Carmona DVM, Careaga RG, Bejarano AR, Argüero SR

Language: Spanish
References: 10
Page: 119-124
PDF size: 111.24 Kb.

ABSTRACT

Introduction: The off pump coronary artery bypass grafting together with low doses of opioids and off pump coronary artery bypass grafting, facilitate an early extubation. (Fast-track). Objective: To evaluate if the coronary artery bypass grafting off pump and fast-track improve the benefits cost patient and low stay days in the therapy intensive and hospital. Material and methods: During a period of April 1, 2006 and October 31, 2006 were compared two groups; group A postoperative patients of cardiac surgery with protocol fast-track: extubation in a period postoperative 0-6 hours or 30 minutes before discharge to therapy intensive intermediate. Discharge to the therapy intensive intermediate was 12 hours, and group B with management conventional. Results: 22 patients were analyzed. In the group A was 12 patients; 7 patients male, and 5 female; 10 patients in the group B (5 male and 5 female) with result no significantly different in group among gender, with a mean age of 67 years-old (range 49-75). There were a significantly different in the patients stay in therapy intensive postoperative with a p = 0.001 (group A length of stay 3 days, comparative with group B: 4-15 day). The morbidity was significantly different, in group A there weren’t complications, in the group B 3 patients with pneumonia (p = 0.018). The cost was significantly different, in the group A the cost was $ 73,236.00, and patient with more cost was in group B ($1,098,540.00). Conclusion: It was concluded that off pump coronary artery bypass grafting off and fast track, is feasible, and safe in patients selected to decrease the stay at the hospital after open heart surgery.

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