Bibliographic citations
Bueno, M., (2001). Complicaciones postoperatorias relacionadas con la prueba de tubo en T precoz en pacientes postoperados de cirugía cardiaca en el Incor-EsSALUD, julio 2000-diciembre 2000 [Tesis de segunda especialidad, Universidad Nacional Mayor de San Marcos]. https://hdl.handle.net/20.500.12672/1904
Bueno, M., Complicaciones postoperatorias relacionadas con la prueba de tubo en T precoz en pacientes postoperados de cirugía cardiaca en el Incor-EsSALUD, julio 2000-diciembre 2000 [Tesis de segunda especialidad]. PE: Universidad Nacional Mayor de San Marcos; 2001. https://hdl.handle.net/20.500.12672/1904
@misc{renati/488570,
title = "Complicaciones postoperatorias relacionadas con la prueba de tubo en T precoz en pacientes postoperados de cirugía cardiaca en el Incor-EsSALUD, julio 2000-diciembre 2000",
author = "Bueno Álvarez, Marco Antonio",
publisher = "Universidad Nacional Mayor de San Marcos",
year = "2001"
}
--- 1. Objectives: To determine the T-piece trial precocious influence (between the first 4 hours) in the risk of complications rate of.postoperated patients of cardiac surgery. 2. Design: Observational, study of cases control. 3. Methods: Clinical histories of 232 postoperated patients of diverse types of cardiac surgery were reviewed. The patients to admited to the ICU after of cardiac surgery and were supported with mechanical ventilation initially with an Assisted/Control mode. Soon in a group a T-piece trial precocious was made, it evaluated the time of extubación and the complications that presented/displayed in the postoperative period. 4. Results: According to the univariado analysis the T-piece trial precocious was related neither to the increase in the risk of myocardial infarction perioperative nor of arrhythmias. After of the multivaried analysis, the main factors of risk for myocardial infarction perioperative were the presentation of unstable angina at the admission (OR: 4.7) and the coronary artery bypass graft surgery (OR: 18.57); for the case of arrhythmias the valvular surgery (OR: 2.6) and the cardiac surgery antecedent (OR: 2.66) were the main risk factors. The injury pulmonary severe appeared in 26.7% and the time of aortic clamping increased 4.29 times the risk of its presentation. The mediastinitis has a greater risk 4.87 times in diabetic patients. 5. Conclusions: The accomplishment of a T-piece trial precocious in patients postoperated of cardiac surgery did not increase the risk of complications.
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