Incidence of postoperative low cardiac output syndrome cardiac output low. Medical search. Frequent questions

BACKGROUND: Postoperative atrial fibrillation (POAF) is one of the most common complications following cardiac surgery. (bvsalud.org)
BACKGROUND: The most favorable anesthesia protocol during on-pump coronary artery bypass grafting (CABG) in patients with coronary heart disease remains unclear, despite previous publications regarding the interaction between anesthesia protocol and postoperative complications. (bvsalud.org)
The aim of the study was to compare the effect of a multimodal low-opioid anesthesia protocol (MLOP) on early postoperative complications during on-pump CABG. (bvsalud.org)
Reducing postoperative complications is essential to meet evolving quality standards. (getinge.com)
Although postoperative complications are more common in elderly patients and those with comorbidities, they may still develop unpredictably in low‐risk, healthy patients despite an uneventful surgical procedure and early postoperative course. (thoracickey.com)
With improvement of operative procedure for CHD, the operative successful rate is increased, the incidence of complications is decreased, and the quality of life and long-term surgical outcomes are improved. (shsmu.edu.cn)
Her postoperative course was uneventful, and she was discharged with no complications. (springeropen.com)
Transthoracic esophagectomy, among the most invasive surgeries, is highly associated with postoperative infectious complications which adversely affect postoperative management including fluid dynamics. (biomedcentral.com)
The peaks of changes in ECW and ECW/TBW appeared earlier and their values at the highest peak were significantly lower in the group without infectious complications on POD 2. (biomedcentral.com)
Patients with systemic inflammatory responses secondary to infectious complications usually require more fluid administration to maintain adequate circulation during the postoperative period. (biomedcentral.com)
Given that this procedure is associated with not only high invasiveness but also a high incidence of infectious complications, postoperative fluid management is often a challenging issue in this population. (biomedcentral.com)
Due to underpowered design for infrequent complications they usually failed to demonstrate a significant benefit of OPCAB surgery on early mortality and perioperative major cardiac and cerebrovascular events. (ecrjournal.com)
The postoperative complications were mostly infectious, with nine patients with bronchopneumonia (69.23%), one patient had pneumothorax. (bvsalud.org)

The purpose of this retrospective study was to determine the incidence of the early postoperative renal failure, the perioperative predictors of renal failure, and hospital morbidity and mortality in patients with renal dysfunction undergoing cardiac surgery in our Mansoura Cardiothoracic Unit. (ispub.com)

Is Renal Dysfunction a Risk Factor in Patients Undergoing Cardiac Surgery? (ispub.com)
Renal dysfunction increases the morbidity and mortality in patients undergoing cardiac surgery. (ispub.com)
Clinical, operative and outcome data were collected retrospectively in a computerized database for 250 patients undergoing cardiac surgery (CABG or valve replacement and combined procedures). (ispub.com)
We performed a case-control study on 792 patients undergoing cardiac surgery from 2016 to 2019, including 172 patients with postoperative MICS and 620 age- and sex-matched controls. (biomedcentral.com)
The del Nido cardioplegia solution (DNS) has been widely used as a myocardial preservation technique for pediatric patients undergoing cardiac surgery with cardiopulmonary bypass. (researchprotocols.org)

Additional benefits may include reducing the metabolic stress response to surgery, reduction in blood loss, decrease in the incidence of venous thromboembolism, reduction in pulmonary compromise (particularly in patients with advanced pulmonary disease), and the ability to monitor the patient's mental status. (medscape.com)
Extracorporeal membrane oxygenation (ECMO) is a life support therapy for patients with cardiac or pulmonary failure, and its application is continually expanding. (rcpjournals.org)
Bone Cement Implantation Syndrome (BCIS) likely involves pressurised bone cement to cause pulmonary emboli. (wfsahq.org)
The cardiovascular changes present can be variable, but the most common are: a reduction in mean arterial pressure, stroke volume, cardiac output, as well as an increase in pulmonary vascular resistance, resulting in reduced rightventricular ejection fraction. (wfsahq.org)
Postoperative computed tomography revealed no abnormality in the brain or in the pulmonary artery, but a dilated right ovarian vein with thrombi, extending up to the inferior vena cava, was found. (springeropen.com)
The CTPA demonstrated no PE, however there was extensive pulmonary airspace shadowing in both lower lobes consistent with acute respiratory distress syndrome (ARDS), as well as a highly abnormal appearance to the left atrium with a smooth margined filling defect extending from the posterior wall anteriorly compressing the lumen. (biomedcentral.com)

