Effect of gauze packing beneath operation wound on bleeding in patients with open heart surgery
Keywords:
open heart surgery, median sternotomy wound, median sternotomy dressingAbstract
The result of the research shows that after open heart surgery by the gauge packing beneath operation wound the highest amount of bleeding from the chest drain after the first hour was 34.67 milliliters (SD = 34.02). And the total amount of bleeding in the first 8 hours after surgery was 142.17 milliliters (SD = 90.59). Average total bleeding in 24 hours after surgery was 241.83 milliliters (SD = 133.70). The most commonly received types of blood are 2 units of fresh freshen plasma. Average total cost 559,824.18 Baht (SD = 68,490.16). The average length of stay was 6 days (SD = 1.34). There was no 100% postoperative wound infection in the 7 and 14 days, and 100% had no re-surgery. The research findings suggest that a gauge packing beneath operation wound in patients with open heart surgery is a method of preventing bleeding after open heart surgery.
References
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10. Bouboulis N, Rivas LF, Kuo J, et al. Packing the chest: a useful technique for intractable bleeding after open heart operation. Ann Thorac Surg 1994;57(4):856-60. doi:
http://dx.doi.org/10.1016/0003-4975(94)90189-9.
11. Moeinipour A, Fathi M, Sepehri Shamloo A, et al. Mediastinal Packing for Intractable Coagulopathy in Acute Aortic Dissection (Types 1 and 2 DeBakey): A Life-Saving Technique—Report of Experiences. Case reports in critical care, 2015. 1-3. doi:http:// dx.doi.org/10.1155/2015/513617.
12. Christensen MC, Dziewior F, Kempel A, et al. Increased chest tube drainage is independently associated with adverse outcome after cardiac surgery. J Cardiothorac Vasc Anesth 2012;26(1):46-51.
13. Pérez-Alonso D, Santana-Rodríguez N, Cano JR, et al. Selective packing for uncontrollable traumatic thoracic wall bleeding preserving cardiopulmonary function. The American Journal of Surgery 2017;214(3):413-5.
14. Karkouti K, McCluskey SA, Syed S, et al. The influence of perioperative coagulation status on postoperative blood loss in complex cardiac surgery: a prospective observational study. Anesth Analg 2010;110(6):1533-40.
15. Okonta KE, Anbarasu M, Agarwal V, et al. Sternal wound infection following open heart surgery: appraisal of incidence, risk factors, changing bacteriologic pattern and treatment outcome. Indian J Thoracic and Cardiovascular Surgery 2011;27(1): 28-32.
16. Singhapok K, Khuwatsamrit K, Hanprasitkam K, et al. Risk Factors Related to Surgical Site Infection after Coronary Artery Bypass Graft Surgery. Rama Nurs J 2014; 20(1):33-49.
17. Kijjanon N, Get-Kong S. Factors Influencing Length of Stay in Open Heart Surgery Patients. Thai Journal of Cardio-Thoracic Nursing 2009;20(1):33-45.
18. Fukfon K, Wasee P, Duangnakhorn M, et al. The Development of Case Management System for Patients Undergoing an Open Heart Surgery Chiangrai Prachanukroh ิHospital. Nursing Public Health and Education Journal 2018;19(1):27-39.
2. Ozolina A, Strike E, Harlamovs V, et al. Excessive bleeding after cardiac surgery in adults: Reasons and management. Acta chirurgica latviensis 2009;9(1):86-91.
3. Maisano F, Kjærgård HK, Bauernschmitt R, et al. TachoSil surgical patch versus conventional haemostatic fleece material for control of bleeding in cardiovascular surgery: a randomised controlled trial. Eur J Cardiothorac Surg 2009;36(4):708-14.
4. Miettinen S, Hakala T. Traumatic intercostal arterial bleeding controlled with a novel surgical technique: a case report. J Med Case Reports 2012;6(1):318. doi: 10.1186/1752-1947-6-318.
