Academic literature on the topic 'Cardiothoracic Surgical Unit'

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Journal articles on the topic "Cardiothoracic Surgical Unit"

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Holzmann-Pazgal, Galit, Diane Hopkins-Broyles, Angela Recktenwald, Melinda Hohrein, Patricia Kieffer, Charles Huddleston, Sharma Anshuman, and Victoria Fraser. "Case-Control Study of Pediatric Cardiothoracic Surgical Site Infections." Infection Control & Hospital Epidemiology 29, no. 1 (January 2008): 76–79. http://dx.doi.org/10.1086/524323.

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A retrospective case-control study was performed to determine the risks and outcomes associated with pediatric cardiothoracic surgical site infection. Undergoing more than 1 cardiothoracic operative procedure, having preoperative infection, and undergoing surgery on a Monday were significant risk factors. Cardiothoracic surgical site infection increased hospital and pediatric intensive care unit length of stay. Deep surgical site infection significantly increased mortality.
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Mitchell, Jessica, Linda Bogar, and Nelson Burton. "Cardiothoracic Surgical Emergencies in the Intensive Care Unit." Critical Care Clinics 30, no. 3 (July 2014): 499–525. http://dx.doi.org/10.1016/j.ccc.2014.03.004.

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Ambrozic Powell, Frances. "Using Simulation Training in a Cardiothoracic Intensive Care Unit." AORN Journal 97, no. 6 (June 2013): 739–43. http://dx.doi.org/10.1016/j.aorn.2013.03.011.

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Beauchamp, K., S. Baker, C. McDaniel, W. Moser, DC Zalman, J. Balinghoff, AT Cheung, and M. Stecker. "Reliability of nurses' neurological assessments in the cardiothoracic surgical intensive care unit." American Journal of Critical Care 10, no. 5 (September 1, 2001): 298–305. http://dx.doi.org/10.4037/ajcc2001.10.5.298.

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BACKGROUND: Alterations in mental status are common among patients in the cardiothoracic surgical intensive care unit. Changes in mental status can be caused by metabolic factors, medications, or brain injury. In this setting, reliable, serial neurological evaluations are critical for assessing the effectiveness of treatment and the need for additional studies. OBJECTIVES: To estimate the reliability of the Rancho Los Amigos Cognitive Scale and the newly developed Neurologic Intensive Care Evaluation as measures of cognitive function in the cardiothoracic surgical intensive care unit. METHODS: Nurses used 1 of the 2 scales as part of routine neurological assessments of patients in the cardiothoracic surgical intensive care unit. For each test, scores of different observers were correlated and a reliability estimate formed. RESULTS: Interrater reliability was high for both evaluations (Rancho scale, 0.91; Neurologic Intensive Care Evaluation, 0.94). Correlations between the scores of different pairs of observers were also high (mean rho values, 0.84 for the Rancho scale and 0.77 for the Neurologic Intensive Care Evaluation). CONCLUSIONS: Both scales are reliable indicators of the neurological state of patients in the cardiothoracic surgical intensive care unit. These scales measure different, although limited, aspects of cognitive function. Each test was simple to administer and did not take more time than the standard nursing neurological examination. Most of the variability in scoring was related to the different degrees of stimulation used by examiners when assessing patients, not to differences in the interpretation of patients' responses.
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Brady, Lynette M., Maxine Thomson, Magaret A. Palmer, and John L. Harkness. "Successful control of endemic MRSA in a cardiothoracic surgical unit." Medical Journal of Australia 152, no. 5 (March 1990): 240–45. http://dx.doi.org/10.5694/j.1326-5377.1990.tb120917.x.

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Chaudhuri, Krish, Ros Woodfine, Paula Richardson, Svatka Micik, Craig Jurisevic, James Edwards, Rob Stuklis, and Mike Worthington. "Reporting of Clinical Risk Incidents in a Cardiothoracic Surgical Unit." Heart, Lung and Circulation 22, no. 6 (June 2013): 466–67. http://dx.doi.org/10.1016/j.hlc.2013.03.029.

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Pisano, Umberto, Robert Jeffrey, and George Gibson. "CABG & surgical infection. Observations from a Scottish cardiothoracic unit." International Journal of Surgery 11, no. 8 (October 2013): 613. http://dx.doi.org/10.1016/j.ijsu.2013.06.143.

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Meehan, DA, ME McRae, DA Rourke, C. Eisenring, and FA Imperial. "Analgesic administration, pain intensity, and patient satisfaction in cardiac surgical patients." American Journal of Critical Care 4, no. 6 (November 1, 1995): 435–42. http://dx.doi.org/10.4037/ajcc1995.4.6.435.

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BACKGROUND: Pain can adversely affect a patient's physiological and psychological recovery, yet little is known about the pain experience of cardiac surgical patients. OBJECTIVES: To examine nursing practice regarding analgesic administration and measure pain intensity and patient satisfaction with pain management practices. METHODS: To establish baseline nursing practice regarding analgesic administration, charts were reviewed retrospectively in 50 adult cardiac surgical patients, and the same information was collected concurrently for a prospective sample of 51 patients. The subjects completed visual analogue scales as a measure of pain intensity twice daily while in the cardiothoracic intensive care unit and Pain Relief Satisfaction Questionnaires on the day after transfer from the unit. RESULTS: Patients in the prospective group received significantly more analgesia. Pain intensity was moderate (4 or greater on the Visual Analogue Scale). Women had higher overall visual analogue scale scores than did men, 4.57 versus 3.70. Patients in whom an internal mammary artery had been used as a bypass graft had significantly higher scores compared with patients with vein grafts. The Pain Relief Satisfaction Questionnaire responses indicated that 96% of the patients experienced effective pain management in the cardiothoracic intensive care unit. CONCLUSIONS: Despite receiving analgesic doses twice those reported elsewhere for similar populations, the patients in this study reported moderate pain intensity. This finding was confounded by the fact that 96% expressed satisfaction with their pain management in the cardiothoracic intensive care unit. Frequent assessment and documentation of both pain and pain relief from interventions are necessary if the healthcare team is to implement an individualized analgesic regimen.
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Francis, Jeevan, Sneha Prothasis, Rutwik Hegde, Antony Attia, and Keith Buchan. "Management of temporary epicardial pacing wires in the cardiac surgical patient." British Journal of Hospital Medicine 82, no. 6 (June 2, 2021): 1–7. http://dx.doi.org/10.12968/hmed.2021.0079.

