Cargando…
The successful introduction of an adapted form of the mini extra corporeal circulation used for cardiac surgery in an obese patient
Obese patients undergoing cardiac surgery have been shown to have a high risk of developing postoperative complications, specifically: increased length of hospital stay, readmission to intensive care unit, acute renal failure, deep sternal wound infections and new onset of atrial fibrillation. A cus...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2012
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3359175/ https://www.ncbi.nlm.nih.gov/pubmed/22405024 http://dx.doi.org/10.1186/1749-8090-7-20 |
_version_ | 1782233828137369600 |
---|---|
author | Sartini, Patrizio Winfield, Anna Bizzarri, Federico |
author_facet | Sartini, Patrizio Winfield, Anna Bizzarri, Federico |
author_sort | Sartini, Patrizio |
collection | PubMed |
description | Obese patients undergoing cardiac surgery have been shown to have a high risk of developing postoperative complications, specifically: increased length of hospital stay, readmission to intensive care unit, acute renal failure, deep sternal wound infections and new onset of atrial fibrillation. A custom-made circuit was created to allow the use of Mini Extra Corporeal Circulation (MECC) but permitting the switch to a closed siphon drainage system in the case of difficulties. To limit artificial surface contact a small oxygenating device (Admiral, Eurosets) was employed in spite of the patients size. This adapted circuit permits a feasible and safer approach to using MECC. This report suggests that smaller oxygenators could be integrated into clinical practice in an adult MECC configuration, even for more obese patients, limiting artificial surface contact. |
format | Online Article Text |
id | pubmed-3359175 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-33591752012-05-24 The successful introduction of an adapted form of the mini extra corporeal circulation used for cardiac surgery in an obese patient Sartini, Patrizio Winfield, Anna Bizzarri, Federico J Cardiothorac Surg Case Report Obese patients undergoing cardiac surgery have been shown to have a high risk of developing postoperative complications, specifically: increased length of hospital stay, readmission to intensive care unit, acute renal failure, deep sternal wound infections and new onset of atrial fibrillation. A custom-made circuit was created to allow the use of Mini Extra Corporeal Circulation (MECC) but permitting the switch to a closed siphon drainage system in the case of difficulties. To limit artificial surface contact a small oxygenating device (Admiral, Eurosets) was employed in spite of the patients size. This adapted circuit permits a feasible and safer approach to using MECC. This report suggests that smaller oxygenators could be integrated into clinical practice in an adult MECC configuration, even for more obese patients, limiting artificial surface contact. BioMed Central 2012-03-09 /pmc/articles/PMC3359175/ /pubmed/22405024 http://dx.doi.org/10.1186/1749-8090-7-20 Text en Copyright ©2012 Sartini et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Sartini, Patrizio Winfield, Anna Bizzarri, Federico The successful introduction of an adapted form of the mini extra corporeal circulation used for cardiac surgery in an obese patient |
title | The successful introduction of an adapted form of the mini extra corporeal circulation used for cardiac surgery in an obese patient |
title_full | The successful introduction of an adapted form of the mini extra corporeal circulation used for cardiac surgery in an obese patient |
title_fullStr | The successful introduction of an adapted form of the mini extra corporeal circulation used for cardiac surgery in an obese patient |
title_full_unstemmed | The successful introduction of an adapted form of the mini extra corporeal circulation used for cardiac surgery in an obese patient |
title_short | The successful introduction of an adapted form of the mini extra corporeal circulation used for cardiac surgery in an obese patient |
title_sort | successful introduction of an adapted form of the mini extra corporeal circulation used for cardiac surgery in an obese patient |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3359175/ https://www.ncbi.nlm.nih.gov/pubmed/22405024 http://dx.doi.org/10.1186/1749-8090-7-20 |
work_keys_str_mv | AT sartinipatrizio thesuccessfulintroductionofanadaptedformoftheminiextracorporealcirculationusedforcardiacsurgeryinanobesepatient AT winfieldanna thesuccessfulintroductionofanadaptedformoftheminiextracorporealcirculationusedforcardiacsurgeryinanobesepatient AT bizzarrifederico thesuccessfulintroductionofanadaptedformoftheminiextracorporealcirculationusedforcardiacsurgeryinanobesepatient AT sartinipatrizio successfulintroductionofanadaptedformoftheminiextracorporealcirculationusedforcardiacsurgeryinanobesepatient AT winfieldanna successfulintroductionofanadaptedformoftheminiextracorporealcirculationusedforcardiacsurgeryinanobesepatient AT bizzarrifederico successfulintroductionofanadaptedformoftheminiextracorporealcirculationusedforcardiacsurgeryinanobesepatient |