Sternal force distribution during median sternotomy retraction
نویسندگان
چکیده
منابع مشابه
Inferior median sternotomy.
We have read with interest the report of Legarra et al. [1] regarding the use of an inferior median sternotomy incision in patients with a tracheostomy. We have been able to take advantage of their technique’s description to solve a legal problem. A case of death by hanging was considered adequate for multiorgan transplantation including the heart. In Spain, donation of organs for transplantati...
متن کاملManagement of sternal precautions following median sternotomy by physical therapists in Australia: a web-based survey.
BACKGROUND Sternal precautions are utilized within many hospitals with the aim of preventing the occurrence of sternal complications (eg, infection, wound breakdown) following midline sternotomy. The evidence base for sternal precaution protocols, however, has been questioned due to a paucity of research, unknown effect on patient outcomes, and possible discrepancies in pattern of use among ins...
متن کاملAn alternative approach to prescribing sternal precautions after median sternotomy, "Keep Your Move in the Tube".
Traditional sternal precautions, given to sternotomy patients as part of their discharge education, are intended to help prevent sternal wound complications. They vary widely but generally include arbitrary load and time restrictions (lifting no more than a specified weight for up to 12 weeks) and may prohibit common shoulder joint and shoulder girdle movements. Having observed the negative eff...
متن کاملRight ventricular laceration caused by an intact sternal wire: a rare complication of median sternotomy.
A 68-year-old man underwent an intervention for acute aortic dissection. After extubation, he was treated with non-invasive ventilation because of respiratory distress. On postoperative day 7, the patient suffered severe hypotension, tachycardia and a raised central venous pressure. The emergent resternotomy revealed that the lower sternal wire had led to a right ventricle laceration (Figs 1 an...
متن کاملNovel Sternal Protection Device for Cardiac Surgery Via Median Sternotomy Incision
OBJECTIVE Sternal bleeding during cardiac surgery is currently controlled using bone wax or other chemical substances that may result in adverse effects and affect wound healing and recovery. The purpose of this study was to identify a safe, cost-effective, and easy-to-use technique to reduce sternal bleeding and sternal trauma during cardiac surgery. METHODS After sternotomy, a sternal prote...
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ژورنال
عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery
سال: 2013
ISSN: 0022-5223
DOI: 10.1016/j.jtcvs.2013.07.075