Document Detail


Mediastinitis Following Pediatric Cardiac Surgery.
MedLine Citation:
PMID:  24267786     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Mediastinitis following pediatric cardiac surgery is associated with significantly high morbidity and mortality.
METHOD: In our review, 21 studies from 1986 to 2011 (12 retrospective studies, eight prospective studies, and a multi-institutional study) including 44,693 pediatric cardiac patients were analyzed.
RESULTS AND CONCLUSION: Younger age, malnutrition, preoperative respiratory tract infection, high American anesthesiology score, longer duration of surgery, prolonged ventilation, and ICU stay were definite risk factors for mediastinitis. Early primary closure over drains, vacuum-assisted closure, muscle flap, and omental flap remain the most frequently performed treatments for post-sternotomy mediastinitis. Vacuum-assisted closure has emerged as the technique of choice in recent years.
Authors:
Chirantan V Mangukia; Saket Agarwal; Subodh Satyarthy; Vishnu Datt; Deepak Satsangi
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-11-25
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  -     ISSN:  1540-8191     ISO Abbreviation:  J Card Surg     Publication Date:  2013 Nov 
Date Detail:
Created Date:  2013-11-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2013 Wiley Periodicals, Inc.
Affiliation:
Department of Cardiothoracic and Vascular Surgery, G.B. Pant Hospital, New Delhi, India.
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