background: extubation is associated with the risk of complications such as accumulated secretion above the endotracheal tube cuff, eventual atelectasia following a reduction in pulmonary volumes because of a lack of physiological positive end expiratory pressure, and intra-tracheal suction. in order to reduce these complications, and, based on basic physiological principles, a new practical ex...

conclusions comparing the serum lactate level before operation and 24 hours after the operation showed that the number of received blood units had a significant effect on serum lactate. we found no significant effect for blood storage duration; however, the number of given blood units was more significant. patients and methods in a cross-sectional study, 228 patients referred to three hospitals...

results of 153 patients, 96.8% received pc and 54.9% transfused ffp during or after surgery. most of the transfusions were done after operation in intensive care unit (icu). also, 20% and 17% of the patients underwent transfusion of more than 6 units of pc and ffp, respectively. the mean left ventricular ejection fraction of the patients was 42.5 ± 10.9%. a significant number of patients had an...

conclusions patients’ experiences after cardiac surgery indicated the need for the consideration of holistic care and supportive intervention programs after surgery to promote recovery and a better quality of life following cardiac surgery. results the data analysis revealed three main themes and 11 subthemes, categorized as conceptual and abstract, based on their nature: concern of going out t...

background: cardiovascular disease is an important non-obstetric cause of maternal and fetal /neonatal morbidity and mortality during pregnancy. for a pregnant woman with cardiac disease, the potential inability of the maternal cardiovascular system to contend with normal pregnancy-induced physiologic changes may produce deleterious effects on both mother and fetus. to determine the most freque...

chylothorax in adult occurs most commonly in the wake of cardiac and thoracic procedures. injuries to the  common thoracic duct in the thorax or its branches in the mediastinum, injuries to the thymus tissues, dissection of the superior vena cava or ascending aorta, dissection of the aortic arch, disruption of the accessory lymphatics in the left or right thorax, and increased pressure in the s...

primary cardiac sarcomas are rare clinical entities with an incidence rate of 0.0001% in collected autopsy series and are regarded as very aggressive tumors. we herein describe a 21-year-old woman presenting with syncope, dyspnea, and abdominal distention. she suffered from massive ascites, plural effusion, and liver congestion demonstrated by abdominal sonography and chest x-ray. transthoracic...

pseudoaneurysms of the ascending aorta, which are rare and life-threatening complications in cardiovascular surgeries, can be caused by the bentall procedure. we describe a 44-year-old woman, who had a medical history of acute aortic dissection (type a) and the bentall procedure and was admitted because of exertional dyspnea, edema of the lower extremities, ascites, and holosystolic murmur in t...

background: surgical treatment of a ruptured abdominal aorta aneurysm (raaa) continues to present a significant challenge to surgeons. there are some patient factors such as age and gender that cannot be changed, and comorbid conditions can be optimized but not eliminated.  the purpose of this study was to identify the risk factors affecting high mortality after the surgical repair of an raaa. ...

background in some hospitals, urinalysis is done routinely for all patients scheduled for cardiac surgery. occasionally pyuria or bacteria is reported in the microscopic urinalysis of these patients that are clinically asymptomatic for urinary tract infections. objectives we were seeking answer to this question: is the presence of a different number of bacteria in preoperative microscopic urina...