Conference on Perioperative Cardiopulmonary Evaluation and Management. Northbrook, IL, USA, 1998/05/16.
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.
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.
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.
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.
The literature regarding current practice for postoperative ICU management in cardiac surgery consists primarily of grade 2 and 3 literature.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0290052
Code Inist : 002B25E. Création : 16/11/1999.