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The Preoperative Management for the Patients With Dialysis in Open Cardiac Surgery

山口医学 Volume 47 Issue 4 Page 109-115
published_at 1998-08
B030047000403.pdf
[fulltext] 2.9 MB
Title
透析患者の心臓手術における周術期管理
The Preoperative Management for the Patients With Dialysis in Open Cardiac Surgery
Creators Kato Tomoe
Creators Minami Yoshihide
Creators Goura Hidenori
Creators Hamano Kimikazu
Creators Noda Hiroshi
Creators Fujimura Yoshihiko
Creators Esato Kensuke
Creators Mikamo Akihito
Creators Furukawa Syoichi
Creators Oda Tatsro
Creators Miyamoto Masaki
Source Identifiers
Creator Keywords
透析 開心術 周術期管理
From 1 991 to 1 996, seven patients with dialysis underwent open heart surgery, including coronary artery bypass grafting (CABG) in 5 cases, aortic valve replacement in I , and aortic and mitral valve replacement in 1.We evaluated whether open cardiac surgery was safe for the patients with dialysis, and how to manage these patients in the perioperative period. In all patients studied, the dialysis on the day before operation and ECUM during cardiopulmonary bypass were performed. The oxygen index was 264 ± 175 immediately after the arrival to the ICU room and the concentration of serum potassium was within normal limits on the operative day. Water balance was also kept in the minus on the operative day and 1st postoperative day. All patients were extubated on the 1st postoperative day. Dialysis on the day before operation and ECUM during cardiopulmonary bypass are thought to be important for the perioperative management of water balance and adjustment of electrolyte to ensure safer open heart surgery in patients with dialysis.
Subjects
医学 ( Other)
Languages jpn
Resource Type journal article
Publishers 山口大学医学会
Date Issued 1998-08
File Version Version of Record
Access Rights open access
Relations
[ISSN]0513-1731
[NCID]AN00243156
Schools 医学部