Pakistan Journal of Medical Sciences

Published by : PROFESSIONAL MEDICAL PUBLICATIONS

ISSN 1681-715X

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ORIGINAL ARTICLE

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Volume 26

January - March  2010

Number  1


 

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Postoperative cardiac arrest due to
Cardiac surgery complications

Ahmad Ebadi1, Asghar Ramezani2, Fakher Rahim3, Nasrin Afraee4

ABSTRACT

Objectives: To examine the role of anesthetists in the management of cardiac arrest occurring in association with cardiac anesthesia.

Methodology: In this retrospective study we studied the potential performances for each of the relevant incidents among 712 patients undergoing cardiac operations at Golestan and Naft Hospitals Ahwaz between November 2006 and July 2008.

Results: Out of total 712 patients undergoing cardiac surgery, cardiac arrest occurred in 28 cases (3.9%) due to different postoperative complications. This included massive bleeding (50% of cardiac arrest cases, 1.9% of patients); pulseless supra ventricular tachycardia (28.5% of cardiac arrest cases, 1.1% of patients); Heart Failure (7% of cardiac arrest cases, 0.2% of patients); Aorta Arc Rapture (3.5% of cardiac arrest cases, 0.1% of patients); Tamponade due to pericardial effusion (3.5% of cardiac arrest cases, 0.1% of total patients); Right Atrium Rupture (3.5% of cardiac arrest cases, 0.1% of patients) were detected after cardiac surgery. Out of 28 cases 7 deaths occurred (25% of cardiac arrest cases, 0.1% of patients). The most prevalent reason for cardiac arrest during post operative phase was massive bleeding (50%) followed by pulseless supra ventricular tachycardia (28.5%). Six patients had some morbidity and the remaining 15 patients recovered.

Conclusion: There are often multiple contributing factors to a cardiac arrest under cardiac anesthesia, as much a complete systematic assessment of the patient, equipment, and drugs should be completed. We also found that the diagnosis and management of cardiac arrest in association with cardiac anesthesia differs considerably from that encountered elsewhere.

KEY WORDS: Cardiac anesthesia, Arrest, Pulseless supra ventricular tachycardia, Massive bleeding.

Pak J Med Sci    January - March 2010    Vol. 26 No. 1    43-48

How to cite this article:

Ebadi A, Ramezani A, Rahim F, Afraee N. Postoperative cardiac arrest due to Cardiac surgery complications. Pak J Med Sci 2010;26(1):43-48


1. Ahmad Ebadi,
Department of Anesthesia and Intensive Care Unite (ICU),
2. Asghar Ramezani,
Departments of Cardiovascular Surgery
3. Fakher Rahim,
Apadana Clinical Research Center,
Apadana Private Hospital, Ahwaz, Iran
Physiology Research Center,
4. Nasrin Afraee,
Cardiovascular Anesthesia Wards,
Naft Hospital, Ahwaz, Iran
1-2: Golestan Hospital,
Ahwaz Jondishapour University of Medical Sciences,
Ahwaz, Iran.

Correspondence

Fakher Rahim
Physiology Research Center,
Ahwaz Jondishapour University of Medical Sciences,
Physiology Research Center,
Apadana Clinical Research Center,
Apadana Private Hospital,
Ahwaz, Iran.
E-mail: Bioinfo2003@gmail.com

* Received for Publication: May 14, 2009

* Revision Received: November 11, 2009

* Revision Accepted: November 15, 2009
 



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