5. Merenkov VV, Koshcheev IS, Monahov YE, et al. Retrosternal Hematoma After Aortic Valve Replacement: Ultrasound View. J Cardiothorac Vasc Anesth 2014;28(2):e15-6. doi: 10.1053/j.jvca.2013.10.019.
6. Kristensen KL, Rauer LJ, Mortensen PE, et al. Reoperation for bleeding in cardiac surgery. Interact Cardiovasc Thorac Surg 2012;14(6):709-13.
7. Ranucci M, Baryshnikova E, Castelvecchio S, et al. Surgical and Clinical Outcome Research (SCORE) Group. Major bleeding, transfusions, and anemia: the deadly triad of cardiac surgery. Ann Thorac Surg 2013;96(2):478-85.
8. Stone GW, Clayton TC, Mehran R, et al. Impact of major bleeding and blood transfusions after cardiac surgery: analysis from the Acute Catheterization and Urgent Intervention Triage strategY (ACUITY) trial. Am Heart J 2012;163(3):522-9.
9. Matsushita T, Masuda S, Hayashida K, et al. A novel chest packing technique for intractable bleeding after open heart surgical procedures. Ann Thorac Surg 2013 Sep 1;96(3):1099-101. doi: http://dx.doi. org/10.1016/j.athoracsur.2013.04.088.
10. Bouboulis N, Rivas LF, Kuo J, et al. Packing the chest: a useful technique for intractable bleeding after open heart operation. Ann Thorac Surg 1994;57(4):856-60. doi:
http://dx.doi.org/10.1016/0003-4975(94)90189-9.
11. Moeinipour A, Fathi M, Sepehri Shamloo A, et al. Mediastinal Packing for Intractable Coagulopathy in Acute Aortic Dissection (Types 1 and 2 DeBakey): A Life-Saving Technique—Report of Experiences. Case reports in critical care, 2015. 1-3. doi:http:// dx.doi.org/10.1155/2015/513617.
12. Christensen MC, Dziewior F, Kempel A, et al. Increased chest tube drainage is independently associated with adverse outcome after cardiac surgery. J Cardiothorac Vasc Anesth 2012;26(1):46-51.
13. Pérez-Alonso D, Santana-Rodríguez N, Cano JR, et al. Selective packing for uncontrollable traumatic thoracic wall bleeding preserving cardiopulmonary function. The American Journal of Surgery 2017;214(3):413-5.
14. Karkouti K, McCluskey SA, Syed S, et al. The influence of perioperative coagulation status on postoperative blood loss in complex cardiac surgery: a prospective observational study. Anesth Analg 2010;110(6):1533-40.
15. Okonta KE, Anbarasu M, Agarwal V, et al. Sternal wound infection following open heart surgery: appraisal of incidence, risk factors, changing bacteriologic pattern and treatment outcome. Indian J Thoracic and Cardiovascular Surgery 2011;27(1): 28-32.
16. Singhapok K, Khuwatsamrit K, Hanprasitkam K, et al. Risk Factors Related to Surgical Site Infection after Coronary Artery Bypass Graft Surgery. Rama Nurs J 2014; 20(1):33-49.
17. Kijjanon N, Get-Kong S. Factors Influencing Length of Stay in Open Heart Surgery Patients. Thai Journal of Cardio-Thoracic Nursing 2009;20(1):33-45.
18. Fukfon K, Wasee P, Duangnakhorn M, et al. The Development of Case Management System for Patients Undergoing an Open Heart Surgery Chiangrai Prachanukroh ิHospital. Nursing Public Health and Education Journal 2018;19(1):27-39.
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Published
2020-08-31
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Warinsirikul W, Piwpong R, Kongphrom S, Durongrittichai V, Suksumitr N, Ninwongsanuwat K, Tanomwong R, Srijianthong J, Sriprapakarn U, Puangsakul S, Namtad S, Khuankaew O, Limpuangthip M. Effect of gauze packing beneath operation wound on bleeding in patients with open heart surgery. J Med Health Sci [Internet]. 2020 Aug. 31 [cited 2024 Jul. 1];27(2):18-27. Available from: https://he01.tci-thaijo.org/index.php/jmhs/article/view/244761
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