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“I Dread the heart surgery but it Keeps My Child Alive”—Experiences of Parents of Children with Right Ventricular Outflow Tract Anomalies during the Assessment for Cardiac Reoperation

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Congenital heart Disease 2023年第3期18卷 349-359页

作者： Birgitta Svensson Petru Liuba Anne Wennick Malin Berghammer Department of Cardiology Pediatric Heart CenterSkåne University HospitalLundSweden Department of Clinical Sciences Lund PediatricsLund UniversityLundSweden Department of Care Science Faculty of Health and SocietyMalmöUniversityMalmöSweden Department of Paediatrics The Queen Silvia Children’s HospitalGothenburgSweden The Department of Health Sciences University WestTrollhättanSweden

Background:Parents of children with complex right ventricular outflow tract(RVOT)anomalies are confronted with their child’s need for heart surgery early in life and repeated reoperations later *** assessment needs to be performed whenever an indication for reoperation is *** aim was to illuminate the experiences of parents of children diagnosed with RVOT anomalies,in particular,how they experience their child’s heart disease and everyday life during the assessment and after the decision on whether to perform a ***:Individual interviews(n=27)were conducted with nine parents on three occasions between 2014 and 2016 and analyzed using reflexive thematic ***:The analysis resulted in the following five main coexisting themes:The heart surgery keeps my child alive illuminates parents’experiences during and after the assessment and emphasizes that heart surgery,although dreaded,is central for their child’s survival;Everyday struggles illuminates the different struggles parents had to face to ensure that their child would be in the best possible condition;the remaining three themes,Unconditional love,Trust in life,and Togetherness,illuminate the ways in which the parents gained inner strength and confidence in their everyday ***:Although the parents were grateful for the assessment and had learned to navigate among the fears it aroused,they experienced several distressing situations during the assessment process that should be *** inviting both the parents and their child to participate in the child’s care,individualized support can take into account the needs of both parents and child.

关键词： Parents children right ventricular outflow tract anomalies everyday life heart surgery reflexive thematic analysis

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The Association between Preoperative Plasma C-Reactive Protein (CRP) Level and Postoperative Adult heart surgery Outcome

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Open Journal of Internal Medicine 2016年第3期6卷 93-99页

作者： Bilehjani Eissa Fakhari Solmaz Farzin Haleh Mirinezhad Mousa Shadvar Kamran Yaghoubi Alireza Ranjbar Shirin Department of Anesthesiology Tabriz University of Medical Sciences Tabriz Iran Shaid Gazi Hospital Tabriz Iran Iran University of Medical Sciences Tehran Iran Tabriz University of Medical Sciences Tabriz Iran

Introduction: Careful history and physical examinations are the best ways for preoperative evaluation. Currently, we are recommended to rely on doing them rather than unnecessary and costly laboratory tests for confirmation or diagnosis of disease. The aim of study is the survey of CRP level association to decide further evaluation and expert consultation, newly diagnosed problems and possible effect on postoperative mortality and morbidity. Methods and Materials: In a descriptive retrospective study, hospital documentation of 620 patients older than 18 years undergone heart surgery in Tabriz Shahid Madani hospital was evaluated. Addition to plasma CRP level, patient’s demographic information, type of surgery, preoperative significant tests, delay time in surgery start time after anesthesiology visit, cause of requested specialty consultation and treatment recommendation, postoperative complications and mortality rate were recorded and analyzed. Patients were classified according to preoperative plasma CRP level to five groups as negative, +1, +2, +3 and not measured (i.e. they considered as normal (0 - 5 mg/l), mildly (5 - 40 mg/l), moderately (40 - 200 mg/L) or severely increased (>200 mg/l) groups). Results: Of 620 patients, 402 were male and 218 were female. There was not statistically significant correlation among demographic variables (gender, age, weight, and height), heart disease diagnosis and the type of surgery in five groups. In 79 individuals, they were done specialty consultations that most common of them were neurology consultation because of impaired renal laboratory tests. Only 2 cases were due to high CRP level. In any of cases, this preoperative consultation didn’t result from new disease cases. CRP plasma level hadn’t association with preoperative red blood cell sedimentation level. Prevalence of preoperative acute myocardium infarction was higher in patients with high CRP level. In group +1, delay time was lower than other groups. The most commo