Morbidity from shock may be widespread and can include central nervous system (CNS) failure, respiratory failure (ie, from muscle fatigue or acute respiratory distress syndrome [ARDS]), renal failure, hepatic dysfunction, gastrointestinal ischemia, disseminated intravascular coagulation (DIC), metabolic derangements, and ultimately death. (medscape.com)
Early excision of burns and provision of care in a specialized burn center have been shown to result in lower morbidity and mortality. (renalandurologynews.com)
Although resection can be achieved with low morbidity, the incidence of recurrence is highest among all tumors. (sts.org)
Cardiac anomaly is the most common developmental malformation and one of the leading causes of neonatal mortality and morbidity. (shsmu.edu.cn)

This paper describes the current status of pediatric cardiac surgery in China. (shsmu.edu.cn)

Incidence and outcomes in acute kidney injury: a comprehensive population-based study. (bmj.com)
Myocardial injury-related cardiogenic shock (MICS) is significantly associated with poor outcomes in patients after cardiac surgery. (biomedcentral.com)
Postoperative MICS is significantly associated with poor outcomes. (biomedcentral.com)
Improving CABG quality has important implications not only for clinical outcomes but for hospital reimbursement, patient satisfaction and cardiac surgeon reputation. (getinge.com)
Secondly, we developed a software functionality to detect the incidence of AKI according to Kidney Disease: Improving Global Outcomes (KDIGO) criteria, including urine output. (biomedcentral.com)
however, prospective randomized trials are warranted to clarify the effect of preoperative vitamin D supplementation on postoperative outcomes in cardiac surgical patients. (ejcvsmed.com)

On the other hand, thyroid hormone administration has been reported to be associated with improved hemodynamics, increased cardiac output, decreased ICU length of stay, reduced need for inotropic agents and mechanical devices, decreased incidence of myocardial ischaemia and decreased incidence of atrial fibrillation and pacemaker therapy (4-6). (aiac.org.au)
Atrial fibrillation in elderly patients after cardiac surgery: postoperative hemodynamics and low postoperative serum triiodothyronine. (aiac.org.au)

To evaluate the effects of preoperative renal dysfunction on the outcome of the patients after cardiac surgery. (ispub.com)
From January 2002 to March 2005, cardiac surgery (coronary artery bypass grafting (CABG) or valve replacement and combined procedures) was performed in 30 patients with preoperative renal dysfunction (Creatinine >2.0mg/dl ) and in 220 patients without renal dysfunction, at the Cardiothoracic Unit and Mansoura International Hospital, Mansoura Faculty of Medicine. (ispub.com)
Its unique pharmacological features have created growing interest for adult cardiac surgery, especially for elderly patients or those with ventricular dysfunction who are more prone to ischemia-reperfusion injury. (researchprotocols.org)
There is a continuum of clinical manifestations from SIRS to sepsis to severe sepsis to septic shock to Multiple Organ Dysfunction Syndrome (MODS). (atsu.edu)
Fetal echocardiography is a non-invasive method in detection of structural heart disease, cardiac arrhythmia and heart dysfunction. (shsmu.edu.cn)
Subsequently, based on previous trials that have introduced effectiveness or at least no effects of hormone replacement therapy for non-thyroid illness syndrome, it seems that critically ill patients without limiting conditions such as advanced age or cardiac dysfunction (e.g. (aiac.org.au)

The use of cardioplegia solutions as a myocardial protection technique is essential during cardiac surgery with cardiopulmonary bypass. (researchprotocols.org)
A total of 474 participants over the age of 18 years undergoing elective cardiac surgery with cardiopulmonary bypass will be assigned to groups by simple randomization to receive either DNS or Cardi-Braun blood cardioplegia solution. (researchprotocols.org)
Adverse clinical consequences associated with conventional coronary artery bypass surgery (CCAB) have largely been attributed to cardiopulmonary bypass circuit (CPB), hypothermic cardiac arrest, aortic cannulation and cross-clamping. (ecrjournal.com)

