medigraphic.com
ISSN 2218-6719 (Print)

2016, Number 1

<< Back Next >>

Rev Cub de Tec de la Sal 2016; 7 (1)

Behavior of the video assisted thoracic surgery in hospitalized patients in the Special Care Ward

Milanés HAM, Cruz GEF

Language: Spanish
References: 16
Page: 88-99
PDF size: 682.60 Kb.


ABSTRACT

The development of new technologies and procedures tend to increase the video assisted thoracic surgery upon thoracotomy. It was shown the results attained from a group of hospitalized patients in the Special Care Ward from the Surgery National Center of Minimum Access. Objective: Todescribe the behavior of hospitalized patients who have been operated onvideo assisted thorax surgery in the Special Care Ward. Method: A descriptive, transverse and retrospective study was carried out. The population was made up by 25 hospitalizedpatients operated on video assisted thorax surgery in the Special Care Ward, fromFebruary 2011 to June 2013. Results: The predominant ages were among female elder people, from 41 to 60. These people were diagnosed with Lung Cancer and the most frequent complications were Fever and Mechanical Ventilation for more than 72 hours. The study showed 84% of non-complicated cases, though one of the patients confronted great complications that prolong his permanence in the SCU, but he died. Conclusion: This new technique allows less biological aggressiveness, less complications and speedy recovery. Even though, the study showed a very little percent (16%) of complicated patients, the personnel from the Special CareServices must be upgraded andwell-trained in the techniques and procedures that permit to assume appropriately these challenges.


REFERENCES

  1. Akiba T, Marushima H, Kawahara H, Takagi M, Hirano J, Odaka M, et al.Video Assisted Thoracic Surgery for patients with lung cancer and interstitial pneumonia. (Ann ThoracCardiovascSurg); 2010. 16: 236–241

  2. Feasibility and long-term efficacy of video-assisted thoracic surgery for unexpected pathologic N2 disease in non-small cell lung cancer.AnnThoracMed. 2013 Jul-Sep; 8(3): 170–175. doi: 10.4103/1817-1737.114291PMCID: PMC3731860

  3. Rev. Chil. Enferm. Respir. Santiago mar. 2012. Vol. 28 no. 1. Disponoible en: http://dx.doi.org.10.4067/SO717- 73482012000100004.

  4. Horsleben Petersen R, Jessen Hansen H. Learning thoracoscopic lobectomy. Eur J Cardiothorac Surg. 2010; 37(3):516-520. Disponible en::http://ejcts.oxfordjournals.org/content/37/3/516.full

  5. Yamamoto K, Ohsumi A, Kojima F, et al. Long-term survival after video-assisted thoracic surgery lobectomy for primary lung cancer. Ann ThoracSurg 2010; 89:353-359.

  6. Kim RH, Takabe K, Lockhart CG. Outcomes of a hybrid technique for video-assisted thoracoscopic surgery (VATS) pulmonary resection in a community setting. [PubMed]. J ThoracDis 2010; 2:210-4 [PMC free article].

  7. Fuentes E Díaz JM, Huerta JC, Videotoracoscopía: nuestra experiencia. Rev. Cuba sir.; 2001. 40(2-3).

  8. Checkley W, Martin GS, Brown SM, Chang SY, Dabbagh O, Fremont RD, et al. United States Critical Illness and Injury Trials Group Critical Illness Outcomes Study Investigators: Structure, process, and annual ICU mortality across 69 centers: United States critical illness and injury trials group critical illness outcomes study. Crit Care Med; 2014 Feb, 42(2):344-56.

  9. Rice TW, Morris S, Tortella BJ, Wheeler AP, Christensen MC. Deviations from evidence-based clinical management guidelines increase mortality in critically injured trauma patients*.Crit Care Med; 2012. 40:778-786.

  10. Tonelli MR, Curtis JR, Guntupalli KK, Rubenfeld GD, Arroliga AC, Brochard L, et al. An official multi-society statement: the role of clinical research results in the practice of critical care medicine. Am J RespirCrit Care Med 2012, 185:1117-1124. Crit Care Med; 2012, 40:778-786.

  11. Lung function in the immediate postoperative period after videoassistedthoracoscopic and thoracotomy pulmonary resectionCritical Care 2014, 18(Suppl 1):P254 doi: 10.1186/cc13444.

  12. EACTS guidelines for the use of patient safety checklists. online Eur J CardiothoracSurg (2012) 41 (5): 993-1004. Doi: 10.1093/ejects/ezs009 first published: March 11, 2012.

  13. Pérez-Etchepare E, Barrientos G, Antón L, Gómez M, Soriano D, Velázquez LR. Tratamiento toracoscópico del neumotórax secundario a osteocondroma costal TracchiaHospital Universitario Nuestra. Señora de la Candelaria. Santa Cruz de Tenerife.CirPediatr; 2013. 26: 95-97.

  14. Collado JC, Vázquez JM. Almeida R, Guerra JL. Resultados preliminares de la Pleurodésis con talco para el tratamiento de los derrames pleurales de causa maligna. Rev. Cub. Cir.2006; 45 (1). 10-4.

  15. VATS Anatomic lung resections—the European experienceThoracic Dis. May 2014; 6(Suppl 2): S203–S210. doi: 10.3978/j.issn.2072-1439.2014.05.04. PMCID: PMC4032960.

  16. Alvarez Li FC, Fajardo DO, Diaz FM. Clinical Practice Guidelines for postoperative period of thoracic surgery. Rev. Medisur, vol. 7, núm; 2009.




2020     |     www.medigraphic.com