11 research outputs found
Psychosocial study about the consequences of work in hospital nurses as human resource management
[Coronary surgery with minimum access and cardiopulmonary bypass]
From October 1997 to March 1998 we operated
on seven patients with minimal incision, cardiopulmonary
by-pass with femoral cannulation and antegrade
blood cardioplegic arrest using the «endoclamp
» (Heartport Inc.). The seven patients with
isolated severe lesions of the left anterior descending
underwent a left internal thoracic artery graft
under direct vision. Three had saphenous vein coronary
bypass grafts performed to the diagonal (2)
and obtuse marginal branches of the left coronary
artery.
The median cardiopulmonary bypass duration
was 75 minutes (30-230) and the aortic occlusion
time was 33 minutes (10-117). No major complications
occurred and only two minor ones were noted.
The median intensive care unit stay was 2 days
(1 to 4) and the total hospital stay was 6.5 days (3
to 13). All the patients are in NYHA FC I, without
treatment and a follow up of 3 to 6 months after
the surgery.
With this method of myocardial revascularization
with minimal incision and cardiopulmonary bypass
the sternotomy-related complications can be avoided,
the intensive care unit and hospital stay can
be reduced with better convalescence for the selected
patients. We believe that this technique is a valid
option for an increasing number of patients