January 1, 1992Scandinavian Journal of Thoracic and Cardiovascular Surgery

Open-Heart Surgery in Patients Requiring Chronic Hemodialysis

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Why the study?

Does open-heart surgery with appropriate fluid and potassium management have acceptable perioperative outcomes in patients requiring chronic hemodialysis?

Population

31 patients requiring chronic hemodialysis because of end-stage renal failure undergoing open-heart surgery.

Design

Case_series

Follow-up

Perioperative/postoperative

Authors

ÇSÇhristof Schmid GZGerhard Ziemer JLJoachim Laas

Discussion

Member takes

Overview

Suggests acceptable perioperative outcomes with management in hemodialysis patients; leaves open confirmation in larger prospective studies.

Structured PICO

Does open-heart surgery with appropriate fluid and potassium management have acceptable perioperative outcomes in patients requiring chronic hemodialysis?

Population

31 patients requiring chronic hemodialysis because of end-stage renal failure undergoing open-heart surgery (20 for coronary artery disease, 5 for mitral valvulopathy, 5 for aortic valvulopathy, 1 for perforation of an aortic aneurysm).

Intervention

Open-heart surgery with specific perioperative management including double venous cannulation, hemofiltration during bypass (removing 1,500-2,000 ml fluid), postoperative fluid restriction, and strict serum potassium control.

Outcome

Perioperative mortality and postoperative recovery (weaning from respirator, restarting dialysis).hard clinical

With appropriate management of fluid balance and potassium, open-heart surgery in dialysis-dependent patients can be performed without heightened perioperative risk.

Cite This Study

Schmid et al. (1992) studied this question.

synapsesocial.com/papers/6a83e09b8dcee831255bd31d https://doi.org/10.3109/14017439209099061

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January 1, 1992Scandinavian Journal of Thoracic and Cardiovascular Surgery

Open-Heart Surgery in Patients Requiring Chronic Hemodialysis

View Full Paper

Ask AI

Bookmark

Why the study?

Does open-heart surgery with appropriate fluid and potassium management have acceptable perioperative outcomes in patients requiring chronic hemodialysis?

Population

31 patients requiring chronic hemodialysis because of end-stage renal failure undergoing open-heart surgery.

Design

Case_series

Follow-up

Perioperative/postoperative

Authors

ÇSÇhristof Schmid GZGerhard Ziemer JLJoachim Laas

Discussion

Member takes

Overview

Suggests acceptable perioperative outcomes with management in hemodialysis patients; leaves open confirmation in larger prospective studies.

Structured PICO

Does open-heart surgery with appropriate fluid and potassium management have acceptable perioperative outcomes in patients requiring chronic hemodialysis?

Population

Intervention

Outcome

Perioperative mortality and postoperative recovery (weaning from respirator, restarting dialysis).hard clinical

With appropriate management of fluid balance and potassium, open-heart surgery in dialysis-dependent patients can be performed without heightened perioperative risk.

Cite This Study

Schmid et al. (1992) studied this question.

synapsesocial.com/papers/6a83e09b8dcee831255bd31d https://doi.org/10.3109/14017439209099061

Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

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