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  1. Who goes to the ICU postoperatively ?

    Article, Communication - En anglais

    Conference on Perioperative Cardiopulmonary Evaluation and Management. Northbrook, IL, USA, 1998/05/16.

    Objective 

    To describe changes in ICU postoperative management strategies utilized for patients undergoing cardiac surgery.

    The treatment of these patients serves as a useful illustration of the changing patterns of ICU utilization and care associated with contemporary surgery.

    Design 

    Evidence-based review of the clinical literature following a MEDLINE search, direct observation of rapid recovery programs following surgery, and informal inquiry of others utilizing similar approaches to postoperative cardiac surgery care.

    Setting and patients 

    The reports reviewed are from a diverse set of hospitals providing cardiac surgery services in both Europe and the United States.

    Most reports focus efforts on patients undergoing coronary artery revascularization.

    Measurements 

    Outcome measures used to gauge the effectiveness of postoperative ICU care typically include time to extubation, ICU and hospital length of stay, postoperative complications including reintubation and ICU readmission, patient satisfaction, and health resource savings.

    Main results 

    The literature regarding current practice for postoperative ICU management in cardiac surgery consists primarily of grade 2 and 3 literature.

    Conclusions 

    Despite the paucity of controlled data, rapid recovery, extubation, and discharge from the ICU following cardiac surgery is an approach to care that is growing in acceptance. (...)

    Mots-clés Pascal : Chirurgie, Postopératoire, Unité soin intensif, Homme, Appareil circulatoire pathologie, Traitement, Revue bibliographique, Récupération fonctionnelle, Exploration, Coût, Economie santé, Durée, Hospitalisation

    Mots-clés Pascal anglais : Surgery, Postoperative, Intensive care unit, Human, Cardiovascular disease, Treatment, Bibliographic review, Functional recovery, Exploration, Costs, Health economy, Duration, Hospitalization

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0290052

    Code Inist : 002B25E. Création : 16/11/1999.