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Inotropic and Mechanical Support of Critically Ill Patient after Cardiac Surgery

INTRODUCTION: Cardiac surgery patients often need inotropic support to establish hemodynamic stability and adequate oxygen supply. The management of patients with coronary vascular disease can be challenging especially in patients with severe left ventricular dysfunction and critical left main or se...

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Autores principales: Keranovic, Suad, Salihovic, Edis, Zrnanovic, Dzenana, Prelic, Maja, Piric, Azra, Kikanovic, Tarik
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Academy of Medical Sciences of Bosnia and Herzegovina 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7406010/
https://www.ncbi.nlm.nih.gov/pubmed/32801443
http://dx.doi.org/10.5455/medarh.2020.74.236-239
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author Keranovic, Suad
Salihovic, Edis
Zrnanovic, Dzenana
Prelic, Maja
Piric, Azra
Kikanovic, Tarik
author_facet Keranovic, Suad
Salihovic, Edis
Zrnanovic, Dzenana
Prelic, Maja
Piric, Azra
Kikanovic, Tarik
author_sort Keranovic, Suad
collection PubMed
description INTRODUCTION: Cardiac surgery patients often need inotropic support to establish hemodynamic stability and adequate oxygen supply. The management of patients with coronary vascular disease can be challenging especially in patients with severe left ventricular dysfunction and critical left main or severe triple vessel disease. METHODS: Article has descriptive character and presents a case report of 58 years old male patient who was admitted to our hospital due to planned coronary bypass surgery. RESULTS: Applying inotropic support, IABP and adequate volume management during surgery and post surgery period in ICU has led to hemodynamic stability. Leading to the recovery of the patient and hospital discharge. DISCUSSION: Given the availability of the treatment options, inotropic and mechanical support played a major role to produce the positive outcome in the presented case. Many factors were unfavourable, extreme hypotension, high lactate and creatining levels, mechanical ventilation and related complications.
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spelling pubmed-74060102020-08-13 Inotropic and Mechanical Support of Critically Ill Patient after Cardiac Surgery Keranovic, Suad Salihovic, Edis Zrnanovic, Dzenana Prelic, Maja Piric, Azra Kikanovic, Tarik Med Arch Case Report INTRODUCTION: Cardiac surgery patients often need inotropic support to establish hemodynamic stability and adequate oxygen supply. The management of patients with coronary vascular disease can be challenging especially in patients with severe left ventricular dysfunction and critical left main or severe triple vessel disease. METHODS: Article has descriptive character and presents a case report of 58 years old male patient who was admitted to our hospital due to planned coronary bypass surgery. RESULTS: Applying inotropic support, IABP and adequate volume management during surgery and post surgery period in ICU has led to hemodynamic stability. Leading to the recovery of the patient and hospital discharge. DISCUSSION: Given the availability of the treatment options, inotropic and mechanical support played a major role to produce the positive outcome in the presented case. Many factors were unfavourable, extreme hypotension, high lactate and creatining levels, mechanical ventilation and related complications. Academy of Medical Sciences of Bosnia and Herzegovina 2020-06 /pmc/articles/PMC7406010/ /pubmed/32801443 http://dx.doi.org/10.5455/medarh.2020.74.236-239 Text en © 2020 Suad Keranovic, Edis Salihovic, Dzenana Zrnanovic, Maja Prelic, Azra Piric, Tarik Kikanovic http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Keranovic, Suad
Salihovic, Edis
Zrnanovic, Dzenana
Prelic, Maja
Piric, Azra
Kikanovic, Tarik
Inotropic and Mechanical Support of Critically Ill Patient after Cardiac Surgery
title Inotropic and Mechanical Support of Critically Ill Patient after Cardiac Surgery
title_full Inotropic and Mechanical Support of Critically Ill Patient after Cardiac Surgery
title_fullStr Inotropic and Mechanical Support of Critically Ill Patient after Cardiac Surgery
title_full_unstemmed Inotropic and Mechanical Support of Critically Ill Patient after Cardiac Surgery
title_short Inotropic and Mechanical Support of Critically Ill Patient after Cardiac Surgery
title_sort inotropic and mechanical support of critically ill patient after cardiac surgery
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7406010/
https://www.ncbi.nlm.nih.gov/pubmed/32801443
http://dx.doi.org/10.5455/medarh.2020.74.236-239
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