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Arrythmia and non cardiac surgery

Silje Hugin, Egil Johnson, Hans-Olaf Johannessen, Bjørn Hofstad, Kjell Olafsen, Harald Mellem
INTRODUCTION: Myotonic dystrophies are inherited multisystemic diseases characterized by musculopathy, cardiac arrythmias and cognitive disorders. These patients are at increased risk for fatal post-surgical complications from pulmonary hypoventilation. We present a case with myotonic dystrophy and esophageal cancer who had a minimally invasive esophagectomy complicated with gastrobronchial fistulisation. PRESENTATION OF CASE: A 44-year-old male with myotonic dystrophy type 1 and esophageal cancer had a minimally invasive esophagectomy performed instead of open surgery in order to reduce the risk for pulmonary complications...
2015: International Journal of Surgery Case Reports
Philip J Peyton
A number of technologies are available for minimally-invasive cardiac output measurement in patients during surgery but remain little used. A system has been developed based on CO(2) elimination (VCO(2)) by the lungs for use in ventilated patients, which can be fully integrated into a modern anesthesia/monitoring platform, and provides semi-automated, continuous breath-by-breath cardiac output monitoring. A prototype measurement system was constructed to measure VCO(2) and end-tidal CO(2) concentration with each breath...
April 2012: Journal of Clinical Monitoring and Computing
Luís Henrique W Gowdak, Isolmar T Schettert, Eduardo Baptista, Nailú L G Lopes, Carlos Eduardo Rochitte, Marcelo Luiz C Vieira, César José Grupi, Luiz Antonio M César, José Eduardo Krieger, Sérgio A de Oliveira
OBJECTIVES: To determine the safety of intramyocardial injection of autologous bone marrow cells in patients undergoing surgical myocardial revascularization (CABG) for severe coronary artery disease. INTRODUCTION: There is little data available regarding the safety profile of autologous bone marrow cells injected during surgical myocardial revascularization. Potential risks include arrythmias, fibrosis in the injected sites and growth of non-cardiac tissues. METHODS: Ten patients (eight men) were enrolled; they were 59+/-5 years old with limiting angina and were non-optimal candidates for complete CABG...
April 2008: Clinics
Mahdi Najafi, Babak Haghighat, Hossein Ahmadi Tafti
INTRODUCTION: Atrial and ventricular arrhythmias are among the most common complications after coronary artery bypass graft (CABG) surgery. It is known that cardiopulmonary bypass reduces serum magnesium level. In this study, we evaluated the relationship between total blood magnesium level (TMG) and the incidence of perioperative arrhythmias. METHODS: TMG was measured in patients who were scheduled for CABG on three occasions: just before anesthesia, on intensive care unit (ICU) arrival and on the first morning after operation...
October 2007: Middle East Journal of Anesthesiology
Elzbieta Figas-Powajbo, Zenon Gawor, Józef Kozak
INTRODUCTION: Thoracic surgery is associated with a high risk of morbidity and mortality. Cardiac arrhythmias are the most common and severe complications in early postoperative period. OBJECTIVES: Evaluation of the prevalence and causes of cardiac arrythmias, factors that predispose to their occurrence and their influence on general state of health in short-term postoperative period. PATIENTS AND METHODS: The study was performed in 80 patients with proven primary non-small cell lung cancer...
July 2007: Polskie Archiwum Medycyny Wewnętrznej
David Nocca, Michel Gagner, Federico Cuenca Abente, Gian Mattia Del Genio, Kazuki Ueda, Ahmad Assalia, Thomas Rogula, Diego Bertani
BACKGROUND: Morbid obesity has become a major global health problem. Surgery remains the only effective treatment for patients with severe obesity, because diet reduction methods and pharmacologic agents have not resulted in long-term weight reduction. Gastric bypass (GBP) can provide adequate weight loss, but after some years, dilatation of the gastric pouch and outlet may lead to weight regain by allowing the patient to increase food intake. METHODS: 2 groups of 6 pigs underwent laparoscopic GBP...
April 2005: Obesity Surgery
Florens N Polderman, Joeri Cohen, Nico A Blom, Tammo Delhaas, Wim A Helbing, Jan Lam, Marta A Sobotka-Plojhar, Arno M Temmerman, Narayanswani Sreeram
BACKGROUND: It is known that children with previously diagnosed heart defects die suddenly. The causes of death are often unknown. OBJECTIVE: The aim of the study was to identify all infants and children within the Netherlands with previously diagnosed heart disease who had a sudden unexpected death (SUD), and to identify the possible cause of death. DESIGN: Retrospective, cross-sectional study. PATIENTS AND SETTING: All children (<19 years) with a previously diagnosed heart defect and SUD between January 1990 and June 2001 in seven out of eight tertiary centres in the Netherlands were identified using the hospital databases...
June 2004: International Journal of Cardiology
B Zingone, S Klugmann, B Benussi, A Pappalardo, F Camerini, B Branchini
Several recent reports suggest that coronary artery spasm may represent a major complication of coronary artery bypass surgery, and that it may have gone unrecognized in the past. During a three-year interval ending July 1983 we have encountered 5 cases in whom reversible S-T changes, angina, arterial hypotension, major arrythmias and/or angiography prompted the diagnosis of coronary arterial spasm early after aorto-coronary bypass surgery. Our experience and the review of 15 previously reported cases reveals that in most cases the clinical presentation was that of an acute, severe, ischemic cardiac event that occurred few hours after termination of cardiopulmonary bypass...
March 1984: Giornale Italiano di Cardiologia
A M Bracali, R Schiavello, E Marana
A new muscle relaxant, fazadinio bromide, has been administered to 10 heart patients awaiting surgery and its induction utility assessed. A constant though non-significant increase in heart frequency, a significant reduction in maximum and a non-significant reduction in minimum arterial pressure were recorded. No arrythmia or changes in effort-induced cardiac index were seen. The short latency period and myoresolution characteristics permitted speedy, atraumatic intubation. While these features and the absence of arrhythmia suggest the drug might have some clinical utility, tachycardia and arterial hypotension limit its use in heart patients...
December 1980: Minerva Anestesiologica
F L Rosenfeldt
The principles of myocardial preservation by hypothermic cardioplegia are: to induce cardiac arrest rapidly, to minimize energy requirements and prevent ischaemic damage during arrest, and to avoid reperfusion injury after arrest. These principles are put into practice by infusing an effective cold cardioplegic solution at the beginning of ischaemia and then every 20-30 min throughout ischaemia. Myocardial temperature should be maintained below 15 degrees C in all areas of the myocardium by topical cooling, efficient venous drainage and cardiac venting...
June 1987: Australian and New Zealand Journal of Surgery
L Robles González, A Vázquez Cabrales, G Chiw Castillo, J H Sánchez Ibarra, H Pérez Redondo
This is a report of the use of transvenous temporal pacemaker in 18 patients, with an average age of 59.3 years, that under want non cardiac major surgery. They did not have cardiac simptoms but had conduction abnormalities in the preoperative electrocardiogram. A pacemaker was implanted as a prophylaxis against arrythmia during the transoperative and postoperative periods. There was no incidence of transoperative arrythmia. Three patients died in the immediate postoperative period, two due to duffuse carcinomatosis and one due to diabetic acidosis...
November 1978: La Prensa Médica Mexicana
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