The principles of patients protection from noncardiac complications in cardiac and vascular surgery

2010

Бюллетень сибирской медицины, Vol 9, Iss 1, Pp 103-111 (2010)

The generalized information in area of noncardiac complications prevention are introduced based on results of own researches and literature data (prevention of ischemic stroke, gastroduodenal bleeding and infectious complications in cardiovascular surgery): preparing of patient for planning surgical intervention, including finding of stenosing and/or embolodangerous plaques and theirs surgical treatment; diagnosis of gastroduodenal erosions and ulcers, theirs epitelization and etiologic treatment; diagnosis and sanation of infectious focuses; using of surgical methods of cerebral protection (puncture intravasal grafting, intravasal filters) and pharmacologic cerebroprotection (nimodipine, vinpocetine) in operations on the brachiocefal artheries; two-step using of proton pump inhibitors more than three weeks duration in patients in groups of risk of gastroduodenal bleeding; prevention of infectious complications using three antibacterial drugs (cefalosporine of the third generation, rifampicine and fluconasole) mainly in cardiac surgery with on-pump circulation. Using the suggested arrangements, according our research data and results of investigations, fulfilled in other scientific centers, lets fundamentally decrease the frequency of aforenamed complications and increase the surviving of patients after cardiac and vascular surgery.

article

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Siberian State Medical University (Tomsk), 2010.

профилактика внесердечных осложнений, ишемический инсульт, гастродуоденальное кровотечение, инфекционные осложнения, сердечно-сосудистая хирургия, Medicine