Routine preoperative doppler ultrasound examination of arterial system in patients undergoing cardiac surgery is beneficial: A retrospective study
| Autor: | Dattatreya Prabhakumar, Vivek Jawali, Rajathadri Hosur, Murali Chakravarthy, Sumant Padgaonkar, Benak Shivalingappa, Chidananda Harivelam, Sonali Rao |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_treatment 030204 cardiovascular system & hematology arterial law.invention 0302 clinical medicine 030202 anesthesiology law Medicine Prospective cohort study pressure monitoring Aged 80 and over General Medicine Middle Aged femoral artery Cardiac surgery medicine.anatomical_structure radial artery peripheral vascular disease Female Original Article Cardiology and Cardiovascular Medicine cardiac surgery Adult medicine.medical_specialty Heart Diseases doppler lcsh:RD78.3-87.3 03 medical and health sciences Peripheral Arterial Disease Young Adult medicine.artery Preoperative Care Extracorporeal membrane oxygenation Cardiopulmonary bypass Humans Radial artery Cardiac Surgical Procedures Aged Retrospective Studies business.industry Vascular disease Retrospective cohort study Ultrasonography Doppler medicine.disease subclavian artery Surgery Anesthesiology and Pain Medicine lcsh:Anesthesiology lcsh:RC666-701 Abdomen business |
| Zdroj: | Annals of Cardiac Anaesthesia, Vol 23, Iss 3, Pp 298-301 (2020) Annals of Cardiac Anaesthesia |
| ISSN: | 0971-9784 |
| Popis: | Background: Presence of peripheral vascular disease enhances surgical risk in cardiac surgical patients. Prior knowledge of peripheral arterial disease may help the physician make changes in the monitoring and cardiopulmonary bypass cannulation plans. It is claimed that the incidence of peripheral vascular disease in cardiac surgical patients ranges from 11 to 30%. Aims: This study was conducted to understand the characteristics of peripheral vascular disease and their implication on cardiac surgery. Settings and Design: This was a prospective study undertaken in a tertiary referral hospital. Materials and Methods: All adult patients who underwent cardiac surgery during the period of six months were included. A Doppler examination of the neck, upper limb, abdomen and lower limb was carried out by our inhouse radiologist. The incidence of peripheral vascular disease, the implication on invasive pressure monitoring site and cannulation for cardiopulmonary bypass or intraaortic balloon pump or extracorporeal membrane oxygenation were made note of. Results: During the said period, six hundred twenty eight patients underwent cardiac surgery, of whom five hundred and sixty-one patients who underwent CABG surgery. All these were subjected to Doppler examination. We observed peripheral arterial disease in 105 patients (20%). In general men suffered from PAD more often than women. Monitoring site of invasive arterial pressure, the choice of beating heart surgery, insertion of intraaortic balloon pump, femoral arterial route for cardiopulmonary bypass were some of the decision that were altered. Conclusions: Performing Doppler examination in cardiac surgical patients may yield important data that might prevent complications and support patient safety. |
| Databáze: | OpenAIRE |
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