关键词： C-Reactive Protein heart surgery Postoperative Complication Postoperative Mortality

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The blossom of “the rose of surgery”——The birth of heart-lung machine

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Journal of Medical Colleges of PLA(China) 2013年第1期28卷 11-19页

作者： WANG Zhinong Department of Cardiothoracic surgery Changzheng HospitalSecond Military Medical University

The development of the heart-lung machine made repair of intracardiac lesions possible. One of the key requirements of the heart-lung machine was anticoagulation. Heparin was discovered by a medical student, Jay McLean, working in the laboratory of Dr. William Howell at Johns Hopkins. John Gibbon contributed more to the successful development of the heart-lung machine than anyone else. His interest began as a young doctor since 1930s. Gibbon＇s work on the heart-lung machine took place over the next 20 years in laboratories at Massachusetts General Hospital, the University of Pennsylvania, and Thomas Jefferson University In 1937, he reported the first successful demonstration that life could be maintained by an artificial heart and lung, and the native heart and lungs could resume fimction. After World War II, Dr. Gibbon resumed his work and received support from IBM to build a heart-lung machine on a more sophisticated scale. Eventually, the team developed a larger oxygenator that the IBM engineers incorporated into a new machine. On May 6, 1953, Dr. Gibbon performed the first successful operation using an extracorporeal circuit on an 18-year-old girl with a large atrial septal defect. It wasn＇t until 1958, when a system that involved bubbling blood was perfected, that ＂heart-lung＂ machines came of age. Despite so many chill winds and cold rains, ＂heart-lung＂ machine, the budding rose of surgery, was eventually blossom brightly in the radiant rays of sunlight. John Gibbon＇s dream had become a reality. His work serves as an important example to surgeons who are struggling today with the surgical therapies and technologies of tomorrow.

关键词： heart lung machine Cardiopulmonary bypass heart surgery

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Effect of preoperative inspiratory muscle training on postoperative outcomes in patients undergoing cardiac surgery:A systematic review and meta-analysis

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World Journal of Clinical Cases 2023年第13期11卷 2981-2991页

作者： Jing Wang Yu-Qiang Wang Jun Shi Peng-Ming Yu Ying-Qiang Guo Department of Cardiovascular surgery Sichuan University West China HospitalChengdu 610041Sichuan ProvinceChina Rehabilitation Medicine Center West China HospitalSichuan UniversityChengdu 610041Sichuan ProvinceChina

BACKGROUND Cardiovascular disease is the most prevalent disease worldwide and places a great burden on the health and economic welfare of *** surgery is an important way to treat cardiovascular disease,but it can prolong mechanical ventilation time,intensive care unit(ICU)stay,and postoperative hospitalization for *** studies have demonstrated that preoperative inspiratory muscle training could decrease the incidence of postoperative pulmonary *** To explore the effect of preoperative inspiratory muscle training on mechanical ventilation time,length of ICU stay,and duration of postoperative hospitalization after cardiac *** A literature search of PubMed,Web of Science,Cochrane Library,EMBASE,China National Knowledge Infrastructure,WanFang,and the China Science and Technology journal VIP database was performed on April 13,*** data was independently extracted by two *** inclusion criteria were:(1)Randomized controlled trial;(2)Accessible as a full paper;(3)Patients who received cardiac surgery;(4)Preoperative inspiratory muscle training was implemented in these patients;(5)The study reported at least one of the following:Mechanical ventilation time,length of ICU stay,and/or duration of postoperative hospitalization;and(6)In English *** We analyzed six randomized controlled trials with a total of 925 *** pooled mean difference of mechanical ventilation time was-0.45 h[95%confidence interval(CI):-1.59-0.69],which was not statistically significant between the intervention group and the control *** pooled mean difference of length of ICU stay was 0.44 h(95%CI:-0.58-1.45).The pooled mean difference of postoperative hospitalization was-1.77 d in the intervention group vs the control group[95%CI:-2.41-(-1.12)].CONCLUSION Preoperative inspiratory muscle training may decrease the duration of postoperative hospitalization for patients undergoing cardiac *** high-quality st

