Post-Surgery Effects of Cardiovascular Anesthesia


An irregular heartbeat followed by surgery known as post-operative atrial fibrillation often is dismissed as a transient phenomenon. But POAF can significantly increases the risk of heart attack or stroke during the first 12 months after surgery mostly cardiovascular surgery.
Atrial Fibrillation is an atrial arrhythmia characterized predominantly by uncoordinated atrial activation with consequent deterioration of atrial function.
Atrial fibrillation is caused due to:
  •          Hypertension
  •          Ischemic Heart Disease
  •          Restrictive cardiac myopathy
  •          Cardiac Tumors
  •          Pulmonary hypertension
  •          Obesity

·         Thoracic and Cardiovascular Surgery:

Patients developing AF following cardiac surgery are at increased risk of stroke, congestive heart failure, and haemodynamic instability. Postoperative AF is invariably associated with increased intensive care unit stays and prolonged hospitalizations and is responsible for significant patient morbidity and health care expenditures, clinical postoperative AF and the evidence available on the efficacy of treatment strategies. The following is a concise review of postoperative AF as well as an an evidence-based approach to the management of AF after surgery.

Clinical Risk Factors:

These risk factors include:
  •          Advanced age
  •          Concomitant valve surgery
  •          A prior history of AF
  •          Congestive heart failure
  •         Left atrial enlargement
  •          Decreased left ventricular function
  •          Postoperative withdrawal of β-adrenergic blockade

  •          Chronic obstructive pulmonary disease, and P wave duration on ECG.

Cardiologist's interventional and surgeons "medical" therapies have become more invasive and the surgical treatments have become less so, in the patients.


Comments

Post a Comment

Popular posts from this blog

Analgesics: A remedy to relief Pain

Image
Analgesics are drugs that are used to relieve pain. Technically, the term analgesic refers to a medication that provides relief from pain without putting you to sleep or making you lose consciousness. Analgesic drugs act in various ways on central nervous and peripheral nervous systems. They are distinctive from anesthetics , that temporarily affect, and in some instances eliminate, sensation. Analgesics include paracetamol, the nonsteroidal anti-inflammatory drugs (NSAIDs) such as the salicylates, and opioid drugs such as morphine and oxycodone. Analgesics are classified into two types: Anti-Inflammatory Analgesics: Anti-inflammatory drugs are pharmaceuticals with anti-inflammatory, pain relieving, and illness-reducing effects. Inflammation is not an infection. Infections are caused by bacteria or viruses and are treated with antibiotics or antiviral drugs. In long-term use, these may damage the mucous membrane of the gastrointestinal tract and cause intestinal bleeding.
Read more

Anxiety between patient factors to more opioid use after surgery

Image
Surgeons wielding their life-saving scalpels, laparoscopic tools, or other implements to repair & remove what ails their patients understand all too well that pain is an unavoidable part of the healing process. However, the current opioid crisis has rendered the standard by prescribing practices for these highly effective analgesics fraught with risk with surgery and critical care .   There is not much ongoing research on which surgical patients require opioids, despite a push in the field for personalized medicine. Habitually with postoperative opioid prescribing, personalization falls by the wayside, with surgeons using the same amounts for every person receiving a certain process. Why Pain Specialist would not prescribe an Opioid in 10 Years? Scientists looked at the data for more than 1,000 people undergoing an elective hysterectomy, thoracic surgery, or a total knee or hip replacement. Before their procedures, each patient provided demographic information and
Read more