#IVTEAM #Intravenous literature: “Clinicians managing post-cardiac surgery patients need to know and seek for venous thromboembolism CVCs related after cardiac surgery.” Scarduelli et al (2014)
Scarduelli, C., Ghirardi, R., Tortelli, O., Frizzelli, R., Mascaro, F. and Pinzi, C. (2014) Upper extremity deep vein thrombosis central venous catheters-related and pulmonary embolism after cardiac surgery. Chest. 145(3 Suppl), p.527A.
SESSION TITLE: DVT/PE Posters
SESSION TYPE: Poster Presentations
PRESENTED ON: Saturday, March 22, 2014 at 01:15 PM – 02:15 PM
PURPOSE: Our purpose is to describe clinical presentation and diagnostic approach in 5 patients presenting with upper extremity deep vein thrombosis (UEDVT) central venous catheters (CVC)-related and pulmonary embolism after cardiac surgery
METHODS: We report clinical caracteristics, diagnostic approach, management and evolution of 5 patients consecutively admitted to our Cardiopulmonary Rehabilitation Unit.
RESULTS: Clinical caracteristics of the patients at diagnosis were (beginning from the left column) : 1-Name, 2-sex, 3-age, 4- type of surgery, 5-days after surgery. 6-systolic pulm. pressure (mmHg), 7-PaO2(mmHg), 8-PaCO2(mmHg), 9-pH G.I M 58 CABPG 5 60 60 33 7,49 B.F. M 54 CABPG 7 25 58 35 7,48 S.P. M 75 Valve 3 50 45 32 7,49 R.B. M 55 CABPG 9 30 70 36 7,45 P.A M 64 CABPG 7 64 45 31 7,47 MEAN 5 61 4 CABG 6,2 45 55 33 7,47 CABPG is for coronary artery bypass graft
CONCLUSIONS: UEDVT CVCs related may complicate with pulmonary embolism, pulmonary hypertension and respiratory failure. Pulmonary embolism in our patients developed in 1 week after surgery. Early diagnosis and treatment are crucial for clinical and functional improvement and prevention of recurrence of pulmonary embolism
CLINICAL IMPLICATIONS: Clinicians managing post-cardiac surgery patients need to know and seek for venous thromboembolism CVCs related after cardiac surgery
DISCLOSURE: The following authors have nothing to disclose: Cleante Scarduelli, Redenta Ghirardi, Ornella Tortelli, Rino Frizzelli, Fabia Mascaro, Claudio Pinzi No Product/Research Disclosure Information.
Other intravenous and vascular access resources that may be of interest (External links – IVTEAM has no responsibility for content).
- Guide for intravenous chemotherapy and associated vascular access devices from Macmillan.
- CancerUK IV chemotherapy information.