- Tytuł:
-
Comparison of early inpatient rehabilitation in patients after coronary artery bypass grafting without cardiopulmonary bypass by means of the so-called minithoracotomy with patients after conventional cardiac surgery – authors’ experience
Porównanie wczesnej rehabilitacji szpitalnej chorych leczonych metoda pomostowania naczyń wieńcowych bez krażenia pozaustrojowego, z tzw. małego dostępu, z chorymi po klasycznej rewaskularyzacji serca – doświadczenia własne - Autorzy:
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Storch-Uczciwek, Agnieszka
Bochenek-Klimczyk, Krystyna
Nowak, Zbigniew
Bochenek, Andrzej
Cisowski, Marek - Powiązania:
- https://bibliotekanauki.pl/articles/1938529.pdf
- Data publikacji:
- 2007
- Wydawca:
- Akademia Wychowania Fizycznego im. Bronisława Czecha w Krakowie
- Tematy:
-
coronary artery bypass graft
MIDCAB
EACAB
cardiac rehabilitation
pomostowanie naczyn wiencowych
rehabilitacja kardiologiczna - Opis:
- There is some evidence that focused and intense rehabilitation improve clinical outcome following conventional open-heart surgery. Recent developments in surgical techniques, which focused on the improvement in patient comfort, reduction in hospital stay and costs, has resulted in minimally invasive techniques, including Minimally Invasive Direct Coronary Artery Bypass (MIDCAB) and Endoscopic Atraumatic Coronary Artery Bypass (EACAB). EACAB is safer than on-pump coronary artery bypass graft (CABG), especially in high risk patients. Its use, however, is limited to a small subgroup of patients: those with suitable anatomy of coronary pathology, younger patients with rapidly progressing coronary artery disease or elderly patients with substantial co-morbidities, whom sternotomy and cardiopulmonary bypass pose significant risks to. In this latter group of patients, effective rehabilitation is, therefore, even more important. Prevention of disturbances in homeostasis resulting from reduced physical activity, and thus rate of recovery and effectiveness of cardiac surgery, are not dependent on early physical activity and the intensiveness of the inpatient rehabilitation only but also on psychological therapy, dietary advice and health-promoting education. In this study, we explore differences in inpatient rehabilitation methods and outcomes between the groups of patients who underwent on-pump CABG and MIDCAB operations. Our data show that inpatient rehabilitation following MIDCAB operations may be shorter than after on-pump CABG by 2 days on average.
- Źródło:
-
Medical Rehabilitation; 2007, 11(1); 17-22
1427-9622
1896-3250 - Pojawia się w:
- Medical Rehabilitation
- Dostawca treści:
- Biblioteka Nauki
Artykuł