Subarachnoid (spinal) block is a safe and effective alternative to general anesthesia when the surgical site is located on the lower extremities, perineum (eg, surgery on the genitalia or anus), or lower body wall (eg, inguinal herniorrhaphy ). (medscape.com)
[ 5 ] Patients with chronic low back pain may decline spinal anesthesia out of concerns for increased low back pain. (medscape.com)

Is incidence of postoperative vasoplegic syndrome different between off-pump and on-pump coronary artery bypass grafting surgery? (wikipedia.org)

Herein we present the first results of applying algorithm-based detection to the diagnosis of postoperative acute kidney injury (AKI) comprising patient data from a cardiac surgical intensive care unit (ICU). (biomedcentral.com)

The aim of this randomized clinical trial is to assess the benefits of DNS compared to Cardi-Braun blood cardioplegia solution in clinical and biochemical terms regarding myocardial protection during adult cardiac surgery. (researchprotocols.org)
1 To date, there are no published guidelines available in the United States to guide clinical decision making for optimal management of patients presenting with this syndrome. (uic.edu)
I incidence is the most effective among reversible methods of clinical endocrinologists. (familytreecounseling.com)
Physiologically, Bone Cement Implantation Syndrome results in reduced arterial oxygenation, characterised by a combination of clinical features (Figure 1). (wfsahq.org)
The typical clinical presentation of ovarian vein thrombosis is lower abdominal pain and fever, but it can cause massive PE that leads to severe hypotension, syncope, and cardiac arrest in the postpartum period [ 4 , 5 ]. (springeropen.com)
Lado-Abeal J. Thyroid hormones are needed to sustain "inappropriately" normal TSH during non-thyroidal illness syndrome: a clinical observation in severely ill patients with primary hypothyroidism. (aiac.org.au)

Preoperative CCB administration is associated with less incidence of MICS. (biomedcentral.com)

arrhythmias, shock, or cardiac arrest. (wfsahq.org)

Following a brief stay in the intensive care unit, most patients undergoing cardiac surgical procedures follow a routine pattern of recovery. (thoracickey.com)
The sick euthyoid syndrome, also known as nonthyroidal illness syndrome, refers to changes seen in patient thyroid function tests administered in the medical intensive care unit during episodes of critical illness(1). (aiac.org.au)
Some other surgeons reported a reduced stay on intensive care unit (ICU) because of lower ventilation time for OPCAB patients. (ecrjournal.com)

International data indicates that hospitalised children and neonates experience pressure injuries at a high incidence rate, up to 27% (EPUAP/NPIAP/PPPIA, 2019). (rch.org.au)

OPCAB advocates assumed that, particularly in poor ventricles, the preservation of global native myocardial perfusion during OPCAB surgery would help to minimise peri-operative myocardial injury and, consequently, low cardiac output syndrome. (ecrjournal.com)

This study is a retrospective, observational, convenience sample study of patients who underwent cardiac surgery at a tertiary care center (Nanjing Drum Tower Hospital). (biomedcentral.com)

The higher incidence rate in the latter cohort was attributed to the development and enhancement of non- invasive imaging modalities. (sts.org)
However, the iron group did not require allogeneic blood transfusion during or early after surgery, and the whole blood group showed continuously higher incidence of overt iron deficiency compared to the iron group. (researchsquare.com)

Findings of this research potentially impact guideline recommendations on routine hemodynamic monitoring on cardiac ICU. (fortuneonline.org)

Healthcare systems have recognized CABG surgery as one of the most costly single surgical procedure performed in cardiac surgery. (getinge.com)
Robert Goetz was the first to perform coronary artery bypass grafting (CABG) surgery in 1960, and after that CABG became the most commonly performed cardiac surgery procedure worldwide (1,2) . (ejcvsmed.com)

Therefore, early recognition of postoperative cardiogenic shock is crucial. (biomedcentral.com)

It was significantly lower even before surgery and showed the most significant stratification on POD2. (biomedcentral.com)
In a meta-analysis of nine studies and 3,223 patients with an EF of 30-40%, the 30-day mortality was 3.8% for OPCAB surgery and significantly lower than the 6.9% found for CCAB patients. (ecrjournal.com)
One study demonstrated a peri-operative mortality of 1.9% for OPCAB that was significantly lower than the 6.4% found for CCAB patients. (ecrjournal.com)

Using the BCIS classification system in Figure 2, a study was conducted to estimate the incidence and risk factors for BCIS, as well as its impact on mortality at 30 days and 1 year 1,3 . (wfsahq.org)
These studies demonstrated a trend towards lower peri-operative mortality for OPCAB compared with CCAB patients, but without reaching statistical significance. (ecrjournal.com)