关键词： Preoperative inspiratory muscle training Cardiac surgery heart surgery Mechanical ventilation Intensive care unit Duration of postoperative hospitalization

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Effectiveness of massage therapy on post-operative outcomes among patients undergoing cardiac surgery:A systematic review

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International Journal of Nursing Sciences 2015年第3期2卷 304-312页

作者： C.Ramesh Vasudev Baburaya Pai Nitin Patil Baby S.Nayak Anice George Linu Sara George Elsa Sanatombi Devi Manipal College of Nursing Manipal UniversityManipalIndia Kasturba Medical College Manipal UniversityManipalIndia

The incidence and prevalence of cardiovascular disease(CVD)are increasing rapidly in developing *** patients with CVD do not respond to medical treatment and have to undergo cardiac *** highly stressful experience results in increased levels of anxiety for *** objective of this review was to evaluate the efficacy of massage therapy on postoperative outcomes among patients undergoing cardiac surgery.A comprehensive literature search was made on PubMed-Medline,CINAHL,Science Direct,Scopus,Web of Science and the Cochrane library databases for original research articles published between 2000 and *** articles that reported the efficacy of massage therapy in patients undergoing cardiac surgery were *** Cochrane data extraction form was used to extract data.A total of 297 studies were identified in the literature ***,only seven studies were eligible for *** the seven studies,six studies demonstrated the effects of massage therapy on improving postoperative outcomes of patients,while one study found no evidence of *** the methods varied considerably,most of the studies included in this review reported positive ***,there is some evidence that massage therapy can lead to positive postoperative *** of the effectiveness of massage therapy in patients undergoing cardiac surgery remains *** research is needed to provide a strong evidence base for the use of massage therapy to improve post-operative outcomes and recovery among cardiac surgery patients.

关键词： Anxiety heart surgery Massage Pain Post-operative period

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Metabolic profiling of plasma from cardiac surgical patients concurrently administered with tranexamic acid: DI-SPME–LC–MS analysis

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Journal of Pharmaceutical Analysis 2014年第1期4卷 6-13页

作者： Barbara Bojkoa Marcin Wasowicz Janusz Pawliszyn Department of Chemistry University of Waterloo 200 University Avenue West Department of Anesthesia Toronto General Hospital

A metabolic profile of plasma samples from patients undergoing heart surgery with the use of cardiopulmonary bypass （CPB） and concurrent administration of tranexamic acid was determined. Direct immersion solid phase microextraction （DI-SPME）, a new sampling and sample preparation tool for metabolomics, was used in this study for the first time to investigate clinical samples. The results showed alteration of diverse compounds involved in different biochemical pathways. The most significant contribution in changes induced by surgery and applied pharmacotherapy was noticed in metabolic profile of lysophospholipids, triacylglycerols, mediators of platelet aggregation, and linoleic acid metabolites. Two cases of individual response to treatment were also reported.

关键词： Metabolomics heart surgery Cardiopulmonary bypassTranexamic acid Direct immersion solidphase microextraction LC/MS

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Emergency heart Valve Replacement—A Report of 15 Cases

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Military Medical Research 1986年第1期 55-59页

作者：蔡用之张宝仁朱家麟陈如坤郝家骅耿振江 Department of Thoracic surgery First Teaching Hospital of Second Military Medical College Shanghai

This paper reported 15 patients with cardiac failure undergoing emer-gency heart valve *** to the different clinical andpahological conditions,these cases were divided into three groups:(1)acuterheumatic pancarditis;(2)acute attack of chronic heart failure;(3)acutebacterial *** were 2 aortic valve replacements and 13 mitralvalve replacements,6 of the patients died early postoperatively and 9 ofthem remained long-term survivors,7 patients survived more than 1 yearand resumed their *** indications for emergency heart valvereplacement,characteristic features of operative technique,and postoperativemanagements were discussed.

关键词： heart valve diseases heart valve prosthesis heart surgery emergency

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