0000000000711612
AUTHOR
A. H. Loos
Patterns and diagnostic value of cardiac troponin I vs. troponin T and CKMB after OPCAB surgery.
Cardiac troponin I (cTnI) has been shown to be a specific marker for myocardial injury in cardiac surgery. The object of this prospective study was to determine the patterns and kinetic and diagnostic value of cTnI, cardiac troponin T (cTnT), and creatine kinase MB (CKMB) activity after minimally invasive coronary revascularization using an octopus device on the beating heart (OPCAB).48 patients (33 male/15 female, mean age 68.3 +/- 8.7 years) underwent their first elective OPCAB surgery with median sternotomy without mortality. The mean number of grafts was 2.0 +/- 0.8 per patient. Preoperative mean ejection fraction was 56.6 % +/- 14.9%. CTnI and T levels, total creatine kinase (CK) and C…
Microbiological quality of carbonated drinking water produced with in-home carbonation systems.
The microbiological quality of carbonated water produced with tap water in commercial in-home carbonation systems was determined, the results being discussed in the context of the microbiological quality of the tap water used, the properties of the drink makers, and the procedures of preparation and washing of various parts of the appliance. The last-mentioned data were received from each participant of the study by questionnaire. Escherichia coli, coliforms, fecal streptococci and spore-forming sulphite-reducing anaerobes were used as indicators for the hygienic quality of the water. Tap-water samples were collected according to the usual procedure when filling the carbonating bottle, i.e.…
Schwere sternale Wundkomplikationen nach heizchirurgischen Eingriffen — Inzidenzen, Morbidität, Mortalität, Risikoanalyse und Resultate
Sternumdehiszenz oder ausgedehnte sternale Wundheilungsstorungen sind schwerwiegende Komplikationen nach medianer Sternotomie in der Herzchirurgie. Ziel der vorliegenden Studie war die Ermittlung und Erfassung von Haufigkeit, Spektrum, Risikofaktoren und Behandlungsergebnissen bei Pat. mit Sternumdehiszenz bzw. mit schweren sternalen Wundkomplikationen.
Risk factors influencing the outcome after surgical treatment of complicated deep sternal wound complications.
Background: Median sternotomy is the most frequently used incision for cardiac procedures but carries a substantial risk for deep sternal wound infections and/or sternal dehiscence. In contrast to previous studies that examined risk factors for sternal infections this study evaluates factors that lead to poor outcome after surgical revision of the non healing sternum. Methods: Between 1985 and 1999, 193 adults (mean age 64 ± 9 years, m/f = 3/1) necessitated sternal revisions (incidence 1.93%). Pre-, intra- and post-operative risk factors were evaluated for their influence on the outcome after sternal revision. Results: 65 of the 193 patients had a complicated course: ten (5.2%) died due to …