Packing the chest –harbinger of death or a useful hemostatic manoeuvre in aortic surgery – a matched case-control study. Ishtiaq A Rahman, Mahmoud Loubani, Aaron Ranasinghe, Reena Panchal, Viv Barnett, Timothy R Graham, Ian C Wilson, Domenico Pagano, Steve Rooney, Jorge G Mascaro, Robert S Bonser, American Association for Thoracic Surgery Aortic Symposium 2010, New York
12
Embed
American Association for Thoracic Surgery Aortic Symposium 2010, New York
Packing the chest –harbinger of death or a useful hemostatic manoeuvre in aortic surgery – a matched case-control study. - PowerPoint PPT Presentation
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Packing the chest –harbinger of death or a useful hemostatic manoeuvre in aortic surgery – a matched case-control study.
Ishtiaq A Rahman, Mahmoud Loubani, Aaron Ranasinghe, Reena Panchal, Viv Barnett, Timothy R Graham, Ian C Wilson, Domenico Pagano, Steve Rooney, Jorge G Mascaro, Robert S Bonser,
American Association for Thoracic Surgery
Aortic Symposium 2010, New York
Objectives
Packing the field with swabs may be the last resort for persistent intra-operative bleeding.
We aimed to compare outcomes in such cases versus matched controls.
Methods
Patients undergoing aortic surgery via median sternotomy identified (1997-2009).
Patients requiring mediastinal packing individually matched via operative database for controls.
Matching performed by investigators blinded to outcome for operation type, urgency, age, gender, operative priority, number of previous operations, era of operation, vascular pathology.
Packing is a reasonable treatment option when primary haemostasis cannot be achieved.
Similar survival to matched controls, without an increase in infective complications, but is associated with an increased transfusion and ventilation time.
It remains an important bail-out technique to secure haemostasis in this high risk population.