The patient recovering uneventfully from open‐heart surgery is usually extubated within 6-8 hours and off all inotropic support by the first postoperative morning. (thoracickey.com)
Patients with pre-operatively reduced left ventricular (LV) function are at higher risk of post-operative low-cardiac output syndrome requiring inotropic or mechanical circulatory support. (ecrjournal.com)
All of six studies revealed a lower rate of blood transfusion and peri-operative inotropic support. (ecrjournal.com)

The higher fetal prevalence as compared to the pediatric autopsy studies highlight probable in-utero demise or the natural post-natal regression that occurs with certain primary cardiac tumor subtypes. (sts.org)
As we mentioned sick euthyroid syndrome occurs with different faces in critically ill patients with some good and some bad characteristics. (aiac.org.au)
This postoperative event generally occurs within a few days and the extent of fluid dynamic changes reflects the invasiveness of the surgical procedure. (biomedcentral.com)

However, any procedure that involves opening of the pericardium does carry a risk of bleeding and therefore cardiac tamponade, particularly in the context of post-operative full anticoagulation. (biomedcentral.com)

Vasoplegic syndrome (VPS) is a postperfusion syndrome characterized by low systemic vascular resistance and a high cardiac output. (wikipedia.org)
In addition to correlation of NIRS values with cardiac index, sensitivity and specificity analyses will be performed after adjustment for confounders (systemic vascular resistance, hemoglobin). (fortuneonline.org)

Health records of N = 21,045 adult patients admitted to the ICU following cardiac surgery between 2012 and 2022 were analyzed. (biomedcentral.com)

Adopting the 45° semirecumbent position in mechanically ventilated critically ill patients is recommended, as it has been shown to reduce the incidence of ventilator-associated pneumonia. (biomedcentral.com)
Both low T3 and low T4 syndrome are reported in critically ill patients and low serum T4 is related with worst outcome. (aiac.org.au)
3), in their review "Thyroid function in critically ill patients", concluded that routine thyroid hormone replacement therapy is not recommended in non-thyroid illness syndrome in critically ill patients. (aiac.org.au)
So it may be a rational to use hormone replacement therapy in selected critically ill patients with sick euthyroid syndrome. (aiac.org.au)

Epidemiology of severe sepsis in the United States: analysis of incidence, outcome and associated costs of care. (atsu.edu)
But the other type of sick euthyroid syndrome which develops later during prolong ICU admission may have a different face and needs some interventions as it has impact on patients outcome. (aiac.org.au)
Is the low tri-iodothyronine state a crucial factor in determining the outcome of coronary artery bypass patients? (aiac.org.au)

Hepatorenal syndrome is diagnosed when a creatinine clearance rate of less than 40 mL/min is present or when a serum creatinine level of greater than 1.5 mg/dL, a urine volume of less than 500 mL/day, and a urine sodium level of less than 10 mEq/L are present. (medscape.com)
Low serum T3 is the most common abnormality in euthyroid sick syndrome. (aiac.org.au)

Patients with cardiac tumors can be asymptomatic or may present with arrhythmia, heart failure, or sudden death. (sts.org)

DO2 depends on the amount of blood pumped per minute, or cardiac output (CO), and the arterial oxygen content of that blood (CaO2). (medscape.com)

Whitehead c, moss s, cardno a, and the vaginal ora decreased lactobacilli, increased faecal ora and as long as it includes small, but signicant, exercise-related I in cardiac output initially increases due to the patients consent must be taken not to initiate detox if indicated for women with painful and there is concern that some survival cases not reaching their predicted genetic height. (familytreecounseling.com)

While cerebral near infrared spectroscopy (NIRS) is a valuable diagnostic tool to monitor brain oxygenation during cardiac surgery, its value in situations of low cardiac output in critical care patients has not been thoroughly evaluated. (fortuneonline.org)

In recent years further efforts were made to elucidate the meaning of beating-heart concepts for patients with specific extracardiac and cardiac risk factors for extracorporeal circulation and cardioplegic arrest. (ecrjournal.com)

We believe that our study addresses an important gap in the knowledge of del Nido cardioplegia in adult patient cardiac surgery and will be able to clarify the possible benefits of this method in a large population of patients undergoing these procedures. (researchprotocols.org)
Cardiac myxomas are the most common adult tumors. (sts.org)

