| Reduction in bleeding after heart-lung transplantation. The importance of posterior mediastinal hemostasis. | |
| | |
MedLine Citation:
|
PMID: 2245679 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
To reduce perioperative hemorrhage following heart-lung transplantation, several technical modifications were introduced in June 1988 to secure better posterior mediastinal hemostasis. The intraoperative and postoperative use of blood and blood products, as well as the chest tube drainage in the first 24 hours postoperatively, were compared in the seven patients operated on since June 1988 with the nine patients operated on before that date. Significant (p less than 0.05) reductions were demonstrated in the intraoperative and postoperative transfusion of packed cells, in the postoperative administration of fresh frozen plasma, and in the chest tube drainage within the first 24 hours postoperatively. The one-month and total hospital mortality rates were 6 percent and 12.5 percent, respectively. It is concluded that newer techniques to obtain optimal posterior mediastinal hemostasis have significantly reduced blood loss following heart-lung transplantation in our experience and have contributed to our excellent early postoperative results. |
| | |
Authors:
|
R J Novick; A H Menkis; F N McKenzie; K R Reid; P W Pflugfelder; W J Kostuk; D Ahmad |
Related Documents
:
|
16731119 - Video-assisted thoracic surgery pulmonary resection for lung cancer in patients with po... 11383809 - Prospective randomized trial compares suction versus water seal for air leaks. 14500079 - Postoperative pain detracts from early health status improvement seen after video-assis... 911579 - The interrelation of personality and postoperative factors. 957749 - Postpneumonectomy empyema in pulmonary carcinoma patients. treatment with antibiotic ir... 15927479 - Uniportal vs standard three-port vats technique for spontaneous pneumothorax: compariso... 22741049 - A predictive factor in overactive bladder symptoms improvement after combined anterior ... 10325849 - Nocturnal hypoxaemia and respiratory function after endovascular and conventional abdom... 16641709 - Correction of blepharophimosis with silicone implant suspensor. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Chest Volume: 98 ISSN: 0012-3692 ISO Abbreviation: Chest Publication Date: 1990 Dec |
Date Detail:
|
Created Date: 1991-01-09 Completed Date: 1991-01-09 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0231335 Medline TA: Chest Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 1383-7 Citation Subset: AIM; IM |
Affiliation:
|
Division of Cardiovascular-Thoracic Surgery, University Hospital, London, Ontario, Canada. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Blood Loss, Surgical Blood Transfusion Child Drainage Female Heart Transplantation* Hemostasis, Surgical / methods* Humans Lung Transplantation* Male Mediastinum / surgery Middle Aged Reoperation |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Optimal interpretation of the supine exercise electrocardiogram in patients with right bundle branch...
Next Document: Clinical antecedents to in-hospital cardiopulmonary arrest.