Open Heart Surgery: Management of Nonsurgical Bleeding in the Peri-Operative Period; 31/2-Years Institutional Experience

Nwafor IA*, Nwafor MN, Eze JC, Ezemba N, Chinawa JM, Nzewi OC and Ngene CI

Background: Excessive perioperative bleeding remains a major complication following open heart surgery, resulting in increased morbidity and mortality of some patients in our institution. A study of the principal causes of excessive nonsurgical haemostatic perioperative bleeding, clinical evaluation, treatment and preventive strategies is justified.

Objective/Aim: To characterize the causes of bleeding in patients with hemorrhage that did not require re-exploration and assess the impact on the patient outcomes from different causes of nonsurgical bleeding preoperatively.

Materials and Methods: For a period of 31/2 years (March 2013 – February 2016), the National Cardiothoracic Center of Excellence, UNTH, Ituku/Ozalla, Enugu, Nigeria, partnered with different foreign cardiac missions (USA, UK and India) for the performance of open heart surgery. The case files of the patients managed in the envisaged period were retrieved and analyzed using SPSS, version 4.0. The data analyzed were patients’ demographics, the total number of open heart surgery cases, the number that had perioperative nonsurgical bleeding, clinical detection strategies, treatment and preventive modalities as well as the outcome.

Keywords: Perioperative; Open Heart Surgery (OHS); Thromboelastography; Platelet Function Analyzer

Published on: Feb 2, 2017 Pages: 8-12

Full Text PDF Full Text HTML DOI: 10.17352/2455-5452.000019
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