The incidence of VAP is independently associated with a supine (0°) head of bed position during the first 24 h of mechanical ventilation [ 5 ]. (biomedcentral.com)

For examination ple, should the delivery require forceps or vacuum extraction or be by caesarean part, epidural anaesthesia avoids potential adverse biochem ical effects related to a common anaesthetic, and might present postoperative ache reduction. (dnahelix.com)

Herein, we aimed to investigate the risk factor for postoperative MICS. (biomedcentral.com)
0.05) were associated with postoperative MICS. (biomedcentral.com)
Therefore, we aimed to investigate the risk factors for MICS, which will help clinicians to detect MICS early and improve the prognosis of patients after cardiac surgery. (biomedcentral.com)

However, this linear relationship can also work as a disadvantage since most of the oxygen is released prior to the arrival of the oxygen-laden molecule in the capillary network where the partial pressure of oxygen is lower, and hence the need for oxygen is greater. (medscape.com)

Severe bradycardia: Greater than first degree heart block, or sick sinus syndrome without a pacemaker. (nih.gov)
The global coronavirus disease 2019 (COVID-19) pandemic was caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). (annals.edu.sg)

Hepatic Impairment: Consider initiating metoprolol succinate therapy at low doses and gradually increase dosage to optimize therapy, while monitoring closely for adverse events. (nih.gov)

Incidence, severity, and temporal evolution of AKI were assessed. (biomedcentral.com)
Impact of cardiac surgery and neurosurgery patients on variation in severity-adjusted resource use in intensive care units. (unibe.ch)

Prolonged postoperative analgesia is best ensured by insertion of an epidural catheter, using an opioid and local anesthetic combination infused continuously over the first few postoperative days. (medscape.com)
Epidural anaesthesia is the m ost efficient way of relieving the ache of childbirth, and provides com plete relief of contraction pain in 95% of labouring wom en. (dnahelix.com)
The disadvantages of epidural anaesthesia are that a few wom en com plain of dizziness or shivering, and that it m ay increase the length of the second stage and result in a rise in operative vaginal deliveries. (dnahelix.com)

However, subsequent prospective randomised studies and meta-analyses comparing OPCAB and CCAB surgery were performed on low-risk patients or mixed-risk populations. (ecrjournal.com)

In terms of AKI criteria, urine output proved to be most relevant, contributing to detection in 87.3% ( N = 12,004) of cases. (biomedcentral.com)

Congenital cardiac tumor is defined as a congenital malformation consisting of growth of abnormal tissue within the heart. (sts.org)

The reference diagnostic test for comparison is continuous cardiac index measurement through Swan-Ga\gnz ca\gtheter. (fortuneonline.org)
Cardiac magnetic resonance imaging provides further characterization of cardiac masses and tumors for diagnostic purposes. (sts.org)
Bleedingif postoperative bleeding is not diagnostic. (albionfoundation.org)

Thus, the aim of this study is to evaluate the correlation of NIRS with cardiac index in low cardiac output syndrome (LCOS). (fortuneonline.org)

Anatomy5

Organisms1

Diseases16

Chemicals and Drugs6

Analytical, Diagnostic and Therapeutic Techniques and Equipment39

Phenomena and Processes19

Information Science2

Named Groups1

Health Care10

Complications13

Early postoperative1

Undergoing cardiac surgery5

Pulmonary6

Morbidity4

Pediatric cardiac surgery1

Outcomes6

Atrial fibrillation2

Dysfunction6

Cardiopulmonary bypass3

Anesthesia2

Coronary artery1

Acute kidney1

Clinical6

Preoperative1

Arrhythmias1

Intensive care3

High incidence1

Myocardial injury1

Retrospective1

Higher incidence2

Hemodynamic1

CABG2

Cardiogenic1

Significantly3

Mortality2

Inotropic3

Occurs3

Post-operative1

Systemic2

20221

Critically ill patients4

Outcome3

Serum2

Arrhythmia1

Arterial1

Increases1

Oxygenation1

Arrest1

Adult2

Mechanical1

Reduction1

MICS3

Oxygen1

Severe2

Hepatic1

Severity2

Epidural3

Risk1

Detection1

Congenital1

Diagnostic3

Study is to evaluate1