Articles: postoperative-complications.
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Forty-six of 51 coronary bypass patients whose inhospital postoperative adjustment was reported earlier, were studied about 18 months postoperatively. In addition, 32 of 46 cardiac valvular surgery patients were seen as a comparison group. ⋯ There were no indications that patients who developed psychiatric symptoms in the immediate postoperative period than patients asymptomatic postoperatively. There was a significant relationship between preoperative psychiatric illness and symptoms in the follow-up period.
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Surg Gynecol Obstet · Oct 1976
Continuous positive airway pressure in the prophylaxis of the adult respiratory distress syndrome.
After an operation upon the abdomen, certain patients have a high risk of developing acute respiratory failure or the adult respiratory distress syndrome. These patients at high risk have been mechanically ventilated during the postoperative period in an attempt to prevent the onset of respiratory insufficiency. As a method of prophylaxis, continuous positive airway pressure has the advantages of increasing the functional residual capacity with minimal effects on the cardiac output, low potential for barotrauma and simplicity of equipment. ⋯ In ten controls, adult respiratory distress syndrome developed, and three died in respiratory failure. Only one of the group receiving continuous positive airway pressure met standard criteria for the diagnosis of adult respiratory distress syndrome. In addition, in 25 patients serving as controls, respiratory complications other than adult respiratory distress syndrome developed compared with the development in only 11 receiving continuous positive airway pressure9