December 1975, 821 patients underwent open heart operations. In 596 cases the pericardium was left open and in 225 the pericardium was closed. Forty-one patients in the open pericardium group required reoperation and 23 of these had tamponade. ⋯ Absence of tamponade in the closed pericardium group can be explained by the fact that blood from extrapericardial sources of bleeding cannot collect round the heart because the pericardium is closed. Thus closure of pericardium helps to prevent tamponade. Reoperations some months or years after the original operation are technically easier and less hazardous if the pericardium has been closed because the closed pericardium prevents the heart from becoming adherent to the back of sternum and also because there are fewer adhesions in the pericardial cavity.