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Temporary epicardial pacing wires are used after cardiothoracic surgery to maintain a stable cardiac rhythm. They must be distinguished from the more commonly encountered transvenous temporary pacing wires, which are often used in coronary care units for the same purpose. Patients with temporary epicardial pacing wires may be transferred to hospital wards where these wires are not usually encountered, such as COVID wards, the general intensive care unit, the coronary care unit or general surgical wards if a laparotomy was required in the early period following cardiac surgery. Serious complications may arise in managing patients with temporary epicardial pacing wires, which are well known in the cardiothoracic unit but not so well known elsewhere in the hospital. This article discusses the dangers associated with the management of temporary epicardial pacing wires in adult patients, some of which are common to temporary transvenous pacing wires and others are unique to temporary epicardial pacing wires.
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Bouras, Christina, and Catherine Barrett. "Strategies to enhance patient-centred care in a cardiothoracic surgical unit." Practice Development in Health Care 6, no. 3 (2007): 150–64. http://dx.doi.org/10.1002/pdh.224.

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Dissertations / Theses on the topic "Cardiothoracic Surgical Unit"

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Maddern, Guy John. "A review of cardiac surgery in South Australia." Thesis, 1990. http://hdl.handle.net/2440/122346.

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An analysis of the outcome following cardiac valve surgery and coronary artery bypass grafting performed in the Royal Adelaide Hospital Cardiothoracic Surgical Unit over a 25 year period.
Thesis (M.S.) -- University of Adelaide, Dept. of Surgery, 1993.
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Books on the topic "Cardiothoracic Surgical Unit"

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1936-, Geha Alexander S., ed. House officer guide to ICU care: The cardiothoracic surgical patient. Rockville, Md: Aspen Systems Corp., 1985.

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Baumgartner, William A., John V. Conte, Todd Dorman, and Sharon G. Owens. The Johns Hopkins Manual of Cardiac Surgical Care. 2nd ed. Mosby, 2007.

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V, Conte John, ed. The Johns Hopkins manual of cardiac surgical care. 2nd ed. Philadelphia, PA: Mosby/Elsevier, 2008.

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Book chapters on the topic "Cardiothoracic Surgical Unit"

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Sanz, Juan G. Ripoll, and Robert A. Ratzlaff. "Cardiothoracic Surgery and Postoperative Intensive Care." In Mayo Clinic Critical and Neurocritical Care Board Review, edited by Eelco F. M. Wijdicks, James Y. Findlay, William D. Freeman, and Ayan Sen, 417–23. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780190862923.003.0066.

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Cardiothoracic surgical (CTS) critical care responsibilities have progressively shifted away from surgeons and toward intensivists in the past several decades. CTS patients present unique challenges, and optimal patient care in the intensive care unit is a main factor for the prevention of deaths after any type of open heart surgery.
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Cole, Sheela Pai, and Albert T. Cheung. "Neurologic Complications in the Cardiac Surgery Patient." In Coronary and Cardiothoracic Critical Care, 281–321. IGI Global, 2019. http://dx.doi.org/10.4018/978-1-5225-8185-7.ch015.

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This chapter per the authors discusses the spectrum of complications that occur in the postoperative cardiac surgery patients. It evaluates the mechanistic role of cardiopulmonary bypass and the various cardiac surgical procedures in the development of cerebral injury. Furthermore, it evaluates the role of different intraoperative monitoring in early detection of cerebral injury in these patients. Finally, it provides evidence based practice guidelines for hemodynamic management as well as treatment of complications that are diagnosed in the cardiac surgical intensive care unit.
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Torres, Arturo G., and Edward McGough. "Fast-Track Recovery." In Cardiac Anesthesia: A Problem-Based Learning Approach, edited by Mohammed M. Minhaj, 120–26. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780190884512.003.0013.

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Fast-track cardiac care (FTCC) encompasses the entire spectrum of perioperative care for the cardiothoracic surgical patient. From the preoperative assessment to postoperative care, the main goal is to expedite recovery while minimizing the inherent risks associated with cardiac surgery. The practice of prolonged mechanical ventilation due to high-dose narcotic anesthesia has evolved to early protocolized extubation pathways facilitated by multimodal anesthesia. The goal of the postoperative care phase is focused on reducing or completely bypassing the intensive care unit and ultimately decreasing hospital length of stay. Yet, here is where FTCC seems unable to achieve its goals due to multifactorial barriers. An integral part of successful FTCC is constant reevaluation of the patient through each of the perioperative phases (pre-, intra-, and postoperatively).
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Conference papers on the topic "Cardiothoracic Surgical Unit"

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Veloria, E., M. Farish-Williford, C. Hauw-Berlemont, E. Mukherji, A. Scharf, O. Diaz, I. Selick, et al. "Impact of Audit and Feedback on Chest Radiograph Utilization in the Cardiothoracic and Surgical Intensive Care Units: A Single Center Quality Improvement Initiative." In American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX. American Thoracic Society, 2019. http://dx.doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a3431.

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