An Analysis on the Open Heart Patients Having Postoperative Respiratory Care - The Fourth Report. |
Yong Lak Kim, Yoon Choi |
1Department of Anesthesiology, College of Medicine, Seoul National University, Seoul, Korea. 2Department of Anesthesiology, Seoul District Hospital, Korea. |
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Abstract |
An anaysis is performed on 424 open heart patients having postoperative respiratory care in respiratory intensive care unit of Seoul National University Hospital in 1986. The analysis was done according to disease prevalence, sex, age, pump time, duration of mechanical ventilation and mortality rate. 1) The most prevalent disease was mitral valvular disease. 2) The mean age of total patients was 35.6 and oldest age group was patients who recieved CABG, and the youngest were with ventricular septal defect combined with other disease. 3) The mean pump time was 110.6 minutes and it was longer in the patients with acquired heart disease than the patients with congenital heart disease. 4) The mean duration of mechanical ventilation was 61.5 hours and it was longer in the patients with the acquired heart disease than with the congenital heart disease. 5) The overall mortality rate was 1.18% and it was higher in the patients with congenital heart disease than with the acquired heart disease. The most prevalent cause of death was low cardiac output syndrome. 6) The length of mechanical ventilation time was not related with pump time. |
Key Words:
Open heart surgery; Respiratory care |
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